Latest / Authentic Living / Erika Caspersen, Resiliency Expert
Transcript
- 0:01Welcome to authentic living with Roxanne, a place where we conscious conversations about
- 0:08things that really matter in our lives.
- 0:12And now here's your host, Roxanne Derhodge.
- 0:36Hi, everyone.
- 0:37Thanks for for tuning in.
- 0:38Again, it's Roxanne from the Atlantic Living with Roxanne.
- 0:42Today, I have a special guest, Erica Casperson.
- 0:45Hi, Erica.
- 0:46How are you?
- 0:47Hi, Roxanne.
- 0:48How are you?
- 0:49I'm wonderful.
- 0:50Awesome.
- 0:51So Eric and I, knowing each other.
- 0:53Goodness.
- 0:53I'm gonna think it's almost it's close to 15 years or so when we actually met I think,
- 1:00through the health the Niagara Health System, when Erica was, with the with the health system
- 1:05at that time.
- 1:07So Erica has a unique background, and, I'm gonna read a little bit about her bio, and then
- 1:12we're gonna jump into some of her expertise she has a background in in kinesiology and also in,
- 1:19qualifying as a psychotherapist and has extensive back background in in health and
- 1:24wellness.
- 1:26So, Erica's passion and purpose to is is to inspire health, healing, wellness, and
- 1:32resilience for those dedicated women and men and women who serve and sacrifice for the
- 1:36public good.
- 1:38Whether it's health care professionals, armed forces, personnel, EMS, firefighters, police,
- 1:44or those in leadership positions.
- 1:46These professionals face a variety of demands and intense stress placing them at risk for
- 1:52chronic disease, stress related illnesses, post traumatic stress disorder PTSD.
- 1:58Compassion fatigue, and burnout.
- 2:01She has some scientifically validated techniques, that she uses for self care, self
- 2:06expression, wellness and resilience.
- 2:11Her hopeful powerful and inspiring programs are custom designed for each group inspiring hope
- 2:16Healing, renewed joy for life, and passion for service.
- 2:20It solves awesome America.
- 2:23Thank you.
- 2:23This awesome work.
- 2:25So is there anything that, that, wasn't mentioned in the bio that you'd like to to
- 2:31mention with people listening or viewing today?
- 2:34I think that really summarized it quite well, what I think that feel very grateful for is to
- 2:40be able to support those individuals.
- 2:42They focus on health care right now, that, again, that really give a lot of themselves to
- 2:46body my heart and spirit to the work that they do and, can be adversely impacted by it.
- 2:51And so to be able to support well-being for groups, it has such a profound impact on care
- 2:56and service to others.
- 2:57It's it's quite a It's really cool.
- 3:00It's a profound privilege for sure.
- 3:02So let's talk a little bit about your path.
- 3:04I know when you and I met, I was, with a health and wellness consulting firm and you were with
- 3:10a hospital.
- 3:10And I know you're also, you've had extensive, expertise working with hospitals.
- 3:16And looking at the element of chronic stress, I I think that's the I think that's the pebble
- 3:21and the rough that I see.
- 3:23Use I see it a lot in my consulting and you've lived in that world in lots of different
- 3:27sectors.
- 3:27So let's talk a little bit about, kind of chronic stress and kind of what you're seeing
- 3:33out there and what kind of things that you find, people should be aware of, or or what are
- 3:39you seeing that some of the trends out there?
- 3:42Well, you know, the one
- 3:43thing that that's important to notice is that, I mean, any workplace, certainly in the world
- 3:48that we live today has as challenges, and we know that from the literature, there's certain
- 3:52factors that can impact psychological health and safety for sure.
- 3:56But also in certain workplaces, like how care workplaces and some of the others that you
- 4:01mentioned is another layer.
- 4:03There's another element to that.
- 4:04So in addition to those things, but we've been talking about for years, the impact of, you
- 4:10know, the staffing issues and the workload, which has been sort of mounting for some time
- 4:15that impacts you know, health care environments, particularly.
- 4:18There's the other layer on top of those environments of factors, which is just the
- 4:23nature of the work.
- 4:26That being exposed to trauma and suffering has an impact.
- 4:30There's a saying sort of in that trauma world from folks I've been learning from that being
- 4:35exposed to trauma and suffering and not being impacted.
- 4:37It's like being in water and not getting wet.
- 4:40That we as human beings will be impacted over a period of time.
- 4:43So we have the element of that piece, just the nature of providing care or witnessing these
- 4:48kinds of stories, you know, helping others in their most vulnerable time.
- 4:56But And also that's layered on top of the environmental factors, the workloads, sometimes
- 5:02the politics, the, behaviors that can arise as well.
- 5:06Is sort of these things sort of layer on top of each other.
- 5:10And, you know, it's interesting that you say that, right?
- 5:12Cause, you know, myself kind of having worked in, you know, pretty frontline with acute
- 5:18situations, you have to be wired a certain way.
- 5:22I don't know if you'd agree with that.
