Umbereen S Nehal, MD, MPH Profile picture
Jul 4, 2020 14 tweets 8 min read Read on X
Yesterday did a double session with a new #womenshealth specialized #mentalhealth clinician - have possible ADHD
my usual brain hack strategies are not effective in entirely online grad school + #endometriosis + #fibroids + move to Boston in #pandemic
psychologytoday.com/us/blog/the-be…
Cuz, in online/Zoom group executive coaching, if a topic is brought up around how women psychologically respond to sexual assault in the workplace, & I have not slept all night & I am in 8/10 pain - I just don’t have psychological reserve for that topic
https://t.co/nHwNYVwRUE
Interesting thing: tho my class is ~80% male, have felt much more comfortable being open about #womenshealth issues affecting my overall well-being or attention span among male engineers & execs

than when in all female environments of fellow physicians who expect “suck it up”
In fact one guy will message me 1:1 to share his spouse deals with similar things and appreciates my openly expressing it so other people don’t have to guess

taboos/silence can be broken

I have done a lot of work to reject shaming
of
illness
bodies
(female) communication ImageImageImageImage
In fact, for many women, online networks have been a opportunity to connect with each other as well as to get past many taboos

“revealing participants’ experiences of stigma and silence ....gender, as well as race and class...”

journals.sagepub.com/doi/10.1177/15…
It can also be women who often police, silence, shame, or block other women (online or otherwise), however. This stuff gets complicated

A needed line in this blog IMHO is if we are factual. An antidote to gossip is fact-checking, transparency, standards

nsvrc.org/blogs/feminism…
Whatever the reason, have felt more psychologically safe in a majority male group than in some all female groups or even in coaching from a female coach who may not anticipate reactions to the topic of sexual assault raised in group coaching via Zoom.
thriveglobal.com/stories/transf…
I ended up doing a deeper dive + consulted experts, on differences between coaching & therapy. Turns out there is a LOT of very clear guidance, standards, definitions. A lot of us have trauma so requires following #coaching #ethics

@ICFHQ @ICF_NYC

coachfederation.org/code-of-ethics
What has happened in our immediate or remote past certainly can be barriers to our openness, growth, pirates of behavior, or otherwise. Yet there is supposed to be a partition between therapy and coaching.

Disease and illness are the key words.

That belongs in therapy. Image
Thankfully, my migraines - that in past caused me to even go on medical leave - are so much improved in the last two years, I still have not gotten through the (acute) migraine medications that I last filled in October 2018. But, I worry online format of grad school as trigger.
While I don’t meet the criteria now, in the past, when I was monitored for 4 separate potential reproductive cancers, I had substantial mental health stresses.

Pandemic causes stresses. Online format is exhausting, stressful. Now class bidding delayed.

psycom.net/chronic-pain-i… ImageImageImageImage
I can definitely see a number of these as issues that are resurfacing as I go from self employed & able to manage around my own needs to feeling loss of control over the very things I picked the program for (customized course selection) + coaching is bringing up personal topics.
Also, my apartment is stressing me out. (For the record, you can see the floor but the other day I stabbed my foot by stepping on an earring - tho I did not have to miss class as may otherwise happen, as I could pour 3 disinfecting solutions on my bleeding foot and still Zoom in)
My foot did not get infected, by the way, so I must have done a good job. (Or maybe the profuse bleeding did a good job.)

I am not picking a gif because the gif options are really disturbing and now I think I won’t be able to sleep for a week. LOL. (Am a really visual person)

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More from @usnehal

May 29, 2023
This. When I had experiencing #bullying towards myself, I had just walked away or been silent, keep moving forward.

Once I had some degree of “rank”, felt others should not “just deal”

I did speak up on behalf of those less powerful… which only set me up for this mislabeling.
That is not to say that as faculty you should not speak up for or defend students are trainees

but you should be aware of this.

