Podcasts about Psychosocial

Want to dive deeper into topics like this? Master your journey with Physician Empowerment's Masterclass Membership—your gateway to exclusive content, expert-led sessions, and actionable strategies to elevate your personal and financial well-being. Learn more and join us today! https://www.physempowerment.ca/masterclass—In this episode, Dr. Wing Lim welcomes psychiatrist and real estate investor Dr. Kola Kolawole to Physician's Empowerment to discuss his career and entrepreneurship journey. Dr. Kolawole was born and educated in Nigeria and trained in psychiatry in the UK before settling in Canada over 14 years ago. As both a general and forensic psychiatrist, working primarily in forensic mental health, he values the fulfillment of helping patients with complex mental health and legal challenges. His entrepreneurship in real estate has given him diverse income streams and taught him the benefits of continuous education.Dr. Lim and Dr. Kolawole talk about how Kola was inspired in the realm of passive income by his entrepreneurial mother and gained early exposure to real estate in Nigeria. Having expanded his real estate investing in the UK, Dr. Kolawole continued building a multifamily real estate portfolio in Canada while simultaneously maintaining his medical career. Wing and Kola discuss the asset-class framework, the benefits of real estate, and they trade entrepreneurship tips. Dr. Kolawole advises physicians with limited time to invest passively through partnership or established vehicles. He suggests starting small, acquiring knowledge through courses, mentorship, and groups like Physician Empowerment to build gradually. About Dr. Kola Kolawole: Kola Kolawole, MD FRCPC, is a specialist physician, entrepreneur, educator, and lifelong learner with over 20 years of experience and expertise in healthcare, real estate investing, and asset management.Dr. Kolawole is Chair of the Board of Directors for Liberty for Youth and part of the Forensic Psychiatry Institute at St. Joseph's Healthcare Hamilton. He has authored journal articles on “Psychosocial well-being of patients with breast cancer following surgical treatment in Northern Nigeria” for BMC Psychiatry and “Psychological distress, coping strategies, and social support among HIV positive patients in Calabar, Nigeria” for the Annals of Clinical and Biomedical Research.__Physician Empowerment: Attend an upcoming Empowerment RetreatJoin the Physician Empowerment Masterclass nowWebsite: PhysEmpowerment.caDr. Kola Kolawole:ForensicPsychiatryInstitute.comLibertyForYouth.org Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Quand on parle de l'aspect psychosocial de la lutte contre le sida : de quoi s'agit-il ? Comment cet accompagnement améliore la prise en charge et la bonne observance des patients ?    Dr Bintou Kéita Dembele, Médecin Directrice d'ARCAD/SIDA au Mali (ARCAD-SIDA est la première association de lutte contre le Sida au Mali) Retrouvez l'émission en entier ici : Aide internationale : l'impact des coupes budgétaires de l'administration américaine

David Dilger is not your typical lawyer. As Co-Founder of Edge Legal, he's blending legal precision with HR pragmatism—transforming how employers and employees coexist. In this conversation, we explore: Psychosocial safety (and why it's the next frontier in leadership) The power of clear communication in preventing legal issues How legal frameworks can foster—not restrict—trust in the workplace

Dr. Jon Mills, has had an impressive career as practicing professional, researcher, educator and writer in the psychology and psychoanalytic field. His work bounds the world of philosophy and psychology, focusing upon both individual human behavior and the manifestation of the collective behavior in the social context. He is the author and/or editor of over 30 books in psychoanalysis, philosophy, psychology, and cultural studies He is Emeritus Professor of Psychology & Psychoanalysis at the Adler Graduate Professional School in Toronto, Canada and has had appointments as Honorary Professor, Department of Psychosocial and Psychoanalytic Studies, University of Essex, Colchester, UK; Faculty member in the Postgraduate Programs in Psychoanalysis & Psychotherapy, Gordon F. Derner School of Psychology, Adelphi University, NY and the New School for Existential Psychoanalysis, CA Jon has received numerous awards for his scholarship including 4 Gradiva Awards, for his work that advances the field of psychoanalysis. And in 2015 he was given the Otto Weininger Memorial Award for Lifetime Achievement by the Canadian Psychological Association. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/psychoanalysis

Dr. Jon Mills, has had an impressive career as practicing professional, researcher, educator and writer in the psychology and psychoanalytic field. His work bounds the world of philosophy and psychology, focusing upon both individual human behavior and the manifestation of the collective behavior in the social context. He is the author and/or editor of over 30 books in psychoanalysis, philosophy, psychology, and cultural studies He is Emeritus Professor of Psychology & Psychoanalysis at the Adler Graduate Professional School in Toronto, Canada and has had appointments as Honorary Professor, Department of Psychosocial and Psychoanalytic Studies, University of Essex, Colchester, UK; Faculty member in the Postgraduate Programs in Psychoanalysis & Psychotherapy, Gordon F. Derner School of Psychology, Adelphi University, NY and the New School for Existential Psychoanalysis, CA Jon has received numerous awards for his scholarship including 4 Gradiva Awards, for his work that advances the field of psychoanalysis. And in 2015 he was given the Otto Weininger Memorial Award for Lifetime Achievement by the Canadian Psychological Association. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/new-books-network

Dr. Jon Mills, has had an impressive career as practicing professional, researcher, educator and writer in the psychology and psychoanalytic field. His work bounds the world of philosophy and psychology, focusing upon both individual human behavior and the manifestation of the collective behavior in the social context. He is the author and/or editor of over 30 books in psychoanalysis, philosophy, psychology, and cultural studies He is Emeritus Professor of Psychology & Psychoanalysis at the Adler Graduate Professional School in Toronto, Canada and has had appointments as Honorary Professor, Department of Psychosocial and Psychoanalytic Studies, University of Essex, Colchester, UK; Faculty member in the Postgraduate Programs in Psychoanalysis & Psychotherapy, Gordon F. Derner School of Psychology, Adelphi University, NY and the New School for Existential Psychoanalysis, CA Jon has received numerous awards for his scholarship including 4 Gradiva Awards, for his work that advances the field of psychoanalysis. And in 2015 he was given the Otto Weininger Memorial Award for Lifetime Achievement by the Canadian Psychological Association. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/world-affairs

Dr. Jon Mills, has had an impressive career as practicing professional, researcher, educator and writer in the psychology and psychoanalytic field. His work bounds the world of philosophy and psychology, focusing upon both individual human behavior and the manifestation of the collective behavior in the social context. He is the author and/or editor of over 30 books in psychoanalysis, philosophy, psychology, and cultural studies He is Emeritus Professor of Psychology & Psychoanalysis at the Adler Graduate Professional School in Toronto, Canada and has had appointments as Honorary Professor, Department of Psychosocial and Psychoanalytic Studies, University of Essex, Colchester, UK; Faculty member in the Postgraduate Programs in Psychoanalysis & Psychotherapy, Gordon F. Derner School of Psychology, Adelphi University, NY and the New School for Existential Psychoanalysis, CA Jon has received numerous awards for his scholarship including 4 Gradiva Awards, for his work that advances the field of psychoanalysis. And in 2015 he was given the Otto Weininger Memorial Award for Lifetime Achievement by the Canadian Psychological Association. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/environmental-studies

Dr. Jon Mills, has had an impressive career as practicing professional, researcher, educator and writer in the psychology and psychoanalytic field. His work bounds the world of philosophy and psychology, focusing upon both individual human behavior and the manifestation of the collective behavior in the social context. He is the author and/or editor of over 30 books in psychoanalysis, philosophy, psychology, and cultural studies He is Emeritus Professor of Psychology & Psychoanalysis at the Adler Graduate Professional School in Toronto, Canada and has had appointments as Honorary Professor, Department of Psychosocial and Psychoanalytic Studies, University of Essex, Colchester, UK; Faculty member in the Postgraduate Programs in Psychoanalysis & Psychotherapy, Gordon F. Derner School of Psychology, Adelphi University, NY and the New School for Existential Psychoanalysis, CA Jon has received numerous awards for his scholarship including 4 Gradiva Awards, for his work that advances the field of psychoanalysis. And in 2015 he was given the Otto Weininger Memorial Award for Lifetime Achievement by the Canadian Psychological Association. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/intellectual-history

Dive into Episode #153 of the Psych Health and Safety USA Podcast, featuring host Dr. I. David Daniels, PhD, CSD, VPS, and special guest Lawanda Hall, a risk and insurance professional, about the importance of understanding and managing risk of all kinds as a strategy for overall organizational effectiveness and sustainability. While many risk management programs and professionals focus on the risks that affect the organization, they can at times underestimate and under-focus on risks that impact the human beings in the organization. When most people hear the word “risk,” they tend to think of physical hazards like chemicals, flammable materials, slippery floors, faulty wiring, or heavy machinery. Interestingly, some people don't have a fundamental understanding of what risk is. Without this understanding, it is challenging to manage any risk, whether it be physical or psychosocial. Ms. Hall believes that it is essential to focus on all aspects of risk, including those that involve the people in the organization, if for no other reason than the organization can not exist without people.

