Episódios
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In this final episode of the ADHD miniseries Paula discusses ADHD and burnout with Dr Floriana Reinikis, a Clinical Psychologist specialising in neurodivergence, and an ADHDer herself. They discuss the connection between ADHD and burnout, including the impact of workplace environments, over-compensation, perfectionism, and emotional regulation. Dr Reinikis also highlights the importance of understanding your own unique needs to support self-advocacy at work and identify strategies for preventing and responding to burnout.
About the speaker:
Dr Floriana Reinikis is a Clinical Psychologist specialising in neurodivergence, with extensive experience in conducting ADHD and Autism assessments and providing post-diagnostic support. She is passionate about delivering neuroaffirmative care that recognises and builds on individual strengths. In addition to working directly with neurodivergent individuals, she also trains mental health professionals in the assessment and diagnosis of ADHD across the lifespan.
You can get in touch with Floriana at Oasis Psychological Services or on LinkedIn
Other links:
ACP-UK
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This conversation explores the personal journeys of 3 NHS clinicians diagnosed with ADHD as adults, focusing on their experiences with diagnosis, the impact on their lives, and the challenges they have faced in academic and professional settings. The discussion highlights the complexities of self-disclosure, advocacy, and the need for greater awareness and understanding of ADHD, particularly in women. They reflect on the misconceptions surrounding ADHD and the evolving narrative in society, emphasising the need for a more compassionate and informed approach to neurodivergence.
Speakers' recommended resources:
Scattered Minds by Gabor Mate
Dirty Laundry by Richard and Roxanne Pink
Ted Talk by Salif Mahamane called "ADHD sucks, but not really"
ADHD Chatter Podcast
Amazing Marvin productivity app
Other links:
ACP-UK
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I’d love to connect with you so do come and find me on LinkedIn or at my website and do check out the ACP-UK and everything it has to offer.
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Paula speaks with Clinical Psychologist Dr Lauren Breese about some of the complexities, controversies and opportunities around ADHD diagnosis, particularly in relation to work.
The conversation includes:
what ADHD is and how it might impact people in the workplacegender differences in ADHD presentationthoughts on workplace adaptationscontroversies and misunderstandings about ADHDthe importance of a rigorous assessment processbenefits of seeking an ADHD assessmentnavigating conversations about ADHD with empathy and curiosityAbout the speaker:
Dr Lauren Breese is a Clinical Psychologist and founder of 'and Psychology' (an assessment and therapy service for neurodivergent adults) and 'The Neurodiversity Practice' (a service supporting ND parents, as well as workplaces and mental health practitioners to embrace neuroinclusivity.
Instagram:
@_andpsychology_
@theneurodiversitypractice
Linked In:
www.linkedin.com/in/drlaurenbreese
www.linkedin.com/company/theneurodiversitypractice/
Lauren’s recommended resources:
Podcasts:
The ADHD Women's Wellbeing podcastThe Hidden 20%ADHD ChatterThe Neurodivergent WomanYouTube:
How to ADHD - Jessica McCabeBooks:
How to thrive with Adult ADHD - Dr James KustowWe have a free recommended booklist for ND parents to download here: Book List - ND Parents — The Neurodiversity PracticeDownload our free neuroinclusion at work checklist to share with employers: Business | Neurodiversity in the Workplace — The Neurodiversity Practice
Other links:
ACP-UK
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I’d love to connect with you so do come and find me on LinkedIn or at my website and do check out the ACP-UK and everything it has to offer.
Follow and subscribe so you don’t miss an episode!
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Dr Paula Redmond, Clinical Psychologist, announces that Season Six of the When Work Hurts podcast is on its way, with a special focus on ADHD.
This season is brought to you by the Association of Clinical Psychologists, the representative professional body for clinical psychologists in the UK.
It's going to be a little bit different from previous seasons, as it's a three-episode mini-series exploring one topic - ADHD - from a range of perspectives. Over the series, Paula will be speaking with four clinical psychologists and one medic to help us understand some of the key issues in this field, including:
the complexities, controversies and opportunities around diagnosis,the lived experience of being an NHS clinician with ADHD,the relationship between ADHD and burnout,how organisations, managers and colleagues can foster ADHD inclusive workplaces,as well as some reflections, strategies and tips for ADHDers themselves or those who might be considering an assessment.Listen for a taster of what's coming up.
