mental health

Why are Psychologists Important in the Post-COVID era?

COVID-19 pandemic halted the entire world in its tracks in March of 2020. In rising to the challenge of an epidemic, governments and health organizations pushed for lockdowns with everyone being confined to their living spaces. Social distancing and isolation helped save many lives by preventing the transfer of the novel coronavirus, but it also made hundreds of people around the globe more vulnerable to mental health issues.

 

The impact of this pandemic on physical health was cosmic and the impact on mental health has also been substantial. People with existing mental health disorders saw a further decline in their health and high-risk people developed these disorders through the span of the pandemic. 

 

As the initial shock of the pandemic begins to wind down, it’s important to tackle these issues and there need to be healthcare providers available to help those who need it. Psychologists, moreover counselling psychologists, are key in helping people manage their emotions and feelings. Psychologists can also help patients process the change the world has gone through with the COVID-19 pandemic and how it has impacted their mental wellbeing.


The psychological impact of the COVID-19 pandemic

Briefly put, COVID-19 causes a rift between people and their ability to cope with change, especially since social isolation and lockdown policies took away many typical coping mechanisms. The reaction of people to the COVID-19 pandemic alone has ranged from feelings of hopelessness and helplessness to panic and hysteria (think toilet paper hoarding).

 

In addition to this, many people haven’t been able to cope how they normally would, especially those belonging to vulnerable or marginalized groups, as they often had less access to social supports. These people may indeed be at risk of developing mental health challenges and may need the help of psychologists to help them process these feelings in the post COVID era. In the meanwhile, demand on psychologists has been high with waiting lists to access services often lengthy.

 

The COVID-19 pandemic also affected the economy of the world, with multiple markets crashing and putting many people out of work. Joblessness further exaggerates the feeling of hopelessness and is associated with negative outcomes such as suicidal ideation, depression, stress, and anxiety. Many people put their worth and identity in their careers and when that isn’t present anymore, (alongside being locked at home giving them ample time to overthink), they experience a sense of grief and loss. It alters how they view the world and themselves.

 

Perhaps not surprisingly, the powerlessness people have experienced in the face of this pandemic has actually worsened in some cases by mandatory behavioural change. Examples of this are lockdowns, border closures across states and the vaccine policy being introduced. Whilst acceptance of Australia’s vaccine policy has increased statistically at least, misinformation continues to pervade people’s newsfeeds spreading fear and conspiracy-based thinking .


Some age groups and demographics are more vulnerable  to negative psychological impacts than others. These groups include high school and university students, young people who live alone, and the elderly. These are populations who may have the least amount of social support (or conversely a heavy reliance on social supports) and willingness or means to see a psychologist, important protective factors from the negative psychological impact of the COVID-19 pandemic.

 

There has already been a surge in people attempting to access psychologists since the COVID-19 pandemic and this will no doubt continue. There needs to be an equal rise in the number of therapists to help these patients come to terms with the psychosocial changes that the world has gone through. The basic human need for emotional support and processing of feelings and thoughts is a necessary component of this. Supporting patients objectively process their decision to vaccinate and the feelings that arise around an effectively mandatory vaccination program is yet another area where psychologists can help.

 

 


Guest Blog - For The Heart Cries- A commentary on suicide by Thomas Truelson

Trigger warning - Suicide. If you are thinking about suicide please contact emergency services, lifeline, or your mental health practitioner. Let someone know. The antithesis to the below is the process of reaching out and getting support outside of the secrecy that suicidal ideation commands.

If you have experienced the loss of a loved one through suicide this particular blog may be helpful for you.

 “The Warning Signs: We have all read the warning signs, the indicators and clues, of a person thinking of suicide. Unfortunately, we have recognized those signs only in hindsight - after the tragic death of our loved one.

And that is because suicide is planned silently and in secret. The art of deception - the person planning a suicide becomes an actor, skilled in delicate deception and adapting a brilliant disguise - that is well within oneself.

