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May 17 57 tweets 27 min read
The first of today's concurrent sessions are about to kick off! To prepare for this afternoon's keynote by Tim Flannery on #ClimateChange and #MentalHealth, I'm going to catch up on and tweet out yesterday's symposium, which is now available on demand. #RANZCP2022
Follow @coopesdetat who is going to jump into the 'training during pandemic' session and also #RANZCP2022 for more Congress discussions!
Chaired by Dr Cybele Dey, presenters incl A/Prof Fiona Charlson, Tara Crandon, Georgia Langmaid & Charles Le Feuvre @DrCybeleDey #climateactionnow #forhealthssake #RANZCP2022

This session is focused on a review of the #climatechange research, from people working in the area & lived experience #RANZCP2022
A/Prof Charlson is up first, a NHMRC Research Fellow at Qld Centre of Mental Health Research #RANZCP2022
The links between mental health and climate change are complex. A system's approach/view is required to address - A/Prof Charlson #RANZCP2022
In planetary health, the mental health impacts from climate change are framed as primary, secondary and tertiary. Primary impacts are most direct impacts, incl heat, fire, flood, etc - A/Prof Charlson #RANZCP2022
Secondary impacts are the less direct impacts on mental health and incl incl drought (which is long and chronic), sea-level rise, land degradation etc - A/Prof Charlson #RANZCP2022
Tertiary (societal level) impacts are far more complex, but potentially the most significant in terms of mental health outcomes. Incl displacement & migration & loss of connection to land, reduced production of productivity - A/Prof Charlson #RANZCP2022
Strain on community cohesion & social capital is one of the bigger tertiary impacts from climate change - A/Prof Charlson #RANZCP2022
Latest IPCC report shows heat is a particular vulnerability for Australia - A/Prof Charlson #RANZCP2022
Evidence has shown that the mental health impacts from heat are potentially more significant than from some of the other #climateemergencies. "Heat is more insidious" - A/Prof Charlson #RANZCP2022
ED presentations, self-harm and suicide increase during extreme hot days - A/Prof Charlson #RANZCP2022
Spectrum of mental health impacts incl psychological distress, PTSD, depression, environmental & climate specific specific constructs, such as climate anxiety and eco-grief - A/Prof Charlson #RANZCP2022
Not being researched currently, but there may be potential neurodevelopmental impacts from #climateemergencies - A/Prof Charlson #RANZCP2022
Priority populations = young people, people with pre-existing mental illness, LMIC (livelihoods tied to environment), farmers & global Indigenous populations - A/Prof Charlson #RANZCP2022
Research gaps are substantial. We know quite a lot about the impacts of climate change, as 80% of research explores the mental health impacts of climate change....- A/Prof Charlson #RANZCP2022
... But very little research done to identify vulnerabilities and what policies should be designed to safeguard populations - A/Prof Charlson #RANZCP2022
Some research in the space is being undertaken in Stanthorpe, a rural, predominantly ag-based region in QLD....- A/Prof Charlson #RANZCP2022
Some prelim findings indicate climate change impacts farming practices, land management, which then feeds into financial impacts, which results in poor social & emotional wellbeing outcomes - A/Prof Charlson #RANZCP2022
Climate change also links to pressures to migrate, disaster preparedness and resilience. The point is, Charlson says, that it is hugely complex and all of these factors and systems weigh down on mental health outcomes - A/Prof Charlson #RANZCP2022
Session chair @DrCybeleDey reinforces the point about impact of #climatechange on Indigenous people. "The impacts of climate change on mental health are effecting those least responsible first and worst." #RANZCP2022
There are many First Nations people who have some amazing things to offer & wisdom & actual solutions to the problem. One of the journey's that the College is on is to listen & engage more in that area - @DrCybeleDey #RANZCP2022
Tara Crandon, PhD candidate, is the next speaker in this session and will discuss how children & adolescents are psychologically responding to climate change. #RANZCP2022
Climate anxiety might be the existential loss you feel when you think about how you or your children might be impacted by climate change - Crandon #RANZCP2022
...or a fleeting sense of panic you might feel when you realise you've left your reusable bag at home and have to use a plastic one - Crandon #RANZCP2022
"Climate anxiety is the initial alarm bell telling you that something needs to change" - Crandon #RANZCP2022
Experience of climate anxiety can be different in different people. It is a relatively unmapped concept. Crandon & colleagues have done some work in mapping the concept 👇 #RANZCP2022
A global systematic review of 10,000 participants from 10 countries (incl Australia, UK, Brazil, India & others) looked at how young people aged 16-25 years felt about climate change - Crandon #RANZCP2022
Key findings = 84% of young people feel moderately to extremely anxious about climate change, 75% think that the future is frightening, and 55% think "humanity is doomed" - Crandon #RANZCP2022
This is an understandable response from young people, who are more likely to experience climate anxiety - Crandon #RANZCP2022
Young people need to be supported with the incredible burden from #climatechange - Crandon #RANZCP2022
Crandon's research includes looking at what systemic factors influence young people to fall on more helpful end of, or more unhelpful end, of climate anxiety spectrum - Crandon #RANZCP2022
Young people's perceptions of the threat of #climatechange is shaped & influenced by many layers of systems and environments "they are nested within"- Crandon #RANZCP2022
More distal influences might be government or cultural influences on young people's anxiety, such as whether governments include young people in decision-making about climate change....- Crandon #RANZCP2022 #AusVotesHealth2022
If young people are being included or excluded from conversations and how governments respond and sufficiently address #climatechange will also influence young people's #climateanxiety - Crandon #RANZCP2022 #AusVotesHealth2022
Cultural influences might include when young people are spiritually or culturally connected to lands that they can see are changing, which might influence how anxious a young person feels about their future and culture - Crandon #RANZCP2022 #AusVotesHealth2022
Overarching all of the systems are climatic changes over time. - Crandon #RANZCP2022 #AusVotesHealth2022
Key message by Crandon - we need to continue to focus on how we can help young people on a one-on-one level engage with #climatechange and anxiety, in addition to implementing systemic strategies #RANZCP2022 @AusVotesHealth2022
Chloe Watfern is the next presenter in the session, who recounts her own personal experience of climate distress during the 2019 bushfires #RANZCP2022
While not in immediate danger, Watfern talks about the guilt & despair felt about the world in which future children would inherit #RANZCP2022
The present already felt apocalyptic, but aware it was going to get worse - Watfern #RANZCP2022 #ClimateEmergency
Attending protests & sending letters to politicians felt futile, certain that government would continue to fund fossil fuels - Watfern #RANZCP2022 #AusVotesHealth2022
Watfern talks about how the publication of the 6th IPCC report and conversations with her family and friends about her distress helped spur her into action #RANZCP2022