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I’d love to connect with you so do come and find me on LinkedIn or at my website and do check out the ACP-UK and everything it has to offer.
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The Tree of Life is a narrative therapy approach that helps people to tell stories about themselves in ways that make them stronger. It uses the metaphor of a tree to support this process in creative ways and has a broad applicability in both therapeutic and professional contexts.
In this episode, Paula is joined by Dr Julie Fraser and Dr Liz Matias, both clinical psychologists, who have written about their use of the Professional Tree of Life to support NHS staff in the ACP-UK book Psychological Staff Support in Healthcare.
They discuss what the approach looks like, as well as the benefits and challenges.
Links:
Book: Psychological Staff Support in Healthcare: Thinking and Practice - Edited by Dr Harriet Conniff (www.sequoia-books.com)
Other links:
ACP-UK
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I’d love to connect with you so do come and find me on LinkedIn or at my website and do check out the ACP-UK and everything it has to offer.
Follow and subscribe so you don’t miss an episode!
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Reflective practice groups are a subject that has come up a few times on the podcast as being an important way of supporting both staff wellbeing and patient care.
Paula wanted to explore this in more depth, so in this episode she is joined by Dr Arabella Kurtz, consultant clinical psychologist and psychoanalytic psychotherapist to talk about her Heads and Hearts model. They discuss how reflective practice is defined in this context, the different components of the Heads and Hearts model, and common challenges.
Arabella and her colleague Dr Joanna Levene have summarised the model in a chapter of the excellent ACP-UK book entitled ‘Psychological Staff Support in Healthcare’, which was edited by Dr Harriet Conniff.
Links:
Psychological Staff Support in Healthcare: Thinking and Practice - Edited by Dr Harriet Conniff (www.sequoia-books.com)
A Mixed-Methods Systematic Review of Group Reflective Practice in Medical Students - Kelvin C Y Leung and Carmelle Peisah (pubmed.ncbi.nlm.nih.gov)
ACP-UK
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I’d love to connect with you so do come and find me on LinkedIn or at my website and do check out the ACP-UK and everything it has to offer.
Follow and subscribe so you don’t miss an episode!
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Art and creativity are good for the soul, both in and out of work.
In this episode Paula is joined by clinical psychologist Dr Rachel Chater, discussing her inspiring work with the take heART Project, which aims to enhance the wellbeing of staff, patients and visitors to the Bedfordshire Hospitals through the arts.
Rachel describes how this more unusual psychology role took shape and how it's made a difference at multiple levels within the system. She tells us about some of the lovely art projects they've worked on and how these have been informed by psychological theory and formulation.
The pair also talk about the challenges in this work and Rachel gives lots of great pragmatic advice for anyone who might be inspired to try something similar.
Links:
take heART website (/www.bedfordshirehospitals.nhs.uk)
take heART email: [email protected]
These are the Hands by Michael Rosen (www.scottishpoetrylibrary.org.uk)
Painting in Hospitals
ACP-UK
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I’d love to connect with you so do come and find me on LinkedIn or at my website and do check out the ACP-UK and everything it has to offer.
Follow and subscribe so you don’t miss an episode!
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So far this series has talked a lot about the impact of traumatic experiences on us as individuals. But working in healthcare usually means working in teams and experiencing distressing events as part of a team.
In this episode, Paula speaks with Dr Sadie Thomas-Unsworth, consultant clinical psychologist and lead for staff support and palliative care, about the guidelines she and colleagues have written entitled Group Psychological ‘Debriefs’ - Practice guidance for post-event team reflection following distressing events at work. Published by the Association of Clinical Psychologists and authored by Sadie, Dr Harriet Conniff, Dr Joanna Farrington-Exley, Dr Zoe Berger and Dr Julie Highfield.
Sadie’s links:
Group Psychological Debriefs (acpuk.org.uk)
Other links:
ACP-UK
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I’d love to connect with you so do come and find me on LinkedIn or at my website and do check out the ACP-UK and everything it has to offer.
