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Explore practical strategies for mental wellbeing across the veterinary professions
Mental Wellbeing and Positive Psychology for Veterinary Professionals: A Pre-emptive, Proactive and Solution-based Approach delivers a practical, hands-on guide to mental health and resilience for individual members of the veterinary professions and for those managing entire practices. Divided into 6 sections, the text offers valuable tools, including meditation, mindfulness, and positive psychology, to help readers grapple with the mental challenges presented by veterinary practice. The author has also included a series of case studies and anecdotes from her experience in counselling members of the professions, including a new-graduate vet, a specialist surgeon, and a head nurse, as they encounter issues like anxiety, compassion fatigue, fear of failure, imposter syndrome, and grief. By learning in advance about the common hurdles they will face during their careers, the reader will discover how to prepare for these in positive and proactive ways.
Readers will also find:
Dr. Laura Woodward is well positioned to write on the topic, as both a working veterinary surgeon and an accredited counsellor and has crafted a text that is perfect for veterinarians, veterinary nurses, and practice managers. Mental Wellbeing and Positive Psychology for Veterinary Professionals will also benefit veterinary students, student veterinary nurses, and teaching staff seeking a comprehensive resource for veterinary mental health.
Laura Woodward, MVB; CertVR; CertSAS; Dip Couns; MRCVS is the Founder of a counselling and mindfulness practice for veterinary professionals and also a surgical veterinarian at the Hampstead Village Vet Hospital in London in the United Kingdom. She is also a mindfulness teacher, a positive psychologist, and is training to be an equine psychotherapist. The Author has assigned a 50% of their Royalty to Vetlife and the rest to providing free of charge therapy for Veterinary nurses.
Foreword xvi
How the Book and Ideas Were Developed xxii
How to Use This Book xxiv
Part 1 Strategies 1
Mindfulness 3
What Does 'Mindfulness' Mean? 3
Paying Attention to the Present Moment 3
Non-judgement 3
Mindful Living 4
Mindfulness: How to Do It 6
An Introduction to Mindful Meditation 8
Mindful Meditation: Paying Attention, on Purpose 9
Mindful Meditation: Non- judgement of Emotions 11
The Case for Mindfulness versus I'm Already Too Busy 15
Mindfulness in the Veterinary Practice 17
Mindfulness and Management 20
Emotional Intelligence 21
The Five Competencies of Emotional Intelligence 21
Self- awareness 23
How Do I Become More Self- aware? 24
Self-regulation 25
Motivation 27
Empathy 29
Social Skills 29
Empathy 31
The Three Types of Empathy 31
Leadership and Empathy for Line Managers 34
The Evidence- based Case for Leadership: Empathic Concern versus Empathy Alone 39
Acceptance and Proactivity 39
How Do I Do It? 40
What's Not Helpful 40
What Is Helpful 41
The Empathy-Profitability Link 42
Secular Buddhist Concepts 45
Basic Elements of Secular Buddhism 45
The Four Noble Truths 45
The Nature of Impermanence 48
Attachment 49
Positive Psychology 50
The Three Circles of Control 50
Reference 52
Part 2 How to Meditate 53
How to Meditate: Part 1 55
Introduction 55
Gain Control of Your Mind 57
Mindful Drinking 58
Mindful Breathing 58
Mindful Body Scan 58
Loving Kindness Meditation 59
Hand- on- Heart Meditation 61
How to Meditate: Part 2 63
Observe an Emotion 63
Anger 63
Anxiety 65
How to Meditate: Part 3 67
How to Meditate: Part 4 69
Opening Shutters Meditation 69
The Fortress 71
The Heavy Bucket 71
Climbing Up the Branches of a Tree 72
Conveyor Belt Meditation 72
Part 3 Difficulties and Applying Strategies 75
Anxiety 77
Fear of Failure 80
The Dalai Lama Advises 81
How Do I Stop Fearing Fear? 81
Disputing Irrational Beliefs and Doing Our Cognitive Homework 82
Change Your Language in Order to Change Your Thought Process 83
Exercises for Attacking Shame 83
Imagery and Role Play 84
Desensitisation 84