In this rapid-fire episode, Stephanie Rutledge answers key questions on alcohol in hepatology, from mental health challenges in alcohol use disorder to transplant misconceptions, emerging therapies, and the impact of lifestyle changes like Dry January. It provides a concise, insightful overview in just minutes.  Timestamps:  1:08 – Treating alcohol use disorder  1:33 – Technique for alcohol use disorder recovery  1:50 – Misconceptions  2:14 – Psychosocial factors  2:32 – Alcohol use disorder and liver transplantation  2:50 – Experimental education  3:09 – Dry January and sober October  3:35 – Mental health  3:53 – Halting disease progression  4:14 – Liver transplantation  4:46 – Breakthrough therapies 

The world of leadership is evolving. Leaders today face increasingly complex, interconnected challenges that demand more than just rational and emotional intelligence. The emerging evidence-based field of Systemic Leadership enables leaders to navigate the non-linear complexities they are faced with today. Moving beyond rational intelligence (IQ) and emotional intelligence (EQ), today's leaders require high systems intelligence (SQ) to decipher the complex functional and relational dynamics, forging a path forward that strengthens the performance and wellbeing of their people, teams, and the entire enterprise. Are you building systemic leadership capability to lead into the future? In this webinar, Vanessa Fudge, CEO and Founder of Leading Well will explore the key principles of systemic guided leadership and how to understand the deeper patterns that shape team dynamics, decision-making, and enterprise-wide performance and psychosocial safety.

In this episode, P&C Adviser Jasmin speaks with Dr Natalie Flatt - a psychologist and co-founder of Connect Psych Services, an Employee Assistance Program (EAP) focused on supporting mental wellbeing in and beyond the workplace.They explore how leaders can set the tone for mentally healthy workplaces, the importance of creating psychological safety, and how technology is helping make mental health support more accessible. Natalie also shares practical insights into how organisations can reduce the risk of psychosocial hazards through early intervention and a proactive culture of care.Please note: This conversation contains general mental health information and is not a substitute for professional advice.If you're in distress or need support, contact:Lifeline – 13 11 14Beyond Blue - 1300 224 636For emergencies - call 000RESEARCH REPORT ON WORKPLACE WELLBEING:5-Year Trend Analysis in Employee Support & Engagement is an Australian-first report offering a holistic look at how workplace wellbeing has evolved—spanning the pandemic years and beyond. It explores shifting employee needs, help-seeking behaviours, and the impact of proactive psychological support, helping organisations understand where we've been and where we're heading in employee wellbeing.You can read the report here: http://bit.ly/3HyantCFind out more about Connect Psych Services: https://connectpsychservices.com.au/

Season 08 Episode 09: Psychosocial Hazard SaladIn this episode, the team discusses the challenges in the contemporary workplace of managing the complexity of psychosocial risks that can cause mental health disorders among workers – disorders like anxiety, stress, low mood, and depression. Sara laments the literature and assessment approaches that reveal the “What?” without explaining the “SO What?” and “NOW What?” Alan loves that level of thinking, acknowledging that without this level of guidance, businesses can spin their wheels, directionless. Sara explains a research paper on necessary condition analysis describing four factors that, in their absence, preclude a diagnosis of depression, offering a unique perspective in occupational health diagnostics. Trajce explains the importance of language in legal dictums, weaving in his concerns about risk management legislative language, such as “as low are reasonability possible,” versus “so far as is reasonably practicable.” He's passionate about this and wrote about this recently under the framework of the mining industry, in his article, “Mining Work Health, Safety Laws and Serious Industrial Crimes in Australia: Down the Shaft of Jurisdictional Inconsistency.”Sara introduces the launch of PRAiSETM (Psychosocial Risk Assessment and Integrated Solutions for Employers) – Certified Assessor and Manager programs - and PRA, the new task-based Psychosocial Risk Analyser feature within the ErgoAnalyst software platform. These tools are helping teams visualise, quantify, qualify, and respond to both physical and psychosocial risks in context, merging technical rigour with empathy-driven co-design.

In this podcast, Elizabeth Asige & Gillian Saloojee discuss their paper 'Impact of the Akwenda Intervention Program for cerebral palsy on caregiver-perceived burden, stress, and psychosocial functioning: A cluster-randomized trial in Uganda'.   The paper is available here: https://doi.org/10.1111/dmcn.16406   Follow DMCN on Podbean for more: https://dmcn.podbean.com/ ___ Watch DMCN Podcasts on YouTube: https://bit.ly/2ONCYiC __ DMCN Journal: Developmental Medicine & Child Neurology (DMCN) has defined the field of paediatric neurology and childhood-onset neurodisability for over 60 years. DMCN disseminates the latest clinical research results globally to enhance the care and improve the lives of disabled children and their families. DMCN Journal - https://onlinelibrary.wiley.com/journal/14698749 ___ Find us on Twitter! @mackeithpress - https://twitter.com/mackeithpress

In this special crossover podcast episode, the tables are turned as Bronwyn Milkins of the Mental Work podcast interviews normal co-host Jason van Schie on the topic of psychosocial hazards. In this lively conversation aimed at early career psychologists, they discuss what psychosocial hazards are and why they are important to manage. Jason provides practical guidance relevant for this group of workers (and a more general audience) on what can be done at an organisational-level and individual-level to protect psychological health from psychosocial hazards that can't be eliminated, including consideration of the hierarchy of controls.

Bron is joined by specialist in workplace psychosocial hazards, Jason van Schie, to talk about the kinds of psychosocial hazards mental health workers may encounter at work, their impacts, and practical steps to protect your wellbeing at work. Jason also highlights the shared responsibility between employers and employees in managing these risks and offers valuable advice for those feeling the strain. Tune in to learn how to navigate workplace challenges and maintain mental health in demanding environments. This was SUCH a great conversation, thanks Jason!

The document "ISO 45003:2021 Gestión de la seguridad y salud en el trabajo Seguridad y salud psicológicas en el trabajo Directrices para la gestión de los riesgos psicosociales" is identical to the International Standard ISO 45003:2021. It was developed by the technical committee CTN 81 Seguridad y salud en el trabajo.This standard provides guidelines for managing psychosocial risks and promoting well-being at work. It is intended to be used in conjunction with ISO 45001, which outlines requirements and guidance for planning, implementing, reviewing, evaluating, and improving an Occupational Health and Safety (OHS) management system.The primary goal of this document is to enable organizations to prevent work-related injuries and health deterioration in their workers and other interested parties, and to promote well-being in the workplace. It is applicable to organizations of all sizes and across all sectors for the development, implementation, maintenance, and continuous improvement of safe and healthy workplaces.Key Concepts:Psychosocial Risk is defined as the combination of the likelihood of exposure to psychosocial hazards related to work and the severity of injury and health deterioration that these hazards can cause.Psychosocial Hazards are related to how work is organized, social factors at work, and aspects of the work environment, equipment, and hazardous tasks. Examples are detailed in the sources.Well-being at Work is the fulfillment of a worker's physical, mental, social, and cognitive needs and expectations related to their work. It can also contribute to the quality of life outside of work and relates to all aspects of working life.The terms "psychological health" and "mental health" are considered interchangeable for the purposes of this document.Impact and Benefits of Managing Psychosocial Risks:Negative impacts for workers can include poor health conditions (e.g., cardiovascular disease, musculoskeletal disorders, diabetes, anxiety, depression, sleep disorders), unhealthy behaviors (e.g., substance misuse), and reduced job satisfaction, engagement, and productivity.Negative impacts for organizations can include increased costs due to absenteeism, staff turnover, reduced product/service quality, recruitment and training expenses, workplace investigations and litigation, and damage to the organization's reputation.Effective management of psychosocial risk can lead to positive outcomes such, as improved worker engagement, increased productivity, increased innovation, and organizational sustainability.Core Elements of Psychosocial Risk Management within an OHS Management System:Context of the Organization (Chapter 4): Organizations should understand external factors (e.g., supply chain pressure, economic conditions, technological changes, workforce mobility, public health issues) and internal factors (e.g., organizational structure, culture, management style, commitment to psychological health, workforce characteristics) that can affect their OHS management system and psychosocial risk management. They also need to understand the needs and expectations of workers and other interested parties.Leadership and Worker Participation (Chapter 5):Planning (Chapter 6):Support (Chapter 7):Operation (Chapter 8):Performance Evaluation (Chapter 9):Improvement (Chapter 10):

In this episode, we talk to Shelly Way, an experienced school leader who has spent over three decades in education and is now using her experience and passion to support other leaders. As legislation around Psychosocial Hazards was introduced, many leaders felt overwhelmed and underprepared. Shelly was no exception but instead of shutting down, she stepped up. In this conversation, we unpack how Shelly turned a daunting compliance requirement into an opportunity for meaningful change. From developing practical tools, to empowering her staff, to creating freely available video resources for fellow principals. Shelly's story is a masterclass in leadership under pressure. We would like to take this opportunity to thank the NSW Primary Principals' Association, our learning partner in this podcast. 