ipcc.ch/assessment-rep…
They came up with 'Hot People Make Cool Planets' t-shirts to start conversations and connections about #climateemergency with all profits going to @climatecouncil - Watfern #RANZCP2022
hotpeoplemakecoolplanets.org
Beyond t-shirts, Watfern is working out ways to "offer her strengths and skills to tend the world the best she can" #RANZCP2022
Shifting the focus to building hope, resilience and connection in the face of this normal but, as known from own experience, climate distress - Watfern #RANZCP2022
A powerful, heartfelt account by Watfern, describing feelings of fatigue, despair, anxiety & cognitive dissonance at the impacts of #climateemergency in Australia and the world & how turning that into hope has helped spur action #RANZCP2022
Dr Charles Le Feuvre is the final speaker in this session, talking about work in Psychology for a Safe Climate #RANZCP2022
Dr Feuvre discusses PSC model for patient care. Their primary belief is that climate distress is a healthy reaction to #climateemergency but can lead to debilitation if not addressed. #RANZCP2022
psychologyforasafeclimate.org
Le Feuvre calls into question the #biospsychosocial model of care, suggesting it should be expanded to the #biopsychosocial-ecological-planetary model #RANZCP2022
The hurt described in quote below is now happening with #climatedistress - Le Feuvre #RANZCP2022
PSC's signature group therapies includes art workshops to express and share emotions - Le Feuvre #RANZCP2022
psychologyforasafeclimate.org/workshops/
Children & young people are very concerned about climate change as demonstrated in the Lancet global survey discussed by Tara Crandon - Le Feuvre #RANZCP2022

thelancet.com/journals/lanpl…
Significant finding in The Lancet survey is the association between young people's climate anxiety and government inaction - Le Feuvre #RANZCP2022 #AusVotesHealth2022
It should be noted that action such as school strikes is good for mental health, Le Feuvre says #RANZCP2022
Echoing Stan Grant's words, Le Feuvre says "who is going to lead us" in #climateaction & also acknowledge & hold the distress evoked by the climate crisis - #RANZCP2022 #AusVotesHealth2022

