Podcast appearances and mentions of lorna breen

Find more information here: https://www.cdc.gov/niosh/healthcare/impactwellbeingguide/index.html https://drlornabreen.org/become-an-ambassador/ Summary In this interview, Dr. Stephanie Simmons, an emergency room physician and Chief Medical Officer of the Lorna Breen Foundation, discussed the critical issue of mental health among healthcare workers. Dr. Simmons shared her personal experience with postpartum depression during residency and how it shaped her understanding of mental health stigma in medicine. She described her work leading professional well-being initiatives for 26,000 physicians across 1,000 hospitals in 36 states before the pandemic. Dr. Simmons detailed the foundation's mission to remove barriers to mental health care for healthcare workers, particularly focusing on changing licensing and credentialing practices that discriminate against those with past mental health treatment. She emphasized the importance of culturally competent care for healthcare workers and discussed legislative efforts, including the Dr. Lorna Breen Healthcare Provider Protection Act, which funded 45 projects across the country to promote healthcare workforce well-being. The conversation highlighted the three sources of stigma facing healthcare workers: internal, external, and institutional, and how the foundation is working to address these issues through advocacy, collaboration, and solution acceleration. Chapters Introduction and Personal Journey Dr. Simmons introduced herself as an emergency medicine physician and Chief Medical Officer of the Lorna Breen Foundation. She shared her personal experience with postpartum depression during residency and the initial fears that prevented her from seeking help, which later informed her work in professional well-being. Scaling Well-Being Programs Dr. Simmons explained her approach to implementing well-being programs for 26,000 physicians across 1,000 hospitals in 36 states, focusing on leadership training, coaching programs, and developing Wellness Champion networks at each site. The Impact of the Pandemic Dr. Simmons described how the pandemic changed the landscape of healthcare worker well-being, comparing pre-pandemic efforts to the increased urgency and visibility of mental health issues during the crisis. The Lorna Breen Foundation Dr. Simmons detailed the foundation's origins following Dr. Lorna Breen's death, its mission to change perceptions of mental health care as a sign of strength, and its focus on removing workplace obstacles to joyful medical practice. Addressing Stigma and Barriers Dr. Simmons discussed the three sources of stigma facing healthcare workers: internal, external, and institutional. She outlined the foundation's strategies to address these issues through legislative advocacy and systemic change. Legislative Advocacy and Impact Dr. Simmons explained the foundation's work on the Dr. Lorna Breen Healthcare Provider Protection Act, its funding of 45 projects, and ongoing efforts to reauthorize the legislation and implement its findings. Action Items Dr. Simmons mentioned the need to remove invasive and stigmatizing language from licensing and credentialing applications Dr. Simmons emphasized the importance of increasing access to culturally competent mental healthcare for healthcare workers Dr. Simmons proposed implementing screening programs like the ISP (Interactive Screening Program) backed by culturally competent care Dr. Simmons recommended using the Impact Well-Being Guide as a starter resource for hospital leaders Dr. Simmons highlighted the need to advocate for changes in peer reference forms to eliminate questions about past mental health treatment

Episode Overview: Today's guests have had immense impacts reaching far beyond the healthcare system. Their transformative work has revolutionized mental health reporting requirements and licensed over 1.2 million healthcare workers with the skills to reduce stigma and improve access to care. Join host Mike Sacopulos as he interviews Tim Fischer, president of Jackson and Coker, and J. Corey Feist, JD, MBA, founder and CEO of the Dr. Lorna Breen Heroes' Foundation about their vital work supporting the mental health and well-being of healthcare professionals. Key Takeaways: Healthcare's Mental Health Crisis: The CDC reports that healthcare workers in the U.S. face worse mental health conditions than any other job sector. We can address this crisis by changing institutional practices and reducing the stigma of seeking mental health treatment. Inspire Change Today: Revise mental health-related questions in applications and credentials with resources in the Dr. Lorna Breen Heroes' Foundation's toolkit. Create a supportive environment for healthcare workers by creating a safe space where you can discuss mental health challenges. Dig Deeper: Jackson and Coker: Jackson and Coker specialize in locum tenens, connecting physicians and advanced practitioners with communities. They collaborate with the Dr. Lorna Breen Heroes' Foundation to support healthcare worker well-being. Dr. Lorna Breen Heroes' Foundation: Focusing on improving mental health and well-being for healthcare workers, the foundation was established in 2020 to honor Dr. Lorna Breen, an emergency medicine physician. The foundation aims to reduce burnout and destigmatize mental health treatment for healthcare professionals. Partnership and Initiatives: ALL IN: WellBeing First for Healthcare: A coalition with diverse partners like Harvard School of Public Health and Johnson & Johnson, aiming to scale well-being solutions and remove barriers to mental health access. Champion Badge Program: Recognizes organizations that audit and revise their mental health-related questions to reduce stigma and improve access to care. Get Involved For more information and to become an ambassador visit Dr. Lorna Breen Heroes' Foundation. Listen Now: Tune in and learn how you can support your peers' mental health and well-being today! Learn more about the American Association for Physician Leadership.

System-Wide Remedies for Physician Burnout with with Stef Simmons, MD In this episode, Amanda, Laura, and Kendra welcome Dr. Stef Simmons, a board-certified emergency physician and the Chief Medical Officer of the Dr. Lorna Breen Heroes Foundation. Dr. Simmons shares her journey and discusses the critical work of the foundation, created to honor Dr. Lorna Breen, an emergency physician who tragically died by suicide during the early days of the COVID-19 pandemic. Dr. Simmons addresses the systemic issues that contribute to burnout and mental health challenges among healthcare workers and outlines national initiatives, legislative efforts, and resources aimed at supporting well-being in the medical field. Topics Covered: 1. Introduction to Dr. Stef Simmons and the Dr. Lorna Breen Heroes Foundation Dr. Simmons shares her background as an emergency physician and a certified coach. She introduces listeners to the Lorna Breen Heroes Foundation, which she supports as CMO, and provides an overview of the foundation's mission: preventing healthcare worker suicide and addressing the systemic drivers of burnout. 2. The Story of Dr. Lorna Breen Dr. Simmons recounts the life and legacy of Dr. Lorna Breen, an emergency physician in New York City who faced overwhelming physical and emotional challenges during the COVID-19 pandemic. Despite her dedication, Dr. Breen struggled with stigma around seeking mental health support, ultimately leading to her tragic death. This experience led her family to create the foundation in her honor, sparking national conversations about healthcare worker well-being. 3. The Impact of COVID-19 on Healthcare Workers Dr. Simmons discusses the heightened challenges faced by healthcare professionals during the pandemic, including increased workloads, insufficient resources, and the shift in public perception from admiration to criticism. She highlights how these challenges, along with rapid changes in healthcare delivery, contribute to burnout and mental health issues. 4. Dr. Simmons' Personal Journey Reflecting on her own experiences with postpartum depression during residency, Dr. Simmons shares how the culture of medicine discouraged seeking mental health care. Her journey led her to roles focused on patient and clinician experience, coaching, and ultimately to her current position with the Dr. Lorna Breen Heroes Foundation. 5. National Efforts to Address Burnout and Mental Health in Healthcare Dr. Simmons outlines national initiatives, including the Dr. Lorna Breen Healthcare Provider Protection Act, which allocates funding to support healthcare worker mental health and well-being programs. She also highlights collaborations between organizations like the AMA, AHA, and ANA, working together to remove stigmatizing language around mental health in credentialing and licensing. 6. The Foundation's Statewide Collaboratives and Resources Dr. Simmons explains the “All In Caring for Caregivers” initiative, starting in Virginia and expanding to other states. These statewide efforts focus on legislative changes, hospital-level interventions, and support for healthcare worker well-being. Resources include the Impact Wellbeing Guide, which offers steps hospitals can take to support clinicians, reduce burnout, and create healthier work environments. 7. Steps Hospitals Can Take to Support Healthcare Worker Well-being Dr. Simmons shares actionable steps hospitals can take to support their workforce: - Identify and maintain existing positive practices. - Listen to staff and establish an interdisciplinary team to guide well-being initiatives. - Remove stigmatizing language about mental health in credentialing and licensing. - Establish two-way communication between leaders and staff. - Measure and support professional well-being through peer support, enhanced mental health resources, and workload impact assessments. 8. The Importance of Coaching and Mental Health Resources Dr. Simmons and the hosts discuss the role of coaching as a support tool for healthcare workers, emphasizing that while coaching is valuable, it may need to be complemented by other mental health resources. They encourage listeners to advocate for support within their own hospitals, including coaching, therapy, and psychiatric services. 9. Advocacy and the Future of the Dr. Lorna Breen Healthcare Provider Protection Act Dr. Simmons provides an update on the reauthorization of the Dr. Lorna Breen Act and the importance of bipartisan support for ongoing funding and resources. Listeners are encouraged to advocate for the act and spread awareness within their communities. 10. Closing Thoughts Dr. Simmons emphasizes that being a caregiver doesn't preclude one from being a care receiver and encourages healthcare workers to prioritize their well-being. She reinforces the importance of system-level changes in creating sustainable work environments for clinicians. Resources Mentioned:- The Dr. Lorna Breen Heroes Foundation website: [drbreenheroes.org](http://drbreenheroes.org)- Information on the Dr. Lorna Breen Healthcare Provider Protection Act- Impact Wellbeing Guide and toolkit for hospitals- Champions Challenge Badge for hospitals that remove stigmatizing mental health language from credentialing- The Foundation's interactive map tracking state and hospital-level policy changes How to Get Involved:- Write to your state representatives in support of the Dr. Lorna Breen Healthcare Provider Protection Act.- Advocate for changes to credentialing and licensing applications in your hospital or state.- Consider donating to the Dr. Lorna Breen Heroes Foundation to support their mission. Special Offer: Check out our free video, "How to Crush Physician Burnout for Good Without Cutting Back Hours, Quitting Medicine, or Sucking it Up in Silence," linked in the show notes. This resource provides actionable strategies for managing burnout and sustaining well-being. Contact Dr. Stef Simmons: Email: stefanie@drbreenheroes.org Website: [drbreenheroes.org](http://drbreenheroes.org) Thank you for listening! Please leave us a review and share this episode with fellow healthcare professionals. Resources: https://drlornabreen.org/ Write your representative to re-authorize and fund the Dr. Lorna Breen Healthcare provider protection act: https://drlornabreen.org/reauthorizelba Learn how to change the credentialing application at your organization: https://drlornabreen.org/removebarriers Learn more about the Impact Wellbeing (TM) guide: https://www.cdc.gov/niosh/healthcare/impactwellbeingguide/index.html Become an ambassador: https://drlornabreen.org/become-an-ambassador Donate: https://drlornabreen.org/donate Video: How to Crush Physician Burnout for Good

