Dr Jacqui Gore. Consultant Psychiatrist Private Practice Auckland

Transcription

1 Dr Jacqui Gore Consultant Psychiatrist Private Practice Auckland 8:30-9:25 WS #193: Thriving in Medicine - Wellness Plans and Scripts for Doctors 9:35-10:30 WS #205: Thriving in Medicine - Wellness Plans and Scripts for Doctors (Repeated)

2 Thriving in Medicine Wellness Plans and Scripts for Doctors Dr Jacqui Gore Consultant Psychiatrist Private practice Honorary Senior Lecturer University of Auckland and Queensland

3 Outline Thriving in Medicine and Life - What is a good life at the end of the day Harvard Study - A model for wellbeing and happiness positive psychology A wellness plan and script for Doctors

4 Professor Waldinger Harvard

5 Harvard Study of Adult Development Two cohorts of men for 75 years, a total of 268 men. Started by George Vaillant year old boys growing up in inner city Boston Survey: - quality of marriages, job satisfaction, social activities 2 yearly physicals 5 yearly investigations

6 3 key lessons in happiness 1. Close relationships Men in both groups who were closer to their family, friends, or community were happier and healthier, and lived longer. 2. Quality (not quantity) of relationships 2. Stable, supportive marriages Good for physical health and perform better on memory tests

7 What does this mean in 2018 We emphasise wealth, success, leaning in, being busy But we know: leaning in to relationships, with family, with friends, with community is the key to thriving in life.

8 Loneliness studies Are doctors lonely?

9 Model for Wellbeing Positive Psychology

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11 PERMA - Positive Emotions Past - cultivating gratitude and forgiveness Present - by savouring physical pleasures and mindfulness Future - by building hope and optimism Positive affectivity is heritable - emotions fluctuate within a range.

12 PERMA - Engagement Where we fully deploy our skills, strengths, and attention for a challenging task Finding FLOW: 1. Intense and focused concentration, present in the moment. 2. Merging of action and awareness 3. A loss of reflective self-consciousness 4. A sense of personal control or agency over the situation or activity 5. A distortion of temporal experience 6. Experience of the activity as intrinsically rewarding Nkamura and Csíkszentmihályi

13 PERMA - Relationships Relationships amplify feelings of wellbeing tribe survival great joy, meaning, laughter, a feeling of belonging, and pride in accomplishment. Connections to others can give life purpose and meaning. Support from and connection with others is one of the best antidotes to the downs of life and a reliable way to feel up. Acts of kindness for others produces an increase in well-being.

14 PERMA - Meaning What is my ikigai?

15 Ikigai Reason for being

16 PERMA - Achievement

17 Script for Doctors Script for Humans PERMA

18 RX: Cognitive Mindfulness meditation Guided imagery Progressive Muscle Relaxation Cognitive reframing Learning to problem solve Reading and self-education

19 Cognitive - Learn to relax on cue Holidays it is easy to relax but what about in the heat of the moment. Tense your hands that is tension it is the first stage of anger arousal Progressive relaxation Mindfulness

20 Rx: Physical yoga diet/nutrition exercise regime green time

21 Rx: Environment Home and office Modifying working hours Modifying work expectations self and managers Using music Getting into nature often

22 Rx: Humour It is the laughing that is the key Are you an under laughed individual? Start off with a humour joke session in the morning?

23 Rx: Time Strategies TIME LOCK Block off 15 minutes to one hour of your day. FOCUS LOCK You need to know what you will do with it no texts, fb messages. TIME YOUR TASKS Creativity highest in morning, highest attention level

24 RX: Managing Expectations Of yourself Of others Holidays FTE Tea breaks and lunch breaks What I can and can t do Responsibilities Phases of life

25 Victor Frankl Man s Search for Meaning Everything can be taken from a man but one thing: the last of the human freedoms to choose one s attitude in any given set of circumstances, to choose one s own way.

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