A person considering suicide is quite capable and inventive in expressing a genuine interest in a future they no plans of inhabiting. And when that fateful day arrives, the suicide will usually occur during the course of the person's daily and regular routine.

Suicide is difficult to prevent because the warning signs, more often than not, become visible only after the tragedy. 

The silent secret of suicide, the art of delicate deception.

As seen on PostSecret: People Don't Fake Depression, They Fake Being OK!

Remember those words.”

Reference - http://fortheheartcries.blogspot.com/

This blog was written by a person who had considered ending their life and their recovery journey. It is not intended as therapy nor a replacement for therapy.

CEO Sleepout for St Vinnies 20th June

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On Thursday 20 June, I will show my support for thousands of Australians currently experiencing homelessness by sleeping out on one of the coldest and longest nights of the year as part of the Vinnies CEO Sleepout® 2019.

I’m fundraising to help Vinnies provide vital, life-changing homelessness support services. We're aiming to raise $5000 in the next month so please if you can, donate to this valuable cause and play a part in me freezing my xxx off. 🤣

I work first hand as a psychologist with many clients facing homelessness and the cycle of mental health issues that perpetuate this social dilemma. The Happy Collective is our family company and is striving to be involved with more charity events and organisations involving our tribe wherever we can.

To make a donation to St Vinnies and help make a real difference for someone experiencing homelessness, please visit: https://www.ceosleepout.org.au/…/thehappycollect…/gold-coast
All donations are tax deductible.

Thank you for any support you may be able to give to this great cause.

I invite you to share this far and wide to extend this support wherever you can. Thank you so much. 🙏

https://www.ceosleepout.org.au/…/thehappycollect…/gold-coast

7 Psychological Tips to Boost Your PT Sessions

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This articles outlines 7 fundamental psychological strategies that can be easily applied to your gym sessions to improve your performance and get better outcomes. So get inside your own head for a moment to see how it can help you.

1. Awareness to thought. Building awareness to thought process is a key strategy in psychotherapy to help clients improve their mental health. What are you thinking just before going to the gym/ just before that next set? Are these thoughts negative and are they attached to a negative emotion? (“this is going to be a hard session” - dread/ laziness for example). These negative emotions can influence your personal performance or earlier, determine whether you even turn up to the gym.

Knowing your cognitive tendencies is a healthy process, even if your tendencies are negatively oriented. Avoid placing judgment on yourself for them, just be aware and notice how your thoughts have the capacity to subconsciously affect your behaviour. By bringing this subconscious into the conscious, you gain power by what you choose to do the next time this thought arises.

2. Challenging your limits. What limits are you placing on yourself during your gym session? Ensure that you are planning and tracking your sets or times and continuously aiming to improve them.

Achievement is one of the three fundamental behavioural ideals that balance a life of psychological wellness (the others are responsibilities and pleasures FYI). Working towards micro goals in the gym can be a fantastic way to build an ongoing sense of achievement in your life.

3. Challenging your thoughts. From your newly developed cognitive awareness gained in  strategy 1, ensure that your self-talk isn’t hampering your gains. For example, if you have a set of 15 bench press lifts to complete and you’re lying flat staring up at a bar, what is your internal dialogue?


a) Nothing
b) “I don’t know that I can do this” or “This is too heavy”
c) “I know I can do 12 at this weight. I’ll aim for that”
d) “I’ve totally got this down”

If your answer is:

(a) potentially it’s worth taking a bit more time on strategy 1. On the other hand, maybe your mind is clear at the gym and this could be highly functional to your performance (no intrusive thoughts = high level of task-oriented focus).

(b) you can no doubt notice the negativity here and, without judgement, maybe spend some time challenging these thoughts as they occur. Cognitive Behavioural Therapy is apt for this process, though Acceptance and Commitment Therapy has some wonderful strategies to manage thoughts like these too.