If you're enjoying this interview click this link to join Dr. Ramsey's weekly newsletter and to download free resources: https://drewramseymd.com/free-resources/ This week we're joined by renowned mental health influencer and physician, Jake Goodman, MD, MBA, to address workplace mental health. Studies show that 1 in every 4 doctors struggle with their mental health, a number that is higher than the national average for depression. With such a shocking statistic, it's clear we have a problem that needs to be addressed. Dr. Goodman has been doing just that through his own personal story of mental health struggles, taking medication, and sharing openly on social media. In this conversation we cover this topic in depth along with resources for getting help or supporting a loved one, healing imposter syndrome, cultivating the confidence to do anything, and using social media as a tool to inspire. ==== 0:00 Intro 3:36 Getting Out of His Darkest Moment 7:34 Opening Up About Taking Medication as a Doctor 12:45 How the Heartbreaking Story of Dr. Lorna Breen is Inspiring Change 17:12 Getting Help & Navigating the Workplace 23:50 Having a Healthy Relationship to Social Media  31:27 Cultivating the Confidence to Do Anything 37:37 The Antidote to Imposter Syndrome  42:30 Building Your Mental Fitness 48:55 Conclusion ==== Dr. Jake Goodman, MD, MBA is a 2x TEDx Speaker, member of the University of Georgia Alumni Association's 40 under 40, & participant in the Healthcare Leaders in Social Media Roundtable Series for the White House. Dr. Goodman's advocacy work has been featured in Good Morning America, Today.com, NBC Philadelphia, Yahoo News, Medscape, Georgia Magazine & more. He was selected by Men's Health Magazine as a 2023 Men's Health Approved Influencer due to his dedication to mental health awareness and education. As one of the most influential physicians on social media, Dr. Goodman is a leading voice of change for both mental health and medical education. Website: https://www.jakegoodmanmd.com ==== Connect with Dr. Drew Ramsey: Instagram: https://www.instagram.com/drewramseymd/ Website: https://drewramseymd.com

In this episode, Amanda, Laura, and Kendra discuss the alarming rate of physician suicide and the need for increased awareness and support. They share the story of Dr. Lorna Breen, an emergency physician who tragically took her own life after working tirelessly during the COVID-19 pandemic. The hosts explore the factors that contribute to physician suicide, including the stigma around mental health in the medical profession and the unique challenges faced by female physicians. They emphasize the importance of self-care, seeking help, and supporting colleagues in order to prevent physician suicide. keywords: physician suicide, suicide awareness, mental health, support, stigma, COVID-19, self-care, seeking help, colleagues takeaways Physician suicide is a significant issue, with over 400 physicians dying by suicide each year in the United States. The medical profession, especially emergency medicine, has one of the highest suicide rates among all specialties. Factors contributing to physician suicide include the stigma around mental health, overwhelming fatigue, and the pressure to prioritize work over personal well-being. Female physicians may be at higher risk due to the additional roles and responsibilities they often take on. It is crucial for physicians to prioritize self-care, seek help when needed, and support their colleagues in order to prevent suicide. Sound Bites "Physician suicide is a significant issue" "The old school way of doing it is not working" "Women physicians might have an even higher rate of suicide than men" Chapters 00:00Introduction 00:42National Physician Suicide Awareness Day 03:06 The Story of Dr. Lorna Breen 06:05 The Fear of Seeking Help 08:05 Breaking the Stigma Around Mental Health 09:08 The Unique Challenges Faced by Female Physicians 11:02 Exploring the Higher Suicide Rate Among Women Physicians 17:10 The Pressure to Prioritize Work Over Personal Well-being 20:04 Prioritizing Self-Care and Seeking Help 28:03 Supporting Colleagues to Prevent Physician Suicide 33:33 Resources and Conclusion AI show notes are experimental. Did you find them useful? Resources: https://npsaday.org/ Physician Support Line 1-888-409-0141 Podcast with Michelle Chestovich

In this episode of The Visible Voices Podcast, we speak with Corey Feist, CEO and co-founder of the Dr. Lorna Breen Heroes' Foundation, and Dr. Kelly Holder, Chief Well-Being Officer at Brown University, for a conversation on Breaking the Silence, Stigma, and Shame: Corey Feist and Kelly Holder on Physician Suicide and Healthcare Worker Wellness. On National Physician Suicide Awareness Day, our guests shed light on the urgent need to address mental health in healthcare. We explore the legacy of Dr. Lorna Breen, who died by suicide in April 2020, and how her story has catalyzed a nationwide movement to protect healthcare professionals. Corey and Kelly share insights into the systemic challenges that contribute to burnout and mental health struggles among healthcare workers, and discuss actionable steps for fostering a culture of wellness and support. Subscribe on Apple or YouTube or via the Website

In this episode, Dr. Stuart Slavin interviews Corey Feist, founder and CEO of the Dr. Lorna Breen Heroes' Foundation. They discuss Corey's involvement in suicide awareness and prevention initiatives following the tragic death of his sister-in-law, Dr. Lorna Breen. The conversation focuses on the immense pressures faced by health care professionals, particularly during the COVID-19 pandemic. Corey shares insights into the importance of mental health support, connection, and belonging in the medical field. They also discuss practical strategies for creating supportive environments and reducing barriers to mental health care for health care workers.

In this episode of Seriously Catherine, guest host Dympna Weil interviews Corey Feist, co-founder of the Dr. Lorna Breen Heroes Foundation. Corey shares the powerful story of Dr. Lorna Breen, an emergency medicine doctor who died by suicide during the COVID-19 pandemic after struggling with severe burnout and not receiving the mental health care she needed. They discuss the critical work of the foundation in breaking down the stigmas around mental health care for medical professionals and advocating for the well-being of those on the front lines. Find Dympna: https://www.dympnaweil.com https://www.instagram.com/dympnaweil/ Find Corey & The Dr. Lorna Breen Heroes Foundation: https://drlornabreen.org ⇩ Find Catherine ⇩ Instagram: https://www.instagram.com/catherinehover/ Palette Co-Work Community: https://www.instagram.com/thepalettecommunity/ Paint and Sip: https://www.instagram.com/saratogapaintandsip/ Learn more about your ad choices. Visit megaphone.fm/adchoices

This month, we're exploring the topic of 'help-resistance' in physicians. Why do we acknowledge the need to maintain and optimize the health of our bodies, but scoff at doing the same for our minds or mental well-being? Why do support programs flounder from lack of participation? Why is the notion of even 'self-help' so foreign and...icky? In this 'listicast', Dr. Pensa explores the top ten(ish) reasons for help-resistance in physicians. This has practical implications as to why physicians often do not access support programs, and why they may resist external or even self-help instruction.  These concepts are each briefly explored, with particular focus on the physician experience (though, of course, other clinicians and high achieving professionals may have similar experiences.) Ten Reasons Behind 'Help-Resistance' in the Physician 1) Internal core beliefs and identity of the physician (and traits including exceptionalism and perfectionism) 2) External collective beliefs and medical culture  3) Inability to recognize when help is indicated (or avoidance coping) 4) Lack of awareness of various modalities of 'help' (what does 'help' even mean?) 5) Family of origin (or culture of origin) taboos; expectations of the family high achiever 6) Absent help infrastructure (or a hush-hush help infrastructure) 7) Terminal uniqueness 8) Fear (of discovery, judgment, licensure/discipline threats)* 9) Friction 10) Change resistance and inflexible thinking (or dichotomous thinking)   *To learn more about Dr. Lorna Breen, the Dr. Lorna Breen Heroes Foundation, and their work addressing the origins of this fear, go to https://drlornabreen.org/ More about Dr. Pensa: https://doctorsandlitigation.com/about-gita-pensa Disclaimer: Dr. Pensa is not a therapist or psychiatrist, and this discussion is not meant as treatment for any specific mental health disorder. This list is based on Dr. Pensa's personal and professional experience, and her coaching work with other physicians in the realm of litigation stress and burnout. 