If the #bully is a woman, then she can always claim that she is being “attacked”… “as a woman”

That narrative aligns with a common reality.
False narratives spread quickly

if they align with something that people recognize as a truth (& may even have experienced themselves)

This is particularly why Machiavellian types are strategic/smart to utilize/promote a female bully while they stay more quiet/behind scenes
Read 13 tweets
Jun 24, 2022
@ErinMarieMHCMEd @danpreston @JoshuaMZeitz @AmandaMarcotte All of this was already tested out vs American Muslims - the country was just fine with it. Regardless of what you think of the dad, killing/executing American citizen children by drone, along with father, should have been a big red flag on due process.

theatlantic.com/politics/archi…
@ErinMarieMHCMEd @danpreston @JoshuaMZeitz @AmandaMarcotte ~Half of Americans approve of/support torture. The idea is you can use profiling/bias to assume someone is a terrorist or sympathizes with terrorists, assume has information, torture them first, then retroactively justify violation of human rights.

pewresearch.org/fact-tank/2017…
@ErinMarieMHCMEd @danpreston @JoshuaMZeitz @AmandaMarcotte Loss of Civil Liberties happened after 9/11: even if go white water rafting, spied on

pandemic killed >1 million dead but CDC has removed mask mandate & FL just refused to order vaccines=no interest in saving lives/prevention 9/11 killed 3K➡️police state

gothamist.com/news/nypd-spie…
Read 5 tweets
Jun 23, 2022
I think I need to go to law school. It might be a bit late to be #RBG & make it to SCOTUS… but seriously, it is all about the courts, the law, legal precedents.

Or maybe I just need to make myself small/silent enough to be able to fit into a government job again?
As hard as it is for me to stay in government long term given all the regulations that box you in/tie you up

plus needing to be a public servant to serve every taxpayer, even the ones you don’t agree with/like

Despite that, you *can* have an impact…small things at scale matter
There are times like this I want to be a cat & have 9 lives because there SO too many things I want to do…

…even though other times I am like, okay, how long exactly am I supposed to serve in this life because I am exhausted. (Albeit I did just recover from anemia.)
Read 5 tweets
Jun 23, 2022
For the first time in my life I felt unsafe doing #GOTV & got personally targeted & my photo posted on a QAnon type site.

More appalling was how many on #healthcare & #academia, if you are connected on social media like FB, are pro-violence & anti-rule of law & support J6.
If you are a Black, immigrant, LGBTQ, chronic illness, Muslim, etc person, patient, #HCW, teacher, heck yeah, is scary

Thing is those who have been safely tucked in cocoon of suburbia, worried about junior making the cut for the bball team
now feels suddenly scary

Us: not new
We *need* the ppl who typically enjoy more safety to step up. It feels “ick” to report, like you are an informant in Nazi Germany or something, but it is opposite: being “nice” & “not controversial” & “let’s all get along”
➡️empowers bullies

Be a true ally
Not bully ally

Cuz:
Read 5 tweets
Jun 22, 2022
Anyone who did not see this coming does not understand #tech…(which includes people who design #AI).

“Important nuances were lost in translation when a rule commonly used to measure disparate impacts on protected groups in hiring was codified for easy-to-use tools…AI fairness”
Every time I see “our #AI will solve bias! Give us your #DEI budget!” win an #innovation award, accelerator, #hackathon I feel exhausted…

institutions would rather purchase ineffective & worsening-the-problem #tech than hard work of holding ppl accountable or change culture
And this is how #DEI - how currently approached - is ineffective & wastes money because a small amount of money is thrown at it with zero/minimal real hard work & unwillingness to be uncomfortable. Hence these bills: amp.cnn.com/cnn/2022/01/19…
Read 5 tweets
Jun 21, 2022
When will we admit that “clash of civilizations” of Islamophobia narrative is not only false but dangerous. “War on Terror”=waging war vs Muslims but #J6 & #BuffaloMassacre reveal terror is not one religion. When Muslims are “legit” targets…that supremacist hate spreads further. ImageImageImageImage
Who was it “okay” to torture? (assumed is a terrorist?) Whose civil liberties disappeared 20 years ago? Muslims.

“But you all ‘deserve’ it” we’ve heard &: Why didn’t you stop terrorism? Why haven’t you apologized about x & y?

Now: consequences of that

vox.com/2016/3/31/1133…
The “Great Replacement” is an extension of “Clash of Civilizations” that conflict/war is “inevitable” between “different” humans defined by race or religion. It dehumanizes some humans as “less than” or “threat.” Once you label as such, violence follows. vox.com/science-and-he…
Read 22 tweets

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