Follow and subscribe so you don’t miss an episode!
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Eye movement desensitisation and reprocessing, or EMDR, is a NICE recommended psychological treatment for post-traumatic stress disorder, and is also becoming more widely used in the prevention of PTSD in healthcare settings where staff are exposed to traumatic events in their work.
In this episode, Paula is joined by Dr Michael Paterson OBE, a clinical psychologist and EMDR Europe accredited senior trainer.
Michael describes what EMDR is and how it can be used to support health professionals with both recent and past events, both big T and small T traumas. He also movingly talks about his own experiences of being involved in an explosion that led to life-changing injuries while he was a serving police officer in Northern Ireland and the difference EMDR has made to him personally and professionally.
Michael’s details and links:
Websites:
drmichaelpaterson.com
www.emdrmasterclass.com (visit the Resources page for tips for good EMDR Therapy practice and links to short training videos)
Facebook: Michael Paterson
YouTube: www.youtube.com/user/drmpaterson
LinkedIn: Dr Michael Paterson OBE
References:
Jinhee Baek et al: Neural circuits underlying a psychotherapeutic regimen for fear disorders (www.nature.com)
Marco Pagani: Neurobiological correlates of EMDR monitoring - an EEG study (pubmed.ncbi.nlm.nih.gov)
Zaghrout-Hodali: Building Resilience and Dismantling Fear: EMDR Group Protocol With Children in an Area of Ongoing Trauma (www.psy-tcc-mougins.fr)
Francine Shapiro: Recent Events Protocol (emdrfoundation.org)
Elan Shapiro: The EMDR Recent Traumatic Episode Protocol (EMDR R- TEP) for Early EMDR Intervention (EEI) (emdrfoundation.org)
Elan Shapiro: EMDR Group- Traumatic Episode Protocol (G-TEP) (emdrfoundation.org)
Bessel van der Kolk: The Body Keeps The Score (www.besselvanderkolk.com)
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I’d love to connect with you so do come and find me on LinkedIn or at my website and do check out the ACP-UK and everything it has to offer.
Follow and subscribe so you don’t miss an episode!
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Health professionals are not immune to trauma. In fact, many are motivated to become healthcare professionals as a way of understanding and even healing their own wounds. They are also vulnerable to experiencing trauma in their personal lives just as much as anyone else is, and especially likely to be exposed to trauma in their work.
In this episode, Paula is joined by Dr Yvonne Waft, a clinical psychologist and EMDR consultant.
Yvonne is the author of a new book, published by Sequoia Books in association with the ACP-UK, called Coping with Trauma: Surviving and Thriving in the Face of Overwhelming Events.
Yvonne talks about her own experiences of trauma, how these have informed her professional life, and how health professionals can look after themselves when they are impacted by traumatic events, either in work or in their personal lives.
Yvonne’s details and links:
Website: www.catalystclinpsy.co.uk
Instagram: @waftyvonne
Facebook: Dr Yvonne Waft - Catalyst Clinical Psychology
X: @catalystclinpsy
LinkedIn: Dr Yvonne Waft
Book: Coping With Trauma: Surviving and Thriving in the Face of Overwhelming Events - Sequoia Books
Other links:
ACP-UK
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I’d love to connect with you so do come and find me on LinkedIn or at my website and do check out the ACP-UK and everything it has to offer.
Follow and subscribe so you don’t miss an episode!
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Dr Paula Redmond, clinical psychologist, is back for season five of the When Work Hurts podcast. On this show, she explores the stories behind the statistics of the mental health crisis faced by health professionals today and provides hope for a way out through compassion, connection, and creativity.
This season is brought to you by the Association of Clinical Psychologists, the representative professional body for clinical psychologists in the UK.
Join Paula as she talks to inspiring clinical psychologists about their work in this field and learn how we can support ourselves and each other when work hurts.
The new season launches on the 26th of March, 2024, and will be available on all major podcast apps. Subscribe now so you don't miss out.
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I’d love to connect with you so do come and find me on LinkedIn or at my website and do check out the ACP-UK and everything it has to offer.