Loss of Confidence 86
Perfectionism 88
Imposter Syndrome 93
Feel Like a Fraud? 93
What Can I Do? 94
Recognise Your Expertise 95
Remember What You Do Well 95
Talk About It 95
Compassion Fatigue 96
What are the Symptoms of Compassion Fatigue? 98
How Do I Prevent or Recover from Compassion Fatigue? 99
References 101
Lack of Assertiveness 102
Empathy 104
Motivation 105
Social Media and Doom Surfing 106
How Do I Stop Doom Surfing? 108
References 110
Yearning, Striving and Wishing Things Were Different 111
'Letting Go' of Striving 111
What is Striving? 111
Blissful Happiness 113
Moral Injury 116
What Can We Do About Moral Injury? 118
Moral Courage 119
References 120
Identity 121
When Being a Veterinary Professional is Your Whole Identity 121
How Do You Know if Your Identity Has Become Enmeshed with Your Career? 122
Start Small 122
Bullying 124
Cancel Culture 125
How to Refrain from Punitive Actions 126
Conflict and Client Complaints 127
Team Dynamics 131
Team Dynamics and Difficult Colleagues 131
Team Dynamics and Helping Colleagues 133
Depression 136
Anger 138
What's Normal? 139
Knowing How and When to Express Your Anger is a Skill Worth Developing 141
Sleep on It 141
Grief 142
How to Grieve Mindfully 143
Competitive Grief 144
Comparative Grief 145
The Emotional Burden of Error 147
Guilt 147
Fear 148
Isolation 148
Guilt 151
I Feel Guilty 152
What is Guilt? 152
Misuse of Guilt 153
Helpful Guilt 153
Misplaced Guilt 153
When Your World Falls Apart 156
References 161
Euthanasia and Suicide 162
References 164
Chronic Pain 165
References 167
Burnout 169
The Three Dimensions of Burnout 169
Emotional Exhaustion (Focus, Language and Posture) 170
Depersonalisation 172
Disconnection from Purpose 173
Summary of Strategies to Combat Burnout 174
Neuroplasticity and Reversing Burnout 175
The Evidence Base 176
Suicide, Burnout and Chronic Stress 176
Recognising Burnout 176
Mindfulness and Burnout 176
References 179
Management and Mindfulness 180
Mindfulness as an Evidence- based Tool to Prevent Stress, Burnout and Depersonalisation 180
How Do We Promote Mindfulness Training in Our Practices? 183
Reference 183
Suicide in the Veterinary Professions 184
The Perfect Storm in Vets 185
How Do We Increase Our Production of Oxytocin? 186
Understanding the Steps Towards Suicide 187
References 188
Part 4 Therapy 189
Cognitive Behavioural Therapy 191
Rational Emotive Behavioural Therapy 191
Mindfulness- based Stress Reduction 193
Evidence Base for MBSR 194
Aims of MBSR 194
References 195
Acceptance and Commitment Therapy 196
Acceptance and Commitment Therapy and Cancer 200
Animal- assisted Therapies 202
Communication 204
Collaboration 205
Respect 206
References 206
Part 5 Case Studies 207
Introduction: The Counselling Process 209
Ann (A New Graduate Vet) 211
First Session 211
Acceptance 214
Second Session 215
Homework 217
Third Session 218
Summary 220
Ben (An Experienced Vet) 221
First Session 221
Second Session 225
Third Session 227
Summary 227
Darren (A Specialist Vet) 229
First Session 229
Second Session 233
Third Session 235
Summary 237
Claire (Head Nurse) 239
First Session 240
Second Session 242
Summary 244
Part 6 Positive Psychology 245
Gratitude 247
What Gratitude Isn't 247
Grateful for Nothing 248
Reference 250
Kindness 251
Small Acts of Kindness 251
Random Acts of Kindness 253
References 253
Mindful Gift Giving and Receiving 254
How to Practise Mindful Gift Giving 255
Mindful Receiving of Gifts 256
Pride and Profitability 257
Self- focused Pride and Other- focused Pride 257
Positive Psychology 258
Enhancing Self- focused Pride 259
How Do I Notice the Mini- victories? 259
Enhancing Other-focused Pride 259
References 260
Stubborn Optimism 261
What Can I Do? 263
Resilience 265
Mindfulness and Resilience 265
Positive Emotion 267
Engagement 267
Relationships 267
Meaning 268
Accomplishments 268
References 269
Two Ways of Looking 270
How Mindfulness Can Improve Cardiac Health 272
References 274
Self- compassion versus Self- care 275
Mindfulness 276
Loving Kindness Towards Yourself 277
Hand-on-heart Meditation 277
A Sense of Common Humanity 278
