mental health

Today Lisa and Sara welcome Dr Rachel Morris back onto the podcast. Rachel is a former GP who has previously worked in GP education. She is now an executive coach and host of the wonderful podcast You Are Not a Frog. The discussion in this episode is all about assertiveness - we chat about what assertiveness is, general tips, frameworks and models for how to approach assertiveness, as well as showcasing how these can work with a few examples.
Useful resources: 
Looking after Yourself in General Practice (previous Primary Care Knowledge Boost episode): https://www.pckb.org/e/looking-after-yourself-in-general-practice/
To Sign Up to the Shapes Toolkit mailing list and get a free Zone of Power handout as well as being notified when their brand new mini video series is released in a couple of weeks: https://www.shapestoolkit.com/zone-of-power
Check out the You Are Not A Frog podcast: www.youarenotafrog.com
Find out more about Rachel’s CPD community for doctors: www.permissiontothrive.org
Find out more about the Resilient Team Academy online membership for busy leaders in healthcare: https://www.shapestoolkit.com/resilient-team-academy
Get in touch with Rachel: [email protected]
Find out more about her training: www.shapestoolkit.com
Sign up for your FREE mini video series training from Rachel, all about setting boundaries and saying no https://www.shapestoolkit.com/boundaries
Thomas–Kilmann Conflict Mode Instrument: https://kilmanndiagnostics.com/overview-thomas-kilmann-conflict-mode-instrument-tki/
NonViolent Communication Model by by Marshall B. Rosenberg: https://www.nonviolentcommunication.com/learn-nonviolent-communication/4-part-nvc/
Dr. Rangan Chatterjee Podcast, Feel Better Live More: How to Build Exceptional  Relationships and Why You Should with David Bradford and Carole Robin: https://drchatterjee.com/how-to-build-exceptional-relationships-and-why-you-should-with-david-bradford-and-carole-robin/
Connect: Building Exceptional Relationships with Family, Friends and Colleagues by David L. Bradford and Carole Robin: https://www.penguin.co.uk/books/314/314545/connect/9780241986868.html
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We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our really quick anonymous survey here: https://pckb.org/feedback
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This podcast has been made with the support of Greater Manchester Health and Social Care Partnership, GP Excellence, Greater Manchester Training Hub and the GP Fellowship Programme, as well as Wigan Borough CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions. 
The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.
Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.
The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.

Joining doctors Lisa and Sara on today’s episode are GP and Perinatal Mental Health Champion Dr Carrie Ladd and Perinatal Psychiatrist Dr Sarah Jones. We discuss types of mental illness that can be experienced in the perinatal period and the challenges in primary care when helping patients and families. We cover tips for addressing these challenges, focusing on communication, resources and managing medications. We also talk about the impact of the pandemic and the Spotlight programme for disseminating perinatal mental health teaching and training trainers.
Useful resources: 
RCGP Perinatal Mental Health toolkit: https://www.rcgp.org.uk/clinical-and-research/resources/toolkits/perinatal-mental-health-toolkit.aspx 
Best Use of Medicines in Pregnancy ‘Bumps’ website: https://www.medicinesinpregnancy.org/
The Lancet Series on Perinatal Mental Health (2014): https://www.thelancet.com/series/perinatal-mental-health
NICE Guidance on antenatal and postnatal mental health: clinical management and service guidance: https://www.nice.org.uk/guidance/cg192
Proud 2 b Parents Organisation: https://www.proud2bparents.co.uk/
Dad Matters Organisation: https://dadmatters.org.uk/
The Dad Pad, advice for new fathers: https://thedadpad.co.uk/
First 1001 days movement: https://parentinfantfoundation.org.uk/1001-days/
Action on Postpartum Psychosis Charity: https://www.app-network.org/
Maternal Mental Health Alliance Charity: https://maternalmentalhealthalliance.org/
Tommy's Trust: https://www.tommys.org/
Maternal OCD Organisation: https://maternalocd.org/
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We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our really quick anonymous survey here: https://pckb.org/feedback
____
This podcast has been made with the support of Greater Manchester Health and Social Care Partnership, GP Excellence, Greater Manchester Training Hub and the GP Fellowship Programme, as well as Wigan Borough CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions. 
The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.
Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.
The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.

