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Private Practice Blog, started in 2013

PIEDMONT MUSIC THERAPY, LLC

Written by music therapists - board certified.

​Interested in a topic we have not yet covered? Please let us know.

Shopping for an instrument: the piano

1/11/2021

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Do you want to finally learn that favorite piece or regain your skills? Does a family member dream of learning a new pastime? Just wanting a creative space to escape to during the week? Whatever your reason, PMT can assist you during the instrument selection process!

Difference in electronic keyboards and an acoustic piano
A quality electronic keyboard or a used acoustic piano are both options for beginner/intermediate musicians! Here are some pros and cons. 

If money and space are not issues, purchasing a new or used acoustic piano is the recommended option! An acoustic piano provides the opportunity to create more colors and nuanced sounds, and the learner will be more likely to explore healthy use of the arms and body to create that preferred sound. Also, the mere presence and visual spectacle of the instrument motivates the learner as an invitation to walk up to, sit down and explore! 

Considering a keyboard? Read on! The keys on electronic keyboards are typically easier to depress. Therefore, starting on a keyboard can be helpful for an adult who has tension issues or for the young beginner with smaller hands. This lighter “weight” of the keys can be helpful for the learner who is working to avoid pushing the keys in an attempt to make sound. All pianists should aim to develop a technique that is free from tension and, instead, utilize arm weight for ease of playing. Please note: acoustic pianos can also have lighter “weight” of the keys, but it is a more common feature found on electronic keyboards. 

Another highlight of an electronic keyboard is that it takes the least amount of space in your home since there is no cabinet or height restriction.
 An average length for an acoustic - upright piano - is around 59 inches and depth of 20 inches. The average length of an 88-key keyboard is 52 inches and depth of 13 inches. Please note: ask for measurements of the instrument prior to purchase to guarantee size. The full 88-key electronic keyboard is recommended since the learner will have optimal creative exploration and development of expansive technique. If space and money is truly a restriction from owning a keyboard, a 66-key keyboard is an option!

Keep in mind, the electronic keyboard should have a pedal, bench for sitting, and stand to hold the instrument (sometimes sold separately) and also have "weighted" action (so that it will feel like an acoustic piano). Additional advantages are the following: you do not have to tune a keyboard and it can be moved easily for portability/room set up. Acoustic pianos are typically tuned twice a year at seasonal changes due to humidity. Lastly, some learners find keyboards to be a motivational practice tool since recording features are built into the keyboard. The learner can provide self-feedback on one's practicing or performance recordings. 

A starter, acoustic piano is typically in the $500-1000 range, which is comparable to a starter electronic keyboard and its accessories listed above. Once learners develop in their studies, they will want to invest in a higher quality, acoustic piano to foster their technique and, most importantly, to receive a more beautiful sound as a result of their actions. People may have luck searching for used pianos via Facebook MarketPlace or local Craig's List ads. Also, Marshall Piano Company in Rock Hill, SC is a local option for piano inventory (they deliver too!). 

If a person is deaf or has an hearing impairment then an acoustic piano is recommended because of the authentic harmonics present in the sound and the ability to feel the authentic sound vibrations.

After purchasing your electronic keyboard or piano, ensure the bench height is ideal for the player and that a foot stool is available for people whose feet do not reach the ground.

​Enjoy tickling those ivories or jamming out an oldie!

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Music at home during stressful times

12/31/2020

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Written by Gretchen Benner

Have you noticed how music can "help you keep control" amidst a time warp?

Picture of musical staff and an oversized eighth note with surrounding word text: Music At Home - Support In Stressful Times. PMT Blog: 12/31/20
As we prepare for 2021, I am making time to review new recipes and priorities that I wrangled with since spring 2020. I am also reminded how important it is to adapt my stress management strategies. Part of my routine is running several times a week. Though I begin my route with prayer, the playlist that I stream has evolved greatly these past few months. Similarly the music that I listen to when doing dishes and preparing meals has changed. At times I needed solely instrumental music or a cappella arrangements. 


Music was woven throughout my day to help create balance and stability amidst a stressfully fluid season. There is research that correlates to the benefits of music incorporated into one's routines & habits. 

