Reflexology pressing on certain parts of the foot to produce an effect elsewhere in the body." The Australian Government's Department of Health define reflexology as "a system of applying pressure, usually to the feet, which practitioners believe stimulates energy and releases 'blockages' in specific areas that cause pain or illness." In 2015 the Australian Government's Department of Health published the results of a review of alternative therapies that sought to determine if any were suitable for being covered by health insurance; reflexology was one of 17 therapies evaluated for which no clear evidence of effectiveness was found. Accordingly In 2017 the
Occupational therapy in the management of seasonal affective disorder therapy. This intervention involves the patient creating a list of problems, identifying possible solutions, choosing the best solutions, creating a plan to implement them, and evaluating outcomes with respect to the problem. Further studies are needed to better understand the conditions under which problem-solving therapy is effective for depression. However, this type of therapy is compatible with occupational therapy approaches to SAD. The Canadian Occupational Performance Measure (COPM) is a widely used instrument that supports clients working with OTs in identifying their occupational needs, setting goals, and assessing change in occupational performance. Similar to the use of the COPM, OTs