Nidotherapy (first two syllables rhyme with ‘Fido’) is devoted to changing the environment in all its forms so a better fit is established between a person and every aspect of their surroundings. In this context environment refers not only to the physical environment – where you live and work – but also the social and personal environment, so covers every aspect of your interaction with your surroundings. Although we have been aware of the importance of environment and its effect on mental health for many years we have not examined it systematically in the scientific sense and worked out which are its important elements and which might be cast aside. This website is a start in this process and we would like it to be an interactive one in which everybody could contribute. We would therefore encourage you to contact us with suggestions of how the website could be improved and made more comprehensive.
Nidotherapy is a new concept in mental health. For years we have laboured under the happy notion that with humanity, determination and a little science, we could correct all the disabilities and handicaps associated with psychiatric disorder. But we have over-reached ourselves. A large number of mental disorders are labeled ‘chronic’, as health professionals have very little impact on their symptoms and course. Nidotherapy can be an asset to many people, but the ones who may have most to gain are those who have become stuck in the mental health system, and have been fooled by the word ‘recovery’ into thinking that by receiving more and more of the treatments that have failed they will remarkably get completely better.
Although we all take notice of the environment in mental health, we seldom go about systematically analyzing it and changing it to fit the person in a highly personal and specific way. Once we do this and hit the right environmental changes all aspects of mental health are improved. These changes, and how they are brought about, are the focus of nidotherapy and should give optimism to both practitioners and patients, many of whom who have been close to abandoning hope.
For those who are interested in being trained or knowing more about nidotherapy in practice the Nidotherapy Workshops section of the website is the place to visit. These Workshops are held annually.
Developments in Nidotherapy
The Nidopathways section of the site devoted to people engaged in nidotherapy who want to use the website to promote their preferred environmental changes and what they have to offer.
The section on Operettas may appear out of place here but in practice is not. Drama, acting and singing are ideal for bringing senior academics, health professionals, carers and people with every sort of mental illness down to a common level where labels, status, experience and knowledge no longer matter and people can be what they are. They are great facilitators of nidotherapy, but, more importantly, tremendous fun.
Nidotherapy for personality disorder
Personality disorder is not easy to treat, and this is one of the reasons why it has become such a stigmatising diagnosis. Most of the treatments available are for borderline personality disorder and the rest of the population who have other forms of personality disorder (about 6 in 100 of the population) are forgotten. This is partly because those who do not have the borderline condition do not generally demand treatment, although they consult doctors more frequently with other mental health problems. But this does not mean they cannot be helped. Nidotherapy is one of the environmental options that can be very helpful in management, as someone with what appears to be an intractable personality problem can appear to lose it altogether when they are placed in an appropriate environment. More information can be found in the books published on nidotherapy. What fails to be appreciated by many people, including health professionals, is that most people with apparent personality disorder can improve enormously when placed in the right environment, and then they are well-adjusted and content. Finding the right environment is the purpose of nidotherapy. It is particularly useful for those who do not want specific treatment (i.e., that do not want the essentials of their nature to be changed and just wish to be more at home with their personalities).
Books on Nidotherapy
There are several books that describe nidotherapy in practice and other related forms of envonmentally focused treatment. These include:
Peter Tyrer (2009). Nidotherapy: harmonising the environment with the patient. RCPsych Press, London. (A basic primer on the subject)
Geraldine Akerman, Adrian Needs & Claire Bainbridge (editors)(2018). Transforming environments and rehabilitation: a guide for practitioners in forensic settings and criminal justice. Routledge, Abingdon. (This is a wide-ranging book covering the theoretical and practical application of the range of environmental approaches in the management of personality disorders in mainly forensic settings. It includes chapters on the Enabling Environments initiative of the Royal College of Psychiatrists initiated by Rex Haigh, the Psychologically Informed Planned Environments (PIPEs) of the National Offender Management Service (NOMS)(Nick Benefield), and a chapter on nidotherapy in antisocial personality behaviour by Peter and Helen Tyrer).
Peter Tyrer (2018). Taming the Beast Within: Shredding the Stereotypes of Personality Disorder. Sheldon Press, London. (Although some people do not like the title of this book it is important to remember that many people do see personality disorder as a beast, just look at the Internet). But it is fair to add that I preferred Taming the Porcupine Within, as the prickliness needs emphasising too. The subtitle has recently been changed as there is a completely new classification of personality disorder coming out shortly (ICD-11) that should help in choosing treatment. The new classification eliminates all the toxic labels of personality disorder that have not helped knowledge or understanding. You can see how toxic the labels are by reading some of the reviews of this book; but they miss the point. The criticisms are all ones of the old system, not the new one, which is now online in June, 2018. The book, and the new classification, also completely contradict the idea that nothing can be done to help people with personality disorder. It is ałso worth emphasising that the new classification is not just a minor one; it is the classification that all countries in the world will have to use in the future. There is a chapter on nidotherapy that shows how many with apparently intractable personality problems can be helped by putting them in the right setting, and there is little in the way of competition from most other therapies. Once we can show there are ways of off-setting the problems of personality disorder by placing people in the right environments the stigma of the diagnosis will slowly reduce.
Peter and Helen Tyrer (2018)(December). Nidotherapy: harmonising the environment with the patient, 2nd edition, Cambridge University Press, Cambridge. (A wider account of the application of nidotherapy to a large number of mental disorders, expanding on the first edition that was more focused on severe mental illness).
For those interested in knowing more about how nidotherapy fits in with other environmental treatments you can read an article online in the International Journal of Environmental Research and Public Health by clicking here
NIDUS-UK, The Charity for Nidotherapy
NIDUS-UK is our nidotherapy charity and is based in Newark in Nottinghamshire. A great deal is going on in the town to make nidotherapy a community enterprise shared by many. Look at Nidotherapy in Newark to learn more.
The work of the charity is devoted to the development of nidotherapy and improved treatments in mental health across the globe. Its Charity Number is 1154650 and its details and Trustees can be found here.
If you wish to make a donation to NIDUS-UK you can pay by BACS to the Cooperative Bank (sort code 089299, account number 65672745). If you would like to specify the main area of work for your donation please write to us at The Poplars, Hawton, Newark, Notts NG24 3RL and we will reply. All donations will go to active projects as we have minimal overheads.