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Dr. Kimberly Sena Moore, MT-BC shared a blog post to Psychology Today early into the pandemic with dozens of ways that a person could use music to help their daily lives during social distancing. Check it out here. The infographic "My COVID-19 Daily Routine" created by graduate students at Temple University help to highlight ways that music can be purposefully useful during your time at home.

As 2020 winds down, what are your care based intentions entering 2021? Perhaps the arts will play a new or evolved role in your daily schedule. Interested in exploring music genres & artists? Here are some resources to help:
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  • National Public Radio's Tiny Desk Concert Playlists
  • The Hot 100 Chart by Billboard Media
  • WFAE's Amplifier Podcast exploring Charlotte based musicians 

Share how this post resonates with you or share playlist favorites that motivate you to make the most out of each day!

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Community Based Concert Amidst Pandemic

12/2/2020

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Our studio offered a hybrid recital amidst COVID19. While there was extra preparation, it was a safe & successful event. Here are the top four take aways:
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  1. Community Collaboration: our private practice and studio were grateful for a local church’s partnership that provided beautiful and accessible outdoor space suitable for an outdoor concert. Needs to consider: handicap parking, bathroom, electricity for instruments and microphones and elevated stage. 
  2. Teamwork Planning: the amount of materials that we needed to transport to an off-work site was substantial. Additionally it was a feat to coordinate the technology access for displaying remote performances at the live event. We began a digital list 2 months prior identified tasks within our team.
  3. Clear Messaging: studio families were informed of the alternate hybrid concert at the beginning of the semester due to pandemic concerns. We did not host a reception following the performances, nor allow early arrivers to "warm-up" on or off stage. Individuals were informed of the contingency plan due to inclement weather but thankfully the sunshine was glowing that afternoon!
  4. Digital Communications: we created digital programs that families accessed with a QR Code - it was printed and displayed at the event plus emailed ahead of time. Families also had communication inviting them to bring their own chairs/blankets.

P.S.
In the future we'll incorporate creative clothes pins that students can decorate ahead of time or receive as performance gifts to secure their sheet music since it was breezy!

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Creative Resources for Music Making

12/1/2020

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Team members on staff at PMT use various materials to support learners of all abilities.

The following linked resources are helpful during music therapy treatment and music lessons...
  1. Dry erase markers that are color coded for musical instruments. For example, red is used for C.
  2. Removable tape to create your own dry erased colors on musical instruments like a digital piano.
  3. Pre-colored sticker dots of various sizes to apply on musical instruments or sheet music.
  4. Set of resonator bells that are color coded for pitches. For example, orange is D.
  5. Set of resonator bells that play easier when being hand held. The pitch coloring pairs with the general color scheme of C=red, D=orange, etc.
  6. Set of diatonic Boomwhacker instruments that can be color coded. Two pitches are uniquely colored: sol G and la ​A.
Box of 52 colored Dry Erase Markers
Dry Erase Marker Set
Dry Erase Tape
Color Dot Stickers
Resonator Bell Set
Resonator Chime Bar Set
Boomwhacker Set
Miriam Tart, MMT, MT-BC recently arranged songbooks with color coding on the treble clef staff. Check out those digital resources available for purchase at $12/volume. They're categorized by genres of 1980's Decade, 1990's Decade, Rap, Rock, Religious, Pop and Country and include simplified rhythmic notation. They pair perfectly for desk bells and hand bells. Note that Boomwhackers include altered colors for G & A pitches.

We hope these linked resource are useful for you and your loved ones making music and creating sound with colorful resources!
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Educational Journey to MT-BC

11/6/2020

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During this time of the year, many high school students in their senior year are working on a graduation project involving research.

As a team of board certified music therapists, we receive frequent questions from such students curious about our educational and professional training.

These questions may also come about from seeing our uniform that includes a musical note when we're running errands on a work day... from a nearby driver in the parking lot who views one of our car magnets on display during mobile based work days... or while we're setting up treatment materials for a session out in the community.

We also respond to these inquiries from individuals who are considering a career shift and converse about pursuing music therapy through an equivalency degree program. Music therapists are also ethically held to Principle #3: To Be Accountable... with inquiries from individuals who wish to learn more about the educational and clinical training that was part of the certification process to practice as a creative and expressive arts therapist.  