Follow and subscribe so you don’t miss an episode!
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Pete Lewin is a paramedic and director of Pete Lewin Newfoundlands.
Pete and his pack of beautiful emotional support dogs take people out to swim with them (including frontline workers and first responders) with often transformative results. In this episode, he talks movingly about his work with the dogs and also some of the hard times he's been through in his paramedic career.
Pete's website: http://petelewinnewfoundlands.co.uk/
Facebook: https://www.facebook.com/PeteLewinNewfoundlands
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Full podcast transcript here
Or watch as a video with subtitles
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I'd love to connect with you so come and find me on LinkedIn, Twitter or Facebook.
Sign up to my weekly newsletter here to get updates about the podcast as well as psychology tips and insights direct to your inbox.
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Health and social care professionals who work with people who've suffered traumatic experiences are themselves at risk of vicarious traumatisation.
So what can you do to understand and protect yourself from this?
This week Dr Paula Redmond is joined by Anne McKechnie, an independent Consultant Forensic and Clinical Psychologist.
The pair discuss the psychological impact of being in a caring profession and the differences between vicarious traumatisation, secondary trauma, compassion fatigue and burnout.
Anne also outlines steps we can take to prevent vicarious traumatisation at organisational, team and individual levels.
Links mentioned by Anne:
National trauma training programme by NHS Education for ScotlandBrene Brown on Empathy________________________________
Full podcast transcript here
Or watch as a video with subtitles
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I'd love to connect with you so come and find me on LinkedIn, Twitter or Facebook.
Sign up to my weekly newsletter here to get updates about the podcast as well as psychology tips and insights direct to your inbox.
Follow and subscribe so you don’t miss an episode!
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The ways in which we relate to work are often shaped by our training experiences, and this is particularly true in medical education.
Today Paula is talking to Dr Louise Younie, GP and Clinical Reader in Medical Education at Queen Mary University of London.
The pair discuss how Louise draws on creative enquiry and the concept of flourishing to support medical students to embrace their vulnerability, find their voice, and value their humanity.
You can connect with Louise on Twitter @LouiseYounie, or via her website. Also see her book chapter What Does Creative Enquiry Have to Contribute to Flourishing in Medical Education? and paper on vulnerable leadership.
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Full podcast transcript here (including the images Louise mentions)
Or watch as a video with subtitles
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I'd love to connect with you so come and find me on LinkedIn, Twitter or Facebook.
Sign up to my weekly newsletter here to get updates about the podcast as well as psychology tips and insights direct to your inbox.
Follow and subscribe so you don’t miss an episode!
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Internal Family Systems, or IFS, is a relatively new model of psychotherapy with a growing evidence base.
In this episode Dr Paula Redmond takes a closer look at IFS with occupational psychologist Wendy Kendall. Wendy explores its application for making sense of how we relate to work as healthcare professionals, and how IFS can help us find space among the overwhelm.
Wendy is a chartered occupational psychologist and an IFS practitioner who specialises in helping self-employed psychologists grow their private practices.
You can find out more about Wendy's work on her website, and connect with her on LinkedIn.
Full transcript here
Or watch as a video with subtitles
________________________________
I'd love to connect with you so come and find me on LinkedIn, Twitter or Facebook.
Sign up to my weekly newsletter here to get updates about the podcast as well as psychology tips and insights direct to your inbox.
Follow and subscribe so you don’t miss an episode!
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Burnout is a really hot topic in healthcare.
Every day there are new reports about NHS staff hitting higher and higher levels of burnout.
But for a term that is used so much, how many of us know exactly what it is? And how can we begin to solve the issue?
In this episode Dr. Julie Highfield - a Consultant Clinical Psychologist in adult and pediatric critical care, and National Wellbeing Director for the Intensive Care Society - shares her expertise on the topic.
You can connect with Julie on social media @DrJulie_H
Papers/books/chapters written by Julie:
Burnout Syndrome in UK Intensive Care Unit staff: Data from all three Burnout Syndrome domains and across professional groups, genders and agesOrganisations and Leadership during Covid-19: Studies using Systems Leadership TheoryPsychological Staff Support in HealthcareCritical Care Psychology and Rehabilitation: Principles and PracticeSee also the wellbeing work of the Intensive Care Society.