In this episode of the Women in Safety podcast, Alanna Ball explores the pressing issue of burnout in the health and safety profession. Drawing from a recent article by Amanda Lyras, a partner at Clayton Utz, Alanna explores the psychosocial risks associated with long working hours and the cultural shift needed to address them.Alanna shares her personal journey of overcoming burnout and the importance of creating a balanced work environment. She discusses practical strategies like time blocking and self-care, urging listeners to reflect on their own work habits and the systemic issues within their organisations.Key takeaways:- Recognising the signs of burnout and fatigue in yourself and your team. - Implementing practical controls to manage workloads and track working hours. - Encouraging open conversations about overwork and its impact on health and safety.Join Alanna and the Women in Safety community as they empower each other to thrive in their careers without sacrificing well-being. Don't miss this insightful episode that challenges the hustle culture and promotes a healthier approach to work.Got questions?Connect with us on Instagram - https://www.instagram.com/womeninsafety/ Email us -  admin@womeninsafety.net Sign up for the newsletter - https://www.womeninsafety.net/ Don't forget to share this episode with your network and help us spread the word about the incredible work being done in the health and safety profession!Be sure to hit follow on Spotify or the + on Apple Podcasts to get the latest episodes.If you share this episode on your socials, be sure to tag @womeninsafety

What is death anxiety?  We spend the first 15 minutes of the podcast addressing this question.  And maybe this was unfair to our guests, the fabulous dynamic duo of palliative psychiatrists Dani Chammas and Keri Brenner (listen to their prior podcasts on therapeutic presence and the angry patient).  After all, we invited them on to our podcast to discuss death anxiety, then Eric and I immediately questioned if death anxiety was the best term for what we want to discuss! Several key points stood out to me from this podcast, your key points may differ: The “anxiety” in “death anxiety” is not a pathological phenomenon or a DSM diagnosis;  it references an existential concern that is fundamental to the human experience .  To me,” awareness of mortality” might be a better term, but in fairness, the idea of “death anxiety” was coined well before the formal establishment of “anxiety disorders.” The ways in which death anxiety manifests in our patient's choices and behaviors varies tremendously, and our responses as clinicians must be individualized. There is no “one size fits all” approach. In one example Dani discusses, a pain level of 1.5/10 might be overwhelming, because for a patient  in remission from cancer any pain might signal return of cancer.  Some manifestations of death anxiety can be debilitating, others lead to tremendous personal growth, connection to others, and a drive toward finding meaning in their illness experience.   Death anxiety impacts us as clinicians, not only through countertransference, that word that I still can't define (sorry Dani and Keri!), but also through our own unexamined fears about death. As clinicians who regularly care for people who are dying, we might find ourselves becoming “used to” death. Is this a sign that we are inured to the banality of death, and less able to empathize with the death anxiety experienced by our patients or their families? Or could it reflect our acceptance of the finitude of life, prompting us to live in the present moment? Perhaps it is something else entirely. The key is that looking inwards to understanding our own unique relationship with mortality can deepen our ability to authentically accompany the experiences of our patients. I mean, don't fear the reaper, right?  Sorry, no cowbell in my version, but you do get my son Kai, home from college, on guitar for the audio only podcast version. Here are some resources for listeners wanting to learn more about this topic: Books: Yalom ID. Existential Psychotherapy. New York, NY: Basic Books; 1980. Yalom ID. Staring at the Sun: Overcoming the Terror of Death. San Francisco, CA: Jossey-Bass; 2008. Solomon S, Greenberg J, Pyszczynski T. The Worm at the Core: On the Role of Death in Life. New York, NY: Random House; 2015. Becker E. The Denial of Death. Free Press; 1973. Articles: Emanuel LL, Solomon S, Chochinov HM, et al. Death Anxiety and Correlates in Cancer Patients Receiving Palliative Care. J Palliat Med. 2023;26(2):235-243. Chochinov HM, McClement SE, Hack TF, et al. Death anxiety and correlates in cancer patients receiving outpatient palliative care. J Palliat Med. 2023;26(12):1404–1410. doi:10.1089/jpm.2022.0052. Clark D. Between hope and acceptance: the medicalisation of dying. BMJ. 2002;324(7342):905–907. doi:10.1136/bmj.324.7342.905. Vess M, Arndt J, Cox CR, Routledge C, Goldenberg JL. The terror management of medical decisions: The effect of mortality salience and religious fundamentalism on support for faith-based medical intervention. J Pers Soc Psychol. 2009;97(2):334–350. Menzies RE, Zuccala M, Sharpe L, Dar-Nimrod I. The effects of psychosocial interventions on death anxiety: A meta-analysis and systematic review of randomized controlled trials. J Anxiety Disord. 2018;59:64–73. doi:10.1016/j.janxdis.2018.09.00 Brown TL, Chown P, Solomon S, Gore G, De Groot JM. Psychosocial correlates of death anxiety in advanced cancer: A scoping review. Psychooncology. 2025;34(1):45–56. doi:10.1002/pon.70068. Tarbi EC, Moore CM, Wallace CL, Beaussant Y, Broden EG, Chammas D, Galchutt P, Gilchrist D, Hayden A, Morgan B, Rosenberg LB, Sager Z, Solomon S, Rosa WE, Chochinov HM. Top Ten Tips Palliative Care Clinicians Should Know About Attending to the Existential Experience. J Palliat Med. 2024 Oct;27(10):1379-1389. doi: 10.1089/jpm.2024.0070. Epub 2024 Mar 28. PMID: 38546453.  

In this conversation, Ruth Hephzibah shares her personal journey into psychosocial rehabilitation, highlighting the impact of grief on her life and the lives of her clients. She discusses the importance of understanding the underlying issues that lead individuals to seek help and how her organization, Grief to Grace International, aims to support those navigating their grief and mental health challenges. Ruth emphasizes the need for compassion, personalized coping strategies, and community support in the healing process.TakeawaysThe best advice is to keep moving forward.Grief can complicate our understanding of our emotions.Psychosocial rehabilitation blends psychological and social support.Helping clients find their coping skills is essential.Every client's journey is unique and requires a tailored approach.Compassion is a driving force in psychosocial work.Grief can manifest in denial and confusion.Community support plays a vital role in healing.Teaching social skills helps clients navigate life better.Founding Grief to Grace International was a personal mission for healing.

When most people think about workplace safety, they imagine hard hats, ergonomic chairs, or maybe active shooter drills. What rarely comes up—but absolutely should—is how people feel at work. And that's where psychosocial hazards come in.These aren't just buzzwords or boxes to check. Psychosocial hazards are the silent threats that show up in how power is distributed, how people are treated, and what's tolerated in the day-to-day culture of an organization. And yet, too often, they go unacknowledged—until someone breaks down, quits, or worse.Dr. I David Daniels joined me on DEI After 5 to dig into this topic, and what he shared should have every workplace paying attention.What Are Psychosocial Hazards, Really?Psychosocial hazards are the workplace conditions that can mess with your mental and emotional well-being. Things like:* Bullying or harassment (yep, still happening in 2025)* Excessive workload and unrealistic expectations* Micromanagement and lack of control over your own work* Isolation, exclusion, or lack of social support* Microaggressions (subtle, but cumulative and harmful)* Discrimination—overt or covertThese aren't just "bad vibes." These are real risk factors that impact how people think, engage, and show up at work. And if we're being honest, they're often written off as personal problems or interpersonal drama instead of being seen as organizational liabilities.Microaggressions: The “Small” Thing That Adds Up FastLet's talk about microaggressions—those quick jabs people might not even realize they're throwing. A joke about someone's name. A comment about someone's tone. A backhanded compliment about someone's hair or clothes. These small moments are heavy for the person on the receiving end, especially when they pile up over time.If people are spending energy trying to decode whether they're safe in a meeting or if it's “worth it” to speak up, that's not a thriving culture. That's a hazard.Toxic Workplaces Don't Just Happen. They're Built.A toxic work environment is often the result of unchecked psychosocial hazards. Maybe it's a culture of fear. Maybe it's leadership looking the other way when inappropriate behavior happens. Maybe it's the team dynamic that subtly punishes people for being “too different” or “too direct.”Whatever the case, the result is the same: employees disengage, mental health declines, and performance suffers. Burnout isn't always about doing too much—it's often about being in an environment that takes too much out of you, with too little support in return.So, What Can Organizations Actually Do?Addressing psychosocial hazards takes more than a wellness webinar or a ping pong table in the break room. Here's where to start:* Take a real look at the culture. What's being allowed? What's being ignored?* Train leaders to recognize and respond to harmful behavior. Silence is complicity.* Reinforce policies with action—not just paperwork. If people don't trust the system, it doesn't work.* Create real feedback channels. And act on what you hear.* Prioritize psychological safety. Not just for show—but because it matters.Leadership Sets the ToneThis isn't just an HR issue—it's a leadership responsibility. Leaders shape culture, whether intentionally or not. If they're not actively creating safety, then they might be passively reinforcing harm. Listening, transparency, and accountability are all leadership behaviors that reduce psychosocial hazards. It's time we stop thinking of those things as "soft skills" and start calling them what they are: critical safety tools.If your team is struggling, your retention is dipping, or people are showing signs of burnout—don't just look at the workload. Look at the environment. Psychosocial hazards may be the root cause.If you're ready to dig into what's really going on in your workplace and want support assessing and addressing psychosocial hazards, schedule a call with our team. We'll help you build a culture that's not just productive—but safe, sustainable, and truly inclusive. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit deiafter5.substack.com/subscribe

In this special episode of The Lawyers Weekly Show, produced in partnership with Unisearch Expert Opinion Services, we explore the ways that businesses and legal professionals can better manage the myriad psychosocial hazards that arise in the workplace, particularly in an increasingly litigious climate. Host Jerome Doraisamy speaks with Unisearch Expert Opinion Services business development manager Christopher A. Yong and Unisearch expert and work, health, and safety specialist Sarah Jezzini to discuss the impact of psychosocial hazards on all areas of a business and the clients they serve, increased levels of understanding and appreciation for how and why psychosocial hazards exist, and the need for an urgent shift to proactive management of such workplace matters. The trio also discuss the legislative and regulatory considerations at play, the state of affairs for litigious proceedings, high-risk areas for litigation, intersectionality's role in the broader conversation, key questions that business leaders must be asking of themselves, practical frameworks to be implemented or adapted, and not letting the metric become the measure. To learn more about Unisearch Expert Opinion Services, click here. If you like this episode, show your support by  rating us or leaving a review on Apple Podcasts (The Lawyers Weekly Show) and by following Lawyers Weekly on social media: Facebook, Twitter and LinkedIn. If you have any questions about what you heard today, any topics of interest you have in mind, or if you'd like to lend your voice to the show, email editor@lawyersweekly.com.au for more insights!

