Using Cinema Narrative in therapy for Children & Young People

Using Narrative from Popular Cinema in therapy for Children & Young People

By Dr Minnie Joseph | January 2025

Cinema narrative therapy uses film to help people process their thoughts, feelings, and beliefs. It’s a combination of narrative therapy and cinematherapy. It is a powerful and innovative tool used by mental health professionals to help people of all ages but especially children and young people. It helps them to understand and reshape their personal stories. Therapists engage with narratives found in films, books, and even YouTube clips. The young people are then able to view their lives from a new perspective, more objectively. This often leads to healing and personal growth.

When I ask my teenage patients to see latest Will Smith film, or check out whether younger children like Kung Fu Panda, I am not striking up small talk. I’m using narrative as a clever tool in a psychiatrist’s kit that can help people unravel issues that trouble them.

For centuries traditional folk and fairy tales have been used to do the very same thing. There is scientific evidence that they have a huge positive impact on positive psychology, helps promote resilience, self realisation, personal growth and meaning in life.

I have therefore explained the various ways in which films can be used in a productive way below: 

The Role of Stories in Therapy

Scientific research and evidence supports the media’s ability to promote resilience, self-realisation, personal growth and meaning in life. Stories offer a structured way to comprehend complex emotions and experiences, allowing individuals to see themselves and their situations more clearly in an objective way.

Understanding Through Stories

Narrative therapy operates on the principle that people understand the world around them—including themselves—better when they can contextualise it within a story. For children, nursery tales and Disney films often illustrate the triumph of virtues like honesty, loyalty, and courage over adversity. These narratives help young minds to grasp the workings of the wider world beyond their immediate family. This offers hope, courage and joy to these young people.

Addressing Distorted Personal Narratives

Children and adolescents who experience distress often develop distorted personal narratives. For instance, a child bullied at school might rewrite her story to view herself solely through the lens of victimhood. Narrative therapy aims to disentangle the individual from their problem, helping them to recognise and celebrate their unique qualities.

Through therapy, I separate the person from the problem. A teenage with a diagnosis of anorexia is just that, a teenager first, then someone with an eating order. This is the problem to tackle; it is separate from the unique and wonderful things that make her who she is.

Using familiar stories, therapists can quickly build rapport with young patients. Films and popular media often speak a language that resonates more with this age group than traditional psychological jargon.

Films as Therapeutic Tools

Incorporating films into therapy can be incredibly effective. Many movies depict characters undergoing transformative journeys that mirror the goals of narrative therapy. For example, in Kung Fu Panda, Po learns to embrace the present and appreciate his unique identity as a panda with a goose as a loving father. Similarly, Collateral Beauty features a father who, after the tragic loss of his child, learns to reframe his narrative to rediscover the beauty in life. It is only when he is able to embrace a fresh story, that respects but contains the past, that the can re-find the ‘beauty’ of life. 

Crafting Your Own Narrative

Ultimately, narrative therapy empowers individuals to become the storytellers of their own lives. By re-telling their stories in a way that centers their strengths and aspirations, rather than their problems, people can foster a sense of agency and purpose. How might you reframe your story to place yourself—not your challenges—at the heart of your narrative? Reflect on your qualities, experiences, and dreams to craft a story that truly represents who you are.

Therapy using narrative takes hold of the idea that we understand things in life – ourselves included – more easily when we wrap them around a story. So younger children can learn about how the world outside their family works from nursery tales.

You are the teller of your own story. How could you re-tell it to keep you, not any problems you are facing right now, at the centre?

Author: Dr Minnie Joseph
Child and Adolescent Psychiatrist

 

Contact: 
Email – clinicadmin@oaktreeconnect.co.uk
Telephone – 020 39277699

Using Emotional Intelligence & Psychology to Succeed As a Leader

How You Can Use Emotional Intelligence & Learn Psychology to Succeed As a Leader

Part Two of the 'Psychology of Leadership' Blog Series

By Dr Meetu Singh | January 2025

Simply put, Emotional intelligence or EI is the awareness of, the ability to understand and manage our own emotions, and those of the people around us. A person with emotional intelligence would be someone who is understanding, empathic, interprets emotional signals and can manage these. This is an essential for leaders, to achieve success. After all, why would anyone want to follow someone who does not know their own self, fails to recognise their own or their colleague or supervisee’s feelings. It is therefore vital for the organisational and individual’s own growth.

Definitions of Emotional Intelligence

Daniel Goleman: In his definition this American psychologist listed the key features of EI, Self-awareness, Self-regulation, Motivation, Empathy, Social skills.

The four-branch model by Mayer and Salovey characterises emotional intelligence as a set of four related abilities: perceiving, using, understanding, and managing emotions. This provides a useful framework to study differences in abilities of individuals in processing information  about emotions. According to them the term emotional intelligence means an intelligence having to do with emotions, understanding these in self and others and being able to express these. They state that EI is just one of hundreds of parts of our personality. However, this maybe a very limited view of this phenomenon. It is an overview of and understanding of emotional reaction in self and others around us. The definition provided by Daniel Goleman therefore seems more appropriate and wholesome.

The world is full of challenges, difficult targets to meet, “left brain” work with hard facts and numbers, it is therefore understandable that more emphasis is placed on IQ. The ‘softer right brain’ skills however are ignored and neglected. At school, formal education mostly concerns itself with ‘hard skills’ with aspects of the soft skills left for the individuals to explore and develop by themselves. As a direct result, most people around us would not even realise that there was this huge gap in their skill set. Such a high IQ leader with low EQ would then be unaware of how members of the team feel uncared for, if that is the case.

A leader’s role is to be highly motivated at all times, consistent, learning and developing skills constantly, provide strength, discipline and stability to a whole organisation. This is a big ask (almost impossible) but through self-awareness and self-compassion they can aspire for it. For if you know yourself, your limits and emotional triggers, and are accepting of these, the first hurdle is crossed. (Know yourself, read my article: Paths to Self-Awareness)

How Can You Implement Emotional Intelligence In Your Practices?

Rather than suppressing these limitations and weaknesses or seeing emotions as limitations which unfortunately many leaders would instinctively do, the next step ought to be for a good leader is to develop strategies to manage the limitations and channel the emotions. Self-compassion is self preservation, without this as a leader you would burn out, sooner or later. (Read: Self Compassion and Preservation). Easier said than done, I hear you say. Many of the readers who are leaders would agree that looking after self, needs tremendous discipline, as similar to mothers, leaders put their own needs below that of the organisation. This is an error that many would regret. 

