There is going to be a mental health crisis unlike anything we've seen before. PTSD will be widespread, and look who we've got running the country.

When soldiers return from active duty, the TRIM (Trauma Risk Management) system helps deal with issues arising from acclimating back into civilian life. It's designed to provide support in the aftermath of traumatic events. Which is what we have here, on a huge scale.
It won't just be frontline healthcare workers either. I fear a massive trauma response from the wider population, as and when Covid is brought under control and we begin to return to whatever 'normal' looks like at that point.
The armed forces could provide insight into how hospital trusts, schools and businesses could apply this for their staff / students at scale, but it would need government support and...no.
This is the same govt which has decimated mental health care over the past 10 years.
We already had a mental health crisis before Covid.
In 2017 the number of young people arriving in A&E with psychiatric problems had doubled since 2009 but mental health services were cut by £538million.
Rates of depression and anxiety among teenagers have increased by 70 per cent in the last 25 years. Almost 19,000 teenagers were admitted to hospital for self-harm in 2015/16, an increase of 14 per cent since 2013/4 and 68 per cent across the last decade.
These numbers were still climbing at the end of 2019, and now we're still in the throes of a global pandemic.

I'll take a stab at how much planning Johnson and his cronies have done to mitigate the onslaught of trauma-related psychological injury: none.
There are myriad organisations who would consult with the government and provide planning assistance to roll out community mental health training and support, but I bet they a) haven't even thought about it, b) wouldn't fund it.
I lead our mental health first aid programme at work and we're busier than ever. And this is a company with *significant* support for emotional distress and whose employees are well-paid and thus able to access third-party help.
My colleagues are struggling to cope with the last 12 months, and we're all working from home. Now overlay living in poverty / being forced to go to work / being a carer - any of the other factors which increases the chances of contracting the virus / losing your income.
If you work for the kind of company which talks about mental wellbeing, or already has something in place, petition them NOW to scale this up. It will be needed. People who are seemingly coping fine right now may well not when they reach the 'relief' phase of the crisis.

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You gotta think about this one carefully!

Imagine you go to the doctor and get tested for a rare disease (only 1 in 10,000 people get it.)

The test is 99% effective in detecting both sick and healthy people.

Your test comes back positive.

Are you really sick? Explain below 👇

The most complete answer from every reply so far is from Dr. Lena. Thanks for taking the time and going through


You can get the answer using Bayes' theorem, but let's try to come up with it in a different —maybe more intuitive— way.

👇


Here is what we know:

- Out of 10,000 people, 1 is sick
- Out of 100 sick people, 99 test positive
- Out of 100 healthy people, 99 test negative

Assuming 1 million people take the test (including you):

- 100 of them are sick
- 999,900 of them are healthy

👇

Let's now test both groups, starting with the 100 people sick:

▫️ 99 of them will be diagnosed (correctly) as sick (99%)

▫️ 1 of them is going to be diagnosed (incorrectly) as healthy (1%)

👇
Let's talk honestly about "informed consent."
Someone with decades of training gives someone with none advice usually packed into 1-3 mins. Huge amount is based on trust. Huge potential for bias built in. But also there is no obligation to provide real alternative options.


I am classified as 'gifted' (obnoxious and ableist term). I mention because of what I am about to say. You all know that I was an ambulatory wheelchair user previously - could stand - but contractures have ended that. When I pleaded for physio, turned down. But did you know...

I recently was chatting with a doctor I know and explaining what happened and the day the physiatrist told me it was too late and nothing could be done. The doctor asked if I'd like one of her friends/colleagues to give second opinion. I said yes please! So...

She said can you send me MRI and other imaging they did to determine it wasn't possible to address your contractures.

Me: What?
Dr.: They did a MRI first before deciding right?
Me: No
Dr: What did they do??!
Me: Examined me for 2 minutes.
Dr: I am very angry rn. Can't talk.

My point is you don't even know if you are making "informed" decisions because the only source of information you have is the person who has already decided what they think you should do. And may I remind you of a word called 'compliance.'

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1/ Here’s a list of conversational frameworks I’ve picked up that have been helpful.

Please add your own.

2/ The Magic Question: "What would need to be true for you


3/ On evaluating where someone’s head is at regarding a topic they are being wishy-washy about or delaying.

“Gun to the head—what would you decide now?”

“Fast forward 6 months after your sabbatical--how would you decide: what criteria is most important to you?”

4/ Other Q’s re: decisions:

“Putting aside a list of pros/cons, what’s the *one* reason you’re doing this?” “Why is that the most important reason?”

“What’s end-game here?”

“What does success look like in a world where you pick that path?”

5/ When listening, after empathizing, and wanting to help them make their own decisions without imposing your world view:

“What would the best version of yourself do”?