OverviewIn this latest episode of asPERusual, host Anna Chudyk welcomes back Rae Martens — knowledge broker with the Family Engagement in Research Program (FER) and a bereaved parent and advocate — to explore how patient engagement is not just a methodological tool, but a deeply psychosocial, relational practice.Rae shares her personal and professional journey, describing how meaningful partnerships are built through trust, emotional accessibility, and a deep awareness of the lived realities of patient partners. From the structure of the FER training program to the philosophy that underpins it, this episode reveals what happens when research becomes a space for coexistence, not just collaboration.Listeners are invited into a conversation that challenges the traditional boundaries of research training, emphasizing community, care, and evolving identity — for both researchers and patient partners.

Dive into Episode #148 of the Psych Health and Safety USA Podcast, featuring host Dr. I. David Daniels, PhD, CSD, VPS, and special guest Gloria Hartley, the Civil Rights Compliance Coordinator at the College of Agriculture and Life Sciences at Virginia Tech University. She is also the child of immigrants, a veteran of the United States Navy, and has spent over a decade in and around the human resource space in both the private and public sectors. One of her professional goals has been to convert conversations about Civil and Human Rights into practical language and steps that people can take to protect workers and the organization. Civil rights and psychosocial safety are deeply interconnected. Civil rights ensure that individuals are protected from discrimination and have equal access to opportunities, which is fundamental for creating a safe and inclusive environment. Psychosocial safety, however, refers to the psychological and social conditions that allow individuals to feel safe, respected, and valued in their communities and workplaces. Individuals are more likely to experience psychosocial safety when civil rights are upheld because they are protected from discrimination, harassment, and other forms of harm. This creates an environment where people can express themselves freely, participate fully in society, and feel a sense of belonging. Conversely, when civil rights are violated, it can lead to a lack of psychosocial safety, resulting in stress, anxiety, and other adverse mental health outcomes. LinkedIn Profile https://www.linkedin.com/in/gloriamhartley/

In this episode, Journal of Prosthetics and Orthotics editor-in-chief Dr. Steve Gard speaks with Megan Grunst, MPO, a prosthetic resident at the Minneapolis VA and incoming orthotic resident at Orthotic Care Services. They discuss her recent research on the psychosocial and behavioral outcomes associated with carbon fiber custom dynamic orthoses and an intensive rehabilitation program. The conversation explores how psychological resilience influences long-term device use and patient improvement. The study underscores the critical role of integrating psychological skills reinforcement into rehabilitation to enhance outcomes and patient adherence. Show notes JPO article: Psychosocial Correlates and Behavioral Response to a Carbon Fiber Orthosis and Intensive Rehabilitation Program   O&P Research Insights is produced by Association Briefings.

QFF: Quick Fire Friday – Your 20-Minute Growth Powerhouse! Welcome to Quick Fire Friday, the Grow A Small Business podcast series that is designed to deliver simple, focused and actionable insights and key takeaways in less than 20 minutes a week. Every Friday, we bring you business owners and experts who share their top strategies for growing yourself, your team and your small business. Get ready for a dose of inspiration, one action you can implement and quotable quotes that will stick with you long after the episode ends! In this episode of Quick Fire Friday, host Michael Denehey interviews David Dilger, co-founder of Edge Legal, to explore the critical topic of psychosocial safety for small business owners. Drawing on over 30 years of legal and leadership experience, Dilger highlights the significant impact of unmanaged mental health risks in the workplace—emphasizing that mental health injuries cost three times more and take four times longer to resolve than physical injuries. He identifies key psychosocial hazards such as interpersonal conflict, inappropriate behavior, resistance to change, and mismatched expectations. Dilger underscores the importance of self-aware leadership, cultivating a respectful workplace culture, and conducting regular one-on-one meetings with team members. He also stresses the need for up-to-date policies, comprehensive training, and proactive risk assessments to effectively manage psychosocial risks and ensure legal compliance. Key Takeaways for Small Business Owners: Mental Health Risks Are Costly: Mental health injuries cost businesses three times more and take four times longer to resolve than physical injuries—making prevention and early action essential. Know Yourself as a Leader: The way leaders behave significantly influences workplace culture. Self-awareness and empathy are crucial for building trust and psychological safety. Interpersonal Issues Are the Core Hazards: Most psychosocial risks stem from interpersonal conflict, inappropriate behaviors, resistance to change, and unmet expectations—addressing these proactively reduces harm. Our hero crafts outstanding reviews following the experience of listening to our special guests. Are you the one we've been waiting for? One-on-One Meetings Are Powerful Tools: Regular 10–15 minute one-on-one meetings between managers and team members help detect issues early, improve communication, and strengthen relationships. Update Policies and Train Your People: Outdated policies won't protect your business. Regularly revise them to reflect current expectations, and ensure all staff are trained and understand them. Risk Management Is Not Optional: Conducting proper risk assessments, applying reasonable controls, and reviewing them over time is essential for compliance and maintaining a healthy work environment. One action small business owners can take: According to David Dilger, one action a small business owner should take is to implement regular one-on-one meetings with employees, as this fosters open communication, builds trust, and helps identify and address psychosocial risks early. Do you have 2 minutes every Friday? Sign up to the Weekly Leadership Email. It's free and we can help you to maximize your time. Enjoyed the podcast? Please leave a review on iTunes or your preferred platform. Your feedback helps more small business owners discover our podcast and embark on their business growth journey.

In this episode, recorded live at the 51st Academy Annual Meeting and Scientific Symposium in Atlanta, host Seth O'Brien, CP, FAAOP(D), explores the psychosocial impact of scoliosis with two leading voices in the field: Megan Glahn Castille, MS, CPO/LPO, assistant professor at Baylor College of Medicine and founder of the nonprofit Scolios-us, and David Speers, CPO/L, faculty member at Northwestern University Prosthetic Orthotic Center. They delve into strategies for easing patient anxiety, the power of empathy and encouragement, and how to foster patient empowerment. The conversation also covers current bracing options, educational practices, and helpful resources for clinicians and families navigating scoliosis care.  O&P Clinical Care Insiders is produced by Association Briefings.

Did you know that up to 70% of people with prediabetes will go on to develop type 2 diabetes—but only if nothing changes? In this episode, Dr. Jedha breaks down the latest 2025 systematic review that analyzed 59 global studies to identify the strongest predictors of progression from prediabetes to type 2 diabetes. If you've been told you have prediabetes, or you're worried about your blood sugar creeping up, this episode is essential listening. You'll learn which risk factors matter most—including some surprising ones like anxiety and fatty liver—and which ones you can take action on today.You'll come away with science-backed insights and practical next steps to reduce your risk—before type 2 diabetes takes hold.CHAPTERS1:18 Your risk of developing type 2 diabetes, if you do nothing4:36 Sociodemographic risk factors8:12 Lifestyle risk factors12:19 Psychosocial risk factors14:50 Associated health condition risk factors19:31 Top 3 risk factorsFor show notes and resources, please visit: https://Type2DiabetesTalk.comTo share your questions and suggestions, leave us a voice message or email at: https://Type2DiabetesTalk.com/messageExplore our proven programs and services, visit: https://Type2DiabetesTalk.com/programsSubscribe to our free weekly newsletter for podcast updates, valuable nutrition tips and more: https://Type2DiabetesTalk.com/subscribe

In this week's episode, we speak with Anna Pannuzzo, from WorkPlace PLUS, about creating policies to uphold everyone's psychosocial safety at work. Anna speaks about how planning ahead can help to ensure that if something challenging and unexpected does happen, there is a prepared plan. Anna speaks about policies and processes for psychosocial hazards, raising concerns in your workplace and how to balance the wellbeing of staff and being empathic to service users who are facing their own challenges. Resources: WorkPlace PLUS https://www.workplaceplus.com.au/ Safe Work Australia https://www.safeworkaustralia.gov.au/ FairWork Ombudsman https://www.fairwork.gov.au/ FairWork Commission https://www.fwc.gov.au/ Speech Pathology Australia acknowledge the Traditional Custodians of lands, seas and waters throughout Australia, and pay respect to Elders past and present. We recognise that the health and social and emotional wellbeing of Aboriginal and Torres Strait Islander peoples are grounded in continued connection to culture, country, language and community and acknowledge that sovereignty was never ceded. Free access to transcripts for podcast episodes are available via the SPA Learning Hub, you will need to sign in or create an account. For more information, please see our Bio or for further enquiries, email speakuppodcast@speechpathologyaustralia.org.au Disclaimer: © (2025) The Speech Pathology Association of Australia Limited. All rights reserved. Important Notice, Please read: The views expressed in this presentation and reproduced in these materials are not necessarily the views of, or endorsed by, The Speech Pathology Association of Australia Limited (“the Association”). The Association makes no warranty or representation in relation to the content, currency or accuracy of any of the materials comprised in this recording. The Association expressly disclaims any and all liability (including liability for negligence) in respect of use of these materials and the information contained within them. The Association recommends you seek independent professional advice prior to making any decision involving matters outlined in this recording including in any of the materials referred to or otherwise incorporated into this recording. Except as otherwise stated, copyright and all other intellectual property rights comprised in the presentation and these materials, remain the exclusive property of the Association. Except with the Association's prior written approval you must not, in whole or part, reproduce, modify, adapt, distribute, publish or electronically communicate (including by online means) this recording or any of these materials.