​Viewing PMT's web page titled "Contact" we link credible sources online to learn more about the clinical background of music therapists. Those web based resources are recommended prior to completing in-person or phone interviews with clinicians on staff.

Due to COVID19 there are more accessible outlets to hear from credentialed clinicians about their music therapy career course beyond our private practice. In a few weeks, the American Music Therapy Association National Conference will include their second annual panel of music therapy professionals that is viewable online! Find out more information through @AMTA2020 Facebook for the upcoming live streamed event - November 21, 2020.

Additionally, there are five colleges in the Carolinas that offer accredited programs for a bachelor's degree (and even a master's degree at one of them) in music therapy. Here is a list of the universities with links to learn more about some of their upcoming virtual seminars & opportunities to ask questions to the music therapy faculty as well as read about coursework:

  1. Appalachian State University in Boone, NC: The Hayes School of Music is offering ongoing events through MusiConnect, with zoom sessions until November 12th.
  2. Charleston Southern University in Charleston, SC
  3. Converse College in Spartanburg, SC
  4. East Carolina University in Greenville, NC: Music on Monday is a monthly available via zoom and the next one is scheduled for December 7th.
  5. Queens University of Charlotte in Charlotte, NC: Register online for the MT Virtual Open House scheduled for November 13th.

Because of increased safety precautions, this an unique time for individuals to learn more from music therapy faculty, researchers and clinicians. Thanks for any help sharing these resources to promote a more diverse field of music therapists.





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MODULATE

10/30/2020

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Posted by Gretchen Benner,  LMSW, MT-BC

While listening to the soundtrack from Disney Pixar's Movie: Coco

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For the last seven months, the private practice and teaching studio of Piedmont Music Therapy has utilized more methods of creativity and expression to adapt and modulate services during this pandemic. Check out a few modifications that were undertaken:


M Mitigate possible exposure or transmission by halting shared instruments in group settings and tweaking materials for interventions used with clients

O Offer virtual services, online trainings and learn-at-home instrument courses 

D Dedicate our internal time for prioritized self-care activities and more continuing education opportunities 

U Uplift! Practice safe socialization for uplifting health benefits

L Learn to use additional technology in order to pivot services virtually for consistent relationship with clients and students

A Appreciate resources from South Carolina's Small Business Development Center at Winthrop University and other community partnerships

T Trust the Centers for Disease Control & Prevention Guidelines while our team of board certified Music Therapists and a collegiate music therapy intern amended work procedures and policies

E  Enjoy the adjusted space, tempo & dynamics of this unusual time


How have you utilized creativity and more expression during 2020? Leave a comment below or share with a friend!


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The Power of Music and Memory

8/25/2020

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Written by Melissa Reinhardt, MSEd, MT-BC

Board Certified Music Therapist on staff at Piedmont Music Therapy, LLC

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Do you have a song that takes you back to a specific place and time?  And everytime you hear that song, do you have the same response?  For me, that song is “Livin’ On A Prayer” by Bon Jovi circa 1986 - my junior year of high school.  I have a specific memory of driving in my car around town listening to my cassette tape playing the stereo in my car as loud as it would go (even though the sound was so distorted!).  It is summertime and I have the windows rolled down and the breeze is blowing in my hair while I sing at the top of my lungs.  So what is it about certain songs that can prompt these memories?
     Various researchers have studied this topic and there are several themes.  Firstly, brain imaging studies show that when we listen to our favorite music, our brain becomes stimulated and “feel good” neurochemicals such as dopamine, serotonin, oxytocin are released. These chemical changes in the brain are neurologically connected to the musical stimulus and the more we like the song, the more chemicals are released and the better we feel.  Secondly, during the ages of 12 and 22, our brains rapidly develop neurologically and it appears that music preferred during this time of our lives is the music that sticks with us forever.  This music is also connected to strong emotions thanks to an influx of growth hormones produced during this time.  Thirdly, according to Daniel Levitan, a neuroscientist and musician, music listened to during these ages of 12 to 22 is significantly impacted by our social circle and becomes connected to our personal identity.  
    If we consider the significance of how music can invoke such connections, we can also look at how this phenomenon can be used therapeutically.  In using music as a memory or reminiscence tool, music therapists working with older adults can choose music based on the client’s young adult years.  I have found that using music from around age 20 is a good place to start.  Then, using a search engine to find popular songs from that year is my next step.  For example, if I was working with an 80 year old, I would look for music from the 1960’s.  Using the website www.billboard.com is a wonderful resource as searches can be conducted based on the year and the results include the most popular music during that time.  Combining this knowledge with the client musical preferences (i.e. show tunes, gospel, etc.) can help narrow down the field of possibilities. As these songs are incorporated into the sessions either live or recorded, the therapist can observe the client for positive or negative responses.  Positive responses would suggest the continued use of this song and incorporating similar music (such as tunes by the same musician or group) whereas a negative response such as crying might indicate a need for further exploration into past experiences. 