Following the original description and definitions of EI in the 1990s a large number of psychometric tools designed to measure it were invented and developed. Currently, there are more than 30 scales and measures being used widely. It seems like some have been adopted readily as valid tests by those adept in this field; the non-psychologists of the world find the choice of tests complex with  overlapping and confusing terminology. 

The picture is further complicated by the fact the EI has been further classified into Ability EI and Trait EI, the former are measures which use questions/ items comparable to those found in IQ tests, trait EI scales use self-report items to measure overall EI and its sub dimensions. We then have the mixed EI that refers to questionnaires that measure a combination of traits, social skills and competencies that overlap with other personality measures. 

for the purpose of defining the reason for the tests.

On literature search the following seem most reliable tools:

  1. Mayer-Salovey-Caruso Emotional Intelligence Tests (MSCEIT), Mayer et al. 2002
  2. Self-report Emotional Intelligence Test (SREIT), Schutte et al., 1998
  3. Trait Emotional Intelligence Questionnaire (TEIQue), Petrides and Furnham, 2001
  4. Bar-On Emotional Quotient Inventory (EQ-i), Bar-On, 1997
  5. Emotional and Social competence Inventory (ESCI), Boyatzis and Goleman, 2007)

In summary, emotional intelligence allows you and enables:

1. Recognising emotions, strengths and weaknesses in self and others that helps with finding the right roles for each person within a team.

2. The team members can work in unison, complementing each other at work to reach a common goal, rather than everyone doing everything.

3. Reduces work related stress as people do things they are good at rather than struggling with areas where their struggles lie.

4. Subtle monitoring of the team morale, common vibe helps the leader to make the team feel that they care for them as people rather than performance machines, hence more motivation to achieve their individual performance and potential.

5. Recognising negative emotions or stress in individuals early and supporting the team members early would prevent “blowouts” or crises which can be damaging to the whole team, immediately and even in the long term, helping with avoiding conflicts altogether and when conflictual situations do occur then an emotionally intelligent leader would have the ability to arrive at a more positive outcome by being objective and unbiased.

6. Self care and compassion prevent burn out in the leader, of whom the expectations are exceedingly high.

My next article: Self-Compassion and Preservation for Leaders

Are you a leader and need mentoring or coaching? We may be able to help. Contact us at contact@oaktreeconnect.co.uk.

Dr Singh is the consultant psychiatrist with a special interest in neuropsychiatry.  Having seen and treated hundreds of patients with ADHD, in London and Birmingham and with masters in Neuropsychiatry, she is well known as an expert in this field. 

Contact: 
Email – clinicadmin@oaktreeconnect.co.uk
Telephone – 020 39277699

Oaktree Connect Fees & Pricing for Other Services

There may be additional fees payable after your assessment, for which you will receive an invoice: for example, for the costs for prescribing medication agreed between you and the psychiatrist at the time of assessment. We try our utmost to stay within the time allocated for the appointment however, you could be charged for any extra time spent in the consultation, if the meeting runs over the allocated time, or where communications with you or reviewing notes etc. exceeds what is deemed reasonable, but this is at the discretion of the clinician.

Paths to Self-Awareness – Success in Personal & Professional Life

Paths to Self-Awareness - Measuring and Acheiving Success in Personal & Professional Life

Part One of the 'Psychology of Leadership' Blog Series

By Dr Meetu Singh | January 2025

As someone who has been in a caring business and managed several teams and organisations, I have discovered that self-awareness is the most important skill one can develop. The discovery did not stop there; it is also the most challenging one to hone, especially if you are ambitious, determined, passionate, and ‘left-brained’. This is due to the fact that there happen to be various dependencies here. It requires self-discipline, emotional intelligence and resilience to recognise your weaknesses and faults and to ‘take it on the chin’. However, through some tough experiences myself, I have discovered that it is crucial to success. 

It is about gaining the knowledge of who we are: our strengths and positive aspects of our personality but equally our weaknesses, pain points, ‘triggers’, and negative reactions to people and events are important. These can assist or serve as hurdles with work, especially when managing not only ourselves but for others as well. 

Our reactions to situations and behaviours in response to external events can reflect our personality and past experiences (nature versus nurture) as much as the external event itself. In a team, every member’s behaviour, emotional reactions, and actions impact the other members’ behaviours, where motivation acts almost in a domino effect. Therefore, there is an impact on the team’s performance as a whole from that of individuals.

Self-Awareness in the Home and the Office

This is more pronounced with leaders who are role models for the team- the ‘go-to person’. A leader who demonstrates diligent work, makes an effort to be empathic but firm and disciplined themself, and has a high level of self-awareness is very likely to influence other members of the team. Hence, the team culture moves in that direction.

Positive behaviour by self is likely to be adopted by others in the team, which improves working relationships and openness balanced with restraint. 

Recognising emotional triggers is a crucial aspect of understanding self. These are any instances or events that trigger a strong emotional response in a person. Anger, deep sadness, fear or even ‘paranoia’ are a few examples. They are reflections of negative experiences in the past, like emotional trauma in childhood, current circumstances and, to some extent, personality. Some of these are instances of errors at work, authoritarian management, negative reviews, and disputes with colleagues. They can bring about rifts if looking beyond the current problem and objectivity are not achieved. The most common example could be criticism from a supervisor. This could evoke anxiety and distress in those who suffered due to hyper-critical and authoritarian attitudes taken up by the responsible adults in their household whilst growing up. 

For those who struggle with self-monitoring and reflection, the essential skill must be developed, particularly for leaders. It is difficult to face one’s weaknesses and admit failures or ‘faults’. 

So how do you achieve self-reflection and discovery?

Self-reflection through personal notes & journals has been proven to be so effective that in certain professions- health care services being one- self-reflective exercises have been formalised. They have become mandatory additions to annual professional development activities for team leaders. It forms part of the annual appraisal and performance reviews to emphasise that personal growth is virtually impossible without ’looking in the mirror’ and actively changing behaviours that hamper development and team performance.

Theoretical knowledge is miles away from the ability to apply it to personal behaviours. The significance of reflecting and putting self-observations on paper cannot be overemphasised.

Recognising the triggers following any negative event helps in understanding the facts, triggering factors, and our emotional reactions to specific situations, behaviours that ‘naturally follow’ these. This, followed by viewing the above objectively- preferably with a mentor- can help develop insight into whether our reaction to the event was proportionate and fair.

Recognition of triggers could give a good sense of ways the situation could have turned out differently if our reactions had been more rational rather than emotional. Taking away lessons from this exercise is invaluable in preventing or reducing the intensity of similar situations in the future or at least, better management of behaviour to minimise the harm. New strategies can be developed following this learning.

