3.4 Physician Impairment (Part Two)
Finding Our Voice
Join Dr. Sanya Virani and her guests, Paul B. Hill, M.D., and Dr. Hugh Caldwell to discuss the invaluable new title which aims to provide support, experience and mentorship to new residents, a book that trainees across the country will benefit from having on their bookshelves. In this episode, our guests -both contributors to the section on physician Impairment, share their experiences and perspectives around the subjects of physician burnout and substance abuse among colleagues and professionals, and what treatments and tools are available for best outcomes. In this episode: Introduction...
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3.3 Physician Impairment
Finding Our Voice
Join Dr. Sanya Virani and her guests, Dr. Iverson Bell and Dr. Allison Ford to discuss the invaluable new title which aims to provide support, experience and mentorship to new residents, a book that trainees across the country will benefit from having on their bookshelves. In this episode, our guests -both contributors to the section on physician Impairment- share their experiences and perspectives around the subjects of physician burnout, compassion fatigue and substance abuse among colleagues and professionals, the signs to look out for, the consequences, and strategies for intervention. In...
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3.2 Telepsychiatry: the New Normal
Finding Our Voice
Join Dr. Sanya Virani and her guests, Alka Mathur, M.D., and Neal Amin, M.D., Ph.D. to discuss the invaluable new title which aims to provide support, experience and mentorship to new residents, a book that trainees across the country will benefit from having on their bookshelves. In this episode, our guests -both contributors to the chapter on telepsychiatry- share their experiences and perspectives around the pros and cons of moving to a remote, digital workspace, how Covid-19 has accelerated our societal transition to reliance on video-screens, and the challenges posed by new technology....
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3.1 Psychiatric Residency
Finding Our Voice
Join Dr. Sanya Virani and her guests, Dr. Sallie De Golia, Dr. Raziya Wang, and Dr. Csilla Lippert to discuss the invaluable new title which aims to provide support, experience and mentorship to new residents, a book that trainees across the country will benefit from having on their bookshelves. Editors De Golia and Wang are joined by an early career psychiatrist, Dr. Csilla Lippert, who contextualizes the book in terms of the differing experiences common in training and residency. In this episode: Introduction (0:10) What led to the creation of this book? (2:59) Why now? (6:23) How is...
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Climate Change
Finding Our Voice
Dr. Virani focuses on the impact of Climate Change, and associated emergent anxieties, on our underlying mental health. Climate Change is affecting our livelihoods, our environments and our perceptions of the future; with implications on how we act and how we perceive our day-to-day lives. Virani (and guests) consider examples of patients presenting with climate-change specific conditions, discuss case-histories, and look for evidence that organizations are acting to address the causes and effects of Climate Change. Discussed in the episode: Current data on Climate Change anxiety as a factor...
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Exposure to War, Violence, Shootings, and the Impact of Migration
Finding Our Voice
Dr. Virani focuses on exposure to war, violence, shootings, and the impact of migration. These migrants are forced to flee from their homes due to threats of violence and death due to cultural or religious beliefs. Just as traumatic for these individuals is the ability to adapt and be accepted in their new homes. Discussed in the episode: Cultural Psychiatry Pre-migration stressors Post Migration stressors Misdiagnosis of mental health issues in the migrant population Tips for diagnosing and working with refugees The emergence of compulsive symptoms...
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Adverse Early Life Experiences
Finding Our Voice
In this episode, Dr. Virani and her guests, Dr. Qayyum and Dr. Conrad, focus on the impact of Adverse Child Experience (ACE) and Adverse Early Life Experiences (AELEs) on mental health and provide some insights through case discussions about the downstream impact of these experiences.
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Social Exclusion and Isolation
Finding Our Voice
In Eleanor Rigby, the Beatles lament about loneliness and isolation and challenge us to “look at all the lonely people”. In this episode, Dr. Virani invites Dr. Dolores Malaspina and Dr. Luca Pauselli to explore social exclusion and insolation and its effects on mental health through case studies. Join us on the first episode of a new season of Finding Our Voice covering the social determinants of mental health.
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Indigenous Peoples
Finding Our Voice
This episode focuses on the Indigenous community, Dr. Virani discusses the systemic racism issues faced by this community with two psychiatrists who have Native American heritage, Dr. Mary Hasbah Roessel, a psychiatrist at the Santa Fe Service Unit in Santa Fe Indian Hospital. She is Navajo from the southwestern US. Dr. Stefanie Gillson, who is Dakota Sioux and is finishing up her 4th-year psychiatry resident at Yale University and starting her Child & Adolescent Fellowship at Yale.
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LGBTQ
Finding Our Voice
Before Stonewall, the gay community lived in the shadows, and even after this monumental protest and other significant milestones, the LGBTQ community still faces discrimination, abuse, and aggressive behaviors in their day-to-day lives. Dr. Virani discusses the issues at the core of the mental health challenges to the LGBTQ community referencing history where applicable, with Dr. Eli Aoun and Dr. Ali Haidar, two New York based psychiatrists.
info_outlineThere has been a dramatic upsurge in violence against Asian Americans over the last year since the outbreak of the virus in Wuhan China. In this episode, Dr. Virani talks with Asian American and Pacific Islander Doctors about their experiences with racial trauma and cultural boundaries that have affected them and the lives of their patients.
Discussed in this episode
- The history of xenophobia against AAPIs
- DSM-5 cultural formation interview and its evolution
- Understanding the larger social context in which a patient lives
- Recommendations on how providers should respond to racist verbal assault and hate speech.
- Misdiagnosis due to lack of understanding of cultural issues
- Ethnic preference and sharing trust with patients and providers
- Cultural competence
- The CLAS Blueprint
- Cultural concepts of distress in the DSM
Peter Jongho Na, M.D., M.P.H., is an addiction psychiatry fellow at Yale University.
Francis G. Lu, M.D., is the Luke & Grace Kim Professor in Cultural Psychiatry, Emeritus, at the University of California, Davis. As a Distinguished Life Fellow of the American Psychiatric Association (APA), Dr. Lu has contributed to the areas of cultural psychiatry including the interface with religion/spirituality, psychiatric education, diversity/inclusion, mental health equity, and psychiatry/film.
Dr. Connie Chen is a PGY-2 at the San Mateo County Psychiatry Residency Training Program in San Mateo, CA. She is also Co-Chair of the San Mateo County Chinese Health Initiative, where she coordinates efforts to promote access to mental health services and reduce stigma around mental illness in local Chinese and Asian American communities. Her interests include cultural psychiatry, psychotherapy, and public psychiatry.
Peter Na's Psychiatric News Article
www.thinkculturalhealth.hhs.gov
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