Post by DKL - darkknightslover on May 13, 2016 21:12:16 GMT
So I have issues with being overly interactive when I'm meant to be an observer. I want to know if anyone has any tips on how they CBT themselves, think/prioritise needs differently, or anything else!
I am already medicated on Elvanse (lisdexamphetamine (long release Dex)) and citalopram.
I've tried to break this post up into sections to make it easier to digest.
Background:
I'm studying to be a healthcare professional (HCPs) which involves being out in hospitals/in the community with other HCPs and interacting with patients.
The Problem:
I so want the best for the patient(s) that I often chip in with "out loud thoughts" or extra bits of information. This is also the case where I believe/know something different/extra from the person I'm shadowing.
As you can imagine this can lead to friction, though not always, Even though I am really open about the ADHD and how it affects me.
I have noticed that I am especially prone to doing this when I'm anxious and/or in a new environment. I also seem to annoy women more than men, and get along better with people who have more academic backgrounds/training.
Example:
Today for instance I was sitting in on an educational day for patients with a particular long-term condition. Education was about the condition, medications, and lifestyle. I was meant to be a quiet observer. I was meant to arrive early (and would have done if I had gone to the right building, so was on time instead - I am so proud with how well I'm doing with punctuality now!!). When I arrived I took the chair set aside for me (so I was sitting outside of the main group). I was introduced by name, and I chirped in "I'm just/only observing". One of the two trainers smilingly and warmly said something along the lines of "Oh no, I'm sure we'll get you involved" or "oh I'm sure you won't just be only observing". I felt pleasantly surprised.
I made copious notes through the day to help make sure I kept myself busy. At first I was chuffed with myself for doing so well at keeping to myself. However as I settled in a bit more, and people occasionally made comments about me being a student nurse (I had also decided to dress in my own clothes - smart but conservative - rather than a uniform to try to avoid drawing attention to myself.) I occasionally added little bits or answered questions. I guess occasional became more frequent as the day went on.
In one break a patient sought me out and asked me about a medication they'd been started on, and I tried to conservatively reassure. She was also incredibly stressed and I gave her the title of a mindfulness book (mindfulness has a good evidence base for helping with all sorts of stuff!).
In another break I asked a different patient about a herbal remedy that he'd mentioned in the session. I'm a huge skeptic of alternatives and complementaries, but am interested because we aren't taught much about them, and loads of patients use them and can interact with prescribed therapies. Plus I'm just curious about everything!! I wanted to look it up when I got home. Although I didn't actively condone anything, I didn't want to alienate him either so didn't dismiss owt. It may have appeared that I am pro-alternative, but as this wasn't specifically mentioned by the trainer at the end of the day I have no idea.
Outcome:
There were comments of "DKL has had a couple of interesting conversations that we can't comment on as it's not covered in the course, and we have to keep to the evidence base we have". At the end of the day I was advised to "just observe" in any future courses I was allowed to sit in on.
I am already medicated on Elvanse (lisdexamphetamine (long release Dex)) and citalopram.
I've tried to break this post up into sections to make it easier to digest.
Background:
I'm studying to be a healthcare professional (HCPs) which involves being out in hospitals/in the community with other HCPs and interacting with patients.
The Problem:
I so want the best for the patient(s) that I often chip in with "out loud thoughts" or extra bits of information. This is also the case where I believe/know something different/extra from the person I'm shadowing.
As you can imagine this can lead to friction, though not always, Even though I am really open about the ADHD and how it affects me.
I have noticed that I am especially prone to doing this when I'm anxious and/or in a new environment. I also seem to annoy women more than men, and get along better with people who have more academic backgrounds/training.
Example:
Today for instance I was sitting in on an educational day for patients with a particular long-term condition. Education was about the condition, medications, and lifestyle. I was meant to be a quiet observer. I was meant to arrive early (and would have done if I had gone to the right building, so was on time instead - I am so proud with how well I'm doing with punctuality now!!). When I arrived I took the chair set aside for me (so I was sitting outside of the main group). I was introduced by name, and I chirped in "I'm just/only observing". One of the two trainers smilingly and warmly said something along the lines of "Oh no, I'm sure we'll get you involved" or "oh I'm sure you won't just be only observing". I felt pleasantly surprised.
I made copious notes through the day to help make sure I kept myself busy. At first I was chuffed with myself for doing so well at keeping to myself. However as I settled in a bit more, and people occasionally made comments about me being a student nurse (I had also decided to dress in my own clothes - smart but conservative - rather than a uniform to try to avoid drawing attention to myself.) I occasionally added little bits or answered questions. I guess occasional became more frequent as the day went on.
In one break a patient sought me out and asked me about a medication they'd been started on, and I tried to conservatively reassure. She was also incredibly stressed and I gave her the title of a mindfulness book (mindfulness has a good evidence base for helping with all sorts of stuff!).
In another break I asked a different patient about a herbal remedy that he'd mentioned in the session. I'm a huge skeptic of alternatives and complementaries, but am interested because we aren't taught much about them, and loads of patients use them and can interact with prescribed therapies. Plus I'm just curious about everything!! I wanted to look it up when I got home. Although I didn't actively condone anything, I didn't want to alienate him either so didn't dismiss owt. It may have appeared that I am pro-alternative, but as this wasn't specifically mentioned by the trainer at the end of the day I have no idea.
Outcome:
There were comments of "DKL has had a couple of interesting conversations that we can't comment on as it's not covered in the course, and we have to keep to the evidence base we have". At the end of the day I was advised to "just observe" in any future courses I was allowed to sit in on.