- 5:23Like, I know with a lot of police forces or nursing.
- 5:27I mean, you've been in the hospital.
- 5:29I've been worked a lot with hospitals also.
- 5:31Yeah.
- 5:32Most of the times, people that are I'm gonna use the word attracted to some degree, a wired
- 5:37a certain way and have a certain type of personality to be able to deliver.
- 5:43Right?
- 5:43Like, almost like a dead calm kind of take charge.
- 5:47Right?
- 5:47Like, so if you're if you're in crisis, you're gonna want your police officers to be really
- 5:51too well connected to his feelings when he's coming to your door or somebody that's putting
- 5:56on a fire So we have certain expectations of them to deliver, obviously, and they're also
- 6:01attracted to some degree with to that kind of, environment, which is fantastic.
- 6:07However, to your point, it's the it's the not the short term, but it's a cumulative effect.
- 6:11So it's kinda like I can do this.
- 6:14I'm very good at this.
- 6:15I love doing this.
- 6:16I love helping people.
- 6:18But how is it that's from your perspective?
- 6:21How do people start to notice?
- 6:24When it kind of steps into the end of chronic kind of stress.
- 6:29Well, I think and I think there's a couple of really good things to build on in terms of what
- 6:34you're sharing too.
- 6:34Like, first, in terms of, folks that get attractive to this kind of service work, for a
- 6:39lot of folks, it's more than a job.
- 6:41It's more than career.
- 6:42It's a calling, and so people get attracted to these professions because they wanna make a
- 6:46difference in some way.
- 6:48And and and to really have that impact, whether it's a police officer or whether it's a health
- 6:54care provider or a physician or a social worker, people wanna make a difference is
- 6:58coming from their heart.
- 7:00And, and so there's that aspect of who they are and the difference they really want to make and
- 7:05the way they want to make that difference in the world And and then sometimes it's the
- 7:09expectation to how certain professions are socialized as well.
- 7:13So physicians, for example, in some case, is can be socialized that you need to have that
- 7:17sense of, not being completely stoic, but that kind of creating that distance that somehow, if
- 7:25I'm feeling the emotional impact of that work, that means that I'm weak in some way, where
- 7:31it's quite the opposite that we need to have that compassion in order to be effective in
- 7:35that therapeutic relationship.
- 7:36And it's not the feeling of the compassion.
- 7:38That's the issue for us.
- 7:39It's how we're processing and integrating our human experiences.
- 7:43And so for some folks, some of the indicator can be that I'm starting to pull back in some
- 7:48way.
- 7:48Because it can be that comparison of what's going on internally for us with the external we
- 7:54see in others.
- 7:55And we think that others are doing okay, and they may or may not be.
- 7:59And I'm not.
- 8:00And and I might feel some some shame around that or a sense that is something wrong with me
- 8:06or I'm not good enough, but when it but I'm having a human experience to these things that
- 8:11I'm witnessing that that are impacting me, whether it's chronically over a period of time,
- 8:17or if there's something that arises that triggering because it reminds me of something.
- 8:23Like, we're all very different.
- 8:25So one of those indicators can be I'm pulling back.
- 8:29I'm isolating myself or I'm not reaching out to help.
- 8:32And this is important because for many groups, I mean, physicians are 1, but certainly many
- 8:36health care providers those perceived social supports and accessing those social support.
- 8:42Not only when we're distressed, but on a regular basis, is one of the most important or
- 8:46resiliency factors in these kinds of environments and rate when we need to really
- 8:51reach out, kin, acknowledge how we're doing in a real heart centered human heart to heart
- 8:56connected way for many folks to actually begin to withdraw isolate, and pull back even within
- 9:03themselves and and then it becomes sort of that cumulative effect.
- 9:07And so you you're so right.
- 9:09Right?
- 9:09I'm thinking about I'm listening to you and I think of you know, when I at the time I met
- 9:13you, I was consulting.
- 9:15So I was so much removed and you, you know, you were still at the hospital and, you know, 20
- 9:20fourseven services, right, Ian?
- 9:22You know, emergency room nurses.
- 9:25Like, they're dealing with stuff all the time.
- 9:27Physicians, you know, the police officers, the paramedics that bring in people all the time,
- 9:33the critical situations that they see, the firefighters.
- 9:36They're they're constantly when they go to work, you know, they're constantly they have to
- 9:41be on even if they're not on a call.
- 9:43Right?
- 9:43They to some degree, I say they vacillate, to, I've heightened, to, I'm hyper vigilant.
- 9:49And I think what you're talking about the hyper vigilance is kind of not being able to
- 9:53disconnect and be able to focus on on kind of the day to day things, like, you know, my
- 9:58partner, my children, my friends, my community, and all those things that you would normally be
- 10:03into versus kind of when you're withdrawing.
- 10:08Yeah.
- 10:08For sure.
- 10:08And there's, like, a number of factors that all sort of come together that can have that
- 10:13impact.
