1. www.mindandsoul.info Supporting Colleagues with Depression? Dr Rob Waller 5th Dec 2007 Business Matters Fostering Health in the Workplace

2. www.mindandsoul.info Dr Rob Waller MA MSc MRCPsych Consultant Psychiatrist, NHS Lothian St John’s Hospital, Livingston www.mindandsoul.info rob@robwaller.co.uk

3. www.mindandsoul.info Stress Matters www.businessmattersedinburgh.com Stress 06 and 07 Work-Life Balance 07

4. www.mindandsoul.info Depression 1 in 4 Employees Employers

5. www.mindandsoul.info The stages of depression Warning signs Burnout Breakdown Using up favours!

6. www.mindandsoul.info Depression or unhappiness? Timeframe Personality Global change Not coping

7. www.mindandsoul.info Clinical Depression Severe low mood Pervasive [every day, all the time] Biological symptoms thought to reflect brain chemistry changes –Poor concentration, weight loss, sleep disturbance, impotence, unable to enjoy hobbies, fatigue

8. www.mindandsoul.info Business Context Working conditions: –Bricks without straw Misinformation: –It’s just unhappiness Mishandling: –It’s not my job

9. www.mindandsoul.info How do I raise the topic as a manager?

10. www.mindandsoul.info How can I help as a manager? Get into the habit of speaking in the first person –I’ve noticed that… –I don’t understand –I am available –I need to talk to someone about this –I need some help in supporting you

11. How effective is advice to “Try not to think about it”?

12. www.mindandsoul.info Helping with mild depression? Just “not coping” Beck Depression Inventory: –Wikipedia: www.wikipedia.orgwww.wikipedia.org –0-13 - minimal depression –14-19 - mild depression –20-28 - moderate depression –29-63 - severe depression

13. www.mindandsoul.info Self help: www.livinglifetothefull.com www.livinglifetothefull.com

14. www.mindandsoul.info Life is a balancing act Demands Resources Consequences…

15. www.mindandsoul.info Priorities Demands Resources Health / Wholeness 1 2

16. www.mindandsoul.info Catch it early Warning signs Burnout Breakdown Using up favours!

17. www.mindandsoul.info The role of the NHS For more severe forms Medication [Clinical Depr] Counselling Psychotherapy Hospital –Used as a last resort for a number of reasons

18. www.mindandsoul.info Supporting the NHS Time off –Stitch in time… Communicate Knowing when to quit –Medical retirement Know when to be generous –Keeping the post open

19. www.mindandsoul.info Any Questions?

20. www.mindandsoul.info Dr Rob Waller MA MSc MRCPsych Consultant Psychiatrist, NHS Lothian St John’s Hospital, Livingston www.mindandsoul.info rob@robwaller.co.uk