Welcome to Difficult Conversations. You may have  heard the story of Dr. Lorna Breen, who was an accomplished physician that tragically took her own life during the spring of 2020. Today, Dr. Orsini and Liz Poret-Christ are honored to introduce guest, Corey Feist, who is the co-founder, and President of the Dr. Lorna Breen Heroes' Foundation. Corey dives into his personal journey, driven by the tragic suicide of his sister-in-law, Dr. Lorna Breen, and his mission to transform the healthcare system to support the well-being of healthcare professionals. The Dr. Lorna Breen Heroes' Foundation's work includes awareness efforts to break the stigma surrounding mental health issues, advocating for changes in licensing laws and credentialing questions to protect healthcare workers' rights, and advancing solutions that aim to improve the overall well-being of the healthcare workforce.Corey shares insights into the challenges within healthcare, such as electronic medical records and burnout, which prompted him to take action.  He discusses the “All in Wellbeing First for Healthcare” initiative, that includes grants to fund well-being solutions, a starter kit for healthcare systems to kickstart well-being initiatives, and a focus on removing barriers to mental health access. We'll also hear the significant progress the foundation has made, including the passing of the Dr. Lorna Breen Healthcare Provider Protection Act and the creation of the All In Champions Challenge Badge program,. Corey emphasizes the importance of healthcare professionals reaching out for help and clarifies that the most reliable source for information on the status of physician licensing and mental health concerns is their website because the foundation regularly updates this information. He also discusses the need to remove questions about past mental health issues from peer reference forms, stressing the importance of creating a supportive environment and ensuring confidentiality for healthcare workers seeking help.  If you enjoyed this podcast, please hit the subscribe button on your favorite podcast platform and download this episode to hear more! Hosts:Dr. Anthony OrsiniLiz Poret-Christ Guest:Corey FeistFor More Information:Difficult Conversations PodcastThe Orsini WayThe Orsini Way-FacebookThe Orsini Way-LinkedInThe Orsini Way-Instagramdrorsini@theorsiniway.comIt's All In The Delivery: Improving Healthcare Starting With A Single Conversation by Dr. Anthony OrsiniResources J. Corey Feist LinkedInDr. Lorna Breen Heroes' FoundationDr. Lorna Breen Heroes' Foundation YouTubeNational Physician Suicide Awareness DayDr. Lorna Breen Heroes' Foundation ToolkitAll In: Caring For Caregivers988 Suicide & Crisis Lifeline

Sensitivity warning: In today's episode we talk about Suicide Prevention Awareness. We discuss aspects of NPSA National Physician Suicide Awareness Day, and the Lorna Breen Act, which  is now the Lorna Breen law. My guests are Corey Feist,  Co-Founder of the Dr. Lorna Breen Heroes' Foundation, and Dr. Stef Simmons, CMO of the Dr. Lorna Breen Heroes Foundation.  The Dr. Lorna Breen Heroes' Foundation's mission is to reduce burnout of health care professionals and safeguard their well-being and job satisfaction. We envision a world where seeking mental health services is universally viewed as a sign of strength for health care professionals.  Episode guests include CMO Stefanie Simmons, MD and Co-Founder J. Corey Feist, JD, MBA 

The Chief Medical Officer of Dr. Lorna Breen Heroes' Foundation joins to discuss the realities of physician burnout and shares advice on seeking mental health services as a healthcare professional. Stefanie Simmons, MD, is also an emergency department physician and vice president of clinician engagement for Envision Healthcare's national medical group. American Medical Association CXO Todd Unger hosts.

Join us for a thought-provoking podcast episode as we dive into the critical topic of mental health and suicide among health care providers. Our guests, Jessica Singh, an experienced emergency physician, and Lorenzo Norris, a psychiatrist, provide invaluable insights into the challenges faced by health care professionals and the pressing need for systemic reform. Together, we explore the tragic story of Dr. Lorna Breen, whose death brought attention to the stigma surrounding mental health in the health care system. Discover the barriers that health care providers encounter when seeking mental health services and the alarming prevalence of suicide among nurses and physicians. We also discuss the impact of the COVID-19 pandemic on burnout and mental health challenges, as well as the recent legislation, such as the Dr. Lorna Breen Health Care Provider Protection Act. Tune in for a compelling conversation that aims to raise awareness and foster change to support the well-being of those who dedicate their lives to caring for others. Jessica Singh is an emergency physician. Lorenzo Norris is a psychiatrist. They share their stories and discuss the KevinMD article, "Doctors and nurses are dying by suicide, as America's health care workers call for change." The Podcast by KevinMD is brought to you by the Nuance Dragon Ambient eXperience. Ambient intelligence augments human capabilities to make our lives easier. The applications are many, especially in health care. Ambient clinical intelligence is offsetting the most pressing challenges in health care today, such as burnout, physician shortages, physician and patient dissatisfaction, and underperforming financial outcomes, by applying the technology to clinical documentation.  The Nuance Dragon Ambient eXperience, or DAX for short, utilizes artificial intelligence and natural language processing to automatically document care. It securely listens to and captures the natural, clinician-patient encounter conversation unobtrusively, and turns that conversation into a clinical note for the clinician's review and signature directly in the electronic health record. You just talk naturally, and DAX does the rest.  DAX is being used by thousands of physicians across 30 different specialties nationwide. It has already won the Silver Stevie award in the health care technology category and was ranked #1 for improving clinician experience in KLAS's top 20 emerging solutions. VISIT SPONSOR → https://nuance.com/daxinaction SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended GET CME FOR THIS EPISODE → https://earnc.me/HIFZVc Powered by CMEfy.

During September, we're adding our support to National Suicide Prevention Month by listening to Sending Out an SOS, taking this moment to raise awareness of this stigmatized, and often taboo topic to shift public perception, spread hope, share vital information about suicide prevention, and that 988 is the new nationwide, simple, and easy-to-remember number to call or text for help with mental health, substance use, and suicide crises. On April 26, 2020 as New York City was reeling from the first, unrelenting wave of the coronavirus pandemic in the US, Dr. Lorna Breen died by suicide. Despite being aware of and having published on the risks and phenomenon of burnout in emergency care medicine, Lorna was afraid to seek help out of fear it would irreparably damage the career she had spent her entire life building. Her death spurred global awareness, a movement, and national legislation, led in part by her sister and brother-in-law, to reduce burnout of health care professionals, safeguard their well-being, and restore joy to the healing professions.  In this episode, we meet Jennifer and Corey Feist, co-founders of the Dr. Lorna Breen Heroes' Foundation, US Senator Tim Kaine, co-sponsor of the Dr. Lorna Breen Health Care Provider Protection Act, and nurse and researcher Christopher Friese, a national authority on the nursing workforce and healthcare workplace safety to learn about ending the culture of fear regarding seeking mental health support within healthcare, the urgent need for healthcare organizations to build cultures that protect our healers, the importance of making sure that our workforce feels valued and supported at work, and the need to take care of each other and the vulnerabilities that we all have. Email us at hello@seeyounowpodcast.com

Death by suicide is now twice the national average (physicians and nurses) prior to the COVID-19 pandemic. The Dr. Lorna Breen Heroes' Foundation's mission is to increase awareness, advance solutions, and promote advocacy at the Federal, state, and local levels. In this episode, Mike Sacopulos interviews J. Corey Feist, JD, MBA, the Co-Founder of the Dr. Lorna Breen Heroes' Foundation. They discuss the mission of the Foundation, Dr. Lorna Breen's tragic story, and review sources available at https://drlornabreen.org/ Corey recently served as the Chief Executive Officer of the University of Virginia Physicians Group, the medical group practice of UVA Health comprised of 1200+ physicians and advanced practice providers. The Foundation has been doing good work, as evidenced by the recent passage of The Dr. Lorna Breen Health Care Provider Protection Act.  Dr. Lorna Breen Heroes' Foundation https://drlornabreen.org/ https://npsaday.org/ Learn more about the American Association for Physician Leadership at www.physicianleaders.org

Death by suicide is now twice the national average (physicians and nurses) prior to the COVID-19 pandemic. The Dr. Lorna Breen Heroes' Foundation's mission is to increase awareness, advance solutions, and promote advocacy at the Federal, state, and local levels. In this episode, Mike Sacopulos interviews J. Corey Feist, JD, MBA, the Co-Founder of the Dr. Lorna Breen Heroes' Foundation. They discuss the mission of the Foundation, Dr. Lorna Breen's tragic story, and review sources available at https://drlornabreen.org/ Corey recently served as the Chief Executive Officer of the University of Virginia Physicians Group, the medical group practice of UVA Health comprised of 1200+ physicians and advanced practice providers. The Foundation has been doing good work, as evidenced by the recent passage of The Dr. Lorna Breen Health Care Provider Protection Act.  Dr. Lorna Breen Heroes' Foundation https://drlornabreen.org/ https://npsaday.org/ Learn more about the American Association for Physician Leadership at www.physicianleaders.org

The first episode of Conversation, an EMplify podcast series. Episodes are shorter, more conversational, and cover a single topic relevant to practice in Emergency Medicine. This episode is a conversation between Dr. T.R. Eckler and Dr. Sam Ashoo about the recently passed federal Dr. Lorna Breen Legislation and its significance on the field of Emergency Medicine. Take the listener survey: https://www.surveymonkey.com/r/ZQRWQFW More on the Dr. Lorna Breen Legislation here.