- 10:13I mean, the one fact is just the nature of the environment, and there's a couple aspects of
- 10:19the nature of the environment, as mentioned earlier, the nature of the environment can
- 10:23include things.
- 10:24Like, there's the political factors.
- 10:25There's the workload.
- 10:26There is, do I have impact on decisions that are important to me?
- 10:29Do I feel a sense of reward in the work that that I do, am I seen as a valued contributor,
- 10:35but that those high demand, low control, high effort, low reward environments.
- 10:39We know that in an in and of self is a risk for psychological safety.
- 10:44So the literature supports adverse health outcome.
- 10:46So there's a nature of the environment.
- 10:48Then we layer on top of that.
- 10:50Many of these folks work, shift work, and there's a whole kinds of literature on the
- 10:54impact of shift work on our circadian rhythm and our sleep, our cortisol levels, etcetera,
- 10:59so you now have that extra layer.
- 11:02And then even if we were able to address some of those core workloads and many of those are
- 11:08long term solutions in these industries.
- 11:11In and of itself, we still have the layer of shift work, then we have the layer of trauma
- 11:16and suffering and and witnessing on that piece.
- 11:19And so you should have the sandwich piece.
- 11:23And so then then there's the pizza brought our own individual well-being and the importance of
- 11:30of developed arts and resiliency skills But in a non blaming shaming way, it's not saying that
- 11:36we are weak.
- 11:37If we're not coping with this, it is that the environment will have this impact And yes, it's
- 11:42important to address those environmental factors, and it's also important to recognize
- 11:46that the self care, the resiliency skills, the intentionality about what needed for the
- 11:52individual who is still in that environment to be well is also important.
- 11:57So, like, all of these things need to come together.
- 12:01So would you say then that, how the environment sees the needs of the employees, are vitally
- 12:10important to what kind of support they should offer them.
- 12:13So, like, you know, with a firefighter, more than likely, he or she knows that he's gonna go
- 12:18out on a fire call, maybe multiple times over a 12 hour shift.
- 12:22So if you have, say, a a fire station that's kind of what really well aware and, notices
- 12:28differences, or a fire chief they're gonna make sure that, you know, people are generally on
- 12:34versus ones that are kind of oblivious.
- 12:36It's kind of the thing you do.
- 12:38Do you find that that kind of a a big difference in reference to, offering support
- 12:44and what's good for for the see the firefighter?
- 12:48Well, I mean, that's a really good point.
- 12:50And I think that, when we think of such a reports, we wanted to think all of we wanna
- 12:58think of those supports along that that continuum.
- 13:01So what are all the things we can do proactively?
- 13:03What are the things we do react what are the things we do post, you know, so you have that
- 13:09sort of whole, whole continuum.
- 13:11And so and also, there are things we can do organization and then around the team and the
- 13:17leadership styles as well as helping the individual to develop resilience and
- 13:21well-being.
- 13:21You have to have all of those things in place.
- 13:23So for example, certainly we need to have things like employee family assistance programs
- 13:29and other forms of support that staff can access in the way that they feel comfortable
- 13:33doing so on a regular bracelet, of course, we wanna have debriefing models if crisis happens
- 13:38to provide those kinds of supports as well.
- 13:41We also want to address culturally, and it can certain around mental health and stigma.
- 13:46So that folks feel safe and comfortable one recognizing signs and indicators and then
- 13:50reaching out for help.
- 13:51We wanna increase the capacity of everybody in the workplace to recognize when we are
- 13:56struggling with each other.
- 13:57So coworkers are empowered to retail and support coworkers.
- 14:00So it really is a multifaceted, and also wanna look at those organizational factors.
- 14:05If there are cultural factors, if there are workload factors, if there are ways the staff
- 14:10are not fully engaged, then we wanna shift those cultures to one where we address work
- 14:16quote.
- 14:17We help the staff to be more engaged in decisions that are important to them.
- 14:21We help staff to feel valued as their contributors.
- 14:25Those are core psychological factors.
- 14:28We provide supports during crisis.
- 14:30We build strong healthy teams and also help staff really develop core resiliency skills
- 14:36that any health care professional needs to have must have in order to to navigate the those
- 14:44types of a challenging environment.
- 14:45And so when we talk about self care, it needs to be in the context of that bigger picture in
- 14:49a non blaming shaming way, Sometimes, care is more than bubble bath and chocolate, and I love
- 14:58bubble bath and chocolate.
- 14:59Is it some care is, but there you go, sometimes self care means doing things we may not want to
- 15:04do, like reaching out for help, like getting cardiovascular exercise 20 minutes, three times
- 15:09a week, like making healthy lifestyle changes, those things are also important in terms of
- 15:17core skills that we want to develop and have it that we want to incorporate into our healthy
- 15:22lifestyles.
- 15:24So what are some of the core, psychosocial factors that impact kind of health care
- 15:31professionals.
- 15:32What are some of the bigger things that people may struggle with with safe, on short term,
- 15:37claims?
- 15:37Do you know that?