(c) your limits are greatly defined by yourself. Always aim for what you want your body to prepare itself to achieve. Sure, you may not make it sometimes but that’s why your spotter is there, right? If you aim for 12, you’ll more than likely make that but those last 3 are going to be much harder to push out if your brain isn’t pre-warned that they’re coming.

(d) not surprisingly, this is exactly what we need more of in any potentially challenging task. Boost yourself up before you start with positive self-statements. You don’t need to believe them, just repeat them in your head until your actions meet your beliefs.

4. Visualising. Visualising is a well established psychological performance strategy. It works because to a certain degree, your brain doesn’t know the difference between actually engaging in an activity and simply imagining the experience. Psychologists rely on this minor brain flaw for many interventions we adopt. So if you visualise yourself completing that next block run in record time, as far as your brain is concerned, it believes that you can do it. Now you just need to get your body to keep up!

Start each session during your warm up visualising what it is you are about to do from start to finish. Then again before each activity, visualise your gains before you begin.

5. Breathe. Physiologically, the regulation and timing of your breathe is key to performance in the gym. You’ve probably been told this and if not, you’ve likely noticed it yourself. But while your muscles’ cells are sucking up the maximum oxygen they can with every breath you take, your brain is often depleted. Our body has evolved to direct blood and oxygen to where it needs it most, and at the gym, it’s more likely to be your biceps than your head.

By regulating your breathing through slowing down your breathe out, you also have the capacity to help your brain deal with any negative intrusive thoughts all the while reducing the experience of pain that you are enduring. Experiment with this just before the next time you are about to begin a set. Deep breathe in to the count of 3 or 4, slow breathe out for 4-5. Then return your breathing to as it normally would be in the activity you are doing.

6. Reflective practice. Reflecting on the progress and changes that occur in our life as a result of our actions allows us a sense of empowerment. It also gives us the capacity to fine tune our goals and improve our overall mood.

Environmental re-evaluation provides us with the opportunity to periodically check-in on how our gym habits are affecting us physically (our body) and socially (how are we in relation to other people from our gym practice?).

Self re-evaluation provides us with the opportunity to periodically check-in on how our gym habits are affecting our self-confidence, our self-esteem, and our emotional state.

Taking time to notice even small positive changes occurring as a result of a healthy habit like going to the gym is a great motivation boost to continue with the behaviour. Try regularly practicing re-evaluation just before your scheduled gym times and notice how your motivation and mood changes as a result.

7. Sleep. This is an essential prerequisite to any mental performance. If you want to apply any of the above to the best of your ability, sleep is a no-brainer. As an adult, we require between 7-9 hours of sleep per night and if you are a teenager, then boost this to at least 8-10. Caffeine is not a replacement for sleep people!

Evidence shows that our cognitive and physical performance dramatically declines with sleep deprivation and can be improved with an increase in quality sleeping hours. In one study of elite basketball players for example, by increasing sleep to 10 hours every night over 5-7 weeks; reaction times significantly decreased and sprinting pace increased as did shooting accuracy.

Further reading

https://www.sleepfoundation.org/press-release/national-sleep-foundation-recommends-new-sleep-times

https://journals.lww.com/acsm-healthfitness/Fulltext/2004/03000/Strategies_for_Personal_Trainers.5.aspx#

https://academic.oup.com/painmedicine/article/13/2/215/1936333

Gibbs G [1988] Learning by Doing: A guide to teaching and learning methods. Further Education Unit. Oxford Polytechnic: Oxford

Mah CD, Mah KE, Kezirian EJ, & Dement WC (2011). The effects of sleep extension on the athletic performance of collegiate basketball players. Sleep, 34 (7), 943-50


Acceptance

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Grant me the serenity to accept the things I cannot change,

The courage to change the things I can,

And the wisdom to know the difference


The above, secularised version of the serenity prayer, will be familiar to those with a background working in drug and alcohol services or with any involvement in the world of AA/NA. For those of you who are not, it is a beautiful and encouraging example of how small words can support those struggling with control, addiction, and other mental troubles.