Seeking Feedback: Gathering, reflecting on, and applying outcomes from feedback is critical to effective leadership. Although feedback on a day-to-day basis ought to be our way of functioning, it can be forgotten and ignored if one is not careful. Some methods that are more practical to apply in daily practice are:

1. Self-observation & Appraisal- Making a note of the daily feedback from colleagues, customers, and personal contacts can help raise self-awareness.

2. SWOT- Building personal strengths, weaknesses, opportunities, and threats assessments based on feedback is an excellent method that helps use one’s strengths to personal advantage, opting for roles and responsibilities that are likely to play to these.

Targeting training on specific skills considered ‘weaknesses’ may eliminate or reduce them with the right attitude and motivation.

3. Psychometric Tools- A scientific and quantitative approach to feedback that can objectively measure the individual’s mental capabilities, behavioural style and personality traits in the form of psychometric tools can be valuable to indicate an individual’s suitability for a role. Therefore, informing individuals and organisations about assigning jobs for themselves and employees can help them meet their potential and not set them up for failure by ignoring their capabilities. Some examples of reliable psychometric tests would be ILM72 for leadership styles and OPQ32, which measures an individual’s personality preferences in the workplace.

Used appropriately, they can help make the assessment measurable, reduce natural subjective bias and increase self-awareness. According to Cut-e- one of the principal psychometric assessment and talent measurement companies- 81% of companies that use psychometric tools make more reliable and less risky decisions although only 57% believed psychometrics could help predict future performance.

The example of Paul Flowers, chairman of Co-op bank is cited to illicit the latter statistic. He was hired because, apart from being a Methodist minister with little experience in banking, he performed well in psychometrics. 

The unfortunate fact is that by searching Google, thousands of ways to ‘pass psychometric tests’ appear, which can help bag a job that may be unsuitable. Trying to fool these tests and ignoring feedback they provide can be an unfortunate way to “lie to self” about one’s capabilities, strengths and weaknesses.

If used judiciously with other methods, their use can be a fruitful exercise for a manager and the organisation and beneficial to increasing a manager’s self-awareness.

5. Multisource Feedback (360-degree feedback, Surveys)- The patterns of peers’, junior, and senior colleagues’ views about one’s strengths, weaknesses, commendations, and complaints are a powerful tool for recognising things that we are ‘blind to’ or in denial about. If colleagues at various levels of experience state similar observations about working with a person, it may become more believable and less likely to be thought of as a biased opinion.

 The exercise of requesting, reflecting on, and encouraging conversation about the observations made by colleagues is not only helpful towards furthering self-awareness. It also promotes dialogue about the leader’s weaknesses when even junior colleagues can voice their opinions. This provides the opportunity for the leader to develop new skills.

Actions You Can Take

“I know all about myself so what next?” I hear you asking. Here is what you can do about these triggers, and saying that this can transform your professional and personal life is not an exaggeration. 

Plan your Responses: Journaling trigger events, responses, objective understanding, and planning new responses are invaluable skills. There is nothing like thinking up a plan with a ‘cool head’. 

If you put these down and record them over time, you will see new patterns emerging. This exercise makes self-management with compassion part of everyday work rather than a one-off rather than forgotten until the next problem occurs.

Recognising and accepting emotions is of paramount importance to then be able to manage these. For example, an individual may be aware that any criticism from their supervisor, even if constructive, is a trigger for them to feel like a failure. Prepare to distract from the situation for a short while until they feel ready to revise the issue. When the initial ‘emotional storm’ settles, devising a rational and pragmatic approach is preferable to an emotional, knee-jerk reaction that could get them into trouble.

Behavioural Techniques like slow, consistent breathing, muscle relaxation and mindfulness can come to assist when faced with situations an individual knows they would find difficult emotionally. Again, this can help remain calm in these situations, giving that time needed for the emotions to settle until the active thinking can begin.

Professional help in the form of mentoring and coaching are paramount when specific emotional triggers become an issue and start hampering the performance of oneself or the team. Therapy for resilient and consistent emotional responses displays our understanding of our issues, self-compassion and motivation to improve.

My next article: Succeed as a Leader- Use Emotional Intelligence

Are you a leader and need mentoring or coaching? We may be able to help. Contact Oaktree connect on Contact@oaktreeconnect.co.uk

Dr Singh is the consultant psychiatrist with a special interest in neuropsychiatry.  Having seen and treated hundreds of patients with ADHD, in London and Birmingham and with masters in Neuropsychiatry, she is well known as an expert in this field. 

Contact: 
Email – clinicadmin@oaktreeconnect.co.uk
Telephone – 020 39277699

Yoga to Manage Anxiety- Scientific Evidence

Can Practicing Yoga Help Manage Your Anxiety? - Yes, Here's How.

The Scientific Evidence Behind Yoga and Mindfulness

By Dr Meetu Singh | March 2024

In a fast-paced world filled with stressors and demands, anxiety has become a prevalent mental health issue affecting millions of people worldwide. The side effects and the high costs associated with the current pharmacological therapies has encouraged exploration of alternative methods of treatment. Fortunately, there are natural and holistic approaches to managing anxiety that do not rely on medication alone. Yoga has emerged as one such powerful tool to combat anxiety, offering both mental and physical health benefits.

In this article, we explore the science of anxiety, the basic tenets of yoga, and the evidence supporting it as an effective anxiety intervention. We will be able to find out about how yoga works by combining physical postures, breathing techniques, meditation, and relaxation to help calm the mind and reduce anxiety. This is the added bonus to the fact that, it also helps improve your overall physical health, which obviously is interlinked with your mental health.

The Science of Anxiety

Individuals grappling with anxiety often find themselves trapped in an endless cycle of excessive worry, fear, and tension. These emotional experiences of anxiety are accompanied by several physical symptoms, such as accelerated heart rate, muscle tension, shallow and rapid breathing, and a heightened state of alertness. These bodily responses are the result of the body’s intricate stress response system, which is designed to prepare us to react quickly in the face of perceived threats—a mechanism often referred to as the “fight-or-flight” response.

Scientific research has delved into the physiological underpinnings of anxiety, revealing intriguing insights into the body’s stress response. Studies consistently demonstrated that individuals with clinical anxiety disorders tend to exhibit significantly elevated levels of cortisol—a hormone produced by the body when in high-stress situations. Cortisol plays a crucial role in regulating various bodily functions, including metabolism and immune response to physical illnesses. In anxiety, the body’s cortisol production can become dysregulated, contributing to the ongoing experience of heightened stress.