SHOW NOTESWhat impact does surgery have on the body?Intentional trauma Physiological response Psychosocial impact StressWhen we think about surgery, it's essential to understand that it triggers a significant reaction in the body known as the 'stress response.' This response is a complex interplay of hormonal and metabolic changes directly linked to the degree of tissue damage during surgery. It can intensify if there are any complications after the operation. Let's break it down: The whole process starts when the hypothalamic-pituitary-adrenal axis, or HPA axis, kicks into gear. This leads to a surge in hormones like cortisol, growth hormone, glucagon and catecholamines. These hormones are important because they help the body cope with stress by boosting energy availability and adjusting other bodily functions.Ebb phase (0-48hrs)Increased catabolism of stored glycogen (glycogenolysis)Suppression of insulin secretion → transient hyperglycemiaIncreased catecholamines, cortisol, and inflammatory cytokines (IL-6, TNF-α)Flow phase (3-10 days)Hypermetabolism (increased BMR)Increased protein catabolism → muscle breakdown (to provide amino acids for tissue repair and immune function)Increased lipolysis (fat breakdown) for energySustained insulin resistance → continued hyperglycemiaEnhanced GNG Pro-inflammatory response → increased cytokines and acute-phase protein productionIn the initial stages after surgery, the body releases a wave of pro-inflammatory cytokines. These cytokines jumpstart the healing process by promoting inflammation, which is important for healing surgical wounds. However, to keep this inflammation from going overboard, the body soon follows up with anti-inflammatory cytokines.These inflammatory processes have widespread effects across the body. For example, they can influence how the hypothalamus regulates body temperature or how the liver produces certain proteins that help fight infection and aid in wound healing.But here's where it gets even more interesting: other hormones like glucagon, cortisol, and adrenaline also play a role in modulating these responses. They can affect everything from your blood sugar levels to how your cardiovascular system handles the stress.So, why is all this important? Well, by understanding and managing these responses effectively, we can significantly improve how patients recover from surgery. It's all about helping the body maintain balance during a time when it's incredibly vulnerableDisruption of Metabolic Homeostasis: Surgery often disrupts the body's normal metabolic balance, notably through insulin resistance, where cells fail to respond effectively to insulin, leading to 'diabetes of the injury.' Insulin Resistance and Hyperglycemia: Insulin resistance can cause high blood sugar levels, significantly increasing the risk of surgical complications and mortality. Post-surgery, the body may enter a catabolic state, breaking down muscle instead of fat, which impairs wound healing, weakens the immune system, and reduces muscle strength. Increased Risks for Vulnerable Groups: Elderly, diabetics, and cancer patients are particularly at risk due to their compromised metabolic and inflammatory states. These groups have less physiological reserve, leading to pronounced catabolic states and increased risk of severe post-operative complications. Impact on Recovery and Outcomes: The metabolic chaos from insulin resistance to protein loss not only delays recovery but also exacerbates risks of infection and other complications. Effective management of these changes is crucial for improving surgical outcomes and ensuring that patients thrive post-surgery.ERAS helps to mitigate these by Surgery isn't just about the physical repair or removal of tissue; it triggers a cascade of stress responses in the body that can complicate recovery. These include everything from the psychological impacts of anxiety and the physiological effects of fasting to direct tissue damage and the systemic reactions to it, such as fluid shifts and hormonal imbalances.Key Components of ERAS:Comprehensive Care: ERAS isn't just a single technique but a suite of practices designed to address every aspect of the patient's journey — before, during, and after surgery. This approach aims to minimise the stress responses by controlling pain, reducing fasting times, optimising fluid management, and promoting early mobility.Minimising Fasting: One traditional practice that ERAS revises significantly is the preoperative fasting rule. Old guidelines that required fasting from midnight before surgery are now replaced with more lenient, evidence-based practices that allow intake of clear fluids up to two hours and solids up to six hours before surgery. This change helps maintain normal blood glucose levels, reduces stress, and decreases the body's shift into a catabolic (muscle-degrading) state.Nutritional Optimisation: ERAS protocols emphasise the importance of not entering surgery in a depleted state. By allowing a carbohydrate-rich drink shortly before surgery, patients are better hydrated and less anxious, which in turn reduces insulin resistance and preserves muscle mass — critical factors in speeding up recovery post-surgery. Post-operatively, oral nutrition may be delayed by the medical team until bowel function returns, typically taking close to a week. This delay is stated to reduce postoperative complications such as abdominal distension and nausea/vomiting.For the first several days post surgery fluids of limited nutritional value such as water are provided to patient until tolerance is established leading to insufficient nutrition intake during this time increasing the risk of malnutrition. The ERAS protocol promotes early oral intake within 24 hours post surgery departing from traditional fasting practices. Research suggests that between 40-50% of surgical patients have some degree of malnutrition. Pre-operative malnutrition is an independent predictor of poor post-operative outcomes. Therefore addressing malnutrition is a key component of the ERAS protocol.Immune-Enhancing Diets: Post-surgery nutrition is just as crucial. ERAS encourages diets rich in nutrients that bolster the immune system and enhance wound healing. This includes omega-3 fatty acids, which help modulate the inflammatory response; arginine, which supports protein synthesis and tissue growth; glutamine, which is vital for cellular health and recovery; and nucleotides, which are essential for rapid cell division and immune function .Immuno-nutrition is a specialised medical nutrition therapy that has been shown to adjust the body's inflammatory response: It incorporates specific nutrients like omega-3 fatty acids, arginine, polyunsaturated fatty acids, and nucleotides. It's typically recommended starting 5-7 days before surgery and continuing post-operatively for over 7 days or until oral intake meets at least 60% of the patient's nutritional requirements.How can we use this info to optimize surgical outcomes?Patient education Early nutrition pre and post surgery - Minimise fasting time What is ERAS? How does it differ from traditional care/practice?Introduced by Henrik Kehlet in 1997, the Enhanced Recovery After Surgery (ERAS) protocol has revolutionised surgical practices by optimising perioperative care. A key aspect of ERAS is its interdisciplinary approach, involving healthcare professionals from various specialties to minimise surgical stress and facilitate recovery. What is malnutrition?Malnutrition, is defined as an involuntary reduction in body weight, muscle mass and physical capabilities, affects up to 65% of surgical patients and can worsen during hospital stays. Enhancing nutritional status and promoting functional nutrition therapy is essential, even forpatients without evident malnutrition, particularly when prolonged perioperative oral intake challenges arise. Addressing malnutrition is essential for preventing surgical complications, prolongedhospital stays and higher healthcare costs. What are the benefits of ERAS for the patient?It has been shown that the key physiological benefits include:-enhances the body's anabolic processes-promotes wound healing, which is critical for patient recovery.-Reduces the risk of nutritional depletion-Minimises insulin resistance, a common issue post-surgery, allowing for better blood sugar control and improved metabolic function.-Reduce protein catabolism-And lowers the risk of pressure injuries, which can develop due to extended immobility after surgery.What are the benefits of ERAS from a healthcare perspective? From a healthcare perspective, ERAS has been shown to-shorter length of hospital stay for patients,-Lower risk of ICU transfer rates-reduce readmission rates-And all of these improvements lead to lower healthcare costs, not just for the hospital but for the overall healthcare system, as fewer complications and shorter stays reduce the financial strain.Step 1: Screen & StrengthenIf you've lost any weight unintentionally in the lead up to surgery, or been eating poorly because of a reduced appetite, you may be at risk of malnutrition and it's really important to address this prior to surgery. Research suggests that between 40-50% of surgical patients have some degree of malnutrition. Pre-operative malnutrition is an independent predictor of poor post-operative outcomes. Addressing malnutrition is a key component of the ERAS protocol and why it's effective in improving surgical outcomes for patients.Book an appointment with a dietitian who can guide you on appropriate dietary changes to minimise muscle loss, build you up and optimise nutritional status and stores pre-op. A well-nourished body tolerates surgery better, heals faster, has a stronger immune system to fight infection, and experiences fewer complications.Step 2: Consider Immunonutrition If you're planned for major surgery, especially certain cancer and abdominal surgeries, consider the use of an immunonutrition supplement in the 5-7 days pre op. These are the supplements loaded with arginine, n3s, glutamine and nucleotides to support the immune system and reduce inflammatory responses, potentially leading to fewer infections and better recovery.Step 3: Build Your Strength & Energy Stores prior to surgery Carb load with food in the days leading up to surgery - think that big bowl of pasta a footy player would have the night before the grand final. ERAS protocols have significantly reduced or eliminated long periods of "nil by mouth" (NBM) before surgery.Ask your surgical team exactly when you need to stop eating solid food – it might be much later than you think, often around 6 hours before surgery for a light meal. For clear fluids, it could be as little as 2 hours before!We'll make the most of every second to prevent unnecessary dehydration, hunger, anxiety, and preserve your body's energyStep 4: The Pre-Surgery Carb Load using clear fluidsMany ERAS protocols include a special carbohydrate-rich drink taken a few hours before surgery. Your hospital may provide this, but if they don't, we can organise orders for you or point you in the right direction.  It's usually a clear, sweet drink. Think of it as topping off your fuel tank right before the 'race'."These have been shown to reduce post-operative insulin resistance (which can slow healing), help maintain muscle strength, can reduce nausea, and improve overall wellbeing. It basically tells your body it's in a 'fed' state, not a 'starvation' state, heading into surgery.This is best done with tailor made medical nutrition drinks as they come prepped with the correct doses of maltodextrin-polymer carbs and a lower osmolality than other solutions, which essentially means they gentler on your gut and better for gastric emptying so they don't linger in your gut during surgery. Always follow surgical instructions, but ideally we're aiming for 100 grams of carbohydrate the night before surgery and about 50 grams of carbohydrate in clear fluids approximately 2 hours before anesthesia. This might look like 4 x 200ml drinks the night before, and 2 the morning of surgery If you can't access these drinks, apple or cranberry juice are reasonable replacements.  Drop us an email or message or give us a call if you'd like advice on where to get pre-op and immunonutrition supplement drinks. Then we move on to post op and Step 5 which is aiming to eat early.  ERAS encourages starting to eat and drink as soon as it's safe after surgery – often within hours, not days!As soon as your team says it's okay, try sipping water, then progress to other clear fluids, and then light foods as tolerated. Even small, frequent amounts help. This helps to stimulates your gut to start working again, reducing the risk of ileus – a slow, sleepy bowel, provides energy for healing, and can help you feel more normal, faster.If you haven't been told you can eat or drink, keep asking the question! You are your best advocate! Another tip that can help here is step 6:  Chew GumIf your team allows it, start chewing sugar-free gum several times a day once you're able. It sounds simple, but it can be surprisingly helpful in mimicking eating even when you're not allowed to, and can stimulate your digestive system to return to usual function sooner and reduce the risk of ileus.Step 7 is to Nourish to Heal This is where we bring in our good friend protein to optimise tissue repair and recovery Include protein rich food at each meal, and chat to us if you're finding this difficult because there are plenty of hacks if you're not feeling up to chicken breast and steak! And finally step 8 is to Listen to Your BodyWhile ERAS encourages early eating, we always want you to be tuned in to your body's cues and speaking up to your medical team and us if something doesn't feel right. There are plenty of interventions that can be used to keep you comfortable while still optimising your nutrition to get the best outcomes from surgery. Weimann, A., Braga, M., Carli, F., Higashiguchi, T., Hübner, M., Klek, S., et al. (2021). ESPEN practical guideline: Clinical nutrition in surgery. Clinical Nutrition, 40(7), 4745-4761.Weimann, A., Braga, M., Carli, F., Higashiguchi, T., Laviano, A., Ljungqvist, O., et al. (2017). ESPEN guideline: Clinical nutrition in surgery. Clinical Nutrition, 36(3), 623-650.Gustafsson, U. O., Scott, M. J., Schwenk, W., Demartines, N., Roulin, D., Francis, N., et al. (2019). Guidelines for perioperative care in elective colonic surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations: 2018. Clinical Nutrition, 38(2), 576-586. (Note: The ERAS® Society website, erassociety.org, is the primary source for the most current and comprehensive suite of procedure-specific guidelines.)Ljungqvist, O., Scott, M., & Fearon, K. C. (2017). Enhanced Recovery After Surgery: A review. JAMA Surgery, 152(3), 292-298.Thiele, R. H., Raghunathan, K., Brudney, C. S., Campos, S., Candiotti, K., Chaves, S., et al. (2016). American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statement on perioperative fluid management in adults. Perioperative Medicine, 5, 26. (Note: This is an example of ASER/POQI consensus; look for other relevant POQI statements on specific surgical procedures and their nutritional components.)Soon, K., Levy, G. M., Cusack, L. A., Varma, S., & Nicholson, G. A. (2020). The effect of preoperative carbohydrate loading on patient outcomes in elective surgery: A systematic review and meta-analysis. Systematic Reviews, 9(1), 254.Lewis, S. J., Egger, M., Sylvester, P. A., & Thomas, S. (2001). Early enteral feeding versus "nil by mouth" after gastrointestinal surgery: systematic review and meta-analysis of controlled trials. BMJ, 323(7316), 773-776.Osland, E. J., Hossain, M. A., Khan, S., & Memon, M. A. (2014). Effect of timing of oral feeding on patient outcomes after elective colorectal surgery: A systematic review and meta-analysis. Journal of Gastrointestinal Surgery, 18(5), 1039-1051.Braga, M., Gianotti, L., Nespoli, L., Radaelli, G., & Di Carlo, V. (2002). Nutritional approach in malnourished surgical patients: a prospective randomized study. Archives of Surgery, 137(2), 174-180.Marimuthu, K., Varadhan, K. K., Ljungqvist, O., & Lobo, D. N. (2012). A meta-analysis of the effect of combinations of enhanced recovery after surgery (ERAS) interventions on postoperative outcomes. Annals of Surgery, 255(4), 640-649.

