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Taking Care of Yourself While Working in Mental Health

Taking Care of Yourself While Working in Mental Health. Jacob Alexander. Introductions- Getting to know your batch!!!!!. Take 2 minutes to think about three things that you would like to tell the group about yourself. Ideally these are facts you think nobody else knows about you.

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Taking Care of Yourself While Working in Mental Health

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  1. Taking Care of Yourself While Working in Mental Health Jacob Alexander

  2. Introductions- Getting to know your batch!!!!! Take 2 minutes to think about three things that you would like to tell the group about yourself. Ideally these are facts you think nobody else knows about you. Two of these should be true and one of them is an untruth When it is your turn- introduce yourself by name and tell us these three things and let us see if the group can discover the untruth !

  3. Working in Mental Health After hours roster Constant Appraisal Exams and Training Applying for Fellowship/ Training “When we are tired we are attacked by ideas we conquered a long time ago” Nietzsche

  4. Some Do’s Protect your Privacy Get organised and have routines Get involved, participate and take charge of your training Foster healthy clinical curiosity Form study groups Read about what your seeing at work Train on the job Know yourself and your limits Share your successes and frustrations

  5. Some Don’ts Expect everything to be perfect Become isolated or avoidant Succumb to your own anxiety, depression, paranoia Blur the boundaries Miss opportunities to position yourself strategically for future career opportunities

  6. Balance Family and friends Other interests Physical health- have a GP Relaxation

  7. Supports Workplace Peers Supervisors Director of Clinical Training/RMO Medical Education Unit/ Psychiatry RMO group Wider network of friends and family Own health professionals- RMO societies, SA MET

  8. Taking charge of your supervision • Your supervision is an important source of support for your development • Individual supervision vs clinical supervision • Identify your supervisor during your first week at work and introduce yourself to your supervisor • Identify an allocated time for supervision • Mutually decide format and content for supervision • Supervision is a reciprocal relationship- the more you put into it the more your likely to get out of it

  9. How we could model this training program An exposure to the breadth and scope of psychiatry Developing clinical knowledge Developing some clinical skills Experimenting with schemas that help you process information Understanding why we do what we do Understanding yourself and exploring opportunities for yourself Strategic positioning-CBFP, future opportunities

  10. Why be part of the RMO program at the Adelaide Health Service Devising a program that sets standards of excellence for others Exploring while you have the luxury of unstructured professional development Getting to know the system that could be a potential employer

  11. Reading Resources Kaplan and Sadock’s- Synopsis of Psychiatry: Behavioral Sciences/ Clinical Psychiatry. 10th Edition Psychiatric Clinical Skills. David S. Goldbloom Emergency Psychiatry: Principles and Practice. Glick RL, Berlin JS, Fishkind AB, Zeller SL The Prescriber’s Guide. Stahl’s Essential Psychopharmacology. 4th Edition Stephen M. Stahl A Resident’s Guide to Surviving Psychiatric Training. 2nd Edition. Foreman T, Dickenstein LJ, Garakani A. www.psych.org Mental Health Library, University of Adelaide- Maureen Bell

  12. Other Resources SANE www.sane.org MIFSA www.mifsa.org Beyond Blue www.beyondblue.org.au 1300 22 4636 Black Dog Institute www.blackdoginstitute.com.au NIMH www.nimh.nih.gov MIND www.mindaustralia.org.au Royal College of Psychiatrists, UK American Psychiatric Association National Centre for PTSD www.medscape.org/psychiatry

  13. Australian and New Zealand College of Psychiatrists www.ranzcp.org Free and password protected resources Consumer and carer guidelines Student portal Australian and Indigenous Mental Health Chronic condition self-management MHPN-mental Health Professionals Network Rural Station Policy and Advocacy-ethics, therapeutics and interventions

  14. Other Resources DASSA- ADIS line www.borderlinepersonalitydisorder.com www.behavioraltech.org www.dbtselfhelp.com Pharmacist at WCH www.otispregnancy.com Yarrow Place www.yarrowplace.sa.gov.au www.mensline.org.au 1300 78 99 78 Relationships Australia www.relationships.org.au Gambling Hotline www.problemgambling.sa.gov.au 1800 060 757

  15. Alexander J. Delirium as a symptom of Quetiapine Poisoning. Aust N Z J Psychiatry 2009 ; 43 (8): 781 Alexander J Delirium in a middle aged individual on non-toxic, therapeutic doses of Olanzapine.Aust N Z J Psychiatry 2009 ; 43 (10): 981-982. Alexander J De Novo induction of Obsessive Compulsive symptoms with Quetiapine in a patient with Borderline Personality Disorder. Aust N Z J of Psychiatry 2009; 43 (12): 1185. Alexander J, Lattanzio A. Utility of telepsychiatry for Aboriginal Australians.Aust N Z J of Psychiatry 2009; 43(12): 1185 Alexander J SSRIs as a treatment alternative for monosymptomatic delusional disorders. Aust N Z J of Psychiatry 2010; 44 (3): 295-96. Boyd AM, Alexander J. Diogenes’ syndrome and intellectual disability: an uncommon association or under diagnosed? Aust N Z J of Psychiatry 2010; 44 (5):488-89. Alexander J, Peak MM, Ladipeerla N, Premkumar TS. Panhypopituitarism and psychosis. Aust N Z J of Psychiatry 2010; 44(4): 393-94. Wallett A, Alexander J Mobile phones, suicide and prognostication. Aust N Z J of Psychiatry 2010 Oct; 44(10):958-9 Staugas R, El-Domeiri O, Alexander J. Khat concerns in Australia: Hyperbole or understated. Aust N Z J of Psychiatry 2010 Oct; 44(10):960-1 Tibrewal P, Alexander J. Quetiapine induced Neutropenia.Aust N Z J of Psychiatry 2010, ,44(8): 767–768. Nillsen A, Alexander J. Venlafaxine induced delirium. Aust N Z J of Psychiatry Jul 2011, 45(7): 598-598 Cheng YH, Alexander J, Chaudhary J, Dinesh A. Phentermine (Duromine) induced psychosis. Aust N Z J of Psychiatry Aug 2011, l. 45 (8): 684-685. Lecamwasam D, Alexander J. Aripirazole induced hyponatremia. Aust N Z J of Psychiatry Aug 2011, 45(8): 686-687 Petersen Tym M K, Alexander J. Nitrous oxide induced manic relapse. Aust N Z J of PsychiatryNov 2011,45(11):1002-1002. Whittchurch F, Alexander J. Psychogenic polydipsia: hidden or under diagnosed? Aust N Z J of Psychiatry Sep 2011, 45(9): 789-790. Alexander J, Tibrewal P, Fantasia R. Temazeapm withdrawal induced psychosis. Asian Journal of Psychiatry 4 (2011), pp. 224-225 Skimming A, Dham P, Dinesh A, Alexander J Peripheral Oedema in Quetiapine Therapy. Aust N Z J Psychiatry 0004867411434721, first published on January 5, 2012 as doi:10.1177/0004867411434721 Bretag-Norris R, Alexander J.Atypical Antipsychotic Medication: Aust N Z J Psychiatry 0004867411434335, first published on January 10, 2012 as doi:10.1177/0004867411434335

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