Also cytokines, a group of proteins produced by the immune system as part of its response to infection, injury, or stress [1] is elevated, in individuals with clinical anxiety, suggesting a complex interplay between the immune system and the brain in the development and experience of anxiety disorders.

These findings clearly demostrate the intricate relationship between the mind and body in the experience of anxiety, in turn highlighting the importance of holistic approaches like yoga and mindfulness to address both the mental and physical aspects of this condition.

Yoga: History and Key Tenets

Yoga has a rich history dating back thousands of years in India, rooted in the idea of uniting the individual self with the universal consciousness. Its core philosophy is detailed in Patanjali’s Yoga Sutras, which includes moral guidelines, physical postures, breathing techniques and meditation, the principles of which have inspired mindfulness exercise, among other practices. Over time, yoga has become a global phenomenon, celebrated for its ability to create harmony between the mind, body, and spirit, and for its potential to deepen the practitioner’s connection with themselves and their experiences.

In the context of anxiety, yoga is believed to offer profound benefits. Its emphasis on breath work, mindfulness and physical postures, exercise and relaxation is thought to help activate the body’s relaxation response, reducing physiological symptoms like increased heart rate, muscle tension and shallow breathing. Moreover, yoga’s holistic approach can potentially address not only the symptoms but also the underlying causes of anxiety, promoting overall well-being and mental clarity [2].

Yoga promotes slow deep breathing techniques used to relax the mind and body as well as to increase oxygenation (pranayama). As we know, symptoms associated with anxiety include short and quick breaths, with resultant dizziness, yoga helps with breath training which may help during anxious episodes. Considering that yoga involves active attention exercises, it has been shown to increase deeper and mindful thinking processes, hence is calming.

One of the proposed actions of yoga is the activation of the part of our nervous system that slows breathing and heart rate down (parasympathetic nervous system). Studies have also shown that yoga increases the natural level of GABA, a brain chemical (neurotransmitter), which helps with a relief from anxiety.

Yoga & Anxiety: Evidence from Research

 

Several scientific research studies and systematic reviews of these studies provide substantial evidence supporting the effectiveness of yoga in reducing anxiety. One analysis found that yoga was effective in both short-term and long-term anxiety reduction for individuals with non-clinical anxiety (people who have not been formally diagnosed with an anxiety disorder). This analysis also found yoga to be effective in the short-term reduction of anxiety for those with a formal diagnosis, but less so in the long term [3].

Another review of 27 different studies focusing on yoga as either a primary or secondary treatment showed that in majority reductions in both physical and mental symptoms of anxiety [4] was experienced by those who were treated. Further research has shown yoga to be as effective as medication at reducing symptoms of anxiety and depression, and a combined treatment of yoga and medication to be more effective than medication alone [5]. One study looking specifically at the biochemical relationship between yoga and anxiety found that yoga effectively reduced helped reduce high blood pressure, elevated heart rate, cortisol levels, and cytokine production [6], suggesting that yoga’s benefits can be both physical and psychological.

Interestingly, these findings have been supported across every age group and gender. Several studies specifically focused on children and adolescents, showed that yoga was an effective intervention for anxiety in both the short and long term, and was superior to other holistic practices such as mindfulness and meditation [7.8].

Other research has found yoga to be more effective at reducing symptoms and anxiety and depression than other forms of exercise in elderly populations, as well as improving cognitive function [9]. Gender-specific research on yoga has shown it to be effective at reducing physical and mental symptoms of anxiety and depression in both women [10,11] and men [12].

Yoga Helpful Practice

Medication used as the first line treatment of ADHD, including Elvanse (Lisdexamfetamine), Concerta, Ritalin (methylphenidate), do they help improve your performance at work or school? What about your social life, is the medication effective in improving your ability to make and maintain friendships and relationships? Below are some scientific facts and observations about the effectiveness of stimulants in treatment of ADHD.

Breathwork

 

Experts state that taking 3 slow deep (more likely the mean abdominal breaths) causes release of serotonin, a brain chemical that helps with reducing anxiety and depressive symptoms. Yoga helps expand the lungs, which in turn causes a feeling of calm.

– most breath practices in yoga involve inhaling and exhaling through the nose, not mouth breathing, there is evidence that this promotes inhalation of more nitric oxide (no).  Nitric oxide is drawn deeply into the lungs, where it can reduce the respiratory rate, thus slowing down the breathing rate and therefore help reduce hyperventilation. Slow natural breathing, humming breath techniques, gentle breath retention practices and chanting (mantra) or positive vocal affirmations can all help promote increased no levels in the bloodstream, which help reduce anxiety, as well as holding us safe and without self-judgement in the present moment as we focus on our breath.

Physical activity/ Postures

 

Not to be overlooked is the anxiolytic benefit of physical yoga practice! There is substantial evidence that exercise and body movement helps manage anxiety. Most forms of yoga (hatha yoga) are physical mindful. The fact that we are completely focused on the postures and the breath through internalisation, avoids external distractions which induce anxiety. Repetitive physical movements with breath intertwined, which acts like a mindful moving meditation, helps dampen the sympathetic nervous system’s stress response via promoting a return to the parasympathetic response. One breath practice which is strongly  calming is ujayii (victorious) breath.

Regular routine of practice – regular practice is encouraged for longer term management of anxiety. It works best if we have a fix every day!

A space to self nurture and feel safe – there is this ritual; we roll out our mat to practice, maybe light a candle, find our self in a familiar space. We designate a safe place for ourselves where we can put our anxieties at the periphery. The ‘me time’ is anxiety soothing and empowering in its own right.

Effects on improving sleep. Yoga helps improve sleep. Poor sleep makes anxiety states worse so there is a positive feedback loop here.

Anxiety disorders & neurodiversity – may include of comment to broaden things, linking anxiety to other anxiety disorders and neurodevelopmental disorders such as ASD/ ADHD etc

Conclusion

 

In conclusion, the science of anxiety has illuminated the intricate relationship between our mind and body, revealing how the body’s stress response system can become dysregulated in the face of excessive worry and tension. The physiological markers of anxiety underscore the complexity of this condition. However, amidst this complexity, the ancient practice of yoga offers a powerful tool to combat anxiety. Its emphasis on breath work, mindfulness, and physical relaxation activates the body’s relaxation response, alleviating the physical symptoms of anxiety. Moreover, through its holistic approach, yoga’s capacity to address both the symptoms and underlying causes of anxiety promotes overall well-being and mental clarity.

