Reflexology Trial", Simon Singh states that if indeed the hands and feet "reflect" the internal organs, reflexology might be expected to explain how such "reflection" was derived from the process of Darwinian natural selection; but Singh says that no argument or evidence has been adduced. In the United Kingdom, reflexology is coordinated on a voluntary basis by the Complementary and Natural Healthcare Council (CNHC). Registrants are required to meet Standards of Proficiency outlined by Profession Specific Boards, but since CNHC is voluntary anyone practicing can describe themselves as a reflexologist. When the CNHC began admitting reflexologists, a skeptic searched for, and
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