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www.mindandsoul.info Supporting Colleagues with Depression? Dr Rob Waller 5th Dec 2007 Business Matters Fostering Health in the Workplace

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www.mindandsoul.info

Supporting Colleagues with Depression?

Dr Rob Waller

5th Dec 2007

Business Matters

Fostering Health in the Workplace

www.mindandsoul.info

Dr Rob Waller

MA MSc MRCPsych

Consultant Psychiatrist, NHS Lothian

St John’s Hospital, Livingston

www.mindandsoul.info

[email protected]

www.mindandsoul.info

Stress Matters

• www.businessmattersedinburgh.com

• Stress 06 and 07

• Work-Life Balance 07

www.mindandsoul.info

Depression

• 1 in 4

• Employees

• Employers

www.mindandsoul.info

The stages of depression

Warning signs

Burnout

Breakdown

Using up favours!

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Depression or unhappiness?

• Timeframe

• Personality

• Global change

• Not coping

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Clinical Depression

• Severe low mood

• Pervasive [every day, all the time]

• Biological symptoms thought to reflect brain chemistry changes– Poor concentration, weight loss, sleep

disturbance, impotence, unable to enjoy hobbies, fatigue

www.mindandsoul.info

Business Context

• Working conditions:– Bricks without straw

• Misinformation:– It’s just unhappiness

• Mishandling:– It’s not my job

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How do I raise the topic as a manager?

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How can I help as a manager?• Get into the habit of speaking in

the first person– I’ve noticed that… – I don’t understand – I am available– I need to talk to someone about this– I need some help in supporting you

How effective is advice to “Try not to think about it”?

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Helping with mild depression?

• Just “not coping”• Beck Depression Inventory:

– Wikipedia: www.wikipedia.org– 0-13 - minimal depression– 14-19 - mild depression– 20-28 - moderate depression– 29-63 - severe depression

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Self help: www.livinglifetothefull.com

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Life is a balancing act

Demands

Resources

Consequences…

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Priorities

Demands

Resources

Health / Wholeness

1

2

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Catch it early

Warning signs

Burnout

Breakdown

Using up favours!

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The role of the NHS

• For more severe forms

• Medication [Clinical Depr]

• Counselling

• Psychotherapy

• Hospital– Used as a last resort for a

number of reasons

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Supporting the NHS

• Time off– Stitch in time…

• Communicate

• Knowing when to quit– Medical retirement

• Know when to be generous– Keeping the post open

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Any Questions?

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Dr Rob Waller

MA MSc MRCPsych

Consultant Psychiatrist, NHS Lothian

St John’s Hospital, Livingston

www.mindandsoul.info

[email protected]