THREAD on this piece AND how #mentalhealth providers=people,too!
Interesting parts:
🔵Not all of them are in therapy (HOW?!)
🔵Teleheath=harder to connect(we need to do more studies of telehealth & burnout in therapy)cough @ColinWestMDPhD
🔵LOTS of GUILT for not being able to give patients answers & having to turn folks away (I GET this)
"I became numb,&then I became overwhelmed, & then I kind of went back to numb." OOF. THIS QUOTE.
For me:I have struggled w/naming my own feelings as burnout(or valid!),feeling like I wish I had something to say to help(it is death/a pandemic-I don't),& relating too much to all
THIS IS NOT GOING TO IMPROVE- IT WILL ONLY GET WORSE:
🔵More requests and NEED (post pandemic mental health will be finally assessed, PTSD from COVID itself & caregiving, ALL OF 2020/21)
🔵Old requests- revisited (people wanna go back!)
🔵Need to be seen MORE often(higher acuity)
A therapist said: "We're helpers, we want to help everyone, we don't want to turn people away...so it's really hard to say, 'No, I can't fit anyone else in.' Or 'I can't help financially.'"
This leads to therapists taking more cases even at capacity & burnout & SUPER-WAIT LISTS
BUT WAIT LISTS AREN'T THE THERAPISTS FAULT,THE SYSTEM IS BROKEN.
Therapists should not be expected to burn out,take over capacity,&take pro bono cases when they can't afford it to fix it.
Oh, ALSO...I would LOVE for this to be talked about on the news. PLEASE. NEWS PEOPLE. PLEASE COVER THIS. PLEASE interview us about our jobs and consider this an issue worth discussing.
Let’s talk #mentalhealth in kids:
🔹in March 2020 &early April (bc of lockdown) kid ER visits for mental health ⬇️ 42%
🔹 Later April to Oct 2020,ED visits kids aged 5–11 & 12–17 years ⬆️ approximately 24% & 31%, respectively.
Kids are the future&if we don’t think abt their mental health& what we are doing to intervene,esp in a VERY resource strapped area(not a lot of specialists),we are really hurting them&our system for the long haul.
This is y mental health folks should b on #COVID19 task forces
BUT...while this is also concerning bc we turn to crisis services(ERs) bc the system is strapped&broken,I could make this argument for nearly every population in the US(&do when I show these slides of headlines in my talks)
The universal equalizer:All our mental health is shit.
Here is something I have been thinking about: Even though this is very much a national tragedy, the narrative & experience of it varies profoundly from state to state.
I wonder what that will do when a college kid from NY sits with their friend from FL & they “don’t get it”?
I remember being a freshman in h. school during 9/11 & in a small school in N FL where few people had even been to NYC, let alone had people there. At the time, my sister @KimberlyBlumen1 was in college there & I had been to windows on the world August 2001. I felt out of place.
That feeling prompted me going to boarding school in some way&on the first anniversary of it,surrounded by people who had lost parents & friends &got it..it felt much more right.
That disconnect can cause ruptures in friend groups &mental health effects. This is that magnified
THREAD: @NYMag's latest on the #WeinsteinTrial says the defense is attempting to discredit the survivors with 50+ pages of rape myths and logical fallacies - the same used to deny & justify male sexual aggression against women for decades.
As described by @Irin, the defense in the #HarveyWeinstein powerpoint boils down to two things:
1. "*Her behavior* afterward shows she was fine."
2. "My *otherwise* good behavior shows I couldn't have done it."
There is not one response to rape, assault, or trauma, or one classic victim. To suggest that there is or should be perpetuates rape myths that blame women & minimizing the real harm caused by rape.