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  • Become a psychiatrist

    Become a psychiatrist

    • Choose Psychiatry

      Choose Psychiatry

      • What is psychiatry?
      • How to become a psychiatrist
      • Why choose psychiatry?
      • What next?
      • On a break from training?
      • Choose Psychiatry 2021 video
      • Continuing to choose psychiatry
      • Hear more from the stars of our 2022 film
    • Sixth formers and school students
    • Medical students

      Medical students

      • Becoming a student associate
      • Psychiatry attachments
      • Awards, prizes and bursaries
      • PsychSocs
      • National Student Psychiatry Conference
      • Summer and autumn schools
      • FuturePsych – the student associate magazine
      • The Student Psychiatry Audit and Research Collaborative (SPARC)
    • Foundation doctors

      Foundation doctors

      • Foundation doctor associates
      • Making the most of your psychiatry placement
      • Opportunities for foundation doctors
      • FuturePsych - the associate magazine
    • Help us promote psychiatry

      Help us promote psychiatry

      • How can I help?
      • Ideas to inspire you
      • Resources to help you promote psychiatry
      • RCPsych Recruitment Strategy 2022-2027
    • Choose Psychiatry: Guidance for Medical Schools
    • Supporting Medical Students: Medical Schools
    • Careers past events
    • Choose Psychiatry
      • What is psychiatry?
      • How to become a psychiatrist
      • Why choose psychiatry?
      • What next?
      • On a break from training?
      • Choose Psychiatry 2021 video
      • Continuing to choose psychiatry
      • Hear more from the stars of our 2022 film
    • Sixth formers and school students
    • Medical students
      • Becoming a student associate
      • Psychiatry attachments
      • Awards, prizes and bursaries
      • PsychSocs
      • National Student Psychiatry Conference
      • Summer and autumn schools
      • FuturePsych – the student associate magazine
      • The Student Psychiatry Audit and Research Collaborative (SPARC)
    • Foundation doctors
      • Foundation doctor associates
      • Making the most of your psychiatry placement
      • Opportunities for foundation doctors
      • FuturePsych - the associate magazine
    • Help us promote psychiatry
      • How can I help?
      • Ideas to inspire you
      • Resources to help you promote psychiatry
      • RCPsych Recruitment Strategy 2022-2027
    • Choose Psychiatry: Guidance for Medical Schools
    • Supporting Medical Students: Medical Schools
    • Careers past events
  • Training

    Training

    • Curricula and guidance

      Curricula and guidance

      • 2022 Curricula Implementation Hub
      • 2014 GMC approved curricula (ending July 2024)
      • Specialty guides
      • Dual Training
    • Your training

      Your training

      • Psychiatric Trainees Committee: supporting you
      • Time out of training
      • Training resources
      • Run-through training
      • Prizes and bursaries for trainees
      • Training less than full time
      • Routes to Registration
      • Cost of Training
      • Leadership and Management Fellow Scheme
      • Understanding Career Choices in Psychiatry
    • Exams

      Exams

      • Can I take an exam?
      • Contact the exams team
      • Preparing for exams
      • Applying for your exam
      • Exam results
      • Special notices
      • Exam FAQs
      • A fair exam
      • Examiners and exam panels recruitment
      • FAQs about applying for exams
      • FAQs about preparing for exams
      • FAQs about the day of the exam
      • FAQs about assessment and results
      • Exams news and updates
    • Neuroscience in training

      Neuroscience in training

      • About the project
      • Neuroscience events
      • Who was on the commission?
      • Neuroscience history
      • Neuroscience resources
      • Multimedia learning
    • Deanery/LETB Hub
    • Medical training initiative (MTI)
    • Undergraduate education forum
    • International Medical Graduates

      International Medical Graduates

      • Shortage Occupation List
    • Quality Assurance in Training
    • Credentialing
    • CPD eLearning
    • Building Capacity in Perinatal Psychiatry

      Building Capacity in Perinatal Psychiatry

      • Perinatal 2023 Masterclass Programme application and process details
      • Perinatal Psychiatry Masterclass for New consultants resources
      • About the Building Capacity Project
      • Perinatal Psychiatry Masterclass for Senior Trainees resources
      • Perinatal Psychiatry Top - up masterclass for consultants resources
      • Perinatal Psychiatry Masterclass for Senior Trainees Jan 2023 resources
    • Dean's annual update
    • Curricula and guidance
      • 2022 Curricula Implementation Hub
      • 2014 GMC approved curricula (ending July 2024)
      • Specialty guides
      • Dual Training
    • Your training
      • Psychiatric Trainees Committee: supporting you
      • Time out of training
      • Training resources
      • Run-through training
      • Prizes and bursaries for trainees
      • Training less than full time
      • Routes to Registration
      • Cost of Training
      • Leadership and Management Fellow Scheme
      • Understanding Career Choices in Psychiatry
    • Exams
      • Can I take an exam?
      • Contact the exams team
      • Preparing for exams
      • Applying for your exam
      • Exam results
      • Special notices
      • Exam FAQs
      • A fair exam
      • Examiners and exam panels recruitment
      • FAQs about applying for exams
      • FAQs about preparing for exams
      • FAQs about the day of the exam
      • FAQs about assessment and results
      • Exams news and updates
    • Neuroscience in training
      • About the project
      • Neuroscience events
      • Who was on the commission?
      • Neuroscience history
      • Neuroscience resources
      • Multimedia learning
    • Deanery/LETB Hub
    • Medical training initiative (MTI)
    • Undergraduate education forum
    • International Medical Graduates
      • Shortage Occupation List
    • Quality Assurance in Training
    • Credentialing
    • CPD eLearning
    • Building Capacity in Perinatal Psychiatry
      • Perinatal 2023 Masterclass Programme application and process details
      • Perinatal Psychiatry Masterclass for New consultants resources
      • About the Building Capacity Project
      • Perinatal Psychiatry Masterclass for Senior Trainees resources
      • Perinatal Psychiatry Top - up masterclass for consultants resources
      • Perinatal Psychiatry Masterclass for Senior Trainees Jan 2023 resources
    • Dean's annual update
  • Members