- 15:40Well, we certainly know that, you know, long term or claims related to stress are going up.
- 15:46And in health care and some of the latest literature, about 54% of, health related
- 15:53disability claims are related to mental health related reasons.
- 15:56And so that's a higher percent than the general population as a whole.
- 16:00It's a number that's doubled from about 20 years ago.
- 16:03And, and so it's gonna be a combination of just the nature of the environment and certainly
- 16:07individual factors.
- 16:09And we know, you know, classically in the health care environment.
- 16:12They are high demand environments.
- 16:13They are physically demanding, cognitively demanding, emotionally demanding environment.
- 16:20Durations, deadlines, as well as the nature of witnessing common sufferings.
- 16:26You've got the demands.
- 16:28And the workload.
- 16:29And often in many opportunities around the culture, the kinds of behaviors that healthcare
- 16:34providers may be exposed to, things harassment and violence and those kinds of behaviors from
- 16:40patients and families.
- 16:41So violence is also an issue, or response of behaviors that could be injurious to staff, so
- 16:45they're exposed to those kinds of things.
- 16:47So you have sort of those combinations of the health and safety kinds of things, the the
- 16:52psychological, healthy kinds of things.
- 16:54And then what happens is the mental health starts to be impacted, and we move to this
- 16:58place where we need the social supports, we need that, that cell care and those resiliency
- 17:04skills and those kinds of things, but we don't feel like it either.
- 17:08And that's the, you know, the double edged sword is, you know, of mental health in those
- 17:13times when we most need to take care of ourselves and access those supports are often
- 17:18the times when we at least feel like it.
- 17:20And so now we have this environment of folks who are their their nervous systems are all the
- 17:26balance are autonomic nervous systems are way out of balance and are, you know, that
- 17:32sympathetic overdrive is going on all the time, and we're not at our best in that state.
- 17:36That's just what happens to us as human beings.
- 17:39And so we're less able to feel compassion for ourselves than others were less able to
- 17:45regulate that nervous system because of the exposure to the environment.
- 17:48So we gotta find some health and balance around that And then that gives people more capacity
- 17:53to step back and reflect and, and, you know, do those things to be how possible
- 17:59because your mental capacity is a pivotal part of the job.
- 18:03So you have to deliver, and like you said, you're you know, you're you're you're
- 18:08delivering, you're dealing with the public.
- 18:11You know, oftentimes, I know when I walked into an emergency room here in Niagara, Erica, I'm
- 18:15expecting, you know, if my son's sick or, you know, whatever, if a family member's sick, I'm
- 18:20I'm heightened, and I'm, you know, I know the business And still, I'm but I'm I'm a, you
- 18:25know, I'm a consumer.
- 18:27And, you know, I'm I'm having certain expectations of the triage person to the nurse
- 18:33to the people, you know, the depositions that are saying me or my family, those types of
- 18:36things.
- 18:36Sorry.
- 18:37I can see it from every angle and also having, you know, obviously been an executive with
- 18:42various hospitals.
- 18:43So the pressure is definite.
- 18:45You're so right.
- 18:45All those factors, are happening all at once and those health care practitioners, have to be
- 18:53on.
- 18:53So if they're disconnected, and then they have to go back in for 12 hour shift, and they're
- 18:59they're they're, like you said, their nervous system's overtaxed, and they're not recognizing
- 19:03it.
- 19:04Obviously, that that could be detrimental to them and, obviously, see the organization also.
- 19:09Yeah.
- 19:09For sure.
- 19:11So with, now you talked a little bit about some of you know, self care and, you know, wellness
- 19:18and resilience.
- 19:20And talk a little bit about the programs that you that you've been involved with that you
- 19:24offer, that you know actually helps, you know, health care practitioners considering that they
- 19:31have Like you said, they're layered up.
- 19:33What is it?
- 19:3454%.
- 19:34You said, yeah, claims are related to mental health.
- 19:38Right?
- 19:38So and I often say mental health.
- 19:40Is on continuum.
- 19:42Right?
- 19:43We can be kind of, you know, a little bit out of sorts all the way to I'm managing, but I'm
- 19:48kinda holding on run by a by a fine thread.
- 19:52And then, you know, the next thing I'm knowing I'm struggling to, you know, sleep properly or
- 19:57I'm struggling to you know, get out and see my friends as much or those types of things.
- 20:02And, you know, I've I've talked a little bit about this when I was, part of trauma team with
- 20:08the police.
- 20:09This is going back at the beginning of my career.
- 20:11I was a team of 13, and they had done, you know, PTSD assessment on all of us with the
- 20:18police because we were first responders to victims of crime.
- 20:21And and on that units, all of us showed higher levels you know, or moderate levels of PTS at
- 20:29least minimally, which is post traumatic stress.
- 20:31And then there was actually one person on the team that was suicidal.
- 20:35Right?
- 20:35Because again, what were we doing?
- 20:36We were constantly on.
- 20:38Right?
- 20:38And you'd, you know, you'd get we've got massive time off, which which I couldn't fault
- 20:42that.
