Episodi
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Amy, like many young people, got lost in a tangle of anxiety and depression in her teens. Amy was one of the lucky ones - she found her way out.
Some of the things spoken about in this podcast may be distressing to some people. If you or someone you know find this content distressing and require assistance, please call LifeLine on 13 11 14 or beyondblue on 1300 22 4636.
Presented by Jan Orman, produced by Zacha Rosen. Additional production by Sarah McNally and Liza Culleney.
Music:
Divider — Chris Zabriskie http://freemusicarchive.org/music/Chris_Zabriskie/Divider/06_-_Divider
It’s a Mystery — Lee Rosevere http://freemusicarchive.org/music/Lee_Rosevere/Music_For_Podcasts_2/Lee_Rosevere_-_Music_for_Podcasts_2_-_08_Its_A_Mystery
Making a Change — Lee Rosevere http://freemusicarchive.org/music/Lee_Rosevere/Music_For_Podcasts_3/07_Making_A_Change
Sad Marimba Planet — Lee Rosevere http://freemusicarchive.org/music/Lee_Rosevere/Music_for_Podcasts_4/Lee_Rosevere_-_Music_for_Podcasts_4_-_02_Sad_Marimba_Planet
Candlepower — Chris Zabriskie http://freemusicarchive.org/music/Chris_Zabriskie/Divider/02_-_Candlepower
Universe Calling — Lee Rosevere http://freemusicarchive.org/music/Lee_Rosevere/Music_For_Podcasts/Lee_Rosevere_-_Music_For_Podcasts_-_07_Universe_Calling
Keep Trying — Lee Rosevere http://freemusicarchive.org/music/Lee_Rosevere/Music_For_Podcasts_2/Lee_Rosevere_-_Music_for_Podcasts_2_-_06_Keep_Trying
Divider — Chris Zabriskie http://freemusicarchive.org/music/Chris_Zabriskie/Divider/06_-_Divider -
Does the idea of using online interventions to help prevent suicide surprise you? Listen to this podcast to hear Dr Jan Orman and her guests talk about some of the current work being done using technology in the quest to reduce the rate of suicide in the Australian community.
Guests:
Dr Caroline Johnston - Melbourne based GP with a strong interest in mental health.
- Senior Lecturer at University of Melbourne
- Clinical Lead – Mental Health for the RACGP Expert Committee – Quality Care and Board Member, Mental Health Australia.
Dr Fiona Shand - Clinical psychologist and Senior Research Fellow at Black Dog Institute whose research focusses on suicide prevention and e-health interventions for suicide prevention
Moderator: Dr Jan Orman - MBBS MPsychMed Sydney based GP with a special interest in mental health and GP Services Consultant at the Black Dog Institute -
Episodi mancanti?
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Ensuring safety is generally uppermost in the minds of clinicians caring for people with mental illness. Similarly, supporting autonomy and self-determination throughout illness and recovery is widely viewed as an essential component of compassionate, respectful healthcare.
Inevitably, dilemmas arise in mental health practice when these two aspirations cannot be held concurrently in their entirety, rendering clinical decision-making particularly complex.
In our June 2017 Expert Insights evening we discuss the interface between mental health practice and the law, including times that necessitate involuntary assessment and treatment as well as occasions when the limits of confidentiality may need reconsidering.
Panel members:
His Honour Judge Richard Cogswell SC - President of Mental Health Review Tribunal
Dr Chris Ryan - Clinical Associate Professor | Consultation-Liaison Psychiatrist University of Sydney | Westmead Hospital | Centre for Values, Ethics and the Law in Medicine
Kathryn and Joanne - Lived Experience Representative
Facilitated by: Dr Vered Gordon, Black Dog Institute GP Consultant
Recording and sound production: James Stewart, audioPost
Voiceover: Cameron Banks, Black Dog Institute -
This podcast is based on a webinar of the same name presented in February 2018. It focusses on the things we need to know to convince ourselves and others to undertake the very effective non-pharmacological interventions that are available to help us overcome sleep difficulties and discusses some of the detail of those interventions.