Acceptance is the underpinning of many Eastern and new age philosophies and has been readily adopted into the modern psychological treatment room. After all, if we can come to accept the mental struggles we are facing, our internal battles can largely be dropped in favour of peace, calm, and cognitive space. But what does it really mean in terms of the issues we are faced with in life?

What about love? What about our selves?

Many years ago a dear friend said to me, with regards to love, that I should never settle. I have battled with this concept since hearing it. Should we settle in a relationship that doesn’t quite tick all the boxes? To me, the idea of not-settling stands in opposition to the notion of acceptance in a way.

If you are single, it might be refreshing for you to consider that there can not possibly be just one-singular perfect person for you in this world. I cannot believe this possibility to be true. There are billions of options out there so logically there will always be someone. If you are in a relationship, this thought might be troubling.

From an evolutionary perspective, we are created to find someone. Anyone... Perfection is far from what evolution is looking for in our partner anyway. Perhaps compatibility may be a better description of what our genetic drive is seeking, moderated by a combination of our self-perception, our self-worth, and other underlying traits which determine how much we feel the need to be with someone else. IMHO acceptance is the realisation that it is necessary to settle to be in any relationship. The perfect person always has flaws. We may be blinded to them early on in a relationship but they will invariably emerge. Now, I’m not trying to be a negative nancy here, just a realist I hope. Acceptance of these character traits / behaviours / habits is ultimately a choice of own perceptions and the amount they weigh on our consciousness.

What of our selves? Surely this is the most significant thing that the serenity prayer guides us towards being able to affect? It is true in that we are able to change our selves through our thoughts, our behaviours, our biopsychological management. My profession is ultimately based on this concept after all. Helping people to sometimes change those things about themselves that they are not comfortable with or that is causing them mental stress.

Recently I was reading an article however, talking about counselling a client to know and accept their fundamental limits as well. I notice such a presence in the current social media world of limitlessness, absolute capability that belongs to everyone. I wonder though does this movement fail to acknowledge the basic premise that we are each, as individual human beings limited in some way or another? This is not a negative thing! Sure, your limit is someone else’s strength, but their limit may also be your strength. Acceptance of our limits is invaluable in dissipating the internal voice that harshly tries to convince us that ‘i have to be everything, to everyone, as good as everyone else, all of the time’. In letting this voice go through acceptance of our limits, peace may be found.

So, I will repeat it again. Take care people.


Grant me the serenity to accept the things I cannot change,

The courage to change the things I can,

And the wisdom to know the difference


"How to make anxiety work for you not against you"

Repost here of a blog I fell upon the other day.... Check it out below...

"I thought about how all these years I’d been talking to myself like I was worthless. Every time I felt sadness or anxiety I berated myself further and emotionally smashed myself into the ground whenever I needed help.

I was the one who had turned anxiety into some sort of creepy horror movie character, when really all she was, was a version of me who just wanted to be heard and loved."

 

http://tinybuddha.com/blog/how-to-make-anxiety-work-for-you-not-against-you/

Worth reading and simply written article on managing depression....

So you’re depressed. You know this because a health professional has told you so, or you’ve been depressed before and there is no mistaking the symptoms. Or perhaps you just suspect that you’re depressed – you’ve used an online screening questionnaire that suggests the diagnosis, and just need to see a health professional to confirm it. What now?

First stop: talking therapies

Psychotherapy remains the cornerstone of treatment. Cognitive behavioural therapy (CBT) is the most studied of the therapies, but other forms are effective too. CBT works by addressing the thoughts and behaviours that act to entrench depression.

When people are depressed they tend to withdraw from their social networks. They no longer enjoy social interactions and think they’re unappealing company. By spending more time alone, and less time around people whose company they would usually enjoy, the depression gets worse, leading to even more time spent alone, and so on.