    Members

    • Workforce Wellbeing Hub

      Workforce Wellbeing Hub

      • Psychiatrists' Support Service
      • How the College supports workforce wellbeing
      • Top 10 tips for wellbeing
      • Mentoring and coaching
      • If a patient dies by suicide
      • If a patient commits homicide
    • Supporting your professional development

      Supporting your professional development

      • New consultants (StartWell)
      • Revalidation
      • Assessing and managing risk of patients causing harm
      • Leadership and management
      • Working less than full time
      • Writing clinic letters
    • CPD eLearning
    • Submitting your CPD

      Submitting your CPD

      • Alterations to CPD during coronavirus pandemic
    • Membership

      Membership

      • Members login
      • Receipts
      • Pay Your Subscription
      • Direct Debit
      • Your subscription
      • Grades of membership
      • Benefits of membership
      • Fellowship and other Honours
      • Applying for Fellowship
      • Nominations for Honorary Fellows
      • Nominations for National Honours
    • Your Faculties

      Your Faculties

      • Academic psychiatry
      • Addictions psychiatry
      • Child and adolescent psychiatry
      • Eating disorders psychiatry
      • Forensic Psychiatry Faculty
      • General adult psychiatry
      • Intellectual disability psychiatry faculty
      • Liaison psychiatry faculty
      • Medical psychotherapy faculty
      • Neuropsychiatry faculty
      • Old age psychiatry faculty
      • Perinatal psychiatry faculty
      • Rehabilitation and social psychiatry faculty
      • Faculty job descriptions
    • Specialist and Associate Specialty Doctors

      Specialist and Associate Specialty Doctors

      • A message from the Chair
      • Who are SAS Doctors?
      • How to enter the SAS grade
      • SAS career development
      • SAS doctors resources
      • College SAS training and events
      • Startwell and Staywell
    • Devolved Nations

      Devolved Nations

      • RCPsych in Scotland
      • RCPsych in Wales
      • Coleg Cymraeg
      • RCPsych in Northern Ireland
      • Executive Committee job descriptions
    • English Divisions

      English Divisions

      • Eastern
      • London
      • Northern and Yorkshire
      • North West
      • South Eastern
      • Trent
      • West Midlands
      • South West
      • Executive Committee job descriptions
      • NW and NY mentorship
    • International members
    • Special Interest Groups

      Special Interest Groups

      • How to join a SIG
      • Adolescent forensic psychiatry
      • Arts psychiatry
      • Digital psychiatry
      • Evolutionary psychiatry
      • History of psychiatry
      • Neurodevelopmental psychiatry
      • Occupational psychiatry
      • Philosophy
      • Private and independent practice PIPSIG
      • Rainbow SIG
      • Spirituality and Psychiatry 
      • Sport and exercise psychiatry (SEPSIG)
      • Transcultural psychiatry
      • Volunteering and international
      • Women and mental health
    • Committees of Council
    • RCPsych Insight magazine
    • Publications and books
    • Members' eNewsletters
    • Posts for members
    • Public members list
    • Jobs board
    • President's lectures

      President's lectures

      • Declaration of competing interests (President's lectures)
      • List of president's lectures competing interests
      • Past President's lectures
    • Retired members
    • New Members Ceremonies
    • Obituaries

      Obituaries

      • Submit an obituary
      • Remembering Dame Fiona Caldicott
    • 2021 membership survey
    • Mindmasters quiz

