Black Dog Institute - For Health Professionals

Jan Orman is a GP Services Consultant at Black Dog Institute. In this episode of Being Well Jan shares her own experiences with mental health both personally and professionally. Some of the things spoken about in this podcast may be distressing to some people. If you or someone you know find this content distressing and require assistance, please call LifeLine on 13 11 14 or beyondblue on 1300 22 4636. Presented by Jan Orman, produced by Nathan Bel. Additional production by Olivia De Pomeroy.

Digital mental health tools and resources are increasingly available in mental health services in Australia and other developed countries. In this podcast, based on a recent webinar, psychologist Julia Reynolds provides an provides an overview of recent developments in the use of these tools in routine care and to support practitioners as they explore the rich array of high quality tools currently available in Australia. This podcast is number 2 in a series of 2 aimed at increasing practitioner confidence in using these online resources. Guests: Julia Reynolds, Jamie Marshall Based on Webinar 9 in the eMHPrac Series for Allied Health Professionals available at medcast.com.au/courses/189 Resources: http://medcast.com.au/media/1591/resource-list-for-ahp-webinars-8-9.pdf Head to Health Explainer Video: youtu.be/l3H8Q01N74A

Diabetes distress is common in people living with diabetes. Unrecognised diabetes distress is linked to a range of adverse outcomes for people living with diabetes in terms of both their physical and emotional health. In October 2018 our expert panel explored the factors that lead to diabetes distress, the characteristic signs and symptoms and how diabetes distress is best addressed in clinical practice. Panel Members: Peter Baldwin - Clinical Psychologist and Researcher Will Bonney - Psychotherapist and Lived Experience Representative Katie Allison - Dietian and Nutritionist, Diabetes Australia Facilitated by: Dr Vered Gordon, Black Dog Institute GP Consultant Recording and sound production: Nathan Bel Voiceover: Cameron Banks, Black Dog Institute

Young people’s experience of school plays a significant part in their overall wellbeing as they move through childhood and adolescence. For many young people, the first signs of mental illness will emerge while they are still completing their education. In September 2018 our Expert Insights panel explored how to support students’ mental health, working together with schools for better outcomes. Panel members: Jodie Wassner - Psychologist B. Sc. (Psych) (Hons). M.Psych (Child & Ed).M.A.P.S. Fellow of APS College of Educational and Developmental Psychologists Dr Josephine Anderson - Child and Adolescent Psychiatrist, Clinical Director Black Dog Institute Dr Bridianne O’Dea - Research Fellow Youth Mental Health, Black Dog Institute Adry - Lived Experience Representative Facilitated by: Dr Vered Gordon, Black Dog Institute GP Consultant Recording and sound production: Nathan Bel Voiceover: Cameron Banks, Black Dog Institute

Digital mental health (DMH) tools and resources are increasingly available in mental health services in Australia and other developed countries. In this podcast, based on a recent webinar, psychologist Julia Reynolds provides an overview of the main types and uses of digital mental health resources available in Australia and suggests ways that practitioners can find and evaluate these tools and integrate them into integrate them into clinical practice. This podcast is number 1 in a series of 2 aimed at increasing practitioner confidence in using these online resources. Guests: Julia Reynolds, Jamie Marshall Based on Webinar 8 in the eMHPrac Series for Allied Health Professionals available at http://medcast.com.au/courses/189 Resources: http://medcast.com.au/media/1591/resource-list-for-ahp-webinars-8-9.pdf Head to Health Explainer Video: http://youtu.be/l3H8Q01N74A

Although there are several features in common between the various anxiety disorders, distilling the primary mechanism that drives the anxiety within an individual can lead to more targeted and effective management. In August 2018 our panel of clinicians, researchers and lived experience representative discuss the diagnostic nuances that differentiate the anxiety disorders and the impact of this on management planning. Panel Members: Professor Valsa Eapen - Psychiatrist Scientia Prof Derrick Silove - Director of Psychiatry Research and Teaching Unit, Liverpool Hospital and Academic Mental Health Unit, UNSW Prof Vijaya Manicavasagar - Conjoint Professor UNSW, Director, Psychology Clinic Black Dog Institute Shai - Lived Experience Representative Facilitated by: Dr Vered Gordon, Black Dog Institute GP Consultant Recording: Nathan Bell Sound production: Nathan Bell Voiceover: Cameron Banks, Black Dog Institute