CBT and most other therapies act to break this feedback loop by challenging the thoughts and behaviours that reinforce social isolation, and getting people engaged again.

How do you find a therapist?

Your GP should be able to recommend one, or you can find names in the directories at the Australian Psychological Society and Royal Australian and New Zealand College of Psychiatrists. If you’re between 12 and 25, headspace is a good option.

Most therapists are psychologists or psychiatrists, but some have backgrounds in occupational therapy and social work. There is actually no need for a formal qualification to work as a therapist; my five-year-old daughter could put up her shingle. But it becomes important for claiming rebates, as well as feeling confident you’re seeing someone with a degree of competence.

The Medicare Better Access scheme provides rebates for up to ten sessions of therapy a year to see a psychologist, social worker, or occupational therapist.

To access it you need a GP referral, and the amount of the rebate you get will depend on the qualification of the therapist. It might cover all of the therapist’s fee, or there might be a gap.

You can get a higher rebate still if you see a psychiatrist, who can offer up to 50 sessions of therapy a year. Their fees are likely to be higher, though, meaning a bigger gap between what you pay and the rebate you get.

 

CBT aims to break unhelpful thinking patterns. Photographee.eu/Shutterstock

 

The funding for ten sessions per calendar year for non-medical therapists introduces an oddity to the process. If you start seeing a therapist towards the end of the year you can get 20 continuous sessions (ten in one year and ten in the next). But if your depression hits at the beginning of a calendar year you will be cut off after ten.

There are other options, though: you might be eligible for rebates from your health insurance fund and of course, if you can afford to, you can pay for the sessions yourself.

Then there is online therapy, which research suggests is very effective. There are a number of options available in Australia, including MoodGYM, e-couch and This Way Up. They are worth investigating.

Antidepressants

Medications for depression have got a lot of bad press in the past few years, with suggestions that pharmaceutical companies have exaggerated their effectiveness by burying equivocal or negative results.

A fair assessment of the evidence suggests that overall they are effective: only modestly so, but taking an antidepressant medication is, on average, more effective than taking a sugar tablet.

Antidepressant medications might be considered when therapy hasn’t been effective, when it isn’t wanted (not everyone wants to see a therapist), or when the depression is severe.

One of the problems with antidepressant medications is they’re often not well-managed. Too often doctors write a script and the person stays on a low and ineffective dose of the medication without review for many months, even years.

 

Antidepressant use should be closely managed. Photographee.eu/Shutterstock

 

Antidepressant medications take four to six weeks before they start working. If there hasn’t been any effect by then, something needs to happen. In the first instance that is usually a dose increase.

But if the medication still hasn’t had any positive effect after another six to eight weeks, another medication should be considered. You need to get to this point before you can determine that a medication hasn’t been effective, but beyond this point there seems little sense in staying on a medication that hasn’t helped.

Any decisions about stopping medication, or changing dose, should be made in consultation with a doctor. Not only can they discuss the options, but they can also monitor your mood while changes are made.

Diet and exercise

People with depression are increasingly told that doing more exercise and eating better – the contemporary version of pulling their socks up – will alleviate their symptoms.

The science shows people who eat well and exercise regularly have lower levels of depression. Good physical health is associated with good mental health. Whether or not interventions that aim to improve diet or increase physical fitness are effective treatments for depression is, however, less certain.

The main problem with these prescriptions, as anyone who has been on a diet or joined a gym will know, is that filling them is hard.

It is always good to be fit and eat well, and doctors should more often recommend that these can help depression. But at this stage, while we work out how best exercise and diet can work as interventions, they should be seen as adjuncts to the more established treatments: pursue them, but in addition to psychotherapy, not instead of it.

Author

  1. Christopher Davey

    Consultant psychiatrist and head of mood disorders research at Orygen, The National Centre of Excellence in Youth Mental Health, University of Melbourne

https://theconversation.com/youve-been-diagnosed-with-depression-now-what-44976