The work for this education series started in the spring, about the same time our last series was ending. We brainstormed ideas. We discussed topics and potential speakers. In the end, our discussions were so rich that we decided we needed to add a seventh talk for the first time ever, taking the series into April. With a great deal of support from the OMA, and hundreds of e mails back and forth, we are now set to begin next week.
******
This is now my fourth year working with the main speakers series.
When I started on as program and education chair, I was feeling a strong need to represent topics I felt were not getting their fair share of attention in medical school or in post-graduate training.
So, those of you who have been attending the series, or following the arc of its evolution, will have noticed a lot of attention to trauma and neuroscience. Polyvagal Theory. Complex PTSD. Somatoform Dissociation. Criminology; sexuality. Topics I felt were crucial to the good practice of any medical discipline or specialty.
Entering this year, I felt that it was time to work more collaboratively with my committee, and to create a more well-rounded teaching series.
I think you'll find that this is the most balanced and broad-based Wednesday night series yet. None of these talks will be ivory tower. We won't spend an hour and forty-five minutes quoting studies and then fifteen minutes on what to do with that information. This series is aimed at engaging you, stimulating you and speaking directly to your clinical practice, and - more often than not - to your self-awareness as well. Hopefully this series will enrich and enhance your sense of yourself as both physician and individual.
Please bring your curiosity and your enthusiasm and check us out.
I hope you'll learn something you never expected to learn in an unhurried and relaxed atmosphere. Maybe you will meet somebody new, and swap stories about experiences.
Our emphasis is on creating community; learning comes second, but it's a very exciting and important second. In a way, gathering together and learning become two braids in an inseparable cord, or a series of notes that become a single chord.
Maybe you'll meet some of the other members of the education committee and maybe you'll take an interest on becoming more involved in our education initiatives.
I look forward to meeting some of you along the way.
Main Speakers Series 2014-2015
******
This is now my fourth year working with the main speakers series.
When I started on as program and education chair, I was feeling a strong need to represent topics I felt were not getting their fair share of attention in medical school or in post-graduate training.
So, those of you who have been attending the series, or following the arc of its evolution, will have noticed a lot of attention to trauma and neuroscience. Polyvagal Theory. Complex PTSD. Somatoform Dissociation. Criminology; sexuality. Topics I felt were crucial to the good practice of any medical discipline or specialty.
Entering this year, I felt that it was time to work more collaboratively with my committee, and to create a more well-rounded teaching series.
I think you'll find that this is the most balanced and broad-based Wednesday night series yet. None of these talks will be ivory tower. We won't spend an hour and forty-five minutes quoting studies and then fifteen minutes on what to do with that information. This series is aimed at engaging you, stimulating you and speaking directly to your clinical practice, and - more often than not - to your self-awareness as well. Hopefully this series will enrich and enhance your sense of yourself as both physician and individual.
Please bring your curiosity and your enthusiasm and check us out.
I hope you'll learn something you never expected to learn in an unhurried and relaxed atmosphere. Maybe you will meet somebody new, and swap stories about experiences.
Our emphasis is on creating community; learning comes second, but it's a very exciting and important second. In a way, gathering together and learning become two braids in an inseparable cord, or a series of notes that become a single chord.
Maybe you'll meet some of the other members of the education committee and maybe you'll take an interest on becoming more involved in our education initiatives.
I look forward to meeting some of you along the way.
Main Speakers Series 2014-2015
October 1, 2014
Reflections on Guilt and Conscience
Freud’s discovery that unconscious guilt may be manifested in a host of pathological conditions that on the surface appear to have nothing whatever to do with moral issues has been insufficiently appreciated. I think of these painful conditions as “guilt-substitutes.” But in order to clarify our thinking in this field we need to distinguish between persecutory and reparative guilt and between the superego and the conscience. The relevance of these con- cepts to medical practice in general and clinical work in psychotherapy in particular will be discussed.