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Sources
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https://slate.com/technology/2014/08/musical-nostalgia-the-psychology-and-neuroscience-for-song-preference-and-the-reminiscence-bump.html 

Levitin, D. J. (2006). This is your brain on music: The science of a human obsession. New York, N.Y: Dutton.

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Concluding Internship

8/6/2020

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PictureBlog post written by Kate, MT Intern from Queens University of Charlotte
As I sit on a cozy blue couch surrounded by drums, egg shakers and guitars, I sip my cold-brew coffee and begin to reflect on the last six months, my clinical internship at Piedmont Music Therapy. 
I came to Piedmont Music Therapy (PMT) armed with a bachelor's degree worth of textbook knowledge and an array of student “practicum” experiences, but nothing could prepare me for the unknown that 2020 held. I’m sure everyone can relate to that feeling in some way, considering the challenges this year has brought. Back in March when PMT closed the doors to our clinic space, I wasn’t sure if I would be able to continue logging client-contact hours and finish out the capstone of my education.
I always look for the silver lining in difficult situations, and thankfully this one wasn’t hard to find - it quickly became the clients and their families, willing to make the transition to telehealth and continue receiving music therapy services virtually.
Not only have the clients benefitted from familiar musical experiences and therapeutic support amidst a sea of uncertainty, but their smiles through the computer screen reminded me of an important fact I will carry with me throughout my future career - what I do as a music therapist holds tremendous value, no matter what the circumstances may be.
 I have supported clients in their journey to better understand their world and express themselves to those around them - while building and developing my own skills as a therapist. I will always treasure the connections I have made here, and I will always remember that even a simple song can make a world of difference.

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Staff Testimonial by Ashley Tisdale, MT-BC

7/27/2020

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PicturePhoto of Ashley Tisdale, MT-BC wearing mask and personal amplifying device at Charlotte Rescue Mission: Dove's Nest.
Being a Music Therapist in the Charlotte area is great but it’s even better when you’re part of a stellar team! Here are 5 reasons why I love working with Piedmont Music Therapy, LLC!

5) Location: Located off Westinghouse Boulevard, PMT’s clinic space is right off I-77 and close to the North/ South Carolina border. This opens up opportunities for clients from the greater Charlotte and Fort Mill areas to receive services like traditional or adaptive lessons and music therapy sessions. The clinic has a TON of instruments and materials along with restrooms and a cute little coffee area for those midday pick-me-ups!

4) Company “Swag”: PMT provides every employee with an awesome name tag, a magnetic car sign with contact information, and “swag bags” - bags to haul instruments and materials in, (complete with embroidered PMT logo!). 

3) Uniform shirts: I can’t say enough how much I love having a uniform shirt. On the days where you’re running behind or still waking up, or if you have trouble picking something to wear for work, these make my life SO much easier! Plus there’re different colors and even a cardigan for the Fall! 

2) Partnership opportunities: Being part of the PMT team means we have the privilege of working with some amazing organizations and individuals. We provide services to a variety of populations throughout the Charlotte area through partnering with organizations like Charlotte Rescue Mission, Autism After 18, NAMI, Queens University of Charlotte, and many more!