On episode 252 of EHS On Tap, Dr. I. David Daniels, Founder and CEO of ID2 Solutions, LLC, talks about his new book Psychosocial Hazards are Real.

In the first episode of the podcast, hosted by Steve Bell and Nerida Jessup, we focus on a contemporary issue for Australian workplaces - psychosocial health and safety. Traditionally centred on physical risks, there has been a significant shift over the past five years towards managing non-physical risks such as bullying and sexual harassment. This now includes considerations on how work is performed, allocated, and designed to help employees thrive. This episode highlights the increased regulation and enforcement in this area more recently, emphasising the need for developing risk registers to identify psychosocial risks and implementing consistent controls. It also notes the growing expectation for HR and people and culture teams to adopt the language of work health and safety and risk management, offering practical tips on how to effectively manage these changes.

Episode 29 - Psychosocial Hazards are Real! In this episode, we explore Psychosocial Hazards are Real! by Dr. I. David Daniels—a powerful and timely examination of the often-overlooked mental, emotional, and social challenges faced in today's workplaces, especially in high-stress professions like public safety. Drawing on personal experience and professional insight, Dr. Daniels exposes the systemic risks that harm psychological well-being and offers a path forward toward healthier, more accountable, and human-centered work environments. Whether you're a leader, peer, or policy maker, this book is a must-read.

Reimagining Mental Health in Medicine with Dr. Robert C. SmithIn this episode of The Girl Doc Survival Guide, Christine hosts Dr. Robert C. Smith, a University Distinguished Professor of Medicine and Psychiatry Emeritus from Michigan State University. Dr. Smith discusses his journey from a traditionally trained internal medicine doctor to an advocate for integrating mental health care into primary care. He shares his experiences and the development of important works like Smith's Patient-Centered Interviewing and Has Medicine Lost Its Mind. Dr. Smith critiques the prevalent 'mind-body split' in modern medicine, arguing for a bio-psychosocial model that addresses both physical and mental health. He also emphasizes the importance of self-awareness for doctors and provides actionable steps for the public to advocate for better mental health care. The episode ends with Dr. Smith encouraging listeners to visit his website and engage with policymakers to drive change.00:00 Introduction to Dr. Robert C. Smith00:49 Dr. Smith's Journey in Medicine03:34 The Mind-Body Split in Medicine07:59 Bio-Psycho-Social Systems Approach12:26 Challenges in Modern Medicine17:41 Personal Reflections and Self-Awareness23:38 Call to Action and Final Thoughts

Dr. Corrie Jones, one of our sports residency instructors and our Director of Clinical Excellence answers the question:  What's the biggest realization you've come to as a physical therapy after school?  Having been practicing for nearly 14 years, Dr. Jones shares her insights as to what really makes the biigest difference in patient outcomes and executing a plan of care as a sports PT!Listen to find out what she says!

The International Psycho-Oncology Society (IPOS) deemed April 9th, 2025, the first-ever World Psycho-Oncology Day (WPOD). This day was meant to spread awareness of the importance of prioritizing psychosocial care for patients with all types of cancer as well as to honor Jimmie C. Holland, MD. Prior to WPOD, CancerNetwork® spoke with Cristiane Decat Bergerot, PhD, BS, MS, a psychologist and the head of supportive care at Grupo Oncoclinicas in Brazil, and a member of IPOS, about the importance of psychosocial care and the impact it has on patients with cancer. As stated by Bergerot and listed on the official IPOS website, the primary goals of WPOD are as follows: raise awareness, honor Jimmie Holland, engage stakeholders, promote action, and support fundraising efforts.1 These goals are geared towards paying homage to the history of psycho-oncology and pushing for a more advanced future. “We aim to empower patients, caregivers, and healthcare professionals, fostering a future where psychosocial support is an integral part of oncology worldwide,” Bergerot said.  Psycho-oncology has become more prevalent as a cancer care field since Jimmie C. Holland, MD, worked to help found it in the 1970s. Holland, a “pioneer” of psycho-oncology, was the first ever Chief of Psychiatry Services—a department that was the first of its kind anywhere in the world—at Memorial Sloan Kettering Cancer Center, and a founding member of IPOS.  Bergerot stated that, in her work, she sees that patients who receive psychological support exhibit improved pain management and quality of life. Trials now focus more on end points such as quality of life and patient-reported outcomes, and guidelines have emerged to create standards of care. The National Comprehensive Cancer Network and the American Society of Clinical Oncology each offer guidelines that detail how to manage patient distress as they progress through cancer therapy.2,3 Distress screenings and earlier recommendations for palliative care have also become more standard in treatment.  As for the future, Bergerot highlighted that psychosocial care needs to be more integrated into care as a necessary, rather than optional, component. New developments around the world, however, have created a landscape where telehealth and new research demonstrate the potential to help psycho-oncology grow rapidly.  References 1.        World Psycho-Oncology Day (WPOD). IPOS. Accessed April 2, 2025. https://tinyurl.com/43c9rr2c 2.        Distress during cancer care. NCCN. 2024. Accessed April 2, 2025. https://tinyurl.com/ycxxvnmt 3.        Andersen BL, Lacchetti C, Ashing K, et al. Management of anxiety and depression in adult survivors of cancer: ASCO guideline update. J Clin Oncol. 2023;41(18):3426-3453. doi:10.1200/JCO.23.00293

