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    Pt 3: Why We Should Be More Selfish | Psychiatrist, Benji Waterhouse

    enAugust 14, 2024
    What should you remember about people with mental health diagnoses?
    How can you help someone with delusional thoughts in public?
    What impact did the pandemic have on doctors sharing expertise?
    Why is breaking the stigma around mental health in doctors important?
    How can diverse activities benefit healthcare professionals' well-being?

    Podcast Summary

    • Encountering mentally ill in publicEngage with mentally ill individuals in public as you would any other person, if safe to do so. If known to be under a mental health team, offer to share your name with the crisis team for their follow-up.

      When encountering someone with delusional thoughts or psychotic behaviors in public, it's important to remember that most people with mental health diagnoses are not violent and the danger is often towards themselves. If you feel safe to do so, try engaging with them as you would any other human being. If the person is known to be under a mental health team, ask if you can share your name with the crisis team for their community team to follow up. This simple action can help ensure the person receives the support they need. Remember, as human beings, we generally want to help, but we may not always know how.

    • Doctor's mental health stigmaOne doctor dies by suicide every three weeks in the UK due to mental health concerns, but the stigma surrounding mental illness in the medical profession can prevent doctors from seeking help, leading to a culture of silence and potential harm to their wellbeing.

      The mental health of doctors is a significant issue, with one doctor losing their life almost every three weeks in the UK due to mental health concerns. Despite this, there is a stigma surrounding mental illness in the medical profession, which can prevent doctors from seeking help. The fear of being labeled or losing their careers can keep them from reaching out for support. This was exemplified in the speaker's personal experience, where they went through a depressive episode during medical school but didn't seek help from the university due to fear of consequences. This stigma continues even in the workplace, where doctors may feel ashamed to admit their struggles or worry about the impact on their careers. It's crucial to break this stigma and create a supportive environment where doctors feel comfortable seeking help when they need it.

    • Doctor's mental healthAcknowledging systemic issues, reducing stigma, and promoting self-care are essential for addressing the mental health crisis among doctors. Encouraging conversations and creating a supportive environment can help doctors feel less alone and prioritize their well-being.

      Addressing the mental health crisis among doctors requires a holistic approach that acknowledges the systemic issues contributing to their distress. The stigma surrounding mental health, particularly in the medical community, can be detrimental, leading to a culture of suffering in silence. However, opening up about mental health struggles and normalizing conversations around taboo subjects can be refreshing and reassuring. Doctors themselves have reported feeling encouraged by such discussions, recognizing that they are not alone in their experiences. To improve doctors' mental health, it's essential to address the conditions under which they work and consider the importance of self-care. The system doesn't always prioritize doctors' well-being, and it's crucial for individuals to focus on their own mental health and well-being, even if that means making sacrifices or leaving the profession. Ultimately, creating an environment that is conducive to doctors' well-being can lead to more people working slightly less hours and maintaining their mental health, benefiting both them and their patients.

    • Professional developmentExpanding professional roles can lead to personal growth and better healthcare services. Engaging in diverse activities enhances well-being and impacts the population through health promotion and education.

      Expanding our horizons beyond our primary roles as doctors can lead to personal growth and professional development. When I started sharing my expertise online six years ago, I was one of few doctors doing so. The pandemic accelerated this trend, with various professionals stepping forward to provide accurate information. This experience opened doors for doctors to speak publicly and explore other areas of interest. For instance, I pursued personal training to deepen my understanding of exercise physiology, which has proven beneficial in my A&E work. Engaging in diverse activities not only enhances our own well-being but also makes us better healthcare professionals. Moreover, the value of health promotion and public health messaging should not be underestimated. While we may not directly interact with patients as we once did in A&E, our impact can still be significant. My book, for example, may reach only one person, but that one person's life could be transformed. Ultimately, being a doctor extends beyond treating individual patients. It involves considering the health of the population as a whole and educating them in various ways. So, whether it's through writing, teaching, or engaging in other passions, remember that you're still making a difference.

    • Self-care and work-life balance in medical fieldWorking fewer hours and prioritizing self-care can significantly improve personal well-being and job performance in the medical field. Advocating for oneself and challenging rigid work policies are essential to maintain well-being, and the NHS needs adequate funding and support to accommodate part-time work and promote healthcare professionals' well-being.

      Prioritizing self-care and work-life balance is crucial for both personal well-being and job performance in the medical field. The speaker shares his experience of being burnt out and how working fewer hours has significantly improved his life and job satisfaction. He also emphasizes the importance of advocating for oneself and challenging rigid work policies. The NHS has made strides towards accommodating part-time work, but there is still a need for adequate funding and support for healthcare professionals to maintain their well-being. Looking ahead, the future of the NHS depends on the commitment of the current government to prioritize its ethos and provide sufficient resources for healthcare and social care.

    • Resource Management in NHSInefficiencies in resource management in NHS lead to unnecessary spending on items and energy waste, while mental health stigma persists and normalization remains a challenge.

      While the ethos of the NHS as a healthcare system that provides care based on need rather than ability to pay is admirable, there are issues with resource management and waste that need to be addressed. This was highlighted through examples of radiators being left on unnecessarily, unnecessary spending on items like clipboards, and food being discarded instead of being redistributed or repurposed. Additionally, there is a significant stigma surrounding mental health, with 98% of people believing that those with mental illness experience discrimination. Despite the fact that many people experience symptoms of mental distress, the normalization of these emotions and the reduction of stigma remains an ongoing challenge.

    • Mental Health and HumorUsing humor to address mental health issues can help reduce stigma, engage audiences, and bridge the gap between those with mental health conditions and the rest of society.

      Mental illness is a common experience, and stigma surrounding it is unfounded. Comedian and psychiatrist, Adam Kay, shares his unique perspective on the importance of using humor to address serious mental health issues. By making people laugh, he's able to engage audiences and reduce the fear and discomfort surrounding mental illness. Kay started combining comedy with his psychiatry practice during his residency and has seen firsthand the positive impact it can have. People with mental health conditions often feel isolated and misunderstood, and humor can help bridge that gap. As Kay puts it, "if we really want parity of esteem between physical and mental health, then it only seems fair that we laugh at the absurdity of the human mind sometimes." Kay's book, "This is Going to Hurt: Secret Diaries of a Junior Doctor," is a best-seller, and he encourages listeners to read it for an insightful and entertaining look at mental health and the human condition.

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