A wealth of scientific evidence supports the effectiveness of yoga in reducing anxiety across age groups and genders. From children to the elderly, yoga has consistently demonstrated its potential to enhance mental and physical well-being and should be promoted as an effective intervention. Whether used alone or in conjunction with medication, yoga proves itself as a versatile and potent tool for managing anxiety.

Dr Singh is the consultant psychiatrist with a special interest in neuropsychiatry.  Having seen and treated hundreds of patients with ADHD, in London and Birmingham and with masters in Neuropsychiatry, she is well known as an expert in this field. 

Contact: 
Email – clinicadmin@oaktreeconnect.co.uk
Telephone – 020 39277699

ADHD & Relationships- How Can I Make Them Work Better?

Managing Your Relationships When You Or Your Partner Has ADHD

Can We Do Them? Yes We Can! Find out How Below

By Dr Meetu Singh | March 2024

Ever wondered why it is so hard to sustain happy, committed relationships with ADHD (Attention-Deficit/Hyperactivity Disorder) like the other millions of people who suffer from this disorder.

From personal experience and research on this topic, we know that ADHD can significantly impact relationships, both personal and professional.

Although the boisterous, interesting and mostly outwardly cheerful disposition of many people with ADHD makes them attractive and engaging at first, the symptoms of inattention, impulsivity, and hyperactivity, disorganisation can create various challenges for them in their ability to maintain healthy and positive, long term relationships.

If you suffer from ADHD or someone you love or care about does the following information will help you better understand these challenges:

Inattentiveness: People with ADHD may have difficulty paying attention to conversations or activities, making their partners feel ignored or unimportant. It can sometimes be taken personally by others as a deliberate act of not listening, purely to insult them.

Impulsivity: Impulsivity can lead to saying or doing things without thinking through the consequences, which can result in misunderstandings, conflicts, or hurt feelings.

Forgetfulness: Memory problems are common in individuals with ADHD, leading to missed anniversaries, birthdays, or other important events, which can be hurtful to their loved ones.

Procrastination: Difficulty initiating tasks or completing them on time can cause stress and frustration, especially when it affects shared responsibilities, such as household chores or financial obligations.

Time management issues: Chronic lateness or difficulty estimating how long tasks will take can lead to frustration and resentment from partners who are left waiting or burdened with extra responsibilities.

Emotional dysregulation: Some individuals with ADHD may struggle with emotional control, leading to mood swings and impulsive outbursts that can be unsettling for those around them.

Difficulty with communication: ADHD-related difficulties in organizing thoughts and staying on topic can make it challenging to have productive conversations, leading to misunderstandings and conflict.

Neglect of personal responsibilities: Adults with ADHD may struggle with managing their own finances, healthcare, and self-care, which can place additional stress on their partners.

Inconsistent follow-through: People with ADHD may start projects or commitments enthusiastically but struggle to follow through, leaving their partners feeling disappointed or unsupported.

Relationship insecurity: Repeated difficulties and misunderstandings in relationships can erode self-esteem and lead to insecurity and anxiety in both partners.

The list seems long but fortunately there are ways to deal with these issues. And it’s important to note that while these challenges can and do make trouble in relationships, individuals with ADHD can still have successful, fulfilling relationships. The likelihood of this is higher with some of the strategies and interventions that can help mitigate these issues. Through years of working with patients I have learnt that those with high motivation to succeed (like in any other endeavour) and most engagement with these strategies have done the best.

Strategies to help reduce issues in the relationship

Education

Learning about ADHD and its impact on relationships can help both partners understand the challenges better. You may want to read articles, asking about other people’s problems with ADHD can be good source of information.

Communication:

A common error is to think that in more committed relationships, the partners know and understand the other person’s feelings and expectations without any verbal communication. This is simply not true.

Like in any other relationship, open and honest communication is essential between partners. Speaking to your partner to set clear expectations can be a valuable way forward. Similarly, discussing your feelings about behaviours and your concerns can improve understanding and reduce future conflict.

Treatment

ADHD is a mental disorder, very well treated with medication and therapy. There are milder forms of ADHD where medical treatment may not be required. But struggling on with severe symptoms that are potentially harmful to a loving relationship is unnecessary painful. The response to medication, in the form of noticeable control of the symptoms is common, when treatment is started and adhered to.

The calmness of thought, reduced impulsivity, less volatile temper and better capability to be able to listen in conversations, all known effects of treatment, do improve relationship dynamics.

Couples therapy:

Many couples who seek couples therapy together benefit from it. Seeing a therapist provides a safe space for the couple to then address the core relationship issues. If both partners engage with the therapy, they can develop effective strategies for coping with ADHD-related challenges.

The willingness to engage with therapy encourages confidence in the significant other that the relationship is valuable. 

Time management and organisation 

I am fully aware that this being one of the major issues with ADHD, simply the knowledge of how to be more organised and a lecture about this is not likely to be helpful.

However, when on medical and psychological treatment for ADHD, it becomes practical to start thinking about implementing strategies to improve time management and organisation which reduces stress in the relationship. These strategies can include writing down a daily list of work, prioritising the most important ones, breaking down larger tasks into smaller chunks and rewarding yourself when you finish a particularly demanding task and many more.

Support networks:

There are now hundreds if not thousands of online support groups for people from any age group or demographic. Also, building and developing a support network that includes friends, family, and or support groups can provide valuable assistance and understanding for both partners. It can validate their experiences and offer more education about personal strategies by the other members.

While ADHD can pose challenges in relationships, it’s important to recognise that with patience, understanding, and the right treatment and support, individuals with ADHD can build and maintain successful and loving relationships.

Dr Singh is the consultant psychiatrist with a special interest in neuropsychiatry.  Having seen and treated hundreds of patients with ADHD, in London and Birmingham and with masters in Neuropsychiatry, she is well known as an expert in this field. 

Contact: 
Email – clinicadmin@oaktreeconnect.co.uk
Telephone – 020 39277699

Oaktree Connect Fees & Pricing for Other Services

There may be additional fees payable after your assessment, for which you will receive an invoice: for example, for the costs for prescribing medication agreed between you and the psychiatrist at the time of assessment. We try our utmost to stay within the time allocated for the appointment however, you could be charged for any extra time spent in the consultation, if the meeting runs over the allocated time, or where communications with you or reviewing notes etc. exceeds what is deemed reasonable, but this is at the discretion of the clinician.

Pros and Cons of ADHD Medication

The Pros and Cons of Taking ADHD Medication to Manage Symptoms

To Take or Not to Take, That Is the Question.