Being Ready for Some Good News 279
Why We Tend to Ignore the Good Moments 280
Three Practices to Help Us Notice the Good News 280
The Use of Language 282
Internal Monologue 282
External Words to Self 283
External Words to Others 283
Exercise and Work-Life Balance 286
Mindful versus Mindless Exercise - Your Call 286
Lacking in Motivation? Find an Exercise You Actually Like 287
Reference 288
Learning from Our Pets 289
Lesson One - The Importance of a Good Routine 291
Lesson Two - Feel What I Need to Feel When I Need to Feel It 291
Lesson Three - How to Truly Be Present 292
Resolutions and Intentions and Mindfulness- based Eating Awareness Therapy 294
New Year Intentions 296
Postponing Mindfulness and Self- compassion 300
Index 305
Jon Kabat Zinn, a very well-known mindfulness teacher and advocate, defines mindfulness as 'paying attention to the present moment on purpose, non-judgementally'.
It's so hard to make ourselves aware of 'just now' for an extended period of time. Our minds naturally wander to tasks that need to be done, things we need to sort out, what happened last night, what may happen next weekend, who just walked in, the cat needs feeding, my phone's beeping, etc.
Begins with awareness of your own thoughts and stopping yourself from labelling any of them as good or bad. But how can we do this?
Everything can be taken from a man but one thing: the last of the human freedoms - to choose one's attitude in any given set of circumstances.
Viktor E. Frankl
Take a moment to examine whether you are the type of person to see an event and then reflexively judge it as 'right' or 'wrong'? Or do you hear about someone, see their Facebook post and jump to a 'good' or 'bad' conclusion? It's okay if you do. Most of us do just that.
People bitching about other people is designed to sway our judgements of the person being talked about. Do you side with the slanderer? Are you easily swayed? Do you feel obliged to pass judgement even if you don't act upon it? It's human nature.
Politicians try to sway us into judgement as their full-time job. Celebrities, news channels, Instagram all ask us to judge. And we do.
Now imagine what it would be like if you consciously chose not to judge any more. What a weight is lifted off your shoulders if you decide you don't have to take sides, pass judgement, make decisions about who's right and who's wrong.
It starts off as a conscious decision. With a little time, it becomes part of you. It is the most liberating feeling of relief when you make a conscious decision to not get involved in all the judging of others. I advise you to try it for one day or even one hour and then spend some time contemplating how it feels for you.
This can be done literally anywhere, at any time, for a few seconds, for a whole day, or as a permanent thing. It still involves focusing on the present moment on purpose non-judgmentally, with curiosity and awe as if we had never noticed it before. It can also include time sitting on the cushion. The point is that it really is attainable for anyone. With practice, it rapidly becomes your personal way of being.
And all of this can be incorporated into your hectic daily schedule without losing any of your time.
In the book Skills Training Manual for Treating Borderline Personality Disorder, Marsha Linehan describes one such way of bringing yourself to the present moment by using the mindfulness skill called 'observe'. Observe is about merely noticing what is happening right now. It is just noticing - nothing more. Often it can be more powerful to just notice the present rather than think about the present. Seeing with fresh eyes in a non-judgemental way like a child can be liberating and a breath of fresh air for your frazzled mind. You can try that right now. It really is just a snapshot commentary of 'now' to bring you into the present moment. For example "I'm sitting on the bed reading a book on mental wellbeing". What's the point of this? Probably the easiest way to answer that is to recommend you try it a few times today and see what it feels like for you.
