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Profesional issues in clinical psych - Coggle Diagram
Profesional issues in clinical psych
Occupational stress - Building Resilience
Managing stress
CBT
Compassion focused therapy
Enhance individual and environmental factors
Better leadership, supervisors, work load, enhance communication
work-life balance
Resources from therapy
Self compassion
Reflect on being less critical to oneself to more compassionate- if you would not bully someone else why would you do it to yourself
Building relationships takes time - same goes with yourself - observe, learn, grow
Social media - people share good parts and you compare good and bad parts to that
Not reliant for praise from others - try and validate yourself from within and take this with you in everything you do - you are enough
Mindfulness based stress reduction
Mindfulness: being aware of the present moment without judgement
focus on breath, when a thought pops into your head, acknowledge it then let it go and focus back on your breath
Grounding exercise - bring self back to 5 senses - 5 things you see, 4 things you feel, 3 things you hear, 2 things you smell, 1 thing you taste - use during panic attack
emotional regulation techniques
Understanding and reducing vulnerability to emotions & changing unwanted emotions
Prevent really high and low troughs of emotiona
Self-soothing
Mention of drive system, soothing system and threat system - Link to compassion focussed therapy - want all 2 systems to be relatively equal.
Sight (soothing colours/lights, colouring books, nature), touch (soft, cuddles, massage, weighted blanket, hot shower, warm belly), smell (fresh air, candles), sound (calm sounds, nature, ASMR), taste (warm drinks, nostalgic flacours, eat slow)
Different coping strategies depending on how you are feeling: Angry, sad, not focussed etc
distress tolerance strategies
What is distress
Reflect on a time you have felt distressed: Physical, emotional etc
Getting through crisis situations without making things worse and accepting reality as it is
STOP
Need simple strategies when you are in high distress that you can remember - dont want complex strategies that take a lot of cognitive thought when distressed
STOP- dont react TAKE a step back, dont act impulsively, OBSERVE: Try and tap into what is going on in your head, what is happening in the situation, PROCEED mindfully- Think about your goals, what do you want to achieve, how will your actions impact others
May be useful for nursing professionals and those in emergency services etc that work in a very fast paced environment
Helicopter
tool to try and tap into rational thoughts
Can I change whats going on? Can I accept it? Can I let it go?
The wise mind: We all have a rational and emotional part of our mind. When distressed the emtional mind gets bigger. When we are distressed we need to listen to our wise mind, and find a nice balance between the wise and emotional mind
Sometimes we take evaluations as descriptions and see opinions and thoughts as facts(descriptions) when they aren't- reflect on this- emotions from thoughts dont necessarily mean the thought now must be true - important to separate the 2 - this is linked to CBT " If you has a thought you were a unicorn, would you believe it? "
Bamber & Price, 2006
Bamber 2013/11 - CBT guide for overcoming work place stress
Consequences of harmful stress
Individual
Physical, Emotional, Social, Mental, Behavioural consequences- smoke, drugs, eat more/less, sleep more/less, lower sex drive
Organizational - money, premature retirement, impaired decision making, conflicts, increased accident rates, low morale, less productivity
Mentions many interventions for specific work place stressors in part 3, and what skills to develop
MDTs
Clinical supervision
Models of supervision
Kolb
7 eyed model
Critiques
Not well evidence based, like many other supervisory models (Milne, 2009)
It seems hierarchic - supervisor on top - may imply superiority
CBT
Psychodynamic
Transference/countertransference - example in 1st book under personal inhibition and defensive routines
Ways supervisees can avoid being vulnerable and open to new learning - defesnive routines (book 1)
Blocks to supervision in book 1
Therapuetic relationship