Key Learning Points:
Reflections on Guilt and Conscience
Freud’s discovery that unconscious guilt may be manifested in a host of pathological conditions that on the surface appear to have nothing whatever to do with moral issues has been insufficiently appreciated. I think of these painful conditions as “guilt-substitutes.” But in order to clarify our thinking in this field we need to distinguish between persecutory and reparative guilt and between the superego and the conscience. The relevance of these con- cepts to medical practice in general and clinical work in psychotherapy in particular will be discussed.
Key Learning Points:
-
To understand the role of unconscious guilt in suffering that manifestly
seems unconnected to moral issues.
-
To grasp that a wide range of symptoms may serve as “guilt-substitutes.”
-
To understand the two fundamentally different types of guilt: persecu-
tory or self-punitive on the one hand and reparative on the other.
-
To understand that whereas the superego is narcissistic and focused
upon the self and its badness, the conscience reflects a capacity for concern for the other and a desire to make reparation for damage done.
Donald Carveth is Emeritus Professor of Sociology and Social & Political Thought at York University. After completion of a doctorate (1977) comparing and contrasting sociological and psychoanalytic theories of human nature, he undertook clinical training at the Toronto Institute of Psychoanalysis of which he is the current Director.
With Dr. Eva Lester and others he helped found The Canadian Journal of Psychoanalysis of which he is a past Editor-in-Chief. Last year his book, The Still Small Voice: Psychoanalytic Reflections on Guilt and Conscience, was published by Karnac, UK.
He maintains a private practice of psychotherapy, psychoanalysis and su- pervision in central Toronto. Many of his publications are available on his website: www.yorku.ca/dcarveth
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OMA Section on Primary Care Mental Health
Main Speakers Series 2014-2015
November 5, 2014
Evidence-Based Treatment of Insomnia in Medical Settings
Insomnia is the number one health complaint in general medical settings and the primary place people with insomnia present are at medical clinics; thus having brief, evidence-based skills to address insomnia is a must. This talk will provide an overview of what causes chronic insomnia and evidence- based insomnia treatment approaches. Topics will include: i) When to order sleep studies, ii) How sleep is regulated and how this should influence what you tell patients, iii) Why Sleep Hygiene is ineffective, iv) Whether insomnia treatment differs when there is a co-occurring condition like pain present, v) The pros and cons of sleep medications, and vi) Brief Behavioural Insomnia Therapy (BBIT): A One-Session Treatment for Medical Settings.
Key Learning Points:
Evidence-Based Treatment of Insomnia in Medical Settings
Insomnia is the number one health complaint in general medical settings and the primary place people with insomnia present are at medical clinics; thus having brief, evidence-based skills to address insomnia is a must. This talk will provide an overview of what causes chronic insomnia and evidence- based insomnia treatment approaches. Topics will include: i) When to order sleep studies, ii) How sleep is regulated and how this should influence what you tell patients, iii) Why Sleep Hygiene is ineffective, iv) Whether insomnia treatment differs when there is a co-occurring condition like pain present, v) The pros and cons of sleep medications, and vi) Brief Behavioural Insomnia Therapy (BBIT): A One-Session Treatment for Medical Settings.
Key Learning Points:
-
Basic sleep assessments can be done in non-sleep specialty settings
-
Cognitive Behaviour Therapy is the frontline recommended treatment
for chronic insomnia
-
There is demonstrated efficacy for one-session behaviour therapy in
medical settings
-
Health Canada and FDA-approved sleep medications have comparable
efficacy to CBT (but CBT is effective even two years post-treatment)
Dr. Colleen E. Carney is an Associate Professor and Director of the Sleep and Depression Laboratory in the Department of Psychology at Ryerson University in Toronto. She is one of the leading experts in the world in Cogni- tive Behavioural Insomnia Therapy for those with co-occurring health condi- tions, most notably depression. Her work was featured recently on the front page of the New York Times. Her clinical trial research has been funded by the National Institutes of Mental Health, the Canadian Institutes of Health Research, The Ministry of Research and Innovation, the National Institute for Nursing Research and the Social Science and Humanities Research Council. Dr. Carney has over 100 publications, including seven treatment books, book chapters and numerous peer-reviewed publications on the topic of insomnia and depression. She co-authored the first self-help insomnia book for those with comorbid depression, anxiety, and chronic pain. She trains graduate therapists at Ryerson, as well as health professionals in Cognitive Behaviour Therapy for insomnia, fatigue, and depression. She is an active presenter on this topic; providing workshops and presentations to profes- sionals across Canada, the United States, and Europe.