Special guests are addiction specialist and rural GP Dr Simon Holliday, clinical psychologist Dr Kris Kafer and medical sleep researcher Dr Vincent McCauley. -
In this podcast, based on the eMHPrac webinar presented on 15th November 2015, we look at the factors influencing the mental health of people in the LGBTIQ community and the ways in which we as health professionals can help, both in our face to face dealings with LGBTIQ patients and in the recommendation of online resources developed especially for this population.
Guest Experts:
• Sally Morris - Social Worker and National Project Coordinator of MindOUT National LGBTI Mental Health and Suicide Prevention Project
• Stella Topaz – Registered Nurse Qlife National Project manager. Masters in Health Policy
Both Stella and Sally are members of the LGBQ community as well as experts in mental health care in the community.
Moderator: Dr Jan Orman - MBBS MPsychMed General Practitioner with a special interest in mental health and GP Services Consultant at the Black Dog Institute -
Dr Simon Holliday says the problem of prescription opiate misuse is very big in the rural sector in Australia. Consequences of opiate use include death, increased pain, suppression of breathing in sleep and sleep apnoea amongst many other things including the social consequences. As GPs we need to be prepared to “invest some time to give detailed attention to all the different complex aspects of their problem” in order to properly manage opiate dependence.
Dr Toby Newton-John describes the important elements of non-pharmacological management of chronic pain as it is delivered in the face to face environment.
Dr Regina Schultz from the Reboot Program at THISWAYUP (http://thiswayup.org.au/how-we-can-help/courses/chronic-pain/) describes the way in which the principles of face-to-face pain management have been translated to the online context.
MindSpot Virtual Clinic’s Pain Management Program (http://mindspot.org.au/pain-course ) is also briefly described.
Moderator: Dr Jan Orman
Guests: Dr Simon Holliday, Dr Toby Newton-John, Dr Regina Schultz
Based on Webinar 19 in the eMHPrac Series for health professionals available at www.blackdoginstitute.org.au/eMHPrac -
In 2013, the First Australian National Trans Mental Health Study reported on elevated rates of depression, anxiety and suicide in transgender people, calling for increased attention to the mental well-being of gender diverse people.
Join our panel for this month’s Expert Insights as they explore the issues that underpin the psychological distress facing gender diverse people and look at the ways in which health professionals can provide meaningful and effective support to enhance their safety, well-being and sense of being understood.
Panel members:
Dr. Mike Scott – Psychiatrist, Private Practice Sydney
Johnny Kieran – Senior Clinician and Accredited
Mental Health Social Worker
Casssie and Kaya – Lived Experience Representatives
Facilitated by: Dr Vered Gordon, Black Dog Institute GP Consultant
Recording and sound production: James Stewart, audioPost
Voiceover: Cameron Banks, Black Dog Institute -
The perinatal period is a peak time for mental health difficulties to arise. It is now well recognised that perinatal mental illness can affect the entire family unit, both in the present and into the future.
In May 2017, our Expert Insights panel explored the contexts and meanings that surround perinatal mental health.
Join our panel of clinicians, researchers, and lived experience representatives as they discuss strategies to enhance mental wellness throughout the perinatal period and how to best support families as they navigate this challenging time.
Panel members:
Prof. Marie Paul Austin – Acting Director Perinatal Psychiatry (Royal Hospital for Women)
Dr. Richard Fletcher – Associate Professor Family Action Centre (University of Newcastle)
Linda Hayes Cameron – Clinical Psychologist, Parent-Infant Therapist.
Athena – Lived Experience Representative
Facilitated by: Dr Vered Gordon, Black Dog Institute GP Consultant
Recording and sound production: James Stewart, audioPost
Voiceover: Cameron Banks, Black Dog Institute -
Mental illness occurs across all cultures and ethnic groups. However, every community understands and experiences mental illness uniquely within its own context. For practitioners working in diverse settings it can at times be challenging to provide care that is culturally sensitive, relevant and aware.
In our March 2017 Expert Insights forum the panel explores some of the key issues inherent to mental health practice in multicultural Australia.