Full transcript here
Or watch as a video with subtitles
________________________________
I'd love to connect with you so come and find me on LinkedIn, Twitter or Facebook.
Sign up to my weekly newsletter here to get updates about the podcast as well as psychology tips and insights direct to your inbox.
Follow and subscribe so you don’t miss an episode!
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To understand how and why we get caught up in unhelpful dynamics with our work we need to consider the role of the unconscious.
Dr Libby Nugent is a clinical psychologist who uses a psychoanalytic approach to understand our complicated relationship with work. She draws on Jungian theory, group analysis, myths and fairy tales to explore the painful complexities that face us as healthcare professionals - and how to respond to these through creativity, community, care and choice.
You can find out more about Libby's work, including the reflective groups she runs, at www.libbynugent.co.uk.
I'd love to connect with you so come and find me on LinkedIn, Twitter or Facebook.
Sign up to my weekly newsletter here to get updates about the podcast as well as psychology tips and insights direct to your inbox.
Follow and subscribe so you don’t miss an episode!
For more information about the Creative Restoration retreat for GPs on 1st October 2022 see the website: creativerestoration.org
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This episode contains discussion of suicide and its impact
Losing a patient or colleague to suicide can be devastating. In this episode Dr Rachel Gibbons (psychiatrist, psychoanalyst and group analyst) talks about her personal experience of surviving patient suicide and the work she has done to understand suicide and homicide; its impact on healthcare staff; and what helps.
The Royal College of Psychiatrists has produced a number of resources to support staff when a patient dies by suicide - you can find them here.
If you've been affected by the issues in this episode you can get help from a range of organisations.
Samaritans Call 116 123 Email [email protected]
Campaign Against Living Miserably (CALM) Call 0800 58 58 58 – 5pm to midnight every day or visit the webchat page
Papyrus – for people under 35 Call 0800 068 41 41 – 9am to midnight every day. Text 07860 039967 [email protected]
I'd love to connect with you so come and find me on LinkedIn, Twitter or Facebook.
Sign up to my weekly newsletter here to get updates about the podcast as well as psychology tips and insights direct to your inbox.
Follow and subscribe so you don’t miss an episode!
For more information about the Creative Restoration retreat for GPs on 1st October 2022 see the website: creativerestoration.org
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Dr Mia Hobbs is a Clinical Psychologist who is passionate about the mental health benefits of knitting.
She also hosts the podcast Why I Knit.
She and Paula explore how we can use craft, and knitting in particular, to benefit our mental health - and how this is especially relevant for health professionals.
You can find Mia at www.therapeuticknitting.org and on Instagram @knittingistherapeutic
If you'd like a copy of the PDF she mentioned email her: [email protected]
I'd love to connect with you so come and find me on LinkedIn, Twitter or Facebook.
Sign up to my weekly newsletter here to get updates about the podcast as well as psychology tips and insights direct to your inbox.
Follow and subscribe so you don’t miss an episode!
For more information about the Creative Restoration retreat for GPs on 1st October 2022 see the website: creativerestoration.org
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Racism and racial inequality continues to plague the NHS - with negative outcomes for individual staff, but also for organisations and patients.
To get to grips with this issue, and how to tackle it, Dr Paula Redmond speaks to Owen Chinembiri. Owen is Senior Implementation Lead at the NHS Race & Health Observatory - but is chatting today in a personal capacity.
As you might imagine racism and examples of racism are discussed in this episode.
Here are the links/resources Owen mentions:
Links between NHS staff experience and patient satisfactionRacism in Nursing Glass cliffNHS staff survey Latest WRES reportDiversity wins: How inclusion matters Changing The Way People Saw Black Rugby PlayersI'd love to connect with you so come and find me on LinkedIn, Twitter or Facebook.
Sign up to my weekly newsletter here to get updates about the podcast as well as psychology tips and insights direct to your inbox.
Follow and subscribe so you don’t miss an episode!
For more information about the Creative Restoration retreat for GPs on 1st October 2022 see the website: creativerestoration.org
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