OMA Section on Primary Care Mental Health
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Main Speakers Series 2014-2015
December 3, 2014
Ten Key Tips in dealing with Adolescents from an Adolescent Psychiatrist
Dr. Voysey will outline 10 major areas of concern in dealing with adolescents and appropriate responses for therapists.
Key Learning Points:
Ten Key Tips in dealing with Adolescents from an Adolescent Psychiatrist
Dr. Voysey will outline 10 major areas of concern in dealing with adolescents and appropriate responses for therapists.
Key Learning Points:
-
To develop an appreciation for the phase of life called “adolescence”.
-
To appreciate the essential developmental tasks of adolescence
-
To be aware of ten major areas of developmental concern for youth
and explore how to inquire into these areas and to consider optimal therapeutic responses to information revealed in these inquiries.
Dr. Mark A. Voysey - Individual (Child, Adolescent and Adult) and Family, Psychiatry and Psychotherapy, Forensic Psychiatry and Consultation Psychiatry M.B.B.S, B.Med. Sc.(Hons), FRCPC, ABAP, TCPP, CAPTC.
Dr. Voysey received his undergraduate medical training (1972-78) and post- graduate training in general adult psychiatry, neuropsychiatry and alcohol and drug addictions in Australia. In 1982 he immigrated to Canada where he trained for 5 years at the University of Toronto (in general psychiatry for 3 years and then in Child and Adolescent psychiatry for 2 years).
Following this training, Dr. Voysey worked in the Adolescent Unit of a Provin- cial psychiatric hospital where he was involved with chronic inpatients and outpatients (6 months each) and a secure crisis unit (4 years). During this pe- riod, Dr. Voysey worked with the Durham Region Family Court Clinic for ten years and consulted on a regular basis to pre-school, school-aged and ado- lescent programs (residential and non-residential), and provided educational input and focal consultation to agencies and different Provincial Government Ministries at various levels.
He continues to consult to residential treatment programs for youth in urban and rural areas. He has been working out of his private practice in Cabbag- etown since 1992, where he has lived since 1984.
Dr. Voysey has prepared numerous court reports and made regular court appearances at the Ontario Court (Provincial Division) (Family Court), now known as the Ontario Court of Justice and at the Ontario Court (General Division), now known as the Superior Court of Justice.
He is a graduate, and now Faculty (teaching) member of the Toronto Child Psychotherapy Program (a course involving extensive theoretical study, clini- cal supervision and guided self-reflection), and thereby a member of the Ca- nadian Association of Psychotherapists of Children.
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OMA Section on Primary Care Mental Health
Main Speakers Series 2014-2015
January 14, 2015
Motivational Interviewing: Dancing versus Wrestling
Some people are ready to change, others...not so much. But regardless of a patient’s level of readiness, we can make a difference! This dynamic and interactive session offers essential tips and tools for engaging each and every patient in a meaningful conversation about change. Motivational Inter- viewing is an evidence-based approach focused on exploring and resolving ambivalence and enhancing motivation. You are invited to bring your most “motivationally challenging” case examples and leave with concrete ideas and strategies.
Key Learning Points:
Motivational Interviewing: Dancing versus Wrestling
Some people are ready to change, others...not so much. But regardless of a patient’s level of readiness, we can make a difference! This dynamic and interactive session offers essential tips and tools for engaging each and every patient in a meaningful conversation about change. Motivational Inter- viewing is an evidence-based approach focused on exploring and resolving ambivalence and enhancing motivation. You are invited to bring your most “motivationally challenging” case examples and leave with concrete ideas and strategies.