Panel members:
Dr Diba Pourman - Senior Clinical Consultant Transcultural Mental Health Centre
Gabriela Salabert - Clinical Psychologist/Senior Cross Cultural Clinical Consultant NSW TMHC
Mahnoosh - Lived Experience Representative
Facilitated by: Dr Vered Gordon, Black Dog Institute GP Consultant
Recording and sound production: James Stewart, audioPost
Voiceover: Cameron Banks, Black Dog Institute -
The second Australian Child and Adolescent survey of Mental Health and Well-Being, released in 2015, reported that around one in 10 teenagers had engaged in some form of self-harm. Many clinicians are finding this reflected in their practices, where presentations of self-harm have become an increasingly familiar response of young people to the way in which they are experiencing their lives.
In February 2017 our Expert Insights panel explored the contexts and meanings that surround youth self-harm as well as sharing strategies that can assist young people to move safely through this challenging life stage.
Panel members:
Gregory Carter - Psychiatrist and Conjoint Professor (Centre for Brain and Mental Health Research)
Johnny Kieran - Senior Clinician and Accredited Mental Health Social Worker
Samuel - Lived Experience Representative
Kaitlin - Lived Experience Representative
Facilitated by: Dr Vered Gordon, Black Dog Institute GP Consultant
Recording and sound production: James Stewart, audioPost
Voiceover: Cameron Banks, Black Dog Institute -
In this podcast Dr Jan Orman gives us an insight into a consultation with her patient Tegan. Tegan has a diagnosis of bipolar disorder. Jan takes a look at the warning signs that trigger an episode of depression or hypomania, for Tegan and explains how the use of the free online screening tools for mania and hypomania used at the Black Dog Institute can help detect a bipolar high.
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Alcohol use disorder is often co-morbid with a variety of mental health conditions. It can be challenging for clinicians to tease out which of these conditions are primary, with alcohol being used as an attempt to alleviate symptoms, and which of these are secondary to the physiological and psychosocial impacts of alcohol itself. In the lead up to Christmas 2016 our expert panel tackled the complexities of the interface between alcohol and mental health presentations.Panel members:Dr Oliver O’Connell - Consultant Psychiatrist, Addiction Specialist, Psychotherapist Medical Director Drug & Alcohol Services and Medical Superintendent, Wesley Hospital AshfieldProfessor Frances Kay-Lambkin PhD - NHMRC Senior Research FellowDirector (Translation), NHMRC CRE in Mental Health & Substance Use, Deputy Director (Mental Health Hub), Centre for Brain and Mental Health Priority Research Centre, The University of NewcastleMatthew - Lived experience representativeFacilitated by: Dr Vered Gordon, Black Dog Institute GP Consultant Recording and sound production: James Stewart, audioPost Voiceover: Cameron Banks, Black Dog Institute
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myCompass is a personalised self-help program that you can use on your mobile phone, computer and/or tablet. In this podcast Dr Jan Orman talks to Dr Janine Clarke, one of the developers of myCompass, to discuss the benefits of myCompass and where the future is heading.
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For many people living with mental illness, discovering tangible ways in which they can positively contribute to their own well-being engenders a sense of hope and purpose.In our October forum the panel explores the impact of exercise, diet and meditation on mental well-being – which interventions are useful and how are they best applied?Panel members:Simon Rosenbaum - Lecturer UNSW, Honorary Fellow, Black Dog Institute & The George Institute for Global Health, Director, Exercise Sports Science AustraliaScott Teasdale - Dietitian Keeping the Body in Mind, Eastern Suburbs Mental Health ServiceTania Perich - Post-doctoral Research Fellow School of Social Sciences and PsychologyRichie - Lived Experience RepresentativeFacilitated by: Dr Vered Gordon, Black Dog Institute GP Consultant Recording and sound production: James Stewart, audioPost Voiceover: Cameron Banks, Black Dog Institute
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Experiences of trauma appear to underpin a wide range of physical and mental health presentations. In our August forum, our expert panel explores current thinking in the field of trauma mental health and in delivering trauma informed mental health care for people living with a trauma history.