      Mindmasters quiz

      • About the quiz
      • Who won in 2022?
      • The rules of the quiz
      • Sample quiz questions 
    • eLearning Hub
    • Workforce Wellbeing Hub
      • Psychiatrists' Support Service
      • How the College supports workforce wellbeing
      • Top 10 tips for wellbeing
      • Mentoring and coaching
      • If a patient dies by suicide
      • If a patient commits homicide
    • Supporting your professional development
      • New consultants (StartWell)
      • Revalidation
      • Assessing and managing risk of patients causing harm
      • Leadership and management
      • Working less than full time
      • Writing clinic letters
    • CPD eLearning
    • Submitting your CPD
      • Alterations to CPD during coronavirus pandemic
    • Membership
      • Members login
      • Receipts
      • Pay Your Subscription
      • Direct Debit
      • Your subscription
      • Grades of membership
      • Benefits of membership
      • Fellowship and other Honours
      • Applying for Fellowship
      • Nominations for Honorary Fellows
      • Nominations for National Honours
    • Your Faculties
      • Academic psychiatry
      • Addictions psychiatry
      • Child and adolescent psychiatry
      • Eating disorders psychiatry
      • Forensic Psychiatry Faculty
      • General adult psychiatry
      • Intellectual disability psychiatry faculty
      • Liaison psychiatry faculty
      • Medical psychotherapy faculty
      • Neuropsychiatry faculty
      • Old age psychiatry faculty
      • Perinatal psychiatry faculty
      • Rehabilitation and social psychiatry faculty
      • Faculty job descriptions
    • Specialist and Associate Specialty Doctors
      • A message from the Chair
      • Who are SAS Doctors?
      • How to enter the SAS grade
      • SAS career development
      • SAS doctors resources
      • College SAS training and events
      • Startwell and Staywell
    • Devolved Nations
      • RCPsych in Scotland
      • RCPsych in Wales
      • Coleg Cymraeg
      • RCPsych in Northern Ireland
      • Executive Committee job descriptions
    • English Divisions
      • Eastern
      • London
      • Northern and Yorkshire
      • North West
      • South Eastern
      • Trent
      • West Midlands
      • South West
      • Executive Committee job descriptions
      • NW and NY mentorship
    • International members
    • Special Interest Groups
      • How to join a SIG
      • Adolescent forensic psychiatry
      • Arts psychiatry
      • Digital psychiatry
      • Evolutionary psychiatry
      • History of psychiatry
      • Neurodevelopmental psychiatry
      • Occupational psychiatry
      • Philosophy
      • Private and independent practice PIPSIG
      • Rainbow SIG
      • Spirituality and Psychiatry 
      • Sport and exercise psychiatry (SEPSIG)
      • Transcultural psychiatry
      • Volunteering and international
      • Women and mental health
    • Committees of Council
    • RCPsych Insight magazine
    • Publications and books
    • Members' eNewsletters
    • Posts for members
    • Public members list
    • Jobs board
    • President's lectures
      • Declaration of competing interests (President's lectures)
      • List of president's lectures competing interests
      • Past President's lectures
    • Retired members
    • New Members Ceremonies
    • Obituaries
      • Submit an obituary
      • Remembering Dame Fiona Caldicott
    • 2021 membership survey
    • Mindmasters quiz
      • About the quiz
      • Who won in 2022?
      • The rules of the quiz
      • Sample quiz questions 
    • eLearning Hub
  • Events

    Events

    • Conferences and training events

      Conferences and training events

      • Register your interest - CESR in Psychiatry Training
      • MHA Section 12 and Approved Clinician Training
      • Register your interest - Present State Examination Course 2022
      • Subscribe to receive the Events eNews
      • Register your interest - ICD-11 events
      • RCPsych Certificated Courses
      • Grand Rounds
    • International Congress 2022

      International Congress 2022

      • Congress 2022 FAQs
      • Congress Webinar Package
      • Poster Presentations 2022
      • Exhibition Opportunities 2022
      • Your guide to Congress
      • IC22 Keynote speakers
      • Programme
      • Speaker information
      • Travel and accommodation guidance 
      • Social and Fringe Events
      • #RCPsychIC
      • Rapid Fire and Poster Prize Winners
    • International Congress 2023

      International Congress 2023

      • Register your interest - Congress 2023 exhibitors
      • Travel and accommodation guidance 
      • Registration
      • Congress 2023 FAQs
      • Poster Presentations 2023
      • Social Media
    • In-house training

      In-house training

      • In house training: working with us
      • Health of Nation Outcome Scales
      • Competing interests
    • Events held by other organisations
    • Free webinars

      Free webinars

      • Free webinars for members
    • Recruitment events
    • Claiming Expenses
    • Terms and conditions
    • Speaker guidance for online events
    • Conferences and training events
      • Register your interest - CESR in Psychiatry Training
      • MHA Section 12 and Approved Clinician Training
      • Register your interest - Present State Examination Course 2022
      • Subscribe to receive the Events eNews
      • Register your interest - ICD-11 events
      • RCPsych Certificated Courses
      • Grand Rounds
    • International Congress 2022
      • Congress 2022 FAQs
      • Congress Webinar Package
      • Poster Presentations 2022
      • Exhibition Opportunities 2022
      • Your guide to Congress
      • IC22 Keynote speakers
      • Programme
      • Speaker information
      • Travel and accommodation guidance 
      • Social and Fringe Events
      • #RCPsychIC
      • Rapid Fire and Poster Prize Winners
    • International Congress 2023
      • Register your interest - Congress 2023 exhibitors
      • Travel and accommodation guidance 
      • Registration
      • Congress 2023 FAQs
      • Poster Presentations 2023
      • Social Media
    • In-house training
      • In house training: working with us
      • Health of Nation Outcome Scales
      • Competing interests
    • Events held by other organisations
    • Free webinars
      • Free webinars for members
    • Recruitment events
    • Claiming Expenses
    • Terms and conditions
    • Speaker guidance for online events
  • Improving care

    Improving care

    • College Centre for Quality Improvement (CCQI)

      College Centre for Quality Improvement (CCQI)

      • What we do in the CCQI
      • Quality Networks and Accreditation
      • National Clinical Audits
      • Multi-source feedback
      • CCQI resources
      • CCQI Who we are
      • Research and evaluation
      • CCQI news
    • Campaigning for better mental health policy

