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      • Bereavement
      • Bipolar disorder
      • Cannabis and mental health
      • Catatonia
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      • Coping after a traumatic event
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      • Obsessive-compulsive disorder (OCD)
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      • Postpartum psychosis
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      • Benzodiazepines
      • Caring for someone with a mental illness
      • Children's social services and safeguarding
      • Cognitive behavioural therapy (CBT)
      • Complementary and alternative medicines: herbal remedies
      • Complementary and alternative medicines: physical treatments
      • Long-acting injectable (depot) antipsychotics
      • Deprivation of Liberty Safeguards
      • Electroconvulsive therapy (ECT)
      • Hypnosis and hypnotherapy
      • Liaison psychiatry services
      • Lithium in pregnancy and breastfeeding
      • Mental capacity and the law
      • Mental health in pregnancy
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      • Mother and baby units (MBUs)
      • Neuromodulation
      • What are perinatal mental health services?
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      • Bipolar disorder for young people
      • Cannabis and mental health for young people
      • Club drugs for young people
      • Cognitive behavioural therapy (CBT) for young people
      • Coping with stress for young people
      • Depression in children and young people
      • Drugs and alcohol for young people
      • Eco distress for young people
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      • OCD for young people
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      • When a parent has a mental illness
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      • စိတ်ထိခိုက်ဖွယ် ဖြစ်ရပ်တစ်ခုကို ရင်ဆိုင်ဖြေရှင်းခြင်း Coping after a traumatic event in Burmese
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RCPsych in Scotland Autumn Zoom Meeting

Scotland blog

20 September, 2022

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It is hard to believe the summer has flown by so quickly, but we find ourselves headed toward winter and I am sure many of us will be considering the pressures and challenges ahead. Before things get even busier though, this is the perfect time to take some time to take a short break from the business of our clinical lives, reflect and think about some of the wider considerations we need to make about our services, our patients and ourselves. We are just a few weeks away from our Royal College of Psychiatrists in Scotland 2022 Autumn meeting, and we have decided this time to concentrate on the important and related themes stigma and inclusivity. There promises to be something for everyone at the meeting.

Stigma Sessions with See Me Scotland

In the morning we have the benefit of a session facilitated by See Me, Scotland's programme to tackle mental health stigma and discrimination. It’s likely that anyone working in Mental Health Services has experience of these. The people we work with are regularly discriminated against or stigmatised and we are aware of what a destructive process this can be, worsening a person’s health and often interfering with recovery. Societal attitudes linked to this can affect the likelihood of a person seeking help for mental health problems, and lead to further suffering in silence and isolation. 

We need to be alert and call out practice and language that does not match our values. Sadly, we have instances recently reported in the media where even our fellow psychiatrists will use insensitive and even offensive language. With such high impacts and grave consequences to stigma, we must each decide whether we will stand by or stand up. As a Devolved Council, we are standing up and facing the problem of stigma, and we encourage you to do the same. 

During the morning session we will dig further into these concepts and the repercussions and hear first-hand accounts of what this feels like. We experience stigma too as a profession, related to the stigma experienced by those we help. This sets up negative feedback loops in teams, affects training and recruitment, and harms our long-term health as a specialty and as a service. For a personal view, we have the good fortune to be joined by the Royal College of Psychiatrists in Scotland Chair, Dr Linda Findlay, who will be telling us why stigma is such an important matter for her.  

Changing systems and changing minds is demanding work though. Even when we have evidence that there are problems and change is needed, we can still feel challenged and powerless to make real change. Thus, we will finish the morning session with a facilitated workshop which aims to give you the tools to address stigma and discrimination and to become part of the solution. 


Inclusion and Psychiatry

The afternoon will focus on going one step further and looks at inclusion. We aim to move past accessibility and ensure that we are a body that considers and adapts to the wide range of abilities our colleagues have. By embracing diversity, we have a richer experience, and everyone benefits. It is rarely the case that making an event more accessible to a group makes it less accessible to others, and this same principle can be used in meetings and in the design and running of services. At the session we will be looking at inclusion for people who are neurodiverse, the challenges that come with this and what we can learn and do to improve. We will be hearing about services for transgender people as well, considering the specific barriers that this group encounters and what can be done to make things more equitable. Once again, principles for running services can be transferred to other settings and will be of wide utility. 

We will also be considering “social graces.”  This session, led by John Burnham, consultant Family and Systemic Psychotherapist, will look at our language. One of the most anxiety provoking social experiences is to face an interaction with someone you have not met before, and to fear you will make an inadvertent offensive comment out of ignorance. As we all know, anxiety makes the situation worse and can result in a stilted and jarring interaction that, even if the “right” words are used, can leave both people feeling unsatisfied. In this session we will be exploring how to approach these challenges, and the skills you need to navigate such an interaction so that both parties can have a more satisfying interaction.

Our sessions this time will have more breaks than previous meetings, with an eye to the inclusivity mentioned above. This will allow time for people to reflect, consider and digest material, and to get up and move, or maybe even check emails if that helps you focus on the topics at the meeting. I hope that we will be able to make more changes as time goes on to lead the way in creating ever more inclusive events.

Looking Ahead

I am also on the lookout for more for topics that members would like to see at upcoming meetings, so please do get in touch if there is anything you feel you would like to see in the future. Although not possible for this meeting, we will be returning to some in person meetings in the future which we are all looking forward to. 

The Autumn meeting will be held remotely on Friday 30 September 2022, and I hope to see many of you there.


Dr Adam Daly, Meetings Secretary, RCPsych in Scotland 

Blog Author
RCPsych in Scotland

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