- 20:44But of course, then you would go on and you would, you know, my very first call out was
- 20:50suicide.
- 20:51Right?
- 20:51So here I am twenty one years old.
- 20:54You know, and and I'm the eager, you know, psychotherapist, you know, 1st job, you know,
- 21:00those types of things.
- 21:01And it's like, wow.
- 21:04This is real.
- 21:05You know?
- 21:05And then the impact I still remember the call today, like, it happened yesterday, and it
- 21:10actually happened 5, 27 years ago.
- 21:13So talk a little bit about some of the programs that you offered that you said, you know, is is
- 21:18empirically validated and what you know works and what maybe people listening that are
- 21:23thinking, you know what?
- 21:25They're speaking to me directly.
- 21:27What what can they do?
- 21:29For sure.
- 21:29First, before I talk a little bit about the programs, one of the formulas for self
- 21:34transformation.
- 21:35I wanted to share that because it forms, a bit of a foundation for the philosophy.
- 21:39It's something that I was trained in my, my training isn't, moving into the world of
- 21:44psychotherapy in addition to healthy lifestyles and physiology, those kinds of things.
- 21:48But the formula is awareness plus acceptance plus action equals transformation.
- 21:54And so the awareness is a little about what you're talking about is that self awareness
- 21:59that we have of ourselves.
- 22:00And so tools like you talked about, there's a variety of different tools that we can do to,
- 22:05to see how we're doing there's a variety of different ways that we can build that capacity
- 22:09for self awareness.
- 22:10So we can see ourselves, our own signs and indicators of when are struggling, what does
- 22:15that look like for us, what does that feel like for us?
- 22:17So we have an understanding of how the environment is impacting us, how our behaviors
- 22:22are impacting ourselves and others, and how we're doing.
- 22:24So the capacity one to build self awareness.
- 22:27The second is the acceptance, and acceptance is another way of staying self compassion as and
- 22:32self compassion is an important core practice and philosophy, particularly for healthcare
- 22:36providers who often give so much for, to others, and, to the detriment of themselves.
- 22:44And self compassion is not only a philosophy.
- 22:46There are specific things and practices that we can do to cultivate that sense of self
- 22:51compassion with ourselves.
- 22:52Acceptance also is helping one to accept the nature of the circumstances.
- 22:57Those ask in our lives that we can't control, but are impacting us so we can create some
- 23:02space for well-being with that.
- 23:04So the awareness puts the acceptance, and the action is in the practical things we begin to
- 23:08do, myth by bit, to either shift our perspective, to bring better awareness, to
- 23:13build better skills, to build support.
- 23:15So there's the practical things that we do.
- 23:17So we wanna be able to bring all those 3 things to together the awareness, the acceptance, the
- 23:21action as a pro as a Roxanne.
- 23:24And then when I work with clients, that might be one on 1 for folks that prefer that one on 1
- 23:29where we set mutually or the client sets the goals that they want to work on and we help
- 23:34with that individualized plan of well-being.
- 23:36There's also a group program to an an interesting and helpful thing about group if
- 23:40you have that tend and befriend and the sense that folks in the group understand each other
- 23:45and where they're coming from.
- 23:46And so different group programs that, allow also the teaching of various skills.
- 23:54And so we get to develop some awareness and education.
- 23:57We get to support each other, but we also get to practice the different skills because there
- 24:02are specific things we can do that do make a difference, learning, you know, deep, breathing
- 24:06techniques, learning different visualization, processes, and other real skills that
- 24:12cultivate, that sense of, you know, that buffer of protection around ourselves.
- 24:17So these are practices that we get to learn and practice together over the period of time.
- 24:22So using these group programs, and there's a number of different ways.
- 24:25Mindfulness is certainly a core tenant or a foundation for a lot of the work that I teach,
- 24:30but one doesn't have to subscribe to any particular in particular ideology.
- 24:34They're all into the non secular sort of practical actionable sort of way, so
- 24:39individuals and groups.
- 24:40So those are the kinds of things that I'm doing out there in the community.
- 24:44I'm also privileged to teach a program called the working line for the workplace that I'm in
- 24:49right now, and and that's a program from the mental health commission of Canada.
- 24:52That's all about bringing awareness to the impact of stigma in the workplace common
- 24:58language around mental health and, practical things that we can do in the workplace.
- 25:03So in my workplace, I am privileged to be one of the facilitators that gets to deliver that
- 25:07to our health care providers.
- 25:10So whether it's at one's work, place or whether it's in a group or individual, there's just
- 25:15some of the ways that we can access ways of, learning more about ourselves and the skills
- 25:20that can help us to be more helpful and well in the in the environment that we are called to be
- 25:26in.
- 25:27Do you find that, in the health care, environments that the stigma being, knocked
- 25:35down.
- 25:36Or is it still that people are struggling with it?
- 25:40Because I think, you know, you, people will be well intentioned to say I get it.
- 25:46Right?