Panel members: Prof Zachary Steel, St John of God Professorial Chair of Trauma and Mental Health School of Psychiatry, University New South Wales
St John of God Health Care, Richmond Hospital; Dominic Hilbrink, Senior Clinicial/Social Worker St John of God Health Care; Dr Susan Rees, Senior Lecturer/Researcher UNSW School of Psychiatry; Elana, Lived Experience Representative
Facilitated by: Dr Vered Gordon, Black Dog Institute GP Consultant
Recording and sound production: James Stewart, audioPost
Voiceover: Cameron Banks, Black Dog Institute -
Despite significant advances in the treatment of depression, there are a number of people who are not helped by the commonly available psychological and pharmacological treatments. Our June Expert Insights looks at some of the newer forms of treatment being pioneered for depression including Direct Current Stimulation (DCS), Transcranial Magnetic Stimulation (TMS), Ketamine and modified Electroconvulsive Therapy.
Panel members:
Dr Veronica Galvez Ortiz, Clinical Research Officer, Therapeutic Neurostimulation Group, PhD Candidate;
Dr Angelo Alonzo, Clinical Trials Manager
Anna, Lived Experience Representative
Wayne, Lived Experience Representative
Facilitated by: Dr Vered Gordon, Black Dog Institute GP Consultant
Recording and sound production: James Stewart, audioPost
Voiceover: Cameron Banks, Black Dog Institute
Black Dog Institute is seeking volunteers for a clinical trial of a potential new treatment for depression. The study involves trialing a new product for depression, which some recent studies have found to have antidepressant effects. Volunteers will attend on an outpatient basis at the Black Dog Institute and involve up to 20 visits over 8 weeks (there are also some study sites in Melbourne, Adelaide, Perth and Dunedin, NZ). More information regarding the study can be found at:
http://www.blackdoginstitute.org.au/public/research/participateinourresearch/ketamineasatreatmentfordepression.cfm
For more information please email: [email protected] -
Difficulty sleeping is a common presenting problem in primary practice. While sleep disruption can at times be a symptom of an underlying medical or psychological disorder, poor sleep can also negatively impact overall health and wellbeing. Panel members: Prof Ron Grunstein, Professor of Sleep Medicine, Woolcock Institute of Medical Research, University of Sydney and Royal Prince Alfred Hospital; Dr Elizabeth Mason, Clinical & Research Psychologist, Clinical Research Unit for Anxiety and Depression, St Vincent's Hospital; Dr Aliza Werner-Seidler, Research Fellow & Clinical Psychologist, Black Dog Institute; Shirley Sneddon, Lived Experience Representative Facilitated by: Dr Vered Gordon, Black Dog Institute GP Consultant Recording and sound production: James Stewart, audioPost Voiceover: Cameron Banks, Black Dog Institute
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Distinguishing between Bipolar Disorder and Borderline Personality Disorder can present a considerable clinical challenge. With some overlapping features and, at times, occurring co-morbidly, making a confident diagnosis can occasionally prove elusive. However, correctly identifying the underlying cause has a significant impact on selecting the most effective treatment approach. In this month’s Expert Insights, clinicians, researchers and lived experience representative come together to discuss differentiating the two disorders and implications of this on management planning.
Panel members: Dr Adam Bayes - Associate Lecturer School of Psychiatry UNSW; Tony Merritt, Clinical Psychologist; Dr Jan Orman, GP Services Consultant, Black Dog Institute
Facilitated by: Dr Vered Gordon, Black Dog Institute GP Consultant
Recording and sound production: James Stewart, audioPost
Voiceover: Cameron Banks, Black Dog Institute -
Distinguishing between grief and depression can at times be clinically challenging. While both may manifest in similar ways, there are some key differences helpful in separating the two. However, grief and depression can also co-occur with the course of one influencing the other, further adding to the complexity of the presentation. This month's Black Dog Institute Expert Insight forum brings together clinicians, researchers and consumers to answer questions on managing grief and depression in clinical practice.
Panel members: Professor Gordon Parker, Scientia Professor, University of New South Wales, Consultant Psychiatrist, Prince of Wales Psychiatry; Amelia Paterson, Researcher, Black Dog Institute; Michael Dash, Bereavement Coordinator, Sydney Local Health District; Sharyn McGee, Lived Experience Representative
Facilitated by: Dr Vered Gordon, Black Dog Institute GP Consultant
Recording and sound production: James Stewart, audioPost
Voiceover: Cameron Banks, Black Dog Institute