Chapters 00:00 Introduction to Chris Johnson and Tendon Rehabilitation 03:08 Understanding Exercise Monotherapy in Tendon Rehab 05:48 The Importance of Loading in Tendon Recovery 08:56 Chris's Journey and Mentorship in Physical Therapy 12:11 Rehabilitation Insights from ACL Injuries 14:56 Exploring Patellar Tendinopathy and Its Variants 17:55 Differentiating Tendon Pain in Athletes 20:59 Pain Management and Acceptable Levels in Rehab 23:47 The Role of Isometrics in Tendon Rehabilitation 26:58 The Debate on Pain Levels in Tendon Rehab 30:03 Conclusions and Future Directions in Tendon Rehab 36:09 Navigating Knee Rehabilitation Strategies 39:58 Exploring Neuromuscular Electrical Stimulation (NMES) in Rehab 46:41 Balancing Activity and Rehabilitation in Athletes 51:07 The Importance of Warm-Up and Cool Down 55:41 Understanding Tendon Stiffness and Rehabilitation Methods 01:00:17 Psychosocial Factors in Tendinopathy Rehabilitation 01:03:41 Compression and Loading in Tendon Health 01:06:34 The Role of Mechanical Transduction in Tendon Adaptation   Takeaways Exercise monotherapy simplifies tendon rehab by focusing on key loading strategies. Loading the tissue is crucial for effective tendon rehabilitation. Education and communication are vital in managing patient expectations and outcomes. Isometrics can be beneficial but may not work for everyone. Pain management in rehab is nuanced and should be individualized. Understanding the athlete's background helps tailor rehab strategies. Patellar tendinopathy presents differently in various athletes and requires specific approaches. The importance of restoring quad function in knee injuries cannot be overstated. Reactive tendinopathy cases can often resolve quickly with proper management. The debate on acceptable pain levels in rehab continues, emphasizing the need for individualized approaches. Consider alternative exercises like reverse Nordic for knee rehab. Gradually increase load and time to fatigue the quads. Warm-up routines can significantly impact tendon health. Compression forces are unavoidable in running; manage them wisely. Psychosocial factors play a crucial role in tendinopathy recovery. NMES can be a last resort for irritable tendons. Maintaining activity is essential for athletes during rehab. Walking warm-ups can enhance performance and recovery. Tendon stiffness is critical for injury prevention. Understanding mechanical transduction is vital for effective rehab.   Website: https://chrisjohnsonpt.com Instagram: https://www.instagram.com/chrisjohnsonthept/?hl=en Notes: https://jackedathlete.com/podcast-139-tendons-with-chris-johnson/

Episode 301: Martin Franchi & Shelly Meadows, Co-Founders of Navigation Consulting & Training, joined us to talk about the importance of mental health and psychological safety at work. They will be presenting on this topic at the 2025 Ohio Safety Congress in April at the Greater Columbus Convention Center. Now available on your favorite podcast app! For more info on OSC25, visit the website at: https://www.ohiosafetycongress.com/ To learn more about Martin & Shelly, visit their website at: https://navct.ca/ For more information about the PCSC, visit their website at:  https://portagecountysafetycouncil.com/

Season 07 Episode 11: From ‘Command & Control' to ‘Customer Service' – Beyond ‘hazard salad' in psychosocial risk management.The team revel in debate about the new Queensland state and Commonwealth government literature on psychosocial risk management. Sara is relieved to see updates to regulations on psychosocial risks (Work Health and Safety [Psychosocial Risks] Amendment Regulation 2022) because of their focus on work design. Trajce explains aspects of The Commonwealth Code of Practice: Managing Psychosocial Hazards at Work (Dec 2023) which includes “intrusive surveillance” as a psychosocial hazard, requiring employer risk management and interventions. The team reference Season 01 Episode 05: Kozorov and The Need for Purpose – an episode devoted to discussions on vicarious trauma in the workplace.Much to Alan's amusement, Sara reveals her anthem song, “Little Miss Can't Be Wrong,” by the Spin Doctors, while lamenting common central office approaches to operate like ‘command and control centres.' “That might work in times of conscription,” she says, “but it fails to incorporate service design to recognise employees as internal customers to the work experience.” She references Dart Lindsey in his view of “Work as a Product,” an idea populated in his recent Harvard Business Review publication.

In this episode of The Burnout Recovery Podcast, hosted by Dr. Jo Braid, listeners are taken on an insightful journey into the world of psychosocial risk factors in healthcare workplaces and how they contribute to burnout. Dr. Braid shares research-driven insights, personal experiences from her recent locum work, and practical strategies for both individuals and organizations to address these challenges. Tune in to discover actionable ways to navigate workplace stressors and foster a healthier, more resilient work environment.Resources:https://drjobraid.comwww.linkedin.com/in/drjobraidwww.instagram.com/burnoutrecoverydr I acknowledge that I create this podcast on the traditional lands of the Wiradjuri people, who have been the custodians of this land around Orange, New South Wales, for thousands of generations. I pay my respects to Wiradjuri Elders past, present, and emerging, and recognize the continuing connection to land, waters, and culture. This acknowledgment is a small but important step in recognizing the sovereignty of First Nations peoples and the deep historical and ongoing relationship with Country. Disclaimer: The information provided on or through our Site, products and/or services is intended to be for informational purposes only. It does not constitute or replace professional advice for individual or specific situations and nor does it take into account your specific needs or circumstances. Under no circumstances should the content made available on our Site, or regarding our products and/or services be relied upon as professional legal, medical, financial, business or other advice. You agree to obtain these services if you need these. Our Site may have articles and content that is of a general nature and is intended to be for informational purposes only. Your access to and use of they Site is subject to our Privacy Policy and Terms of Use. See omnystudio.com/listener for privacy information.

Ep 216 Adam Keen – Hip Replacement Surgery - My Personal Journey "You can regain power by learning."  www.keenonyoga.com  | @adam_keen_ashtanga Adam shares his personal journey leading to a bilateral hip replacement, discussing the reasons for his decision, the role of yoga in his injury, and the importance of understanding individual anatomy in practice. He emphasizes the need for transparency in the yoga community regarding injuries and the necessity of modifying practices to suit individual needs. The conversation also touches on the psychosocial factors influencing yoga practice and the balance between strength and flexibility. LISTEN ON PODCAST Apple podcast:  https://podcasts.apple.com/us/podcast/keen-on-yoga-podcast/id1509303411 Spotify: https://open.spotify.com/show/5iM9lcw52JskHUZ2eFvVxN WATCH EPISODES ON YOUTUBE https://www.youtube.com/@keenonyoga SUPPORT KEEN ON YOGA Subscribe, like and share our videos Buy us a coffee: https://www.buymeacoffee.com/infoRf Patrons €10 per month: https://www.keenonyoga.com/patrons/FOLLOW ADAM Website: www.keenonyoga.com Instagram:  @keen_on_yoga | @adam_keen_ashtanga KEY NOTES ·      Adam discusses his upcoming bilateral hip replacement surgery. ·      He reflects on the stigma of being a yoga teacher with injuries. ·      The importance of transparency in the yoga community is highlighted. ·      Yoga can be both healing and injurious depending on the approach. ·      Genetics and pre-existing conditions play a significant role in injuries. ·      Modification of asanas is essential for individual safety. ·      The practice of yoga was originally designed for younger bodies. ·      Psychosocial factors can impact how injuries are perceived in yoga. ·      Strength training is necessary to support joint health in yoga. ·      Adam plans to continue discussions on injuries and recovery in future episodes.   

Dr Anisha Patel is a GP specializing in women's health whose world was turned upside down with a diagnosis of stage three bowel cancer. She's the author of the brilliant book Everything You'd Hoped You'd Never Need To Know About Bowel Cancer. I found this such a powerful book, with lessons for all of us whether or not we have cancer. This is a very inspiring conversation about women's health and how we can all take better care if ourselves. We talk about: - Anisha's cancer journey - How she found the strength to write her book - Vulnerability and the emotional aspects of cancer - Openness about one's health with children and family - The long-term effects and life after cancer - Surviving the survival - Psychosocial impacts and support - Anisha's work with charities to set up a life after cancer clinic to provide specialized support - Histamine intolerance and menopause - Balancing hormone therapy and histamine intolerance - Empowering women with knowledge And lots more! If you enjoyed this episode, please subscribe, share it and leave us a 5* review on iTunes or wherever you're listening. Order the ebook or audiobook (narrated by Rachel) versions of Rachel's book, Magnificent Midlife: Transform Your Middle Years, Menopause And Beyond at magnificentmidlife.com/book The paperback can be purchased on Amazon or other online retailers: UK: https://www.amazon.co.uk/Magnificent-Midlife-Transform-Middle-Menopause/dp/173981150X/ US & Canada: https://www.amazon.com/Magnificent-Midlife-Transform-Middle-Menopause/dp/173981150X/ Australia: https://www.amazon.com.au/Magnificent-Midlife-Transform-Middle-Menopause/dp/173981150X/ You can listen to all the other episodes and get the show notes at magnificentmidlife.com/podcast. Recommended by the Sunday Times. Feedspot #3 in best midlife podcasts and #14 in best women over 50 podcasts worldwide. You'll find lots of strategies, support, and resources to help make your midlife magnificent at magnificentmidlife.com. Check out Rachel's online Revitalize Experience, a 6-week intensive small group mentoring experience or 1-1 Midlife Mentoring.

The Missing Piece in Your POC - Psychosocial Factors You performed an amazing evaluation, established a beautiful plan of care, and then weeks later you feel like you're spinning your tires in the mud. Why? What can you do differently?