The first episode of Conversation, an EMplify podcast series. Episodes are shorter, more conversational, and cover a single topic relevant to practice in Emergency Medicine.Take the listener survey:https://www.surveymonkey.com/r/ZQRWQFWMore on the Dr Lorna Green Legislation here:https://www.ebmedicine.net/ebmblog/general-emergency-medicine/news-updates/dr-lorna-breen-health-care-provider-protection-act/

In this minisode, Mindy, Ryan, and Jen discuss a few recent newsworthy items including: the advancement of the Dr. Lorna Breen (00:35) and PREVENT Pandemics acts (03:59), the response of life science organizations to sanctions against Russia (07:46), the continued shift away from inpatient care (12:03), and the recent recommendation for Medicare payments in 2023 (21:02). Podcast Tags: healthcare, healthcare news, public health, mental health, COVID-19, life sciences, hospitals, value-based care, MedicareSource Links: · https://www.healthleadersmedia.com/nursing/president-biden-signs-dr-lorna-breen-act-law· https://www.aamc.org/advocacy-policy/washington-highlights/senate-help-committee-marks-advances-prevent-pandemics-act· https://www.idse.net/Policy--Public-Health/Article/03-22/Senate-Takes-Up-PREVENT-Pandemics-Act/66448· https://khn.org/news/article/big-pharma-reaction-russia-ukraine-war/· https://www.fiercehealthcare.com/providers/moodys-report-shifting-care-trends-will-continue-shrink-hospital-margins· https://www.fiercehealthcare.com/providers/doctor-groups-press-lawmakers-ignore-medpac-recommendation-stand-pat-pay-2023 For additional discussion, please contact us at TrendingHealth.com or share a voicemail at 1-888-VYNAMIC. Mindy McGrath, Healthcare Industry Advisor mindy.mcgrath@vynamic.comRyan Hummel, Executive and Head of Provider Sectorryan.hummel@vynamic.comJen Burke, Healthcare Industry Strategistjen.burke@vynamic.com

TODAY Exclusive: Dr. Lorna Breen's family speaks out as a new law in her name aims to protect health care workers — Savannah Guthrie sits down with Dr. Breen's family. Plus, Hoda Kotb sits down with Kate McKinnon to talk about transforming into Carole Baskin for the new series “Joe vs. Carole.” And, Bob Odenkirk stops by Studio 1A and is opening up about his recent health scare and new memoir “Comedy, Comedy, Comedy, Drama.”

On April 26, 2020 as New York City was reeling from the first, unrelenting wave of the coronavirus pandemic in the US, Dr. Lorna Breen died by suicide. Dr. Breen spent the three weeks before her death recovering from her own COVID-19 infection, working a nearly unbroken string of 12-16 hour shifts treating COVID-19 patients—often without adequate supplies, PPE, and support—all while being exposed to an unfathomable amount of death and human misery. Despite being aware of and having published on the risks and phenomenon of burnout in emergency care medicine, Lorna was afraid to seek help out of fear it would irreparably damage the career she had spent her entire life building. Her death spurred global awareness, a movement, and national legislation, led in part by her sister and brother-in-law, to reduce burnout of health care professionals, safeguard their well-being, and restore joy to the healing professions. In this episode we meet Jennifer and Corey Feist, co-founders of the Dr. Lorna Breen Heroes' Foundation, US Senator Tim Kaine, co-sponsor of the Dr. Lorna Breen Health Care Provider Protection Act, and nurse and researcher Christopher Friese, a national authority on the nursing workforce and healthcare workplace safety to learn about ending the culture of fear regarding seeking mental health support within healthcare, the urgent need for healthcare organizations to build cultures that protect our healers, the importance of making sure that our workforce feels valued and supported at work, and the need to take care of each other and the vulnerabilities that we all have. If you or someone you know is in crisis, please call the National Suicide Prevention Lifeline at 800.273.TALK (8255). It's confidential and available 24/7. Email us at hello@seeyounowpodcast.com For additional resources, visit our website at www.seeyounowpodcast.com

We were privileged to host the inspirational J Corey Feist from all the way over in the USA. In loving memory of his sister-in law, New York doctor, Dr Lorna Breen.J. Corey Feist is:  Founder of the Dr Lorna Breen Heroes FoundationRecent CEO of the University of Virginia Physicians GroupTeacher of the course 'Managing in a Pandemic: The challenge of Covid-19'A lawyer and MBA holder We explore: The deeply sad story of Dr Lorna Breen, a New York physician, who tragically died by suicide in 2020. She had no prior mental health issues & no history of depression or suicide. Before her death, she spoke strongly about the intense shame and fear of stigma of being unable to cope with workplace pandemic demands, her fear of losing her licence because of getting mental health support & the loss of identity because of this. Out of the sadness, Lorna's sister & husband, our inspirational podcast guest - J. Corey Feist - decided to make a change for other healthcare workers - and founded the Dr Lorna Breen Heroes Foundation. They have made huge progress including creating the 'The Dr. Lorna Breen Health Care Provider Protection Act' which passed the US Senate and the House of Representatives in 2021 which aims to reduce and prevent suicide and mental health problems among healthcare professionals.We compare doctors' mental health in the US  &the UK - to take learnings from each other about the practical steps needed to make positive change. Amongst other solutions was a clear passion for peer support to stop institutionalised stigma - noting the difference that each one of us can make to our colleague's wellbeing. Both of our organisations were founded on tragedy - from which we have sought to create light for others. This podcast was:Hosted by YOD CEO & co-founder, Dr Dan Gearon & YOD Psychotherapist, Chris Cherry Sponsored by #FirstRespondersFirst - who we are privileged to partner with to support doctors' mental health globally. ...................................If you like what you hear, please do give us a rating to help us reach as many people as possible.It is worth noting that this is a conversational piece and the opinions and views are of those in this discussion in its own context at that time of the recording. You Okay, Doc? is a charity supporting the mental health and wellbeing of doctors.  Throughout our podcasts, we discuss issues affecting physical, emotional and mental wellbeing that at times some may find upsetting, if you find yourself affected by these please seek professional help.As a charity, we need your help to keep going and develop to support and raise awareness of mental health for Doctors.  Please check out our website https://youokaydoc.org.uk/ and our Instagram page to find out more and stay up to date with us.  If you would like, you can also text donate to support the You Okay, Doc? charity by texting.  To donate £3 text 'DOCTOR' to 70331,  or to donate £5 text 'DOCTOR' to 70970.  Thank you for listening and we look forward to creating more content.   See you on the next YOD pod.

JPA Health is proud to have worked with Corey Feist of Dr. Lorna Breen Heroes Foundation to elevate the issue of burnout, mental health and well-being among health care professionals by advocating for the passage of the Dr. Lorna Breen Healthcare Provider Protection Act. The foundation was established after the tragic passing of his sister-in-law, Dr. Lorna Breen, who as an emergency medicine physician in New York at the height of the pandemic. Since then, Feist and his wife Jennifer Breen Feist, have built an advocacy campaign with powerful storytelling and effective collaborations to advance the first of it's kind legislation in Congress.