The circular relationship between chronic pain and mental health conditions such as anxiety and depression is now well established. Increasingly, the management of chronic pain has moved towards an integration of physical and emotional health, with psychological strategies playing a key role in restoring function and well-being. In May 2018 our panel of clinicians and researchers explored current perspectives and practical ways in which clinicians can better assist people living with chronic pain in their practices. Panel Members: A/Professor Toby Newton-John - Clinical Psychologist, Director of Research and Innovation Dr Milana Votrubec - GP/ Pain Management Consultant Skye Sadokierski, BPhyt, MSc Med (Pain Mgmt)Physiotherapist | Co-ordinator PRISM Pain Management Program Prince of Wales Hospital Vicki – Lived Experience Representative Facilitated by: Dr Vered Gordon, Black Dog Institute GP Consultant Recording: James Stewart, audioPost Sound production: Nathan Bell Voiceover: Cameron Banks, Black Do

Although often considered a disorder of childhood, for a significant number of people ADD persists into adulthood, at times with far reaching psychosocial consequences. Recognising adult ADD can be complicated by the presence of co-morbid conditions such as anxiety, mood and substance use disorders. In October 2017 our panel of clinicians and researchers discuss the nuances of identifying adult ADD within the context of co-morbid mental health conditions and explore the impact of this on management planning. Panel Members: Dr Hugh Morgan - Director & Psychiatrist (Mindcare Centre), Clinical Seniour Lecturer (USyd)   Dr Liz Sheppard - Clinical Psychologist Mark Brandtman - Educational Consultant, A.D./H.D. Coach & Mentor Facilitated by: Dr Vered Gordon, Black Dog Institute GP Consultant Recording: James Stewart, audioPost Sound production: Nathan Bell Voiceover: Cameron Banks, Black Dog Institute

In recent years, mental health practice has been shifting from a deficits-based model of symptom reduction to a strengths-based model of care and recovery. Within this shift has been the contributions of positive psychology and other third wave approaches’ in the form of ‘values’ in treatment. Identifying what matters most to individuals and having corresponding elements of care aligned with personal core values is emerging as a key element of the strengths-based approach. In March 2018 our panel of researchers, clinicians and lived experience representatives explored the ways in which working with values can assist not only in maintaining emotional well-being but in facilitating meaning and fulfilment in life. Panel Members: Dr Suzy Green - Clinical and Coaching Psychologist Dr Sophie Burgess - Clinical Psychologist and Researcher Kate - Lived Experience Representative Facilitated by: Dr Vered Gordon, Black Dog Institute GP Consultant Recording: James Stewart, audioPost Sound production: Nathan Bell Vo

For many asylum seekers and refugees, the trauma of their past is replaced by an uncertain future, navigating through the complex requirements of establishing their status while living in ongoing fear of being returned to the dangers they strived to leave behind. In June 2018, our guest panelists explored the psychological impacts of current asylum seeker policy as it superimposes upon the mental health vulnerabilities of people seeking refuge. The panel discusses ways in which health practitioners can contribute to improving outcomes for asylum seekers and refugees. Panel members: Professor Zachary Steel -PhD M.Clin.Psych, St John of God Professorial Chair of Trauma and Mental Health, School of Psychiatry, University New South Wales Dr Belinda Liddell - Postdoctoral Fellow, UNSW School of Psychology Mr Jorge Aroche - Chief Executive Officer, STARTTS Reza- Lived Experience Representative Facilitated by: Dr Vered Gordon, Black Dog Institute GP Consultant Recording and sound production: Nathan Bell Voice