1) The AMAZING STAFF: Probably my most favorite thing about working with PMT is having such an incredible team to work with. The PMTeam (see what I did there?) is comprised of accredited and certified professional MT-BCs who are always ready and willing to lend a hand, to offer feedback, to be your second/ third/ fourth pair of eyes on a project, or to just help work through repertoire. Being part of the team also means that I have people who I can rely on when I’m sick or when I feel like I need to take a step back and re-evaluate case loads. Sometimes it’s hard to ask for help as a professional, but it’s easier to do so when you have a team like this.

All in all, I am truly blessed to be a part of an amazing team with Gretchen, Melissa, and Miriam at Piedmont Music Therapy. I can’t wait to see what the future brings!

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Caregiver’s Role in Music Therapy

6/18/2020

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Written by: Melissa Reinhardt, MSEd, MT-BC

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Music therapists consider the relationship between the client, the therapist and the music as the utmost important factors in a music therapy session.  I would also add that the role of the caregiver is as equally important if sometimes not more important to the success of the music therapy session.  A caregiver as defined by Merriam-Webster, is a “person who provides direct care (as for children, elderly people or the chronically ill.”)
     
Oftentimes, especially in group music therapy, caregivers are involved in the session - this may be at the request of the music therapist or perhaps it is the caregivers choice to be involved.  Either way, the caregiver can play an integral role in the success of the music therapy session which translates into success and learning for the client(s) involved.  When I worked at a large state facility for adults with intellectual disabilities, there was always at least one caregiver in each group.  This would often be the same person who would bring the group of clients to music therapy and then escort them to their next program.  A caregiver could make or break a session - this is how important their role was! 
If a caregiver was disinterested, removed themselves from the group and did not participate, the clients instinctively knew that something was up and they often followed their caregiver’s lead!  As they should; this caregiver was like a family member to them - they cared for them, spent time with them and was there for them for extended periods of time.  However, when the caregiver became involved in the session, the clients would take notice and would often respond more positively, be more engaged and willing to participate in the music therapy interventions.  If you are a caregiver, you are important to music therapists!

      
Some may view music therapists as those who only want to work alone and do not need assistance from others - this could not be further from the truth.  Music therapists have expertise in music therapy, but caregivers have expertise in their clients.  The caregiver spends a significant amount of time with their clients and knows more about them than any professional. The caregiver’s knowledge of the client can be extremely beneficial for the success of therapy. Information that is important to share with the music therapist could include medication changes, illnesses, changes in routine and any significant happenings that could affect the client’s participation and success in sessions.  It is a challenge as a therapist to have a music therapy session that does not go well only to find out the client had not had any sleep the night before or they had a significant medication change!

    
What can you do as a caregiver whose client or loved one participates in music therapy?  Talking to the therapist would be a good place to start.  If your family member is involved in a large group, oftentimes just sitting with your loved one during music therapy will not only be a great help to the music therapist, but you also might enjoy yourself and see the benefits!  Perhaps you already use music in some way with your client -share those ways with the therapist so they can be incorporated into the session.  You may learn ways in which you could offer music to your client outside of the music therapy session and therefore, support the use of skills learned to the client’s daily life. Musical preferences is another area that caregivers can be of great assistance - music therapists are very knowledgeable about music, but it is virtually impossible to know every song or style of music the client likes.  Sharing these musical preferences or even significant music from a client’s past (such as a wedding song, etc) can have a significant impact on the client’s interest and motivation to participate.  

     
Furthermore, music therapists teach skills to clients that can be applied to their everyday lives. For children with autism, this may be a song to help them learn how to dress themselves, for a stroke patient who suffers from language difficulties, this may be melodic or rhythmic phrases to express a need or want.  Without the application to daily life, these skills no longer are effective if they can only be demonstrated during the session.  However, if the caregiver learns these songs and/or phrases, they can easily be used in the home, school or work setting to help the client make that transfer of skills which is very important. 
        
Think you can’t sing?  No worries!  The client won’t notice - they will be too excited to hear their song and show you what they can do!


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    PMT, LLC

    Providing music therapy services for early childhood to older adults, music instruction and enrichment plus continuing music therapy education in Greater Charlotte Area of the Carolinas.

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