Working in General Practice can be challenging at the best of times, but needless to say has been more challenging of late.  Lisa and Sara are joined by Dr Rachel Morris; GP, coach and host of You are not a Frog Podcast. She talks us through her top tips for looking after yourself in general practice. These include: the importance of framing this discussion with the caveat of not teaching ourselves how to put up with toxic work environments, but to consider how we can take control over things that we do have some control over. We discuss the importance of prioritising, planning your week, doing your best work at the best time and consider the importance of ‘catching the story that you’re telling yourself’. We then consider coping with the negativity in the media about general practice at the moment, assertiveness and the difference between stress and burnout.
This episode was supported by Greater Manchester Training Hub NHSE GP Fellowship programme. 
Useful resources: 
Greater Manchester Training Hub NHSE GP Fellowship information: https://www.gmthub.co.uk/offers/gp-fellowship
Dr Rachel Morris’s Podcast and Wellbeing/Resilience resources: https://youarenotafrog.com/
NHS Practitioner Help: https://www.practitionerhealth.nhs.uk/
Book recommendation: ‘Essentialism: The Disciplined Pursuit of Less’ by Greg McKeown https://uk.bookshop.org/books/essentialism-the-disciplined-pursuit-of-less/9780753558690
Book Recommendation: ‘The 7 Habits of Highly Effective People’ By Stephen Covey https://uk.bookshop.org/books/the-7-habits-of-highly-effective-people/9780762408337
Permission to Thrive monthly Webinars for doctors: https://www.shapestoolkit.com/permission-to-thrive
Resilient Team Academy - membership for leaders in Healthcare to help team to beat burnout and work happier: https://www.shapestoolkit.com/resilient-team-academy-2021
___
We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our really quick anonymous survey here: https://pckb.org/feedback
____
This podcast has been made with the support of Greater Manchester training hub, GP Excellence and Wigan CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions. 
The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.
Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.
The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.

In this episode Lisa and Sara talk to Dr Avril Danczak, a GP with an interest in managing uncertainty in medicine which led to her co-authoring the RCGP published book called Mapping Uncertainty in Medicine.We cover what uncertainty is, and why it is important to address this within medicine and general practice.We talk about ‘what to do when you don’t know what to do’, how to classify and identify different forms of uncertainty and then think about how you can go about addressing and managing this uncertainty in a structured way.
Useful resources: 
Book: Mapping uncertainty in medicine, what to do when you don’t know what to do; Avril Danczak, Alison Lea and Geraldine Murphy (2016): https://www.amazon.co.uk/Mapping-Uncertainty-Medicine-What-When/dp/0850844053
Paper: Varieties of uncertainty in medicine; Paul Han, William Klein and Neeraj Arora (2011): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3146626/
Paper: Dealing with uncertainty in general practice: an essential skill for the general practitioner; Margaret O’Riordan et al: https://pubmed.ncbi.nlm.nih.gov/21781433/
Bradford VTS Resources on decisions, diagnoses and uncertainty: https://www.bradfordvts.co.uk/clinical-skills/decisions-diagnoses-uncertainty/
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We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our really quick anonymous survey here: https://www.surveymonkey.co.uk/r/YLN6GKT
___
This podcast has been made with the support of GP Excellence and Wigan CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions. 
The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.
Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.
The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.

Lisa and Sara bring back Dr Joanna Bircher and Dr Viren Mehta for this last episode in the COVID-19 series to reflect on all of the positives that have come from the outbreak in general practice, the personal and professional learning that they have had and some focus on staff wellbeing with a few simple ideas on how to support each other.
Thank you to Practice Managers Sara Mayer at Archwood Medical Practice and Michelle Davenport at Heaton Mersey Medical Practice for sharing their insights too.
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Useful resources: 
Headspace - information about free NHS access: https://help.headspace.com/hc/en-us/articles/360044971154-Headspace-for-the-NHS 
Looking After You Too coaching: https://people.nhs.uk/lookingafteryoutoo/
NHS Practitioner Health programme: https://www.practitionerhealth.nhs.uk/accessing-the-service
RCGP Wellbeing Resources: https://www.rcgp.org.uk/training-exams/practice/gp-wellbeing.aspx
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We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our really quick anonymous survey here: https://www.surveymonkey.co.uk/r/YYQ763C
 ____
This podcast has been made with the support of Wigan CCG and GP Excellence in Greater Manchester. Given that they are recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions. 
The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.
Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.
The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.

Lisa and Sara talk to Dr Rebecca Baron from Health Education England about Resilience.
This is part one of a two part series about Resilience. In this episode we talk about what Resilience is and how it started as a concept in general and in healthcare. We also hear about the neuroscience behind Resilience and Rebecca goes through some resources that she has found particularly helpful herself.
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Resources mentioned in the episode: 
BMJ article by David Oliver - When “resilience” becomes a dirty word: https://www.bmj.com/content/358/bmj.j3604
'eGPLearning PodBlast' podcast - episode about Wellbeing with Dr Helen Garr: https://www.podbean.com/eu/pb-w2jut-c480f4
'You are not a frog' podcast by Dr Rachel Morris all about Resilience: https://shapesfordoctors.com/podcasts/
NHS Practitioner Health Programmehttps://php.nhs.uk/ or call 020 3049 4505
The Body Keeps the Score book by Bessel van der Kolk:https://amzn.to/34wKpxp 
The Chimp Paradox book by Professor Steve Peters:https://amzn.to/2JKIlKm 
Blink: The Power of Thinking Without Thinking book by Malcolm Gladwell:https://amzn.to/2C7Dizl 
Flourish book by Martin Seligman:https://amzn.to/2NGJvrH 
Health Education North West Resilience resources: https://www.nwpgmd.nhs.uk/taxonomy/term/6
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Have feedback or suggestions? You can help us know how we are doing with our 5 minute survey: https://www.surveymonkey.co.uk/r/YYQ763C
 ____
This podcast has been made with the support of Wigan CCG. Given that they are recorded with Wigan clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions. 
The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.
Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.
The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.