- 25:47But when you're out doing these trainings, how how do you find that people are receiving the
- 25:52elements of that it's it's kinda part of something that's on the rise, and we have to
- 25:56accept that, or I often say, like, you know, our our ancestors used to use their muscles.
- 26:01So therefore, they they bruise them and and tarnish them.
- 26:04So they they would go off on, you know, things that are physically related.
- 26:07Now, you and I, you think of, well, you know, when we met 15, 17 years ago, it was always
- 26:12about using our brains, which makes sense, right, that we're gonna overuse that part of
- 26:17the muscle.
- 26:18So it's not a physical, but it's really a mental, emotional, and psychological muscle.
- 26:22For sure.
- 26:22I mean, I I know that classes that I've been teaching a number of, especially over the last
- 26:27few months in a particular organization I work with.
- 26:29The, the conversation about Stigmas, a really important one, and, it's a, a really thoughtful
- 26:36one that we have with with the staff, certainly Stigmas traveler because a lot of those beliefs
- 26:40are unconscious, and we don't necessarily see them in the same way.
- 26:44And sometimes I think the challenge is that as a society, we're learning to language things
- 26:49differently, whether it's stigma with mental health or discrimination that impacts a number
- 26:53of different groups of people.
- 26:55You know, a lot of folks are now getting the courage to say that, you know, these kinds of
- 26:59language or these kinds of, you know, these kinds of behaviors have been having this
- 27:04impact.
- 27:05That folks might not have recognized was an impact.
- 27:08So we're talking a lot of a lot about it.
- 27:10We're much more, I think, open these days with these conversations through social media and
- 27:15other, you know, campaigns and awareness campaigns, but it means that we're in this
- 27:19interesting time offer for some folks.
- 27:22It's it's like the courage is there to come forward.
- 27:25Other folks are, yeah, this is a great conversation.
- 27:28And we always know for any group, we're we're talking about stigma discrimination.
- 27:32The learning, the new language for some groups is challenging.
- 27:35It's because it's like, what, you know, are you saying this used to be okay?
- 27:39And now I can't say this anymore.
- 27:41And and so there's kind of this relearning.
- 27:43And and the way that I, you know, I broach the conversation is to say it's really important
- 27:47that it's a non blaming shaming conversation as we learn together about the impact that
- 27:53language can have and how to simply in the work place be more kind, to be more present with the
- 28:02impact that can have.
- 28:04And and learn together about how to go forward in a way that helps to bring more awareness and
- 28:11more kindness and more compassion to, to all of us, as we're learning, you know, the impact of
- 28:16stigma, stuff that we might not even thought was an impact unless we have lived experience.
- 28:20And so, really facilitating that conversation and not blaming standing way has, has, has gone
- 28:25over pretty well.
- 28:27But, you know, to your to your point, yeah, certainly.
- 28:29It it's still there because it's unconscious.
- 28:32You know, and and I I would think that and I I think of, when I consult also that elements
- 28:38about equipping managers with the knowledge, to be able to to deal with mental health related
- 28:45concerns in a de delicate way so that they are not missing vital things.
- 28:50Right?
- 28:51It's not, you know, Roxanne's not, you know, performing because she doesn't want to, but how
- 28:57to kind of intervene in a kind, gentler, respectful way if you're recognizing
- 29:01something's going on with someone else.
- 29:03Right?
- 29:03So it's it's, you know, those core those core core or Valley, you know, soft skills are so,
- 29:09so very key because, you know, gone are the days where it's kinda like, you know, just do
- 29:14your job.
- 29:15If if I'm not following through, okay, it's about having that deep, strategic conversation
- 29:21to figure out, really, what what is going on?
- 29:22Am I struggling because of Am I struggling because of the culture?
- 29:26Am I struggling because I'm having a tough time on the team?
- 29:29Is it struggling because, you know, I'm have a sick child at home, or there's so many
- 29:33variables but, you know, like you said, destigmatizing it to say, we all can we all can
- 29:38get there.
- 29:39We all can get there.
- 29:40Right?
- 29:40Yeah.
- 29:42To recognize that, you know, I think a kindness and gentleness like it to your point that
- 29:47compassion as human beings, makes it a little bit easy for us to relate.
- 29:51Yeah, for sure.
- 29:52And this is a, that's a really important conversation that, I've been having regularly
- 29:57with the folks that have been participating in the programs, and it can be as simple as if you
- 30:01notice that I was your coworker and I was struggling, that you could say, hey, you know,
- 30:05you know, Erica, you just don't seem like yourself these days.
- 30:07You know, how you doing?
- 30:09And it's not that we have to be each other's counselors.
- 30:11We don't need to offer advice.
- 30:13We don't need to solve problems.
- 30:14It's just like, hey, I see you, and and you don't quite seem like yourself, you know, If
- 30:18you wanna go for a walk, you need a bit of a break, have you thought about talking to your
- 30:22manager so we can make suggestions with resources about telling folks what to do, but
- 30:27it really is a key that we notice that we're struggling, and that sense of team support is
- 30:33one of the most important buffers that is tective against occupational stress is that
- 30:38support of the team.
