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Dr Deborah Christie Consultant Clinical Psychologist. Child and Adolescent Psychological Services. Rheumatology Endocrinology Orthopaedics Metabolic Surgery Urology Haematology Oncology Fatigue Chronic Pain Mysterious llness!. Chronic Pain Diabetes
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Dr Deborah Christie Consultant Clinical Psychologist Child and Adolescent Psychological Services
Rheumatology • Endocrinology • Orthopaedics • Metabolic • Surgery • Urology • Haematology • Oncology • Fatigue • Chronic Pain • Mysterious llness! • Chronic Pain • Diabetes • Healthy Eating and Lifestyle Programme (HELP) • Late effects of cancer • Neuropsychology Medical Team Multidisciplinary team meeting Specialist psychology Review Consultation with Psychology Local Services
Our starting point • What has been helpful before? • What has not been helpful? • What could we do differently? Referrer Us Young person
Focusing on the solution Skills, Strengths and Abilities Preferred futures? New stories? Goodenough?
Bladder Exstrophy • Feeling “normal but not “normal” • Disclosure • Bullying
How bovveredare you? • How Important is it that you change? • How Confident are you that you could succeed? • How much of a Priority is it? 1 2 3 4 5 6 7 8 9 10
Make the intervention fit the patient not the patient fit the intervention?
Optimism Intention to Change Disadvantages of Status Quo Advantages of Change
Leading or following? Ginger Rogers could do everything that Fred Astaire could do - only she could do it backwards and in high heels!!!