      Campaigning for better mental health policy

      • Five Year Forward View
      • Integrated care and mental health
      • Children and young people's mental health Green Paper
      • Cross-government mental health and wellbeing plan 
      • RCPsych in Parliament
      • Join our Research Panel
      • College Reports
      • Position Statements
      • Process for College publications
      • Other policy areas
      • Mental Health Watch
      • COVID-19: Guidance for clinicians
      • Reforming The Mental Health Act
      • Don't overlook mental health campaign
      • The Mental Health Policy Group (MHPG)
    • Planning the psychiatric workforce

      Planning the psychiatric workforce

      • About workforce
      • Job planning and recruitment
      • Our workforce census
      • Campaigning for the mental health workforce of the future
      • Workforce strategy
      • Job description approval process
    • Public Mental Health Implementation Centre

      Public Mental Health Implementation Centre

      • Our partners and first partnership activity 
      • How to work with the Public Mental Health Implementation Centre
      • Who's involved in the Public Mental Health Implementation Centre?
      • Aims and objectives
      • Reports
      • About public mental health
      • PMHIC Parliamentary Launch 
    • National Collaborating Centre for Mental Health

      National Collaborating Centre for Mental Health

      • About NCCMH and our work
      • Clinical guideline development
      • Competence frameworks
      • Quality improvement programmes
      • Reports and research
      • Service design and development
      • Work with us
    • Physician Associates

      Physician Associates

      • About Physician Associates
      • Employing Physician Associates
      • Becoming a Physician Associate
      • Support for Physician Associates
      • Physician Associates network
      • The Competence Framework for Physician Associates in Mental Health
    • Invited Review Service
    • Public Health and its role in mental heath
    • Sustainability and mental health

      Sustainability and mental health

      • In your community
      • In your practice
      • In your trust
      • Nature matters
      • Sustainability scholars
      • About sustainability in mental health care
      • Sustainability resources
      • College position on sustainability
      • Attending COP26
    • Using quality improvement
    • College Centre for Quality Improvement (CCQI)
      • What we do in the CCQI
      • Quality Networks and Accreditation
      • National Clinical Audits
      • Multi-source feedback
      • CCQI resources
      • CCQI Who we are
      • Research and evaluation
      • CCQI news
    • Campaigning for better mental health policy
      • Five Year Forward View
      • Integrated care and mental health
      • Children and young people's mental health Green Paper
      • Cross-government mental health and wellbeing plan 
      • RCPsych in Parliament
      • Join our Research Panel
      • College Reports
      • Position Statements
      • Process for College publications
      • Other policy areas
      • Mental Health Watch
      • COVID-19: Guidance for clinicians
      • Reforming The Mental Health Act
      • Don't overlook mental health campaign
      • The Mental Health Policy Group (MHPG)
    • Planning the psychiatric workforce
      • About workforce
      • Job planning and recruitment
      • Our workforce census
      • Campaigning for the mental health workforce of the future
      • Workforce strategy
      • Job description approval process
    • Public Mental Health Implementation Centre
      • Our partners and first partnership activity 
      • How to work with the Public Mental Health Implementation Centre
      • Who's involved in the Public Mental Health Implementation Centre?
      • Aims and objectives
      • Reports
      • About public mental health
      • PMHIC Parliamentary Launch 
    • National Collaborating Centre for Mental Health
      • About NCCMH and our work
      • Clinical guideline development
      • Competence frameworks
      • Quality improvement programmes
      • Reports and research
      • Service design and development
      • Work with us
    • Physician Associates
      • About Physician Associates
      • Employing Physician Associates
      • Becoming a Physician Associate
      • Support for Physician Associates
      • Physician Associates network
      • The Competence Framework for Physician Associates in Mental Health
    • Invited Review Service
    • Public Health and its role in mental heath
    • Sustainability and mental health
      • In your community
      • In your practice
      • In your trust
      • Nature matters
      • Sustainability scholars
      • About sustainability in mental health care
      • Sustainability resources
      • College position on sustainability
      • Attending COP26
    • Using quality improvement
  • Mental health

    Mental health

    • Problems and disorders

      Problems and disorders

      • ADHD in adults
      • Alcohol and depression
      • Alcohol and older people
      • Anorexia and bulimia
      • Anxiety and generalised anxiety disorder (GAD)
      • Anxiety, panic and phobias
      • Bereavement
      • Bipolar disorder
      • Cannabis
      • Catatonia
      • Club drugs
      • Coping after a traumatic event
      • Debt and mental health
      • Delirium
      • Depression
      • Depression in older adults
      • Feeling overwhelmed
      • Gambling disorder
      • Heroin dependence
      • Hoarding
      • Learning disabilities
      • Medically unexplained symptoms
      • Memory problems and dementia
      • Obsessive-compulsive disorder (OCD)
      • Perinatal OCD
      • Perinatal OCD for carers
      • Personality disorder
      • Physical illness
      • Postnatal depression
      • Postnatal depression key facts
      • Postnatal depression: information for carers
      • Postpartum psychosis
      • Postpartum Psychosis in Carers
      • Post-traumatic stress disorder (PTSD) 
      • Schizoaffective disorder
      • Schizophrenia
      • Seasonal Affective Disorder (SAD)
      • Self-harm
      • Shyness and social phobia
      • Sleeping well
      • Avoidant/restrictive food intake disorder (ARFID)
      • Cocaine dependence
    • Support, care and treatment