- 30:39And the team will often see things in each other that we don't see in ourselves that can
- 30:44be and helpful opportunity to bring the awareness of the need for support.
- 30:50And, you know, the other reality that if we're not doing well in the work particularly a
- 30:55health care workplace or any workplaces where our decisions have real impact on the work
- 31:00we're doing others and and health it's a it's a pretty profound impact.
- 31:04If we start to make some mistakes or errors, those mistakes have a far reaching
- 31:09implications, so we wanna be able to step in and passionate clear way to protect the
- 31:14reputation of the person that's struggling to help that ripple effect to be minimized and to
- 31:20help the person to get the support that they need early, so they can get back to doing the
- 31:25good work that they're that they wanna do.
- 31:28And, so we can be each other's eyes and ears and supports.
- 31:31For sure.
- 31:32So for anybody listening that, They know they're kinda struggling, you know, and, you
- 31:37know, and they're thinking, what are some things that I little things that I can start
- 31:42doing, say this week, Erica?
- 31:44Let's say I work in kind of, you know, 20 fourseven service, you know, and, I recognize I
- 31:50am isolating a bit What kind of what what what are some many steps that you might suggest that
- 31:55somebody like that could do?
- 31:57For sure.
- 31:57And, you know, one of the most important things is still support.
- 32:00So it's perceived social supports and accessing the social supports.
- 32:04And with health care providers, particularly, there's something about this supported the
- 32:08team, again, that's really protective because when we share what's going on with each other,
- 32:13we get it in a way that family and friends don't because they don't live the life of a
- 32:18trauma nurse or, even a transcriptionist who is at home and and reading the story or a place
- 32:26officer.
- 32:26So the peers understand things in a way that our families don't.
- 32:29Our families are wonderful can be wonderful support, sources of support as well, it's just
- 32:37that in the workplace, you want to connect with each other, and so one very simple practice is
- 32:42a reflective narrative practice, which means it might be saying, Hey, you know Roxanne, I had a
- 32:46really, tough experience at the day.
- 32:49Can you meet for a cup of tea?
- 32:50And I want to be able share what's going on.
- 32:52And then I share with you in a very specific way, and it's not like you're gonna give me
- 32:56advice or, you know, try to solve the problem for me, but I might come with my story, and
- 33:05you're just gonna be your active witness at witness, and I just share that story, and it's
- 33:10not like I'm, you know, you know, venting or gossiping with that sort of thing.
- 33:14I'm just saying, Hey, that was a really hard day when that patient family members were
- 33:18yelling at me, and I felt really overwhelmed, and I felt like I was experiencing a sense of,
- 33:21you know, disrespect and at least feeling came up for me.
- 33:25So I'm using my eye language and telling my story because what that does, it takes it out
- 33:30of my nervous system, and it brings it out here where it can be integrated in the hole.
- 33:34And some of the research shows that when I share with my colleague who I have that heart
- 33:38to heart connection with, there isn't that experience of like, of vicarious trauma there
- 33:43is, when we witness something.
- 33:45There's there's a protective effect with our peers that get it.
- 33:48So one of the most important thing is build your social support and connect with each other
- 33:53in a real way more often.
- 33:56Another simple thing is just throughout the day, do what you can to bring a little bit of
- 34:00relaxation to the body, that's a few deep breaths.
- 34:04There's a cool practice.
- 34:05I just, I they've learned recently called wet noodle.
- 34:07He just nads in your wet noodle.
- 34:09You know, they might be the hundred times today.
- 34:11Like, my son used to do when he was like, it's not wanting to do when he was like,
- 34:15It looks like that.
- 34:16Your kid, like, they just had it, you know, flops on the floor.
- 34:19You might not flops on the floor.
- 34:23That kind of idea because whether it's a quick body scan in in the moment and take a breath if
- 34:29it's just that that wet noodle.
- 34:31We're trying to, or the aim is to regulate that autonomic nervous system because it's hard to
- 34:36anchor trauma physically in the body when the body's relaxed.
- 34:40You can't have stress and relax bodies.
- 34:42So that ongoing practice of taking a breath of, of, you know, those quick wet and visual
- 34:49practices to bring a little relaxation in a moment, of course, reaching out for social
- 34:53support and expressing how we're doing in a very intentional way.
- 34:56You don't have someone yet.
- 34:58You feel comfortable doing so.
- 34:59The journal it, write it out.
- 35:01Because that helps to reduce the cortisol and the stress hormones, cardiovascular exercise.
- 35:07That's one of the things that's critical play important, and it doesn't have to be like a
- 35:12spinning class, and, you know, unless you love spinning, that's not my thing.
- 35:15A little bit too hard for me, but if you love spinning, that's great, but it could be going
- 35:19for a walk three times a week for 20 minutes.
