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17

Nov

2017

Dispense compassion, not judgment

You may not give a second thought as you dispense an antihypertensive medication to an elderly patient. It makes sense, nothing out of the ordinary. But what goes through your mind, however briefly, when a woman asks for emergency contraception? When a gentleman cannot afford his opioid replacement therapy? When a young man presents a new prescription for an antiretroviral? When a mother is taking multiple antipsychotics? When an individual begins their gender transitioning process and asks about the adverse effects of their hormone replacement therapy? 

 

I trust that the majority of you will maintain your professionalism and deliver the care these patients need. However, on a deeper level, some of these situations might make you uncomfortable. Our minds become defensive whenever we are uneasy and attempt to restore normalcy.  If we allow our judgments and preconceived notions to go unchecked, we can unintentionally create a barrier between us and patients, the people whom we took an oath to care for.

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17

Nov

2017

Learn. Inform. End the stigma.

Pharmacists have the opportunity to serve patients from diverse backgrounds who have unique patient care needs, both physically and mentally. Nonetheless, due to stigma, research shows that a disparity exists in the care that these two patient populations receive. APhA–ASP recently adopted a resolution at APhA2017 that calls for increased efforts to reduce mental health stigma (2017.3). The following recommendations aim to build upon that foundation. 

 

How to better serve patients who have mental illnesses

As a student pharmacist, you have a responsibility to learn how to best provide care to all patients. You owe it to yourself, but most importantly, you owe it to your patients.

1. Be a pharmacist

  • Complete an IPPE or APPE in psychiatric pharmacy.
  • Pursue a residency in psychiatric pharmacy and/or become a board certified psychiatric pharmacist.
  • Join the College of Psychiatric and Neurologic Pharmacists.
  • Volunteer at a homeless shelter or community health center.
  • Stay up-to-date on clinical guidlines and pharmacy practice topics, such as telebehavioral health.
  • Counsel patients on adverse effects of psychiatric medications and advise patients when they can expect a medication to start working.
  • Familiarize yourself with depression, alcohol, and/or opioid screening tools (PHQ–9 even has an app!).
  • Continue honing your skills in compassion, communication, and patient-centered care.
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17

Nov

2017

De-stress for success

In October, Daniel Galipeau (fourth from right) participated in the 2017 APhA 5K Fun Run/Walk at APhA headquarters in Washington, DC.

It is safe to say that pharmacy school is stressful. When you add life, work, family, and finances into the mix,  stress can become overwhelming. 

 

When I am overwhelmed, I think about my stressors, which makes me more stressed. Does that happen to you? What I have found is that one of the best methods to manage stress effectively is through group activities. Here are my top five ways to de-stress for success.

 

Group exercise

Exercise is a great way to relieve stress. However, it can get pretty boring running or biking by yourself, especially if you plan on anything longer than 20 to 30 minutes. Why not bring along an exercise buddy or two? After I joined a running group, I found that not only was my motivation easier to keep up, but I could push my workout even further. If you don’t like to run or bike outside, many gyms and health centers have group classes for everything, from Zumba to cycling to yoga. Shedding your stress while shredding some dance moves to Shakira or Bruno Mars is a great way to get in shape and have a great time, too!

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17

Nov

2017

Some “Wise” stress relievers

Yoga enthusiast Caitlin Wise reaps the holistic benefits of the Tree Pose in New Delhi, India.

Stress is something that every student pharmacist will experience. I wrote this article at my desk, coffee in hand, after a 14-hour work day with many projects still to do, while multi-tasking two computer screens, a desk of papers, and a phone call with my friend who said, “I never hear from you anymore. Call me more often. I miss hearing from you.”

 

This is a perfect example of daily stress. Not all stress is bad. Getting to talk to my friend gave me more energy than the coffee, even though it took time away from the projects. This “eustress,” or good stress, of talking to my friend helped me focus, but then again, that may have been because the coffee hadn’t kicked in yet.

 

I am a social person, but every now and then, I have to take time for myself, especially when I am stressed. How you relieve stress depends so much on the type of person that you are and the hobbies that you have. To me, there are five best ways to relieve stress.

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17

Nov

2017

Understanding mental health disorders in order to empathize with patients

I am a student pharmacist, like you, and I have struggled with mental health for most of my life. I suffered from depression during high school and have had generalized anxiety disorder (GAD) for as long as I can remember. I used to be ashamed that I had these conditions. I now see that my shame was because of society’s perception and the stigma around mental health disorders. 

 

When I learned that GAD is an actual disorder and that my constant, overwhelming anxiety was not my fault, it felt like a huge weight lifted off me. I also realized that I did not have to battle depression alone as a teenager and that seeking treatment would have saved me from the gut-wrenching emotional and physical pain I endured for years in silence. No one should have to suffer mental health disorders in silence or feel that they are alone. I promised years ago that I would be more active in helping others with similar mental health conditions. 

 

When I was presented with the opportunity to write this article, I was initially hesitant to rip open old wounds. But then I remembered APhA–ASP President Michael Murphy’s theme “Begin Your Legacy” and Alex Sheen’s 2017 APhA Annual Meeting & Exposition keynote speech, “Because I said I would.” I realized I need to be more proactive if I want to leave my legacy as a humanitarian who helped others with similar mental health conditions as mine, and that means stepping out of my comfort zone. I am beginning my legacy here, by sharing my story to help student pharmacists understand how depression and anxiety affects a person, and so that they can better empathize with the people who suffer from these disorders. 

 

Stigma often arises out of naivety. People tend to reject what they do not understand and cannot see. Educating others on these disorders can help break those negative perceptions. I also want to let those who are living with depression and anxiety know that they are not alone and that there is hope. Over the years, I formed bonds with people who also have anxiety over a mutual understanding of what the other person is battling. They have become my support system on the hard days, when my anxiety is too heavy to carry alone. My hope is that I can help at least one other person find their support system and encourage them to open up.

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