Carol A. Bernstein, MD is a Professor of Psychiatry and Behavioral Sciences and Obstetrics and Gynecology and Women's Health at the Montefiore Medical Center and the Albert Einstein College of Medicine.  She is also a Senior Scholar in the Department of Education and Organizational Development for the Accreditation Council for Graduate Medical Education a member of the National Academy of Medicine's Action Collaborative on Clinician Wellbeing and a Past President of the American Psychiatric Association. J. Corey Feist, JD, MBA is a health care executive with over 20 years of experience. Corey is the Co-Founder of the Dr. Lorna Breen Heroes' Foundation and Corey currently serves as the Chief Executive Officer of the University of Virginia Physicians Group, the medical group practice of UVA Health comprised of 1200+ physicians and advanced practice providers. Corey also holds an adjunct faculty appointment at the UVA Darden School of Business where he recently taught a course entitled “Managing in a Pandemic: The Challenge of COVID-19″. Corey is also the Chair of the Board of the Charlottesville Free Clinic. Corey holds his Masters in Business Administration from the UVA Darden School of Business, his Juris Doctorate from Penn State Dickinson School of Law and his Bachelors degree from Hamilton College The Dr. Lorna Breen Health Care Provider Protection Act, (S. 610  and HR 1667) which unanimously passed the US Senate on August 6, 2021, the Health subcommittee of the House Energy and Commerce Committee on October 26, 2021 and the full Energy and Commerce Committee on November 17, 2021 aims to reduce and prevent suicide, burnout, and mental and behavioral health conditions among health care professionals. Health care professionals have long experienced high levels of stress and burnout, and COVID-19 has only exacerbated the problem. While helping their patients fight for their lives, many health care professionals are coping with their own trauma of losing patients and colleagues and fear for their own health and safety. This bill helps promote mental and behavioral health among those working on the frontlines of the pandemic. It also supports suicide and burnout prevention training in health professional training programs and increases awareness and education about suicide and mental health concerns among health care professionals.Further reading: https://www.congress.gov/bill/117th-congress/senate-bill/610?q=%7B%22search%22%3A%5B%22S.+610%22%5D%7D&s=1&r=1 https://drlornabreen.org/about-the-legislation/ A Key Differential Diagnosis for Physicians-Major Depression or Burnout? Transcript: SUMMARY KEYWORDSstigma, people, burnout, talk, lorna breen, mental health, physicians, psychiatrist, mental health services, depression, burn out, challenges, medicine, feel, healthcare professionals, heard, licensure SPEAKERSResa Lewiss, Corey Feist, Carol Bernstein  Carol Bernstein. 00:02We really are a long way from where we were. You may know that in 2003, the AMA brought together a panel of experts and issued a consensus statement on physician well being and said this was a big problem and that physician mental health needed to be prioritized and it went nowhere. But we are at a different point in time. And this is about seize the moment.  Resa Lewiss  00:54Hi, audience. Thanks so much for joining me. In today's episode, we are going to speaking about health care, professional mental health, suicide prevention, burnout, depression in all sorts of things in the healthcare professional world. I'm going to start framing the episode by reading you a little blurb from the Dr. Lorna Breen heroes Foundation website. Healthcare professionals have long experienced high levels of stress and burnout and COVID-19 has only exacerbated the problem. While helping their patients fight for their lives. Many healthcare professionals are coping with their own trauma of losing patients and colleagues in fear for their own health and safety. So with that, as a start, you're going to hear a lot about stigma, the stigma surrounding mental health talking about mental health seeking help for mental health. My two guests are Dr. Carol Bernstein, and attorney Corey Feist. Carol is a psychiatrist. She's a Professor of Psychiatry and Behavioral Sciences and obstetrics and gynecology and Women's Health at the Montefiore Medical Center and the Albert Einstein College of Medicine in the Bronx. She is also the past president of the American Psychiatric Association. Attorney Corey Feist is a healthcare executive. He's the co founder of the Dr. Lorna brain heroes foundation. He's the brother in law of Dr. Lorna Breen. And he currently serves as the chief executive officer of the University of Virginia Physicians Group. Now, the topic is serious, and it can be triggering for some of you. If at any point, you want to take a break, take a pause, turn off the episode, please do so. And now, let's get to the conversation. When we start, Carol is talking about physician suicides in New York City, and how that was a pivotal moment for talking about health care, professional mental health. Here we go. Carol Bernstein  02:40In 2014, there were two interns who died by suicide in New York City wasn't someone at my institution, but I knew colleagues of the people who were involved. And at the time, I was sitting on the ACGME board of directors. And at our September 2014 board meeting, we had an extensive conversation about what was going on. And as I was listening, and I happened to be the only psychiatrist in the room at the at that time, I'm listening and I'm thinking, oh my goodness, if we can get doctors to look inward at themselves, they'll do a much better job at looking outward at the mental health issues that affect our patients. And that was the stimulus for me. I mean, I'd been involved in graduate medical education my whole career. But depression and suicide per se, had not been an overt interest of mine, although clearly the well being of my trainees had been very important to me throughout my career. But that was the driver. And that was really the kickstart because our we set up a task force at the ACGME that I co chaired with Tim Brigham. And that was really the stepping stone for what subsequently became the action collaborative at the National Academy of Medicine, the action Collaborative on clinician well being, and all of a sudden, I found myself really, really invested in that, particularly because my passion throughout my life has been making good physicians. And if we have physicians who are burned out depressed, anxious, miserable, for whatever reasons, they're not going to be able to give good care to our patients to say nothing of their own lives. Resa Lewiss  04:27Cory You come to the conversation wearing many hats. Why don't we jump right in: Update the audience on the Dr Lorna Breen heroes Foundation, and most recently the health care provider Protection Act. Corey Feist  04:41So Resa, thank you so much for having me today and thanks for having me back. This is this past year we have done so many podcasts and speaking engagements, but this is the first one I've been invited back to so it's really a pleasure to be here with you today. The last 20 months of the Dr Lorna Breenheroes Foundation have been incredibly fruitful in terms of making an impact in the areas of awareness, advocacy, and education of the challenges that the healthcare workforce has right now. In the past 20 months, and since we talked 12 months, we have now reached over 150 million people with the story we've published in the last year, six additional national publications, including an academic publication on physician suicide. We've launched a website called NPSA.org, which is now stands for National physician suicide awareness day.org, which is chock full of resources for hospitals and institutions. We have now been published over 300 articles that all accumulate to the 100 and 50 million people that we've reached. More importantly, though, we have heard from countless physicians, family members of physicians, nurses, family members of nurses about the impact of this storytelling and how the behavior change is followed. In addition to that, we have heard from mental health professionals who have commented about how important it was for us to share the information about Dr. Breen's concerns with regard to her license stigma so that they could pick it up in the language that their physician patients were sharing. weave in. So in that way, we've heard from many that that this work has been life saving, and enabled others to take care of each other. Advocacy has been something that we have spent a tremendous amount of time in as well. The Dr. Lorna Breen, healthcare provider Protection Act unanimously passed the Senate. The House of Representatives currently is voting on the legislation, it unanimously passed the House Energy and Commerce Subcommittee on Health, it is about to be voted on by the full Energy and Commerce Committee. And then the full committee, I'm sorry, the full House of Representatives, we will have law by the end of the calendar year. And on top of that, because the many of the grant provisions in this new law were already funded in the American rescue plan, which was in the spring, a really early late winter, early spring of 2021. HERSA is already allocating the dollars associated with the Lorna Breen act. So we've made tremendous progress there. I'll end by saying our advocacy work has also extended to states hospitals. On the September 9, we published an article in US News and World Report, which identifies six barriers to stigma. So I'll pause there by saying that we have spent a lot of time and advocacy and awareness. At some point in this podcast. I also get to tell you about our educational work, too, because it's cascading the country. Resa Lewiss  08:14Carol, you have been shaking your head, agreeing, knowing thinking, What is your reflection? Carol Bernstein  08:21Well, first of all, I want to thank both of you both Resa for inviting me and Cory to this podcast and for all of the work that you've both done in educating the general population about these challenges. Certainly, they've been true forever. Cory, I'm really sorry, for the loss that your family experienced. I think it is amazing that you've been able to grab this and use it and turn it into something that from what I've heard about your sister in law, she would be so proud of that you've been able to take it and move it into something that's meaningful and productive for everyone. And that will help not only other doctors, but all of our patients as well. This stigma there, the annual meeting of the American Psychiatric Association always has a theme. Usually it's a whole lot of words like you hear in a strategic planning mission. The one the one Sentinel word that I ever heard to describe a meeting somebody theme was a psychiatrist named Paul Fink in the 90s. And his theme was overcoming stigma. That is the only that is the only language that I remember from all of the American Psychiatric Association meetings that I ever went to for a theme to show you how long it's certainly been around. It's been around much longer than that. I mean, the stigmatization against mental illness is endemic for millennia. You know, people were always sequestered and hidden and it was shameful. It even took me Most of my career to talk openly about my mother's bipolar illness, and I was president of the American Psychiatric Association, and still never thought to make a public statement about that, because everybody's been impacted in one way or another by some family member who has struggled with a psychiatric illness. And given the macho tradition and culture in medicine. You know, it's certainly been hidden and shameful, and a real problem for those of us in the medical profession as it has been throughout the country for everyone. And I think if we can see people that we admire, and respect and look up to talk openly about the challenges that they have faced, that that will make a difference, and will make it possible for all of us to be more tolerant of each other and to help each other out, which is something that I think, sadly, we've lost in the country in general, and that the COVID pandemic has clearly made much worse. Resa Lewiss  11:04Rather than talking about the stigma of the past, let's talk about the stigma that is still present today, because I just recorded an episode on gun violence with the Chair of trauma surgery at the University of Chicago, and a former emergency medicine chief medical officer, and everybody who's saying yes, like physician should get treatment. Yes, physicians should address their mental health. It's very important for trainees. I think we're hearing people say that more people in leadership position, but I don't know how people feel they can really actualize it because of the stigma that still exists. So Carol, I'm wondering if you can address that. And Cory, please weigh in on what you've learned your thoughts. Carol Bernstein 11:45Well, you're completely right Resa. And I can't even tell you the stories that all of us in psychiatry have heard, which is, if you're a good student, they say to you what, why are you going into psychiatry, you should be going into XYZ. I mean, the good news is, as stigma against about mental illness is reducing, and it's very different now than when I finished medical school, more and more, that we were seeing a huge uptick in the number of students selecting psychiatry as a career. So that's really the very good news. But I think that people are ashamed, you know, we doctors feel very strongly about having to be the best do the best jump through hoops in order to go to medical school, and we are used to succeeding. And when we can't succeed, the shame and embarrassment, and, you know, just feeling really awful is quite profound. And so I think that that's contributory. And the fact that applications for licensure is you know, for credentialing. And I'll tell you, if we have time a little later, I'll talk about a very neat initiative that may come through the AMA House of Delegates, but there are stigmatizing questions on licensure examinations, they question questionnaires, they say, Have you ever been treated for a psychiatric illness? They don't say, Have you ever seen your general practitioner? So it's embedded in our culture, that mental illness seeking help for depression, for anxiety, for suicidal thinking, that all of that is something to be ashamed of, and to be hidden? And that we should know, just pull up your bootstraps? Don't ask for help. It's not okay. And that's through our families through our culture, through the population in general. Corey Feist  13:38I would add three, three points to that. The first is like any, any change initiative starts from the top and then maybe at the bottom, the behavior has to be modeled, right. So the more that we can get the frankly the senior physicians to start talking about their experiences, because I will tell you since the New York Times, first article on Dr. Breen's passing the day after she died, I have heard from more senior physicians about their personal private struggles, then, then about any other group that we've heard from other than their