George de Mestral was a Swiss engineer in the 1940s. He was known to be a bit of a genius. What is less known about him is that he kept his mind sharp by taking regular breaks in nature, walking mindfully. So, while many of us might walk the dog while catching up on Facebook, or go for a run to clear our heads, get some steps in and get fitter, only to be disappointed that our minds are still cluttered at the end, George would walk painstakingly slowly, noticing all the different shades of green (42 apparently), the shape of the trees, the shape of the leaves on the trees, the shape of the veins on the leaves on the trees, and so on.
Well, George noticed the hooks on the seeds of the trees so closely, with awe and wonder, that he invented Velcro and never had to work again.
Jon Kabat Zinn asks in a famous interview with Oprah, 'When you're in the shower, are you actually in the shower?' It's a poignant question. I shamefully put my hand up and say that I'm usually not in the shower when I'm 'in the shower'. I'm triaging the day's tasks, I'm planning my surgical list, I'm thinking about what the kids need for school and what I'm going to make for dinner.
But I know for sure that if I left this plethora of thoughts outside the shower, it would be so good for me. If I, or you, spent 10?minutes getting up earlier and doing our triage list, then hopped into the shower and focused on the present moment, the temperature, the sound and feel of the water, the scent of the shower gel and the gratitude we feel for having all these luxuries, we would benefit enormously from it.
And we wouldn't even have started meditation yet. Try it once. It will be difficult. Don't judge yourself if your mind strays. Then try it again.
Our brains are designed to stop us paying too much attention. This is well demonstrated by the optical illusion called Troxler fading (named after the nineteenth-century Swiss physician who discovered the effect). If presented with a steady image in the area of our peripheral vision, we actually stop seeing it after a while. This phenomenon - the general neuroscientific term is habituation - probably points to an efficient way in which the brain operates. Neurons stop firing once they have sufficient information about an unchanging stimulus. But this does not mean that habituation is always our friend.
We can consider the effort not just to think differently but also to see differently as a way of countering our built-in tendency to habituate - to sink into the familiar way of seeing and experiencing. By running on autopilot, we are in danger of missing out on the sheer, unadulterated pleasure we can get from the fact that a seemingly mundane, boring thing is actually running to plan. It may be an unchanging stimulus and yet be a potential source of joy for us if we allow it to be noticed.
It's all too easy to divert our attention to problems or malfunctions and miss out on the times when everything is actually and beautifully okay.
The great French mathematician Blaise Pascal said: 'Small minds are concerned with the extraordinary, great minds with the ordinary'.
Mindfulness can be anything from taking a moment to appreciate a beautiful view, to taking a few deep breaths, to mini-meditations, to full meditation in cross-legged posture for an hour or more every day.
No act is better or worse than the others. What matters is that you choose what works for you.
Incorporating mindfulness into your life can be done in any way you choose.
Formal practices might be an easy way to start if you want guidance at the beginning. When I go to the gym, I love classes where the teacher does all the motivation and I just have to do what I'm told as energetically as I can. Similarly, guided meditation or other guided practices teach and motivate us.
Unguided meditation and other practices often have a more powerful effect and you can tailor them to your own needs. So while mindfulness apps and YouTube meditations are a fantastic place to start, I urge you to move on to unguided as your norm or as an adjunct to your practice as soon as you feel you can.
Sitting meditations can be for three?minutes or three?hours and anything in between. Sitting upright is important; this is not about being in a daze, it's about being more acutely alert and awake than ever before.
Movement meditation is a very serene mindfulness practice. Mindful walking involves walking so slowly that you notice every part of your foot as it gradually takes one step and then every part of the other foot as it gradually moves through its step, all the while feeling gratitude for the solid ground, our ability to move and having the time to appreciate what we normally take for granted through habituation.
Group exchange in Buddhism is called Sangha, where a community of friends gather together to practise the dharma (the teachings of the Buddha) together, to bring about and maintain awareness. Being in a group talking about mindfulness, or the dharma, or in Alcoholics Anonymous, gives people strength and encouragement to persevere towards their common goals. Knowing that you are amongst...
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