By Dr Meetu Singh | February 2024

If you are considering a costly private ADHD assessment or ADHD testing given the ever-growing NHS waiting list, the first consideration would be if you want the long-term medication, the ‘first line of treatment’? This blog may help you make that decision.

The decision to go on Attention Deficit Hyperactivity Disorder (ADHD) medication should be made in consultation with  qualified professional such as a psychiatrist or a general practitioner with experience in diagnosing and treating ADHD. Needless to say, that before starting medication, it’s imperative to hold a thorough discussion about the treatment options with a mental health care practitioner.

The psychiatrist would provide you with the basic factual information and leave the decision to you. Weighing up the risks and benefits can be challenging given that everyone’s circumstances, physical make up and feelings about being on long term medication differs widely.

This decision about treatment is even harder when deciding about if it’s worth your while to go through the assessment, post 2 or more years wait on the NHS or pay significant amount of money for an ADHD testing with a private psychiatrist or psychologists. It would not be wise to go for a long and expensive assessment if you have reservations about taking stimulant medication.

To add to the complicated scenario, we now (since October 2023) face a severe shortage of ADHD medication (ADHD Medication/ Treatment) including Lisdexamfetamine, also known as Adderall/ Elvanse/ Vyvanse one of the main long acting (once daily dose) drug used for ADHD treatment. This further caused the of loss of trust in consistent supply of medicine.

It is worth discussing about what happens when severe symptoms of ADHD including lack of concentration, impulsivity, and hyperactivity remain undiagnosed and untreated. Effects of the other less talked about but equally common and troublesome ADHD features of emotional instability (ups and downs of mood, irritability and anger issues) and executive function difficulties (disorganisation, lower ability for planning and prioritisation skills) will also be considered as these hinder the ability to take on work and personal responsibilities.

This may help with your ability to make a decision about your assessment and treatment options

Untreated ADHD and Work

 

Adults with ADHD may experience difficulties in the workplace. Imagine a work colleague, who misses meetings or is constantly late or fidgets through them, not taking in any instructions, struggles to keep even the crucial deadlines, gets up from the desk every 15 minutes for a ‘chat’ or ‘little break’. They find reading through reports and completing simple administrative work an unsurmountable challenge and anything that’s not thrilling may bore them to tears with little patience to wait for anything. This is when they are trying.

It’s not surprising then that people with this neurodivergent disorder would not be the most popular workers with a reputation for reliable, consistent hard work even when they try their hardest. And are 60% more likely to be fired, as per the World Mental Health Survey Initiative published in the British Medical Journal, that is if they do not leave on an impulse themselves.

Impact of ADHD at work, including Loss of household income, Poor productivity, loss of employment, stress-induced illness, stigma that you will perhaps definitely have suffered is widely observed and described in detail. ADHD is a disability which is not recognised as such in spite of the law, by many employers.

Social and Interpersonal Challenges with ADHD

 

The struggles and challenges are pervasive, in other words present in every facet of the ADHD sufferer’s life. People with ADHD would often be described as the ‘class clown’, good entertainment but with few or no close friends. They maybe known for their ‘out of sight, out of mind’ tendencies as they find keeping in touch hard with an over-stimulated mind.

Understanding social cues can be a challenge and it does not help that their mind works at a ‘100 miles an hour speed’ so keeping tab of the conversation which is not at the same speed may end up in bouts of oversharing, interrupting or talking in tangents or zoning out altogether, not making for the delightful company. As expected leading to difficulties in forming and maintaining friendships and relationships.

The forgetfulness, difficulty in organising everyday life, not being attentive, impulsive over-spending or risk taking are also not factors that would maintain a long-term relationship with ADHD sufferers.

If you have ADHD, you may feel over-criticised, being treated like a child and micromanaged. Doing things to your partner’s liking may seem like immense hard work but not achievable. Or you may feel constantly guilty about letting your parents or partner down, pronouncing yourself lazy or useless or like an imposter when you do well. Your partner on the other hand may feel unheard, like they were ‘walking on eggshells’ around you and generally dissatisfied with your contribution to consistent housework, taking on parental responsibilities etc.

The mood swings, low frustration threshold (emotional dysregulation) and difficulties in managing anger and impulsive outbursts would add further fuel to the fire.

Untreated Severe ADHD and Risky Behaviours

 

One in four prisoners in Britain have features of ADHD, according to a new report published by The Guardian. This makes the prevalence of ADHD 5 to 10 times higher than its 2% to 4% in the general population. These numbers however are not an indication that people with ADHD have some form of ‘criminal genes’ and need careful consideration and understanding of the different factors that may contribute to this association:

The impulsivity and thrill seeking behaviour which is often part of the ADHD complex is mostly attributable. Many patients who suffer from ADHD would report that they act before considering the consequences. The other issues are associated with their struggle to stick to the societal norms and rules, which they may find tedious or cannot adhere to due to lack of organisation.

We often find that they would sign documents without reading through or promise to commit to activities without getting into the nitty gritty of what the activity is about.

It’s important to emphasise that majority of individuals with ADHD do not engage in criminal behaviour, and there is no criminality gene associated with ADHD. It can be attributed to the factors above. That makes an early diagnosis of ADHD with appropriate treatment and support vital for prevention.

So do the stimulant medicines for ADHD work, are they worth it?

 

Medication used as the first line treatment of ADHD, including Elvanse (Lisdexamfetamine), Concerta, Ritalin (methylphenidate), do they help improve your performance at work or school? What about your social life, is the medication effective in improving your ability to make and maintain friendships and relationships? Below are some scientific facts and observations about the effectiveness of stimulants in treatment of ADHD.

Pros / Advantages of ADHD Medication

 

The evidence from research shows that improvement in the ADHD symptoms related to concentration, attention and memory with medication is significant. There are hundreds of studies that show, improved academic performance in exams, better recall of events and instructions, higher exam scores are some of the findings which prove the above at least in the short to intermediate term. One of the methodical and high value scientific study by Daniel Cox added to the evidence that long-acting methylphenidate (Concerta XL, Medikinet MR etc.) reduce collision rates of young adult drivers with ADHD. with improved concentration and less likelihood of acting impulsively.

Other research, including that by Matthijssen and associates found discontinuation of the stimulant medication ended up in worsening of the symptoms of ADHD sand overall functioning at home, school and work.

An essay ‘Blame it on the Brain’ published by the Royal college of psychiatrists explores criminal behaviours in people with ADHD and if these can be prevented through treatment intervention. Put succinctly this report explores and confirms that treatment helps reduce impulsivity thus reducing offending behaviour across the population that suffers from ADHD.