      Support, care and treatment

      • Alzheimers drug treatments
      • Antidepressants
      • Antipsychotics
      • Antipsychotics in pregnancy
      • Being sectioned
      • Benzodiazepines
      • Children's social services and safeguarding
      • Cognitive Behavioural Therapy (CBT)
      • Complementary and alternative medicines: herbal remedies
      • Complementary and alternative medicines: physical treatments
      • Depot medication
      • Deprivation of Liberty Safeguards
      • Electroconvulsive therapy (ECT)
      • Guide to mental health tribunals
      • Liaison psychiatry services
      • Lithium in pregnancy and breastfeeding
      • Mental capacity and the law
      • Mental health in pregnancy
      • Mental health rehabilitation services
      • Mental health services and teams in the community
      • Mother and baby units (MBUs)
      • Neuromodulation
      • Perinatal mental health services: what are they?
      • Planning a pregnancy
      • Psychotherapies and psychological treatments
      • Social prescribing
      • Spirituality and mental health
      • Stopping antidepressants
      • Valproate in women and girls who could get pregnant
      • What to expect of your psychiatrist in the UK
      • COVID-19: Medication for mental health
      • COVID-19: Remote consultations
      • COVID-19: Going to hospital for a physical illness or injury
      • COVID-19: Eating disorders
      • COVID-19: Perinatal care
      • Hypnosis and hypnotherapy
      • Benefits, financial support and debt advice
      • Caring for someone with a mental illness
    • Young people's mental health
    • Translations

      Translations

      • Arabic عربى
      • Bengali বাঙালি
      • Bulgarian български
      • Chinese 中文
      • French Français
      • German Deutsch
      • Greek Ελληνική γλώσσα
      • Gujurati ગુજરાતી
      • Hindi हिंदीहिंदी
      • Italian italiano
      • Japanese 日本語
      • Lithuanian Lietuvių kalba
      • Pashto پښتو
      • Persian (Farsi) فارسی
      • Polish Polski
      • Punjabi ਪੰਜਾਬੀ
      • Romanian Română
      • Russian Pусский
      • Somali
      • Spanish Español
      • Turkish
      • Tamil தமிழ்
      • Urdu اردو
      • Welsh Cymraeg
      • Sindhi سنڌي
      • Ukrainian украї́нська
      • Swahili Kiswahili
    • Mental health and psychiatry FAQs
    • Order mental health leaflets
    • About our mental health information
    • Disclaimer about our mental health information
    • Choosing Wisely - a national campaign
    • BSL translations
    • MindEd – free mental health eLearning
    • Order mental health packs for schools

      Order mental health packs for schools

      • Order form for mental health factsheets for young people
    • Audio resources
    • Veterans' mental health
    • Suicide resources
    • Problems and disorders
      • ADHD in adults
      • Alcohol and depression
      • Alcohol and older people
      • Anorexia and bulimia
      • Anxiety and generalised anxiety disorder (GAD)
      • Anxiety, panic and phobias
      • Bereavement
      • Bipolar disorder
      • Cannabis
      • Catatonia
      • Club drugs
      • Coping after a traumatic event
      • Debt and mental health
      • Delirium
      • Depression
      • Depression in older adults
      • Feeling overwhelmed
      • Gambling disorder
      • Heroin dependence
      • Hoarding
      • Learning disabilities
      • Medically unexplained symptoms
      • Memory problems and dementia
      • Obsessive-compulsive disorder (OCD)
      • Perinatal OCD
      • Perinatal OCD for carers
      • Personality disorder
      • Physical illness
      • Postnatal depression
      • Postnatal depression key facts
      • Postnatal depression: information for carers
      • Postpartum psychosis
      • Postpartum Psychosis in Carers
      • Post-traumatic stress disorder (PTSD) 
      • Schizoaffective disorder
      • Schizophrenia
      • Seasonal Affective Disorder (SAD)
      • Self-harm
      • Shyness and social phobia
      • Sleeping well
      • Avoidant/restrictive food intake disorder (ARFID)
      • Cocaine dependence
    • Support, care and treatment
      • Alzheimers drug treatments
      • Antidepressants
      • Antipsychotics
      • Antipsychotics in pregnancy
      • Being sectioned
      • Benzodiazepines
      • Children's social services and safeguarding
      • Cognitive Behavioural Therapy (CBT)
      • Complementary and alternative medicines: herbal remedies
      • Complementary and alternative medicines: physical treatments
      • Depot medication
      • Deprivation of Liberty Safeguards
      • Electroconvulsive therapy (ECT)
      • Guide to mental health tribunals
      • Liaison psychiatry services
      • Lithium in pregnancy and breastfeeding
      • Mental capacity and the law
      • Mental health in pregnancy
      • Mental health rehabilitation services
      • Mental health services and teams in the community
      • Mother and baby units (MBUs)
      • Neuromodulation
      • Perinatal mental health services: what are they?
      • Planning a pregnancy
      • Psychotherapies and psychological treatments
      • Social prescribing
      • Spirituality and mental health
      • Stopping antidepressants
      • Valproate in women and girls who could get pregnant
      • What to expect of your psychiatrist in the UK
      • COVID-19: Medication for mental health
      • COVID-19: Remote consultations
      • COVID-19: Going to hospital for a physical illness or injury
      • COVID-19: Eating disorders
      • COVID-19: Perinatal care
      • Hypnosis and hypnotherapy
      • Benefits, financial support and debt advice
      • Caring for someone with a mental illness
    • Young people's mental health
    • Translations
      • Arabic عربى
      • Bengali বাঙালি
      • Bulgarian български
      • Chinese 中文
      • French Français
      • German Deutsch
      • Greek Ελληνική γλώσσα
      • Gujurati ગુજરાતી
      • Hindi हिंदीहिंदी
      • Italian italiano
      • Japanese 日本語
      • Lithuanian Lietuvių kalba
      • Pashto پښتو
      • Persian (Farsi) فارسی
      • Polish Polski
      • Punjabi ਪੰਜਾਬੀ
      • Romanian Română
      • Russian Pусский
      • Somali
      • Spanish Español
      • Turkish
      • Tamil தமிழ்
      • Urdu اردو
      • Welsh Cymraeg
      • Sindhi سنڌي
      • Ukrainian украї́нська
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On the road to COP26