families. And so the more that we can get those at the top of that hierarchy, which is in that hierarchy and medicine, speaking, and then modeling the behavior would be is is one critical piece. The second I would say is that the expectation of our learners about the environment that they're going to mature into is very different. They have different expectations, and this has been evolving. I've been in healthcare over 20 years and I've heard about the evolution of, you know, work life balance and the demands by the future Gen. But I do think that particular to mental health, the expectations, and the openness, which this generation that is coming up is speaks about their mental health is a little different, is a little different. The third thing I would say, and this is to Carol's point, and this was the article that we published in US News and World Report, we found these six areas where stigma is, is really institutionalized or incorporated into questionnaires. It's incorporated into the medical plan, design of map of the medical plan that you have as a doctor at a hospital where it requires you to use the same services of your hospital. But when it comes to mental health, that just reinforces stigma. We've heard about it when it comes to your mental health medical records, being able to be subpoenaed in a malpractice case that you're a defendant. So then there's and then there's the credentialing and the licensure and all the questions. And one of the things that we've done, though, and I truly, I've heard that, that this is already making an impact is just to ask hospitals to publish for their own what the current state is in your hospital. In New York, you're in New York, does licensure require disclosure in New York? It does not. And I know that because Dr. Breen was convinced it did. She was convinced beyond any doubt that by obtaining mental health treatment for the first and only time in her life, that she was going to lose her license. So for us, this is personal. But just by publishing a report card to those who you work with, you know, knowledge is powered in this case, it can it really, it can allow folks to obtain, you know, it removes a barrier to obtaining access to mental health care that otherwise, otherwise would, you know, would be there, absent that knowledge. So, so those are the three points that I would make, I'm totally in agreement on the stigma thing. I'm also very, I would just say hopeful that where we are now, and maybe some of the some of the silver lining of the pandemic, is, I don't know anybody who doesn't have a mental health challenge right now for the pandemic, regardless of your walk of life. And so maybe just maybe it comes becomes part of the common conversation more common than it was before? Carol Bernstein  17:32Well, I'm, I'm hoping this is a tipping point, I actually thought before COVID That we were at a tipping point, because of all the changes in medicine, I wanted to make at least one other point, which is, and it relates obliquely, to the stigma thing. And by the way, just so everyone knows that the Federation of State medical boards published a template for what the question should be on licensure exams that are not stigmatizing. And in many states who had stigmatizing questions have changed their licensure requirements. So that's really important. And Cory, you're absolutely right about New York, there isn't a single stigmatizing question on our licensure application. I do want to say that reimbursement for mental health services from Medicare for Medicaid from our commercial insurance companies is abysmal. A GI Doc can do a colonoscopy that takes them 10 minutes, I'm making up the numbers gets $3,000 to do it, and we get $100 for spending 45 minutes with a patient. So stigma really impacts directly the access to care issues, which is another part of the problem. It's not just the stigma. It's having people available, who can provide the mental health services and we don't have enough. And part of the reason that we don't have enough is because the system the system that we live in, believes that it's more appropriate to reimburse for cardiology procedure than it is for a mental health service. Resa Lewiss  19:08Yeah. You mentioned about something coming through the AMA House of Delegates. Carol Bernstein  19:13Well, I'm very, I was very excited about this, because it's in a teeny little way, it may be a way to address some of the stigma issues. So now that we've conquered licensure, which I think we have, now it moves into credentialing. And if you look at your own our own institutions, there are still stigmatizing questions on the credentialing applications. And I think I hope it makes its way through the AMA house of delegates that Kim Templeton at the University of Kansas is pushing forward a resolution that would say to Jayco to CMS, that you will ding hospital systems that have discriminatory questions on their credentialing applications. So it's not even saying it's taking the regulatory advice. MIT and turning it on its head and say, you're going to get dinged, you're not going to get payment, you're going to get a problem if you continue to have stigmatizing questions on your credentialing applications. And I think that's a big way to start to make change where it has to happen, besides the amazing, incredible advocacy work that Corey has been able to do with Congress, which is astonishing to me, and thank you. Corey Feist  20:27It's my pleasure Carol truly is. Resa Lewiss  20:31So Carol, before the show, I typed your name into PubMed, and I looked at that on what you've published, and a few titles caught my attention. One specifically was the differential diagnosis between major depression and burnout among physicians and can you walk Resa Cory and the audience through these distinctions? Carol Bernstein  20:54Well, thank you very much for that Resa. I in several of my colleagues, I think that piece I wrote with Laurel Mayer and Maria Oquendo. And Maria happens to be the chair at Penn Laurel runs the resident mental health services at Columbia. And she was directly involved after Dr. Breen's untimely death. So we've talked a lot about what that means. And what's important is that the symptomatology can be similar what you feel when you're depressed, sad, apathetic, isolated, no energy, loss of interest, loss of appetite, difficulty sleeping, all of those symptoms you can be experiencing when you're burned out. But at least from you know, we talk about burnout as being a response to the environment. And it's kind of a simple way to make a distinction, but usually burnout will respond to rest time away, time with friends, colleagues, and you'll feel better, and we don't know yet that it responds to any depressant medication. And, and it is the response to systems are better at issue, not your own personal physiology, which may contribute to depression. Depression, on the other hand, can look the same. But if you're feeling depressed, no matter what you do, or where you go, you're still going to feel terrible. And what's really important to distinguish between the two is that burnout looks to the system for the solution. And depression looks to mental health for the solution. Now, there it is a Venn diagram, there is an interface, but you don't want to be saying to somebody who's depressed, oh, we just have to adjust the regulatory environment in the hospital. Conversely, you don't want to be saying to somebody who's burned out, go see a psychiatrist. So we want to be as careful as we can and understanding what the differences are. And that the two can work synergistically. People who are depressed can be experiencing burnout worse, and people who are burned out, can if they're susceptible, if they have a, what we call a diathesis. for depression, they can get depressed, given the circumstances. Resa Lewiss  23:15You said something about if someone is burnt out, you don't want to send them to a psychiatrist. Can you just clarify that a bit? Carol Bernstein  23:21Well, I'm talking in in a purely linear fashion, I'm very much about for burnout, trying to look at systemic solutions, and not putting the onus on the individual to feel better, which is, which is why I say that. But of course, if you're burned out, seeking mental health treatment may help you find some individual solutions to the situation since we know that systemic change is very hard to manage. We need efforts like the one Cory has initiated with Congress to really do it on a large scale, and what's happening with the National Academy. But so I don't want to say you shouldn't go to see a psychiatrist. I'm just saying, we want to be sure a not to miss depression, when it's really happening, and get treatment for people who need it. And if people are burned out not to forget that the bigger issue here is the system, and that we don't want to put the onus on the individual to fix it. Resa Lewiss  24:20Yeah. Thanks for that clarification. Go ahead, Cory. Corey Feist  24:22Yeah, I'd like to reinforce with what Carol just said there, because if I've heard from one doctor, I've heard from probably 1000, that when it comes to burnout, we don't need more meditation apps. That is That is literally a quote I have heard hundreds of times and let me be clear, I love meditation apps. I meditate all the time. I learned about meditation when I went back to business school and it was very stressful. So it is definitely very effective. But to Carol's point, and this is the big challenge that the entire healthcare industry has here is that it is found itself in a in a position where it The way that healthcare delivery is designed, burns out right now 55% of the workforce. And that is not a sustainable delivery system. So we have to redesign the coal mine. And what I've heard from those physicians and nurses who have said, If you give me another meditation app, I'm going to shove it right back in your face is redesigned my workplace so I can do my job. So I can thrive. So I can feel valued, by shifting by telling me that I just need to go get a meditation app, or do yoga, or even take the day off, what you're telling me is, this is my problem to solve. And you have abdicated or in some ways, just put a bandaid on the solution. And that's where I think we've got to do both we absolutely because right now the workforce is really, really struggling. And so we've got to give them interventions right now to support them in whatever that that fashion. But our longer term play, or I should say, maybe our intermediate and longer term play is gonna be to redesign this so that we prevent these in the future. Carol Bernstein  26:08And just to add completely, completely agree with Corey, that the challenge that we have is that the individual solutions are the easier ones to talk about. It is much harder to say no. I mean, I like the idea of Chief wellness officers, sorry, one person is not going to fix the system. We need an army of people. And they're different. They're different in different specialties. The challenges, they're different in different workplaces. They're different for different disciplines, nurses have certain challenges, physicians have others. The Transport Workers have others. I mean, there are multiple layers to this, that all require targeted solutions at on a systemic level. But people get so overwhelmed by that, that they say okay, here's another meditation and I'm like, No, I'm, I'm sorry, I haven't managed to do meditation yet. i People say would probably help. It probably would. But I'm very much about the system. And I'm about linking mental health services and adequate good accessible services to the system for the people who need it. Resa Lewiss  27:23People that still feel a stigma yet want to reach out and seek services, the surfaces that Corey referred to that sort of went unfilled, you know, the free therapy that was available throughout the pandemic. How would you help people and encourage them? Carol Bernstein  27:42Well, first of all, I think it's getting better. I think people are more will as we talk about it. And the narratives, the stories hearing about Dr. Breen hearing about our own struggles as people, people we respect and look up to, I mean, I remember even when Victor Dzau at one of the National Academy meetings, talked about wanting to change specialties, and how demoralized he felt in the work he was doing to a room of 4000 people, this very powerful person, admitting that he had struggled, that's huge. So that's a big way that we can do it. But it's still challenging. I mean, people, I feel that some of the future for my field is working alongside our colleagues in emergency medicine, and in medicine, and in surgery, so that we can sort of whisper in your ears, because people still feel shamed and embarrassed about going to see a psychiatrist. So it's getting better, though it really is. Corey Feist  28:45One of my hypothesis, Carol, and this is backed by the data from the American Medical Association's coping with COVID-19 survey, is that because of the stigma, many physicians would feel more comfortable in a peer support type of model. So it'd be helped me understand a little bit about your thoughts on whether a peer support model would be at least an intermediate step along that spectrum. Carol Bernstein  29:09It's not just intermediate, Cory, actually, thank you for asking the question. Because I have become increasingly interested and intrigued by the concept of peer support. I think that that's useful again, in any field, not I mean, law, okay. You're a lawyer, right? I think teachers I think all of us you know, when we're especially you truck drivers, whomever, you know, that we gain a lot from connecting to our peers. And as I don't think that most people in health care are going to need to be referred to psychiatrists or mental, other mental health professionals because of their burnout. But I think to the extent that we can connect with each other, and have peer support that that's wonderful, and I know that the Health and Hospitals Corporation in New York City really rolled out a huge initiative to try to develop programs that would enable people who are interested in having peer support, whether it was someone in your discipline someone of your age, someone older, someone in a different site. So yes, and yes, and yes, I think that I don't think it's just intermediate. I think that that is a potential solution, that that will be very helpful, both in the short term and the long term. Resa Lewiss  30:30Amazing. Now I knew Carol had expertise but I actually didn't understand that breadth and the depth of her expertise until doing some background reading and research for the show, and having her join for this conversation. I'm deeply appreciative that there are healthcare professionals focused on dealing with the health of healthcare professionals. Amazing work by both Cory and Jennifer of the Dr. Loner Breen heroes Foundation. They have been tireless in what they're doing and it's amazing to see how they have moved the needle. Coming up, we have some episodes on Health Design, which is one of my favorite topics on which to speak. And I have a conversation that's been pending with Dr. Aletha Maybank. Stay tuned, and we'll see you next week. 