In relation to efficacy, the positive effects of the medication in clinical practice, anecdotally from patient stories and revies as well as the results of several studies (meta-analysis and randomised control trials) convincingly demonstrate that all the stimulant medication, that is, Dexamphetamine, Lisdexamfetamine, Methylphenidate were better than placebo*

Cons / Disadvantages of ADHD Medication

 

Most significantly the concerns about side effects need to be considered here. Decreased appetite with unwanted loss of significant amount of weight, initial insomnia and dry mouth are the commonest. Understandably, Irritability developing on starting these may occur, increased heart rate and blood pressure are uncommon but most concerning adverse effects from the medical point of view.

These side effects can be prevented, modulated or treated with monitoring and early non-medical and behavioural methods or less often medically. These include taking medication earlier in the day, eat and drink regularly with daily exercise.

Stringent physical health monitoring of pulse rate and blood pressure when starting and increasing the medication is essential. In a small number of patients, treatment with high BP medication may be required, when the benefits outweigh the risks significantly.

Medication effect may reduce over time, also called tolerance. This is a very real problem, managed by a ‘treatment holiday’ at your psychiatrist’s advice. This is a a few weeks’ break from your medication intake may ‘reset’ the body so it recognises the medication as a new one when recommenced. A change in the type of stimulant can also help overcome this problem.

Another consideration is that although very effective in controlling inattention, hyperactivity and impulsivity related symptoms, the ADHD medicines are less effective with improving social behaviours and mood symptoms. This means the medicine is not as useful in case of people who deal with mood dysregulation. Psychological therapy should be used alongside medication.

Summary

 

In a nutshell generally speaking, the common consensus is that given the scientific evidence and patient experience taking medical treatment for ADHD is usually beneficial. Most researchers have concluded that this medication works as cognitive enhancers, and apart from this well-known ability, can improve memory and recall and help reduce impulsivity. Secondary to these core effects the above translate into better performance at work, enhancement of relationships, less risk taking or criminal behaviours.

However, medication cannot and should not replace psychological and behavioural interventions. Therapy alongside support from health workers, family and friends is essential. Medication and these psychological and social aspects of treatment and support together would make for optimal care with the best outcome.

Dr Singh is the consultant psychiatrist with a special interest in neuropsychiatry.  Having seen and treated hundreds of patients with ADHD, in London and Birmingham and with masters in Neuropsychiatry, she is well known as an expert in this field. 

Contact: 
Email – clinicadmin@oaktreeconnect.co.uk
Telephone – 020 39277699
Categories

Patient Talk – What Does Severe Clinical Depression Feel Like?

Patient Talk - What Does Severe Clinical Depression Feel Like and How Does it Affect Life?

One of Our Patients Discusses Their Experiences of Depression and the Recovery Process

By Dr Meetu Singh and Anonymous | October 2023

Why did first you come to Oaktree?

I first came to Oaktree because I had lost trust in the service my GP practice was offering me, having seen 4 of the GP’s at the practice with no resolution of my problems, multiple changes of medication and no plan for taking things forward towards a satisfactory outcome.

 

Could you describe the daily struggles you faced beforehand?

I had no energy, and no motivation. I felt suicidal and had planned how and where I would carry out this act. I carried the means for doing this with me. I felt there was no point in going on with my life if this was all I could expect. I had had bouts of depression before but had been free from these for a significant period of time, following being prescribed fluoxetine (Prozac). In my mind I believed that if this didn’t work, nothing would. I couldn’t sleep at night, and couldn’t do anything during the day. I stopped going out and taking care of myself. I would go weeks without showering or changing my clothes. 

How would you describe your worst days? Your best days?

My worst days, strangely, were the days I had slightly more energy. My anxiety levels rose on these days and I could not control my thoughts. anything and everything was a cause for concern, but my main problems were to do with my depression and me not recovering and how I could go on if this were the case. My best days were not a lot better than this, frankly, but I did feel able to do a little more in terms of self care, though this might only be one thing out of the raft of routine activities that constitute looking after oneself. 

Were those around you aware of what you were going through? Friends/Family/Co-workers?

I wasn’t working at the time and did not see friends. My partner was aware to a limited extent but unsure how to handle or manage my moods or behaviour. Despite this he looked after me as best as he could.

Was there an event or trigger that made you decide get an assessment? 

I decided to get an assessment because the fourth doctor I saw at the surgery put me on a medication which raised my blood sugar to a dangerous level and I could not get this down. On phoning and speaking to him he said to leave it off for a week and then start taking it again. I was horrified by this medical advice and decided at that point I would find an alternative. I felt totally let down.

What did you learn about yourself from that first visit to Oaktree?

That I had severe and lifelong depression, well of course I knew that, but I needed to know that someone else believed that too, as it appeared to me that my consultations with the various GP’s I had seen indicated that they did not think so. 

How has your life improved since then? 

My depression has lifted with the prescription of two different types of medication, which, together, appear to increase the anti-depressant effect of both and provide a safety net, in case one or the other stops working. I have also benefitted tremendously from the skilled support of a consultant psychologist, which has helped me to determine the life events that have led to me suffering from this horrible illness, and to counter their effect through understanding them with a different perspective.

What advice would you give to people going through the same thing?

Don’t think your GP knows everything there is to know about severe clinical depression. They probably don’t. If your mood hasn’t improved in three months, ask for a referral to a community psychiatric team, it will probably take several months to get an appointment anyway. If that doesn’t work, find a way to consult a practicing psychiatrist privately, even if you get no more than a change of medication after your assessment, that may be enough to improve your mood and at the very least, your GP will be provided with a report on your medical condition, and hopefully a treatment plan that they can follow. Try to see a GP who is prepared to listen, make a double or triple appointment if necessary. and don’t get bullied into thinking there’s nothing much wrong with you. There is and if you are ever going to be a productive, reasonably normal person again, you need professional help.

Dr Singh is the consultant psychiatrist with a special interest in neuropsychiatry.  Having seen and treated hundreds of patients with ADHD, in London and Birmingham and with masters in Neuropsychiatry, she is well known as an expert in this field. 

Contact: 
Email – clinicadmin@oaktreeconnect.co.uk
Telephone – 020 39277699
Categories

Anorexia Nervosa: Recognise the Quiet Killer

Anorexia Nervosa: Recognise the Quiet Killer, Seek Help Quickly and Get Treated

By Dr Meetu Singh | March 2024

In the modern era, pressure to be thin is immense, originating from the social media “selfie” culture more than ever before.  1.25 million people in the UK have an eating disorder of whom 25% are male. This is increasingly becoming a major problem within the child & adolescent population. Children as young as 6 years of age being diagnosed with severe anorexia; one of the most fatal mental illnesses causing death through starvation, malnutrition or suicide. Less severe forms or if lucky, would still cause bone weakening, growth defects, psychological withdrawal. 