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More from @CroakeyNews

May 18
I'm catching up on some of the recorded sessions & will start a thread on the 'Impact of the UN Committee’s statement in 2019 in relation to the minimum age of criminal responsibility', one of #RANZCP2022's recorded sessions, presented by Invited speaker Dr Enys Delmage
Dr Delmage is a consultant in adolescent forensic psychiatry and has worked in an adolescent forensic inpatient unit in Porirua, New Zealand, since November 2017. He has an interest in the law as it relates to children.ranzcp2022.com.au/dr-enys-delmage #RANZCP2022
Minimum age of criminal responsibility is defined as the age below which is deemed incapable of having committed a criminal offence. Below this age, children are 'doli incapax' - incapable of knowing that what they were doing was wrong- Dr Delmage #RANZCP2022 Image
Read 20 tweets
May 18
I'm going to join the session about codes of ethics in psychiatry. Three presentations by Paul Appelbaum, a "godsend" for psychiatry with an international perspective, Izaak Lim & @sidney_bloch #RANZCP2022

Follow @coopesdetat for tweets on 'psychosis and schizophrenia' Image
Prof Paul Appelbaum is, among other things, a Professor of Psychiatry @ColumbiaPsych, joining us live from New York- @appelbap #RANZCP2022
History of the World Psychiatric Association's involvement with history - @appelbap #RANZCP2022
wpanet.org Image
Read 31 tweets
May 17
Starting a new thread for the next keynote by
Assoc Prof Loyola McLean, talking about 'changing bodymind: on attachment, trauma and regulation' #RANZCP2022
sydney.edu.au/medicine-healt…
How do we bring two or more very different points of view together, how do we bring the past and present together? How do we move forward as individuals, as dyads, as a college? - A/Prof McLean #RANZCP2022 Image
To First Nation's people around the world, how do we move forward, how do we open up a future? - A/Prof McLean #RANZCP2022
Read 10 tweets
May 17
First keynote is by Prof Belinda Lennox @BLennox4, from University of Oxford, speaking about 'autoimmune psychosis-current state of play' #RANZCP2022
Schizophrenia/psychosis is a brain disorder, with neurological as well as psychiatric symptoms. The question being discussed is what evidence is there that some psychosis is autoimmune - @BLennox4 #RANZCP2022
Have diagnostic criteria and therapies - but not as much as known about the cause of psychosis - @BLennox4 #RANZCP2022
Read 28 tweets
May 17
Beautiful views in Sydney for the third day of #RANZCP2022! The third day sessions will start soon.
Below is a thread of 5 key takeaways from sessions I saw on Day Two, a day which focused on priority populations and the impacts of climate change.
1/ Important to embed cultural safety into mental health service provision that is based on authentic co-design, allowing culturally appropriate and flexible methods of sharing knowledge - Dr Kashyap #RANZCP2022
2/ Healthcare workers, including psychiatry clinicians, need to be open, honest and acknowledge own vulnerabilities - A/Prof Coleman #RANZCP2022
Read 7 tweets
May 17
While @coopesdetat is following Tim Flannery's keynote, I am going to jump in and catch up on the Indigenous mental health session from yesterday -@AlisonSBarrett. #RANZCP2022
Session chair, Dr Emma Adams, provides a heartwarming acknowledgement of country and lovely introduction to the presenters - Prof Helen Milroy, A/Prof Mathew Coleman, Dr Shraddha Kashyap & Dr Jemma Collova #RANZCP2022 Image
Broad overview of Transforming Indigenous Mental Health & Wellbeing Project, aiming to improve Aboriginal & Torres Strait Islander mental health through Aboriginal leadership and authentic partnerships. #RANZCP2022
timhwb.org.au
Read 54 tweets

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