Join @dustinjones.dpt as he discusses one of the most neglected aspects of an evaluation that can influence your effectiveness - psychosocial variables. ------ Want more helpful resources? Check out https://mmoa.online

Connect with Sykora ‪@Nakoomaslegacy‬ 0:00 Intro 0:10 My journey 1:10 I was adopted twice 2:00 Awareness 3:50 My feet had frost bite 5:00 Her own trauma 6:20 Take the blame 7:10 Conditioned to do it 8:00 The lady at the park 9:00 What do you sleep on 10:40 Being home school 11:00 Social Inteligence 12:10 Failure to thrive 14:40 Psychosocial dwarfism 18:50 Physical and mental abuse 19:30 severance of the maternal bond 22:00 Food triggers 22:15 Preference for stale food 28:20 Coping mechanism 31:40 Mental health 39:00 That's a hater 41:00 Red pill men 42:00 Trolling 42: 30 Amount of supression 44:00 Constant confusion 45:00 My normal 46:00 Healing mechanism 48:00 Therapy 51:00 Advice to your younger self 53:00 Learning to mask

Why does change feel so difficult, even when we desperately want it? Dr. Ross Ellenhorn joins the show to explore our resistance to change, and the many good reasons we might have to stay just as we are. Forrest and Dr. Ellenhorn discuss the “fear of hope,” the allure of sameness, and what actually helps people develop the confidence to make meaningful changes in their lives. Topics include challenging conventional self-help wisdom, existential dread, dealing with disappointment, major issues in social work, psychedelics, and self-compassion. About our Guest: Ross Ellenhorn is a psychotherapist and sociologist, the owner and CEO of Ellenhorn, a community-integration program offering services for individuals experiencing addictive behaviors or extreme and complex states of mind and mood, and the author of three books including How We Change (and Ten Reasons Why We Don't). You can watch this episode on YouTube. Key Topics: 0:00: Introduction 1:00: How Dr. Ross's background in social work influences his outlook on change 6:20: What makes people want to stay the same 18:00: Self-efficacy, faith, and making hope big 24:55: Seeing your problems as solutions 30:00: Grappling with existential anxiety 34:20: The shock of recognition, and connecting with motivations through dialog 40:25: Managing disappointment 43:20: Psychosocial rehab, and the changing definition of mental health 52:55: Psychedelics and direct action 1:04:30: Recap I am now writing on Substack, check out my work there.  Support the Podcast: We're now on Patreon! If you'd like to support the podcast, follow this link. Sponsors Use promo code hanson at the link below to get an exclusive 60% off an annual plan at incogni.com/hanson. Sign up for a one-dollar-per-month trial period at shopify.com/beingwell.  Trust your gut with Seed's DS-01 Daily Synbiotic. Go to Seed.com/BEINGWELL and use code 25BEINGWELL to get 25% off your first month.  Transform your health with the ZOE Science & Nutrition podcast. Find it wherever you listen to podcasts. OneSkin focuses on delivering more than superficial results for your skin. Get started today with 15% off using code BEINGWELL at oneskin.co.  Join over a million people using BetterHelp, the world's largest online counseling platform. Visit betterhelp.com/beingwell for 10% off your first month! Connect with the show: Subscribe on iTunes Follow Forrest on YouTube Follow us on Instagram Follow Forrest on Instagram Follow Rick on Facebook Follow Forrest on Facebook Visit Forrest's website Learn more about your ad choices. Visit megaphone.fm/adchoices

How do you care for patients with penile cancer? As urologists, we're trained to think about diagnosis and treatment, but how can we help manage the psychological impacts of penile cancer? In this episode of BackTable Urology, host Dr. Ben Ayres, a urologic oncologist specializing in penile cancer, discusses the unique psychological challenges faced by penile cancer patients with bladder cancer survivor Dr. Rick Bangs and nurse Rob Cornes. --- This podcast is supported by: Photocure https://www.photocure.com/ --- SYNPOSIS This episode emphasizes the importance of awareness and peer support in reducing isolation and stigma associated with penile cancer. The conversation also explores the role of multidisciplinary care and the benefits of holistic approaches to patient decision-making. --- TIMESTAMPS 00:00 - Introduction 04:05 - Isolation in Penile Cancer 06:38 - The Role of Advocacy and Peer Support 15:29 - Shared Decision Making in Penile Cancer Care 23:22 - Value of Multidisciplinary Care --- RESOURCES Photocure https://www.photocure.com/ Global Society of Rare GU Tumors (GSRGT) https://www.gsrgt.com

Abby and Patrick welcome writer Daniel Lavery to talk about his superb new book Women's Hotel. Lavery's novel conjures a now-vanished institution (low cost, long term residential communities for working women) in a since-disappeared landscape (midcentury New York City) and populates it with a cast of memorable characters whose entanglements, solidarities, and mixed fortunes dramatize the very contingencies of family, community, and human life itself. Abby and Patrick talk with Daniel about how he came to conceive of the project, his influences and inspiration, his method for producing such rich characterizations, the question of style, and more. It's also a chance for the three to explore the psychoanalytically rich themes and topics the book takes up, from the desire for recognition to anxieties over conflicting social mores to substance abuse to family estrangement to religious preference and much, much more. Women's Hotel is available here: https://bookshop.org/p/books/women-s-hotel-daniel-m-lavery/21024970Have you noticed that Freud is back? Got questions about psychoanalysis? Or maybe you've traversed the fantasy and lived to tell the tale? Leave us a voicemail! (646) 450-0847  A podcast about psychoanalysis, politics, pop culture, and the ways we suffer now. New episodes on Saturdays. Follow us on social media:  Linktree: https://linktr.ee/OrdinaryUnhappiness Twitter: @UnhappinessPod Instagram: @OrdinaryUnhappiness Patreon: patreon.com/OrdinaryUnhappiness Theme song: Formal Chicken - Gnossienne No. 1 https://open.spotify.com/album/2MIIYnbyLqriV3vrpUTxxO Provided by Fruits Music

In this 249th in a series of live discussions with Bret Weinstein and Heather Heying (both PhDs in Biology), we talk about the state of the world through an evolutionary lens.In this week's episode, we discuss the upcoming election, and how important it is to vote. The Democratic Party has created a two-tiered system in the Courts and in federal agencies; they have inverted basic values, including equal protection under the law, the role of families, informed consent, individual sovereignty, and our Constitution; and they have replaced truth-seeking with activism. From wars to the economy to the southern border, there is ample evidence of what the two teams actually stand for. Also: the first case report of trans-myocarditis. Then: “The Science” is still not science: federally funded research on the effects of puberty blockers on children isn't published, because the researchers don't like the results they got.*****Our sponsors:VanMan: Tallow and honey balm, deodorant, and many other amazing animal based personal care products.Go to http://www.vanmanscompany.com/darkhorse and use code darkhorse10 for 10% off your first order.ARMRA: Colostrum is our first food, and can help restore your health and resilience as an adult. Go to http://www.tryarmra.com/DARKHORSE to get 15% off your first order.Fresh Pressed Olive Oil Club: Scrumptious & freshly harvested. Go to http://www.GetFreshDarkHorse.com to get a bottle of the best olive oil you've ever had for $1 shipping.*****Join us on Locals! Get access to our Discord server, exclusive live streams, live chats for all streams, and early access to many podcasts: https://darkhorse.locals.com/Heather's newsletter, Natural Selections (subscribe to get free weekly essays in your inbox): https://naturalselections.substack.comOur book, A Hunter-Gatherer's Guide to the 21st Century, is available everywhere books are sold, including from Amazon: https://a.co/d/dunx3atCheck out our store! Epic tabby, digital book burning, saddle up the dire wolves, and more: https://darkhorsestore.org*****Mentioned in this episode:Seymour Hersh on Biden, Harris, and the 25th Amendment: https://seymourhersh.substack.com/p/leaving-las-vegasBad Storms, Bad Science: https://naturalselections.substack.com/p/bad-storms-bad-scienceNew York Times on unpublished research on puberty blockers: https://www.nytimes.com/2024/10/23/science/puberty-blockers-olson-kennedy.htmlChen et al 2021. Psychosocial characteristics of transgender youth seeking gender-affirming medical treatment: Baseline findings from the Trans Youth Care Study. Journal of Adolescent Health 68(6): 1104-1111. https://pmc.ncbi.nlm.nih.gov/articles/PMC7897328/pdf/nihms-1616464.pdfSupport the show

In this conversation, Liz Rohr and Shelby Pope discuss the importance of taking a comprehensive history of substance use, and how to assess and treat stimulant use disorder. They cover the challenges healthcare providers face in asking the right questions, and emphasize the need for open conversations and non-judgmental approaches.They cover screening for addiction, how to elicit a substance use history, including types and routes of substance use. Shelby covers the mechanism of action of cocaine and methamphetamine in the brain, the withdrawal symptoms associated with stimulant use disorder, and the next steps for primary care providers in managing patients with stimulant use disorder. They also explore the use of psychosocial interventions and off-label pharmacologic treatments for stimulant use disorder.TakeawaysOpen and non-judgmental conversations are essential when discussing substance use with patients.Screening practices, such as using screeners like PHQ-2, SBIRT, and DAST, can help identify substance misuse or struggles.Taking a comprehensive history of substance use, including the type, amount, frequency, and motivation, is crucial for providing appropriate care.Healthcare providers should be aware of the different routes of administration and the potential risks associated with each.Stimulant use disorder, particularly cocaine and methamphetamine use, can have significant adverse effects and poor outcomes. Cocaine and methamphetamine are both monoamine neurotransmitter reuptake inhibitors, increasing serotonin, norepinephrine, and dopamine levels in the brain.There is a withdrawal syndrome associated with stimulant use disorder, characterized by depression, fatigue, and sleep disturbances.In managing patients with stimulant use disorder, primary care providers should consider triage based on severity and acuity, and refer patients to appropriate resources such as rehab or the ER.Psychosocial interventions, such as cognitive behavioral therapy and contingency management, are the mainstay of treatment for stimulant use disorder.Off-label pharmacologic treatments for stimulant use disorder include mirtazapine, bupropion, injectable naltrexone, topiramate, and psychostimulants.It is important for healthcare providers to be aware of state regulations and their own comfort level in prescribing off-label medications for stimulant use disorder.For a full transcript and conversation chapters, visit the blog: https://www.realworldnp.com/blog/treating-substance-use-disorder ______________________________© 2024 Real World NP. For educational and informational purposes only, see realworldnp.com/disclaimer for full details. Hosted on Acast. See acast.com/privacy for more information.