 

Anorexia is a mental disorder that stops people eating in order to lose weight, this results in complete preoccupation with eating (rather not eating), weight and shape. The sufferers develop a distorted sense of their own body image so that they believe that they are overweight when in fact they may be extraordinarily thin and dangerously so. This disease is dangerous and lethal in many cases and debilitating, disabling in most. However, the major issue with this is that it is not only hard to recognise but also encouraged and endorsed within many professions. 

The first hurdle in treating the sufferers is that only 1 in 10 will seek professional help. This could result from a multitude of factors:
  • The sufferers may not have an insight into their own eating difficulties and may consider their behaviour “normal” or in keeping with the trend. Unfortunately, thinness can be further reinforced by peers, employers in certain professions and even elders within the family.
  • Many of the sufferers do not want to have treatment for the fear of gaining weight. Even in treatment the disorder makes them hesitant or ambivalent towards receiving treatment.
  • In many cases, anorexia is not recognised by those even closest to the sufferer due to lack of understanding. In addition, people with anorexia sometimes become experts at camouflaging their obvious weight loss by wearing loose clothing, avoiding being weighed at the doctors’ or eating in front of others to not be detected as suffering from an eating disorder. 
In case of children and young adults at least, the onus of recognising signs & symptoms of anorexia, and prompting a them to see a doctor is upon the family or friends. If someone in your family or amongst your friends:
  • Counts calories excessively 
  • Misses/ bins meals at home, school and work
  • Avoids eating with others
  • Weighs self repeatedly or avoids it completely
  • Spends inordinate amount of time exercising
  • Becomes dizzy, has episodes of loss of consciousness
  • Loses large amounts of hair 
  • Is uncharacteristically irritable
  • Inattentive in class
  • Becomes socially isolated with very little interest in going out
It goes without saying that the earlier we are able to detect and recognise anorexia the better the outcome and lower the impact of this silent killer on the sufferer’s health and quality of life.  Seek help and advice from your general practitioner or a psychiatrist. 

Dr Singh is the consultant psychiatrist with a special interest in neuropsychiatry.  Having seen and treated hundreds of patients with ADHD, in London and Birmingham and with masters in Neuropsychiatry, she is well known as an expert in this field. 

Contact: 
Email – clinicadmin@oaktreeconnect.co.uk
Telephone – 020 39277699
Categories

Preventing Burnout When Remote Working

Preventing Online Burnout

Ways to Avoid Stress and Overwhelm When Working Remotely

By Dr Meetu Singh | September 2023
COVID-19 pandemic has changed our lives beyond recognition, the forced social isolation, working from home or “hybrid working” meant that we had to swing into a world of online meetings. It is estimated that currently 300 million people are using zoom every day and whilst working from home has been a sought after benefit for many, the lack of physical communication has led to a form of video conferencing burnout.

Why is this happening?

Now that a vast majority of workers have evolved into remote positions and everything from medical appointments to business meetings have gone online, there are increasing reports of fatigue related to screen time. In part, this could be due to complete physical inactivity as  we sit at our desk looking at the screen for an extended amount of time and straining our eyes without rest. There is no walking around the office, rush to get to the train, bus or car to get home, no change of environment either. More alarming issue however is the sense of social isolation and inability to communicate with colleagues, clients and even strangers. How lovely is it to compliment someone on how radiant they look or express your dissatisfaction about the way something was done without having to email something unpleasant or smile at a kind stranger at the bus stop or in the coffee shop round the corner from your office. Unfortunately, all this is lost whilst sitting in front of the computer.
70- 80% of our communication during work is nonverbal, so when in an online meetings there is often difficulty reading facial expression and body language, communication becomes that much more cumbersome as everything has to be verbalised by all present.  It is unsurprising that we feel less connected to others and the meeting that would have taken 30 minutes would now be much longer and tough.  We then have the non-human factors which are tiresome and frustrating that cannot be ignored. Anyone have the instinct to throw the laptop out the window when the screen is frozen  mid-sentence or when you are making the most ridiculous face at the camera (may have been hilarious if you weren’t as frustrated) or when you utter the most important statement and the person on the other end says they did not hear a word due to audio failure. The combination of these factors alongside poor wifi signals have created challenging barriers to overcome.  

So what can we do to prevent burnout?

Give yourself a break

Like all forms of social communication, it is important for us to regularly take breaks from our screens. Most of us will be flicking between our laptops, computers, phones and tablets throughout the day and so it is essential to get outside when we can and give our eyes and minds time to wind down.

Make yourself comfortable

Making sure that your immediate environment is suited to your schedule is an absolute must. 
  • Take a few moments to look at your desk and ensure that your camera is at the right height and angle so you are not straining.  
  • Consider your posture- is your chair comfortable, are your feet touching the floor, are you straining your wrists to type, 
  • Is the lighting good enough for you not to strain your eyes? 
These are all important aspects of reducing burnout and ensuring you can safely and comfortably complete your day-to-day tasks.

Communicate in different ways

Although it is difficult at the moment to not take part in some form of video conference, remember to take time to communicate in a variety of ways. 
  • If you find that you are struggling with your screen, maybe try taking a few phone calls instead or send a well crafted email. 
  • Most importantly however, if you can, take the opportunity to speak to people face to face. This could be family in your social bubble or meeting friends outdoors.
When it comes to video conferencing and burnout, we think that the key ingredient is a balance. Remember to make things as comfortable for yourself as you can, but don’t be too hard on yourself if you need to take a break!

Dr Singh is the consultant psychiatrist with a special interest in neuropsychiatry.  Having seen and treated hundreds of patients with ADHD, in London and Birmingham and with masters in Neuropsychiatry, she is well known as an expert in this field. 

Contact: 
Email – clinicadmin@oaktreeconnect.co.uk
Telephone – 020 39277699
Categories

We wish you love, peace and joy this holiday season. Merry Christmas and Happy New Year.

We wish you love, peace and joy this holiday season. Merry Christmas and Happy New Year.

Author: Dr Meetu Singh

Dr Singh is the consultant psychiatrist with a special interest in neuropsychiatry.  Having seen and treated hundreds of patients with ADHD, in London and Birmingham and with masters in Neuropsychiatry, she is well known as an expert in this field. 

 

Contact Dr Singh: clinicadmin@oaktreeconnect.co.uk
Website: 020 39277699