COP26, Sustainability blog

25 October, 2021

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Join Dr Catriona Mellor on the road to COP26, as she provides a daily diary from Ride for their Lives, and heads on two wheels to Glasgow.

Day 1 - Sunday: And we're off!

We left granary square and Michael Pinsky’s Pollution Pods, at 9am on Sunday morning, still not quite daring to accept how many miles lay ahead.

We were split into four groups of ten and I was delighted to cycle with the two young people advocates and Diarmid Campbell-Lendrum  who handed over the WHO’s COP26 Special Report on Climate Change and Health and the #HealthyClimatePrescription letter to us to take onward on its journey from Geneva to Glasgow.

There were a few hills to get us warmed up, a rider’s uncle and aunt provided a road side pitstop cake, cookies and tea for all 40 of us, and some wonderful autumnal copper leaves and bright blue skies.

I hadn't met any of the other riders except via Zoom.

But there's been an immediate sense of comfort and solidarity riding with these other people as we unite around the common goal of raising the profile of this issue: Air pollution and the eco crisis are harming and killing the children of this world and it doesn't have to be this way. 

Catriona Mellor and fellow cyclists before Ride for their Lives

Ready to ride

 

Catriona Mellor on cycle ride

A quick stop on day 1

 

Day 2 - Monday: People Power

75 miles felt quite long, but we were blessed with clear skies again, enjoying sun rise and sun set from the saddle.  Bumpy canal paths into Stratford, big views, steep hills, oak trees and then an impressive, safe, cycle highway guiding us through Birmingham to our beds. 

You can join us virtually by signing up to our Strava group as we aim to hit 1 million km by the end of the month - hoping we can hit this seemingly impossible target, if we inspire enough people.

My cycle group of eight today included an OT, a parent counsellor, a diabetes nurse, a social worker, a neonatal intensive care consultant, a Welsh paediatrics trainee, a community paediatrician from France, and a child psychiatrist.

Different hospitals, different countries, different professions, same motivation: pushing for change because of the impacts on the children, young people and families we feel a duty of care towards.

The change that is possible when people come together like this, asking the question 'where do I fit in all this?', seems to take on a life of its own. 

For four perspectives on the issue see  this article in BMJ Opinion. 

 

Catriona Mellor and fellow cyclists on day 2 of her trip from London to Glasgow for COP26

Catriona's cycling group on day 2

 

Day 3 - Tuesday: Tough going

Not a great start (getting lost in central Birmingham’s traffic system and road works, 2 punctures and a slippy canal track not designed for bike tyres), and not a great end (multiple hills saved up for between miles 65-75, in the dark, and rush hour traffic) to day 3.

The middle section had some higher points, another aunt and uncle pair provided cakes and tea for the whole ride, and good company. But this was definitely a part of the ride that was more challenging and perhaps when I’m less tired can offer some metaphor for the bigger challenge of working in the eco crisis context.

One issue that’s been coming up in conversation is about trying to engage other people in the issue, particularly overworked health care professionals. And something that keeps coming up in response is that starting small is enough: asking a question at an academic meeting, supporting a trainee to use their special interest time, emailing the trust you work for to ask about their Green Plan, can make a difference: it signals to other people, it starts conversation, these small ripples lead to other things. 

Whichever area we work in there will be a group to reach out to for other information and links to supportive networks.

In Psychiatry there are some ideas on our EcoCAMHS resource page and  on the Sustainability and Planetary Health Committee pages.

A scene from the third day of Dr Catriona Mellor's cycle ride

Day 4 - Wednesday: Chuffed to bits

A completely different feel to today. Lots of tough climbs through the Peaks but the swooping downhills and far reaching views of our beautiful countryside North of Chesterfield were a constant reward. Another long day, but quicker then previous overall and we almost arrived at our Premier Inn in the light.  

Sheffield Children's Hospital laid on an event to raise awareness of the negative impacts of Ari pollution ; one of their young patients, gave us a moving welcome and said he was 'chuffed to bits' that we were doing this, and he thought we'd be 'chuffed to bits' when (if?!) we arrive on Glasgow.