Key Learning Points:
-
Frame Motivational Interviewing as a way of being with your client –
evocation versus installation
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Troubleshoot challenging practice issues/cases
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Identify barriers and enablers to implementing MI skills with clients
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Set concrete implementation objectives for clinical practice.
Dr. Marilyn Herie PhD, RSW is the Academic Chair, Department of Com- munity Services, School of Community and Health Studies at Centennial College in Toronto, Canada; and Assistant Professor (Status Only), University of Toronto Factor-Inwentash Faculty of Social Work. She is a member of the international Motivational Interviewing Network of Trainers (MINT) and has over 15 years of clinical practice and supervision in addictions/concurrent disorders treatment with individuals and groups.
Dr. Herie has published widely on evidence-based practice approaches, including Motivational Interviewing (MI) and Cognitive Behavioural Therapy (CBT), as well as knowledge translation and dissemination research. Her areas of interest include motivational interviewing and health behaviour change, interprofessional education research and evaluation and social me- dia. She blogs about clinical education at www.educateria.com.
OMA Section on Primary Care Mental Health
7
Main Speakers Series 2014-2015
February 11, 2015
Here comes that hurt again: What you need to know about psychological trauma and trauma-informed care
There is a pressing need for trauma-informed care within our health care system. Although there is a growing awareness of this need, the vast major- ity of health care providers have only a cursory knowledge of psychological trauma and its impact on their patients. Trauma survivors are often misun- derstood and this can have a detrimental effect on the care they receive and on their response to the care that is delivered. This presentation will examine how psychological trauma places a heavy burden on our health care system, the range of challenges health care providers face when working with trauma survivors, the principles of trauma-informed care and specific strategies for delivering trauma-informed care.
Key Learning Points:
Here comes that hurt again: What you need to know about psychological trauma and trauma-informed care
There is a pressing need for trauma-informed care within our health care system. Although there is a growing awareness of this need, the vast major- ity of health care providers have only a cursory knowledge of psychological trauma and its impact on their patients. Trauma survivors are often misun- derstood and this can have a detrimental effect on the care they receive and on their response to the care that is delivered. This presentation will examine how psychological trauma places a heavy burden on our health care system, the range of challenges health care providers face when working with trauma survivors, the principles of trauma-informed care and specific strategies for delivering trauma-informed care.
Key Learning Points:
-
Explain why psychological trauma places a heavy burden on the
healthcare system
-
Describe how a patient’s history of psychological trauma can interfere
with the delivery of health care
-
Name five guiding principles for providing trauma-informed care
-
Describe specific strategies for working with patients who have a his-
tory of psychological trauma
Dr. Catherine Classen is an associate professor in the Department of Psy- chiatry at the University of Toronto, director of the Mental Health Research Program at the Women’s College Research Institute at Women’s College Hospital, and the academic leader of the Trauma Therapy Program at Wom- en’s College Hospital. She is a past president of the International Society for the Study of Trauma and Dissociation and past chair of the Traumatic Stress Section of the Canadian Psychological Association. Dr. Classen has been working in the field of psychological trauma for over 20 years as both a researcher and clinician. Dr. Classen’s research interests include investigat- ing psychotherapy interventions for trauma survivors and advancing trauma- informed care within the health care system. She has over 100 publications and recently co-authored the book, “Treating the trauma survivor: An essen- tial guide to trauma-informed care,” published by Routledge. She is also co- author of an online accredited CME course “Posttraumatic Stress Disorder: A Primer for Primary Care Physicians” sponsored by the Mood Disorders Society of Canada in collaboration with Faculty of Medicine, Memorial Uni- versity, Newfoundland. Both the book and online course are due for release
in the fall of 2014.
8
OMA Section on Primary Care Mental Health
Main Speakers Series 2014-2015
March 4, 2015
Building Healthy Relationships through the use of Ruthless Compassion
The notion of what is a “healthy relationship” in both personal and profes- sional life will be discussed; the philosophy of ruthless compassion will be explored and examples will be given of how ruthless compassion can be applied to create healthy relationships.