Corey Feist's worlds converged with the tragic death of his sister-in-law, Dr. Lorna Breen in March of 2020. As the CEO of the UVA Physicians Group and President of the Dr. Lorna Breen Heroes Foundation, he talks with us about adding value rather than burden, decreasing administrative barriers, and bringing clinicians to the tables where decisions are made, as ways to mitigate clinician distress. Information about the legislative action referenced: https://drlornabreen.org/about-the-legislation/ How to find your Congressperson: https://www.govtrack.us/congress/members http://npsaday.org/

"We have a chance to take a meaningful step in fighting burnout and mental health issues in the health care profession. We have lost too many valued and vibrant health care professionals due to an illness that is treatable but stigmatized – including the devastating loss of Dr. Lorna Breen. The Dr. Lorna Breen Health Care Provider Protection Act will leave a lasting legacy for bettering our health care community, taking the first step in addressing this horrible crisis. Endorsement of the Lorna Breen Act is not limited to medical students, other health care workers, students, and hospitals have a stake." Corey Feist is co-founder, Dr. Lorna Breen Heroes Foundation. He shares his story and discusses the KevinMD article, "A step forward: a way to advance the mental health of health care professionals." (https://www.kevinmd.com/blog/2021/05/a-step-forward-a-way-to-advance-the-mental-health-of-health-care-professionals.html)

Four hundred physicians die each year by suicide, a statistic that is both tragic and personal for advocates like Corey Feist, JD, MBA. In April 2020, his sister-in-law, Dr. Lorna Breen, took her own life shortly after recovering from COVID-19. She worked in emergency medicine, which has one of the highest rates of suicide of all medical specialties. To recognize Physician Suicide Awareness Day, Corey joined Northwell's Patricia Flynn and Mayer Bellehsen, PhD, to discuss barriers to seeking help, suicide prevention, and physician burnout, as well as sharing and expanding resources.  Meet the experts Patricia Flynn, assistant vice president of wellness and employee assistance. Mayer Bellehsen, PhD, director, Center for Traumatic Stress, Resilience, and Recovery. Corey Feist is a health care executive and co-founder of the Dr. Lorna Breen Heroes' Foundation. Watch episodes of 20-Minute Health Talk on YouTube.

This final episode of the three-part series for AAOS' Orthopaedic Advocacy Week discusses reducing and preventing physician mental health issues. Following the moving story of Dr. Lorna Breen, an emergency physician who died by suicide while working on the front lines of the pandemic, the conversation features powerful perspectives on breaking down the stigma and increasing access to treatment—starting with passage of the legislation named in her honor, the Dr. Lorna Breen Health Care Provider Protection Act. (Rep. Susan Wild interview recorded on 7/14 and Corey Feist interview recorded on 7/27) Dr. Lorna Breen Heroes' Foundation AAOS advocacy on physician mental health Hosted by: Kristen Coultas, AAOS Advocacy Communications Director and Jennifer Weiss, MD, FAAOS, Chair, AAOS Communications Committee

There has been an epidemic of mental illness within the COVID 19 pandemic. Rates of depression, anxiety and burnout have sky rocketed and we physicians are not immune to the adverse mental health effects of the work we do. In fact we are in the perfect storm - arduous, demanding work during which we often bear witness to countless tragedies that leave us prone to mental stress. Yet due to the culture of medicine, we often suffer in silence, not seeking help, too afraid of a mental illness stigma or of losing the ability to practice medicine if we seek help. In this episode we sit down to talk to J. Corey Feist, J.D., MBA, Cofounder of the Dr. Lorna Breen Heroes Foundation about the tragic suicide of his sister-in-law Dr. Lorna Breen in 2020 at the height of the COVID 19 pandemic. Are you ready to move from exhausted and overwhelmed to Confident & Balanced in your Career and Life? Well, we invite you to join us for our FREE Women in White White Coats Wellness and Empowerment Virtual Summit which runs from Aug 30 - Sept 5, 2021. Experience the magic of our events as you participate in LIVE Workshops, Life Coaching and Virtual Happy Hours. Go to womeninwhitecoats.com/summit to learn more. Forget burn out. Instead let's burn bright together in the Women in White Coats Physician Wellness Program. This program was created specifically to help women doctors overcome feelings of burnout and overwhelm, rekindle their passion for medicine and create better work-life integration and more fulfilling relationships. We invite you to join us in a unique 3 month long journey back to yourself as we dive deep into the root of burnout and help you find more joy and fulfillment in all areas of your life. You'll even earn CME! Click here to learn more. --- Send in a voice message: https://anchor.fm/women-in-white-coats/message

This week, two First Opinion contributors join Pat to talk about the toll that medicine can take on a professional's mental health, and how the pandemic has only exacerbated those consequences. Corey Feist co-wrote his essay with his wife Jennifer Breen Feist, the sister of Lorna Breen, who died by suicide last year after contracting Covid-19. Wendy Dean is a psychiatrist who wrote an iconic First Opinion in 2018 about the moral injury that physicians experience. Corey and Wendy joined Pat for a discussion on how to heal the healers.

Devany & Stacy discuss mental health stigma, how it affects us as a society and as individuals, and what we can do to help. Cardigan Academy recommends the app Daylio and remembers Dr. Lorna Breen. This episode's extracurriculars are Teleparty & Cicada Safari as well as Devany's free printable Cicada Observation Sheet on her website Still Playing School. Follow Cardigan Academy on Facebook Instagram YouTube Submit your own Dear Cardigan Academy Letter to get Stacy & Devany's therapist and teacher advice in a future episode.

Corey, JD, MBA, Healthcare Executive, Charlottesville, VA Resources for Listeners Safe Call Now: Crisis referral service for public safety employees and emergency services personnel: 206-459-3020 Crisis Text Line: 24/7 crisis support for frontline health workers from trained crisis responders. Text “FRONTLINE” to 741741 Physician Support Line: Psychiatrists helping US physicians and medical students; healthcare worker specific: 1-888-409-0141 Schwartz Center: Special Webinar Series to help healthcare workers manage stress Got a question? Email The Quell Foundation at liftthemask@thequellfoundation.org for sponsorship information or to find out how you can share your story as a guest on a future episode.

Dr. Lorna Breen was an emergency room physician in New York, and she committed suicide a year ago April after struggling with the conditions surrounding the pandemic.