He's so right - but from Harrogate it still seems a long way away! 

Catriona Mellor and the group on their bikes in Harrogate

The group feel great after making it to Harrogate

 

Day 5 - Thursday: Intent

Now that the day-to-day logistics, prep, planning and ride/rest/eat balance is more familiar I have had the time and bandwidth to reflect on why I wanted to do this ride. It is partly to bring the mental health perspective to the message we are carrying and partly as a signal to children and young people that there are many adults who understand the urgency and severity of our climate and nature situation, and who care.

I remember witnessing the first school climate strikes and seeing the distress that children and young people are feeling and I am moved by the unfairness of it. 

When I hear that children and young people are dismissed or ignored if they try to talk about their concerns, and are feeling betrayed and abandoned by the adult generation, particularly powerful decision makers, my sadness and anger drives me to get more involved: To show solidarity, validate their experience, and show by our actions that we are taking responsibility for the world we have so harshly treated.

The mental health impacts of the eco-crisis are huge and far reaching, both direct (for example associated with air pollution or following a climate disaster such as flooding or forest fires) and indirect (for example associated with food scarcity, land use change, conflict and displacement). On top of this, ‘Eco distress’,  or ‘climate anxiety’, or ‘pain for the world’ - is a global issue, is very real and can be overwhelming.

It is, of course, not mental illness but rather an understandable response to the threat we face. It can also teach us about what we love and are afraid of losing, and can fuel us to do things we didn't think we're possible (cycle London to Glasgow?!). 

There are increasingly resources and guidance being developed to help us all navigate through this.  See for example, the Climate Psychology Alliance . Accepting this support ourselves can help us to support our children and young people.

The cycling group by the Angel of the North

Beneath the Angel of the North

 

 

A map showing the cyclists' route so far

The route - not long to go now

 

Day 6 - Friday: Nature matters

We rose earlier than usual so that the riders and the drifting Pollution pod could congregate for an event at Newcastle Children’s hospital. Then we wound our way alongside the Tyne and climbed through the Pennines. We had an unpleasant hour into a strong headwind with rain hitting our faces so hard it felt like hail, but then the clouds rolled away to reveal the valleys of Cumbria lit by glorious rays of sunlight.

The days have blurred and time has taken on a strange quality. We sleep, eat, cycle, eat, cycle, eat, cycle, eat, repeat. We talk to the motivated, interesting people who cycle alongside us, we absorb the beauty of the scenery and receive whatever weather comes our way. 

Another part of my motivation to join the ride is in response to a deep grief I have for how our current way of living and consuming is exploiting and destroying Nature, in a collectively suicidal manner. I feel the need to make some space to mourn what we are losing as well as contributing what I can to saving and restoring what has not yet been destroyed. 

Repairing our relationship with our natural surroundings as well as remembering our place within and as a part of Nature is a central theme in several of the nature based and ecopsychology trainings available. And in taking part in these trainings I have seen how vital this is for our human health and wellbeing and for the way we treat our human and other-than-human relations who share this home of ours. 

For example:

  • The University of Derby’s Nature Connectedness Research Group’s resources 
  • The Outdoor Teacher’s forest-school based resources for practitioners in mental health
  • The Natural Aademy’s NatureWell training 

and of course, the RCPsych's Nature Matters webpage.

Catriona and a fellow rider on day six

 

Day 7 - Saturday: Welcome to Scotland

We got very wet in the morning after leaving Carlisle thanks to heavy rain and some inconsiderate drivers who in overtaking us propelled an arching wall of water over our heads and down the necks of our waterproofs (twice!). Our faith in folk was restored as a hotelier gave us free tea and coffee despite being in the throes of running a wedding, as we were cold, wet and miles from any other refreshments. The views are opening up and the landscape is getting wilder as we travel North, with more and more wind turbines majestically positioned over the hillsides.

Our ride has been like fast forwarding through the seasons. The green leaves around London turned to golden leaves swirling in the wind in Yorkshire and a more wintery chill to the air as we travel through Scotland. 

Flooding, and weather untypical of the season, remind us as we cycle of the urgency of the message we are carrying: Climate change is not about other people and places in the future, it’s already affecting us here and now, even though we are as yet much more protected than those in more climate vulnerable countries. 

Without drastic, just, climate and nature action this decade, even the most cautious of scientific predictions about the near future are terrifying in their implications. 

I think one of our roles as the grown ups living at this time is to face this reality, not give in to despair and feelings of helplessness, nor allow ourselves to be distracted, as difficult as that is in our busy, stressful lives. We need to inform ourselves about what we (collectively) are setting our children up for. And, as if our child had been diagnosed with a life-limiting illness, (collectively) stop at nothing within our power to maximise their chances to thrive and survive. 

We've reached Scotland

 

Day 8 - Sunday: End of the ride, start of the action!

“If working apart we are a force powerful enough to destabilise our planet, surely working together we are powerful enough to save it… We are the greatest problem solvers on earth. We know how to deal with this problem” David Attenborough, at COP26. 

We had all relaxed by the end of day 7 as the final day into Glasgow on Sunday was so ‘short’, at 37 miles.