Key Learning Points:
Building Healthy Relationships through the use of Ruthless Compassion
The notion of what is a “healthy relationship” in both personal and profes- sional life will be discussed; the philosophy of ruthless compassion will be explored and examples will be given of how ruthless compassion can be applied to create healthy relationships.
Key Learning Points:
-
To understand what constitutes a “healthy relationship”
-
To differentiate the goals of personal and professional relationships
-
To learn how to apply the philosophy of ruthless compassion to per-
sonal and professional relationships
-
To learn the benefits of using ruthless compassion in personal and
professional relationships
Dr. Marcia Sirota, M.D. is a graduate of Memorial University, School of Med- icine. She completed her residency at Maimonides Medical Center in New York City in 2000. She has a private practice in individual and group therapy here in Toronto.
She’s the author of “Emotional Overeating: Know The Triggers, Heal Your Mind and Never Diet Again”, and the upcoming book series, the “Short and Sweet Guides to Life”, the first of which is entitled, “Loving Heart, Quiet Mind, Healthy Body: Affirmations for Transforming Your Body and Your Life”, available soon on amazon.com and BarnesandNoble.com
OMA Section on Primary Care Mental Health
Main Speakers Series 2014-2015
April 8, 2015
Clinical Hypnosis as a Tool in GP Psychotherapy
Hypnosis is not a type of psychotherapy, like psycho-analysis or cognitive behaviour therapy. Instead, it is a procedure that can be used to facilitate psychotherapy. This talk will provide attendees with an overview of the use of clinical hypnosis as a tool to assist in the delivery of psychotherapeutic messages designed to improve mental health and functioning of patients.
Key Learning Points:
Clinical Hypnosis as a Tool in GP Psychotherapy
Hypnosis is not a type of psychotherapy, like psycho-analysis or cognitive behaviour therapy. Instead, it is a procedure that can be used to facilitate psychotherapy. This talk will provide attendees with an overview of the use of clinical hypnosis as a tool to assist in the delivery of psychotherapeutic messages designed to improve mental health and functioning of patients.
Key Learning Points:
-
To understand the basic theory of clinical hypnosis
-
To explore the use of basic hypnosis techniques in psychotherapy
delivery
-
To discuss the principles for implementation into psychotherapy
practice
Dr. Jacques Gouws is a psychologist in independent clinical psychological practice. His experience is in the evaluation and treatment of Posttraumatic Stress Disorder, Mood and Anxiety Disorders, Chronic Pain, and Mild Trau- matic Brain Injury. He is a frequent speaker at conventions and workshops, and has been quoted in the national media in particular on PTSD and how it manifests in soldiers. He is a past president and Fellow of the Canadian Society of Clinical Hypnosis, Ontario Division.
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OMA Section on Primary Care Mental Health
ACCREDITATION:
Each of these presentations is accredited for two hours of group continuing education by the GPPA (General Practice Psychotherapy Association).
Attendance will be strictly monitored. Please sign in before 7:30 PM in order to receive CE credits.
LOCATION:
OMA office is located at 150 Bloor Street West, Suite 900 (northeast corner of Avenue Road/ Bloor Street West) .
PARKING:
There are several parking lots within a block radius of the office (Cumberland Street, Bellair Street and Yorkville Avenue) and some metered parking on the street. There is NO public parking below our building.
Each of these presentations is accredited for two hours of group continuing education by the GPPA (General Practice Psychotherapy Association).
Attendance will be strictly monitored. Please sign in before 7:30 PM in order to receive CE credits.
LOCATION:
OMA office is located at 150 Bloor Street West, Suite 900 (northeast corner of Avenue Road/ Bloor Street West) .
PARKING:
There are several parking lots within a block radius of the office (Cumberland Street, Bellair Street and Yorkville Avenue) and some metered parking on the street. There is NO public parking below our building.
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