- 35:22That's really important dance or, you know, that kind of thing, whatever it is that gets
- 35:26you moving, So those kinds of things, get home at the end of the day and put on a funny movie,
- 35:31finding reasons to laugh again is really important.
- 35:35So those are some of those key things.
- 35:37There's other things we can do, but connecting with our team, our social support, getting for
- 35:44those walks, fresh air and sunshine connecting with nature, and some are, you know, some of
- 35:48the areas that have been working with also have some creative things.
- 35:52There's an organization called PAW pause for wellness, the therapy dogs.
- 35:56And so, in our wellness program, they bring the therapy dogs to the staff.
- 36:01And the staff love them because anything that makes us go, it actually releases oxytocin in
- 36:10our body that feel good and So really connecting with our pets and our kids and our
- 36:15children and, and you know, the therapy dogs is something that I know the staff where I really
- 36:20enjoy as well.
- 36:21So it doesn't have to be like, okay, I'm gonna have to do all of these things, and I don't
- 36:25have time for it.
- 36:26Social supports, take a breath, drink a little bit more water, that flashes cortisol out of
- 36:31the body.
- 36:33And there's another form that allows that a colleague of mine taught when we're
- 36:37overwhelmed, the formula, again, it's WTF WTF moments are walk talk slash moments.
- 36:46And that
- 36:47was mean particularly for something else.
- 36:49I'm learning it.
- 36:49Oh, yeah.
- 36:50I know.
- 36:50I really think you took it out.
- 36:52Okay.
- 36:54And flush with just water.
- 36:56Oh, wow.
- 36:57Wow.
- 36:58Especially after within 24 hours of a a chronic or, or sort of, an event that's very stressful
- 37:04and overwhelming day or something traumatic, talk it out with someone that you trust go for
- 37:09a walk, even if it's 20, 25 minutes, get that cortisol out of the body, drink a little bit of
- 37:13extra water.
- 37:14You don't have to go to town on the water, but get your eight glasses.
- 37:17That is flushing out cortisol in the body because we wanna regulate that nervous system
- 37:22that helps to reduce the impact of the trauma and the stress on the body.
- 37:26So those are a few things we can implement right away.
- 37:29Those are those are amazing tips.
- 37:30Right?
- 37:31It's like I think even if you're not in a, you know, a a health care setting, just with
- 37:36workplaces being that much more stressful and, the expectations being on the rise with most
- 37:41employees having to do more or you know, whatever role you're in just to be able, you
- 37:45know, to to take a little bit of time.
- 37:47And I think, unfortunately, most people believes it's it's a spinning class or a
- 37:51pilates class or whatever, but it really could be little snippets of things that,
- 37:55you
- 37:55know, you can do often throughout the day for a minute or 2 that helps you, like you said,
- 37:59reconnect to your body So your mind and body gets in alignment again, so the body doesn't
- 38:04carry the weight of of all all the tension, like you said, in the cortisol that, comes with
- 38:09it.
- 38:10Erica, this has been, been very, fascinating as usual.
- 38:14I know you and I can talk for hours, about things.
- 38:17So for people that might want to reach out to you, work with you, tell them where they can
- 38:22reach you.
- 38:22And, you know, if if they wanted to do some one to one or if they're I know you do some group
- 38:28coaching programs where where they can reach you.
- 38:32Yeah.
- 38:32They could reach me, Eric, the cast for send dotorg.
- 38:37The Erica Casper send dotorg is my, my website.
- 38:44A lot of that may be updated coming soon, but you'll still find me, there.
- 38:47Now, that'll be a place that you can reach me in terms a little bit more information,
- 38:51specifically in health care world, work that I'm doing there, and, there's a contact info,
- 38:56though, contact info there folks would like some more information.
- 39:00Awesome.
- 39:01So I, again, you know, there's so much that I gained today.
- 39:05And, obviously, this is my world around talking about resilience.
- 39:09And, the one that I'm gonna remember is walk talk flush.
- 39:14I'm gonna remember that.
- 39:15You know, if if people can implement that, just in any way you find yourself getting stressed,
- 39:21you know, it helps to put the prefrontal cortex back on.
- 39:24Like Erica says, you can't see, the brain doesn't know the difference when the event is
- 39:29done, and the only person to do that is you by connection, you know, peer support, talking,
- 39:35writing, watching something funny.
- 39:38So to to really think about implementing something, even if it's something small one or
- 39:42two times a day.
- 39:43So, again, thank you for tuning in.
- 39:45If you're needing any information on myself, I'm Roxanne Derhodge with authentic living with
- 39:50Roxanne.
- 39:51And you can reach me atwalksandurhodge.com.
- 39:54So take care, everyone, and we will chat again with you soon.
- 39:58Thanks for tuning in to authentic living with Roxanne, creating the space for positive
- 40:03healthy change.
- 40:04Roxanne is a keynote speaker psychotherapist, and coach to work with Roxanne.
- 40:10Visit rocksandurhaj.com/blueprint.
- 40:15We'll see you next time on authentic living with Roxanne.