However, the REALLY wet weather, hilly terrain and another puncture had us worried we wouldn’t reach the final event in time. Luckily, the skies cleared, the 'Heron Farm Shop and Kitchen' appeared as if by magic for an injection of energy and the latter half of the ride was mainly downhill.  

So we all made it! Welcomed by a samba band and inspiring speeches from, amongst others, the Young Person rider, Toby Hancock, Fiona Godlee  and Robin Stott. My family were there too – I am so grateful to them and others, especially Alan and Nick, for the support they have given me to be able to do the ride.  

We have delivered the message to World Leaders on behalf of the 45 million healthcare professionals whose organisations signed the #HealthyClimatePrescription letter, and they know we are watching them closely. There is a continuing strong health care presence for the next two weeks, including input from RCPsych.  

I’m writing this from home as the rest of Sunday ran away with me. As I look ahead I ponder something else David Attenborough said to those in the audience younger than his 95 years.

“In your lifetime you could, and should, witness a wonderful recovery… and could use this opportunity to create a more equal world." 
 
The enormity of the problem can be overwhelming or we can see it as meaning that we each have a part to play. As Lucy Reynolds, another #RideForTheirLives rider wrote: ‘Child protection is everyone’s business, and climate protection is child protection.’ This mammoth endeavour has the potential to strongly connect us to each other via common purpose. 
 

So what to do? Some suggestions: 

  • Carry on doing what we do: show we care, speak up when we feel something is wrong, share difficult times and new learning, look after ourselves, each other and the natural world around us. I think remembering what we need for our own and our communities’ emotional resilience will be increasingly important.  
  • Find out where what matters most to you intersects with the climate and nature crisis. Then make a conscious commitment to live and work by weaving this climate and nature perspective into what you do. ‘People noticed when doctors stopped smoking. They will notice when we take climate change seriously’. This can be in many ways – one little step at a time. Supporting sustainable choices at home and in the workplace is important, but much easier to do as part of a group. Also, perhaps even more importantly, challenging systemic structures and signalling to the world’s most powerful that we want things to change for the better - for example by how we vote, what we buy, by switching to a renewable energy provider, or switching to an ethical bank. 
  • Put pressure on whichever organisations we work with to, for example: raise the awareness of these issues across the workforce, to ensure any investment they make is ethical, to produce climate risk assessments and mitigation protocols.  
  • Seek out training and join groups of other climate aware practitioners to increase knowledge and confidence. This helps in those moments when we feel the need to step back from pushing for change because we think we don’t know enough, aren’t green enough ourselves, or are too busy. 
  • There is a specific role for those of us who work with children and in mental health. The intergenerational injustice and the emotional toll of living at these times calls on us particularly.  

All these ideas are meant to be helpful but I know the sheer choice can also be overwhelming.  Probably the best place to start is by finding a group of people to talk to. 

Please reach out to us in EcoCAMHS and/or RCPsych Sustainability and Planetary Health Committee . We would love to hear from you, without any pressure to commit. 

As I said goodnight to the kids last night I imagined other parents saying goodnight to their children too.  The world that the eyes of these children see each day when they wake up in 5, 10, 15 years time will be determined by what is done in the next handful of years. And whether we see it as a blessing or a curse, we are some of the people with the power and influence to shape what they see.  

Welcome to Glasgow


The triumphant but tired team are given a warm welcome

Happy to be in Glasgow


The group with the Healthy Climate Prescription Letter for world leaders


More about Ride for their Lives

At 9am on Sunday 24 October, a group of passionate paediatric healthcare providers left Great Ormond Street Hospital for Children in London on bicycles. Their destination is over 500 miles away - the Gartnavel General Hospital in Glasgow, the city where COP26 is taking place.

Their goal is to communicate the seriousness of air pollution to fellow healthcare providers and the public, especially families with young children. Polluted air causes an estimated 7 million deaths annually, and shares the same root causes as the climate crisis.

The journey from London to Glasgow will be long and arduous. But the journey will act as an inspiration for the journey our species now has to take. Those who protect our children's health now are riding to offer hope for our children's future. They are showing us it can be done.

The cyclists include staff from Great Ormond Street Hospital for Children and Evelina Children's Hospital in London, Bristol Royal Hospital for Children, Sheffield Children's Hospital, the Great North Children's Hospital in Newcastle, and the Royal Hospital for Children Glasgow.

On the way to Glasgow, the group will stop at children’s hospitals across the UK for events in Birmingham, Sheffield and Newcastle. Pollution Pods, an award-winning art installation dramatising the air quality crisis, will join the riders in all these cities.

The cyclists will arrive in Glasgow as COP26 starts, where they will announce the numbers of kilometres completed by Ride for their Lives participants around the world, and hand over a suite of documents from the global healthcare community that outline the need for urgent action on air pollution and the wider climate crisis. This includes the Healthy Climate Prescription letter, which we encourage all healthcare providers to sign.

We need to act now to inspire others to act. The bigger the action the better the result. Our aim is to reach a million kilometres. Whether you work for a healthcare provider or you are a member of the public you can help. Join the ride virtually by cycling 100 kilometres between 1 and 31 October - wherever you are in the world - in the run up to COP26.

 

See all of our COP26 blog posts

Blog Author
Dr Catriona Mellor
Dr Catriona Mellor

Child and Adolescent Psychiatrist

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