Back for the new year. For this week's episode, I decided to create a collection of memorable moments from 2020. Honestly, there are too numerous to count. I wanted to capture pieces of conversations that really moved me: Stopped me in my tracks, made me laugh and smile, made me lose my breath.   1. EPISODE 1:  HOW IS COVID19? REPORTS OF GENEVA, LONDON, AND PHILADELPHIAThe stress and anxiety was palpable in this episode. I spoke with a doctor friends one in Eva Niyibizi Geneva, one in London Segun Olusanya, and one here in Philadelphia Jamie Garfield. 2. EPISODE 3:  IS COVID19 INCITING NARRATIVE VIOLENCE?I spoke with two doctors who are also storytellers.  Dr. Emily Silverman founded and hosts the Nocturnists podcast. She has taken story telling and the audio to a whole new level. A highlight of healing for me and what is amazing here is we hear the seeds that were planted for something yet to sprout: After the murder of George Floyd in May 2020, they launched a new audio storytelling series called “Black Voices in Healthcare”, hosted by Ashley McMullen, MD and executive produced by Kimberly Manning, MD 3. EPISODE 9: ASHISH JHA AND MIRIAM LAUFER ON THE CDC + #COVID19 CURRENT EVENTSI laughed with Ashish Jha and Miriam Laufer when we discussed COVID19, the CDC, vaccines were on the horizon and not yet available, and what to do with kids and summer camp. The laugh surrounds the use of the word kerfuffle 4. EPISODE 11: STRUCTURAL RACISM AND THE #COVID19 PANDEMIC AS HEALTH CARE CRISES Hat tip  to Yale school of medicine 4th year student Max Tiako founder and host of @FlipScriptPod podcast covering health disparities in the U.S. & globally.   5. EPISODE 16: SYNDROME KI viewed the film in Miami right before the pandemic shut down everything. Syndrome K is a documentary, which tells the story of three doctors  Adriano Ossicini. Prof Giovanni Borromeo, Vittorio Sacerdoti who saved members of Rome's Jewish community by convincing the Nazis that these Jews were infected with a deadly and contagious disease that the doctors called Syndrome K. In this segment, Dr. Ignazio Marino, a transplant surgeon and former mayor of Rome, shared that his father was deported to a concentration camp.  6. EPISODE 13: ELLEN LUPTON AND ANDREW IBRAHIM : HEALTHDESIGN 101Two well known #HealthDesigners. Andrew is the chief medical officer of HOK's architecture Healthcare group and a general surgeon at the University of Michigan, Ellen is a senior curator at the Cooper Hewitt Museum in NYC and directs the graduate program in graphic design the Maryland Institute of Contemporary Art. Andrew is a general surgeon and They really highlighted the importance of Health Design now and going forward. Take a listen as they explain #HealthDesignNow 7. EPISODE 19: A CULTURE OF SILENCE: PHYSICIAN SUICIDE AND THE DR. LORNA BREEN FOUNDATIONWe paid tribute to the Dr. Lorna Breen and discussed the Lorna Breen Heroes Foundation . If we prioritize the mental health of medical professionals who are caring for some of our most vulnerable patients, and encourage help-seeking behaviors for mental health concerns and substance use disorders by reducing stigma, increasing resources, and having open conversations about mental health- maybe we can change the culture. In this moment Dr. Dan Egan reflects on his memory of Dr. Lorna Breen a colleague and friend who died by suicide in 2020 8. EPISODE 10: PRESIDENT AND CEO #TIMES UP TINA TCHEN ON LEADERSHIP DURING A CRISISI spoke with Tina Tchen, American lawyer Christina M. "Tina" Tchen CEO and President of Time's Up. She was a constant voice of equity and advocacy. Here she speaks on leading during a crisis: What to do 9. EPISODE 12: SENATOR MAGGIE HASSAN AND DR. HIRAL TIPIRNENI: WHY GO INTO POLITICSHere I am in conversation with Senator Maggie Hassan of New Hampshire. Hassan is one of only two women in American history to be elected as both a Governor and a Senator. She was the 81st Governor of New Hampshire, from 2013 to 2017. She has been active and focused during the recent period advocating on topics, such as PPE, Nursing Homes, the Opioid epidemic, Unemployment insurance Paid sick leave, and Training the returning workforce.  10. EPISODE 18: GLORIA STEINEM: WHY WOULD YOU NOT USE YOUR VOICE?In February 2020,  I sat with Ms Gloria Steinem. I asked her what she did for her health her self care and gave me a look of … well listen to what she said. 

According to the American Foundation for Suicide Prevention, the rate of suicide among male physicians is 1.41 times higher than among men in the general population. For women, the risk is 2.27 times greater. If we prioritize the mental health of medical professionals who are caring for some of our most vulnerable patients, and encourage help-seeking behaviors for mental health concerns and substance use disorders by reducing stigma, increasing resources, and having open conversations about mental health- maybe we can change the culture. Visit afsp.org/actioncenter to learn more about the Dr. Lorna Breen Health Care Provider Protection Act (H.R. 7255/S. 4349). Learn more about the Dr. Lorna Breen Heroes' Foundation. Why Do Female Physicians Keep Dying By Suicide At Mount Sinai St. Luke's Hospital? Unspoken: Doctor Depression and Suicide Jennifer Breen Feist  is an attorney in Charlottesville, VA specializing in finance, real estate and wealth management. She is the Co-Founder of the Dr. Lorna Breen Heroes' Foundation.  J. Corey Feist,  is a health care executive with over 20 years of experience. Corey is the Co-Founder of the Dr. Lorna Breen Heroes' Foundation. He serves as the Chief Executive Officer of the University of Virginia Physicians Group, the medical group practice of UVA Health. He holds an adjunct faculty appointment at the UVA Darden School of Business where he currently teaches a course entitled “Managing in a Pandemic: The Challenge of COVID-19″.  Jessica (“Jessi”) Gold, MD, MS, is an Assistant Professor and the Director of Wellness, Engagement, and Outreach in the Department of Psychiatry at Washington University in Saint Louis. She works clinically as an outpatient psychiatrist and primarily sees college graduate students, as well as faculty, staff, and hospital employees. In her administrative role, Dr. Gold is helping her university and hospital's overall mental health response to covid for faculty and staff and finding acute and sustainable ways to take care of our own. Daniel J Egan MD is the program director of the Harvard Affiliated Emergency Medicine Residency Program in Boston. Prior to Boston, Dr. Egan worked at several sites in NYC where he was involved in residency leadership as APD and PD and most recently a Vice Chair of Education.   If you or someone you know is suicidal, please, contact your physician, go to your local Emergency Department, or call the suicide prevention hotline in your country. For the United States, the numbers are as follows. The National Suicide Prevention Lifeline at 800-273-TALK (8255), or message the Crisis Text Line at 741741. Both programs provide free, confidential support 24/7. Project Parachute   In cooperation with Eleos Health, the project provides pro-bono therapy for front line health care professionals. The Emotional PPE Project is a directory that provides contact information of volunteer mental health practitioners to healthcare workers whose mental health has been impacted by the COVID-19 crisis. Frontline workers counseling project The Frontline Workers Counseling Project (FWCP), formerly called the COVID-19 Pro Bono Counseling Project, is an initiative that helps connect frontline workers with free, confidential psychotherapy and counseling. The project is now open to all frontline and essential workers in the following counties: Alameda, Contra Costa, Marin, Napa, Sacramento, San Francisco, San Joaquin, San Mateo, Santa Clara, Santa Cruz, Solano, Sonoma, and Yolo. Change the culture: Reframing Health Licensure Questions

This show deals with a dangerous but unknown reality – According to the American Federation of Suicide Prevention, 300 to 400 doctors in the US die by suicide each year. That is more than double the rate of the general population. Why? In this show Corey Feist, JD, health care executive and Co-Founder of the Dr. Lorna Breen Heroes' Foundation brings us up close and personal to the causes and necessary actions for prevention of physician suicide. He will share the story of Dr. Lorna Breen, an experienced ER doctor at New York's Presbyterian Hospital who worked with COVID-19 patients, contracted COVID, returned to work and ultimately died by suicide. Her story illuminates the dangerous expectations internalized by medical professionals, the understandable reality of burnout, depression, moral injury and the stigma of mental health needs and treatment. He will discuss the exacerbation of this reality by COVID-19 and consider steps for protection and care of those who care for us.

The Governor lays out his priorities for Mississippi's CARES Act relief funds.And, how the pandemic is affecting local dairy distribution.Then, after a southern remedy health minute, how hospitals are considering the mental and emotional well being of its front line workers.Segment 1:Mississippi will soon receive more than one billion dollars from the federal CARES Act to help the state recover from the coronavirus pandemic. During his daily press briefing yesterday, Governor Tate Reeves outlined his priorities. While the governor steers the state towards re-opening, data from the department of health presents some concerns for State Health Officer Dr. Thomas Dobbs.Segment 2:While fears of a national meat shortage are on the rise due to a number of processing plants shutting down around the country, dairy farmers in Mississippi are experiencing a different set of obstacles. With schools closed for the semester and restaurants still limited to carryout, the dairy distribution chain has been disrupted. Michael Ferguson owns and operates a dairy farm near Senatobia. He tells our Kobee Vance how the pandemic, and the early panic buying, has changed the dairy landscape.Segment 3:Southern Remedy Health MinuteSegment 4:The death of Dr. Lorna Breen, a top emergency room doctor at a heavily impacted Manhattan hospital, has made wide-reaching ripples across the country. Breen, who died by suicide last weekend, was on the front-lines of the COVID-19 crisis in America's largest hotspot. In the days before her death, she had described the scene to her father - recounting stories of victims who died before ever leaving the ambulances. Her story sheds light on the mental and emotional toll the crisis is having on primary care workers, and the need for health systems to provide for their well being. Dr. John Sawyer is a Neuropsychologist and the Medical Director for Professional Staff Experience for Ochsner Health in New Orleans. He shares how hospital administrations can care for their care takers with our Michael Guidry. See acast.com/privacy for privacy and opt-out information.

Today the focus is on doctors and depression, with Dr. Pamela Buchanan as my guest, in a second episode in the "Careers That Kill" series, discussing medical providers, the pandemic, and depression.  She's a board-certified physician, speaker and thought leader dedicated to transforming healthcare and championing mental well-being. She's a TEDx speaker known for her powerful talk on “Emotional Flatline,” which explores the emotional toll of the high-stress ER during the pandemic, and the struggle doctors have with depression. As the author of The Oxygen Mask Principle, Dr. Buchanan teaches self-care as a revolutionary act for working mothers, healthcare professionals, and high achievers. She's also currently an ambassador with the Lorna Breen foundation that has a focus prevent physician suicide. Recently, she's taken a strong stance that she, as a Black physician, has to prove herself over and over - which is not only unjust, but adds intense pressure to her every day. Still, she's passionate about coaching physicians through burnout so that they can stay in practice. Vital LinksDr. Buchanan runs a wellness and weight loss telemedicine site.       Her website where she can be contacted for coaching, workshops, and speaking engagementsAdvertiser's Link:Click HERE for the NEW fabulous offer from AG1 – with bonus product with your subscription!You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you'd like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!My book entitled Perfectly Hidden Depression is available here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.And there's another way to send me a message! You can record by clicking below and ask your question or make a comment. You'll have 90 seconds to do so and that time goes quickly. By recording, you're giving SelfWork (and me) permission to use your voice on the podcast. I'll look forward to hearing from you! Our Sponsors:* Check out Happy Mammoth and use my code SELFWORK for a great deal: https://happymammoth.com* Check out Midi Health: https://trymidi.com/selfworkAdvertising Inquiries: https://redcircle.com/brands