In recent years, there has been increased interest in recognising and managing psychosis in its early stages with the aim of improving long term outcomes both in terms of future mental wellness and psycho-social disability. In our February 2018 expert insights our panel of clinicians, researchers and lived experience representatives explore the principles of caring for people with early psychosis including identifying those at risk and intervening in ways that best support recovery. Panel members: Professor Anthony Harris, Professor of Psychiatry (University of Sydney) Dr Julia Lappin, Senior Lecturer School of Psychiatry (University of New South Wales) Alex Mottee, Clincial Psychologist (Early Psychosis Program) Tomer - Lived Experience Representative Facilitated by: Dr Vered Gordon, Black Dog Institute GP Consultant Recording and sound production: James Stewart, audioPost Voiceover: Cameron Banks, Black Dog Institute

Fiona Wright was probably best known as a poet until she wrote her recent book, 'Small Acts of Disappearance', where she described her experiences of living with an eating disorder. Fiona will be telling us about that experience of mental illness, and other experiences with depression and of anxiety. She’ll also explain how, although writing about her mental illness came relatively late, it brought a lot of good things to her life. If this episode leaves you needing to talk to someone, you can always call Lifeline on 13 11 14 in Australia, or the eating disorder & body image support line, run by the Butterfly Foundation, on 1 800 33 46 73. You can find Fiona's Book of essays, 'Small Acts of Disappearance', here: http://giramondopublishing.com/product/small-acts-of-disappearance/ Black Dog Institute's Being Well Podcast is presented by Jan Orman. This episode was produced and introduced by Zacha Rosen. Additional production by Liza Culleney. Author photo by Matthew Tinker. Music: Old Regrets — Lee

Jocelyn Lowinger is a doctor who knows a lot about doctors’ mental health. She has some valuable insights to add to the discussion of wellbeing in the medical profession, including some ways to help doctors improve the level of distress in a profession that is not known for looking after itself. We’d like to add that online mental health programs such as Black Dog Institute’s myCompass (www.myCompass.org.au ) or any of the other Australian evidence based programs are a great place for doctors to start to learn psychological survival skills – some of which might benefit their patients as well! If this episode raises issues you need to talk about, you can call Lifeline in Australia on 13 11 14, beyondblue on 1300 22 4636 or Suicide Call Back Service on 1300 659 467, or via online counselling at www.suicidecallbackservice.org.au This episode was presented by Jan Orman and produced by Zacha Rosen, with additional production by Liza Culleney. Music: Candlepower — Chris Zabriskie http://freemusicarchive.org/mu

Presenter Jan Orman is sitting this episode out, but she knows Wayne Wigham. Wayne is the big bloke that sits at the desk next to hers in the Black Dog Institute’s education team office. He’s an ex-footballer with a big heart and the gift of being able to talk like a real person – especially about his struggles with his mental health. Jan learnt a lot about Wayne from this podcast – and a lot about what it’s like to be a big tough guy with depression. She also learnt why Wayne works so hard to get the message about depression out to the community – and why he does it so well. If this episode raises issues you need to talk about, you can call Lifeline in Australia on 13 11 14 or the Suicide Call Back Service on 1300 659 467, or via online counselling at http://www.suicidecallbackservice.org.au For more mental health resources, access the Black Dog Institute at http://www.blackdoginstitute.org.au or myCompass at http://www.mycompass.org.au/ If you'd like to ask about having Wayne come speak to your communi

Amy, like many young people, got lost in a tangle of anxiety and depression in her teens. Amy was one of the lucky ones - she found her way out. Some of the things spoken about in this podcast may be distressing to some people. If you or someone you know find this content distressing and require assistance, please call LifeLine on 13 11 14 or beyondblue on 1300 22 4636. Presented by Jan Orman, produced by Zacha Rosen. Additional production by Sarah McNally and Liza Culleney. Music: Divider — Chris Zabriskie http://freemusicarchive.org/music/Chris_Zabriskie/Divider/06_-_Divider It’s a Mystery — Lee Rosevere http://freemusicarchive.org/music/Lee_Rosevere/Music_For_Podcasts_2/Lee_Rosevere_-_Music_for_Podcasts_2_-_08_Its_A_Mystery Making a Change — Lee Rosevere http://freemusicarchive.org/music/Lee_Rosevere/Music_For_Podcasts_3/07_Making_A_Change Sad Marimba Planet — Lee Rosevere http://freemusicarchive.org/music/Lee_Rosevere/Music_for_Podcasts_4/Lee_Rosevere_-_Music_for_Podcasts_4_-_02_Sad_Marimba_Planet Cand

Does the idea of using online interventions to help prevent suicide surprise you? Listen to this podcast to hear Dr Jan Orman and her guests talk about some of the current work being done using technology in the quest to reduce the rate of suicide in the Australian community. Guests: Dr Caroline Johnston - Melbourne based GP with a strong interest in mental health. - Senior Lecturer at University of Melbourne - Clinical Lead – Mental Health for the RACGP Expert Committee – Quality Care and Board Member, Mental Health Australia. Dr Fiona Shand - Clinical psychologist and Senior Research Fellow at Black Dog Institute whose research focusses on suicide prevention and e-health interventions for suicide prevention Moderator: Dr Jan Orman - MBBS MPsychMed Sydney based GP with a special interest in mental health and GP Services Consultant at the Black Dog Institute

Ensuring safety is generally uppermost in the minds of clinicians caring for people with mental illness. Similarly, supporting autonomy and self-determination throughout illness and recovery is widely viewed as an essential component of compassionate, respectful healthcare. Inevitably, dilemmas arise in mental health practice when these two aspirations cannot be held concurrently in their entirety, rendering clinical decision-making particularly complex. In our June 2017 Expert Insights evening we discuss the interface between mental health practice and the law, including times that necessitate involuntary assessment and treatment as well as occasions when the limits of confidentiality may need reconsidering. Panel members: His Honour Judge Richard Cogswell SC - President of Mental Health Review Tribunal Dr Chris Ryan - Clinical Associate Professor | Consultation-Liaison Psychiatrist University of Sydney | Westmead Hospital | Centre for Values, Ethics and the Law in Medicine Kathryn and Joanne - Lived Exp

This podcast is based on a webinar of the same name presented in February 2018. It focusses on the things we need to know to convince ourselves and others to undertake the very effective non-pharmacological interventions that are available to help us overcome sleep difficulties and discusses some of the detail of those interventions. Special guests are addiction specialist and rural GP Dr Simon Holliday, clinical psychologist Dr Kris Kafer and medical sleep researcher Dr Vincent McCauley.

In this podcast, based on the eMHPrac webinar presented on 15th November 2015, we look at the factors influencing the mental health of people in the LGBTIQ community and the ways in which we as health professionals can help, both in our face to face dealings with LGBTIQ patients and in the recommendation of online resources developed especially for this population. Guest Experts: • Sally Morris - Social Worker and National Project Coordinator of MindOUT National LGBTI Mental Health and Suicide Prevention Project • Stella Topaz – Registered Nurse Qlife National Project manager. Masters in Health Policy Both Stella and Sally are members of the LGBQ community as well as experts in mental health care in the community. Moderator: Dr Jan Orman - MBBS MPsychMed General Practitioner with a special interest in mental health and GP Services Consultant at the Black Dog Institute

Dr Simon Holliday says the problem of prescription opiate misuse is very big in the rural sector in Australia. Consequences of opiate use include death, increased pain, suppression of breathing in sleep and sleep apnoea amongst many other things including the social consequences. As GPs we need to be prepared to “invest some time to give detailed attention to all the different complex aspects of their problem” in order to properly manage opiate dependence. Dr Toby Newton-John describes the important elements of non-pharmacological management of chronic pain as it is delivered in the face to face environment. Dr Regina Schultz from the Reboot Program at THISWAYUP (http://thiswayup.org.au/how-we-can-help/courses/chronic-pain/) describes the way in which the principles of face-to-face pain management have been translated to the online context. MindSpot Virtual Clinic’s Pain Management Program (http://mindspot.org.au/pain-course ) is also briefly described. Moderator: Dr Jan Orman Guests: Dr Simon Holliday,