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Healer Heal Thyself: Why Health Care Professionals Are Becoming Stressed, Depressed, and Suicidal

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Part 3 – What We Can Do

There is a worldwide contagious disease that most of us have experienced, but very few understand. According to the man who first identified this disease, Alvin Toffler,

“It will not be found in Index Medicus or in any listing of psychological abnormalities. Yet, unless intelligent steps are taken to combat it, millions of human beings will find themselves increasingly disoriented, progressively incompetent to deal rationally with their environments. The malaise, mass neurosis, irrationality, and free-floating violence already apparent in contemporary life are merely a foretaste of what may lie ahead unless we come to understand and treat this disease.”

Most healthcare professionals see the effects of this disease in their practices. Most are suffering from it themselves but aren’t even aware that they have been infected. It is called “Future Shock” and the human species has been impacted for a long time. Here’s how Toffler described this disease when he first wrote about it in 1965 in an article in Horizon magazine:

“I coined the term ‘future shock’ to describe the shattering stress and disorientation that we induce in individuals by subjecting them to too much change in too short a time.”

Toffler goes on to say in his book, Future Shock.

“It became clear that future shock is no longer a distantly potential danger, but a real sickness from which increasingly large numbers of already suffer. This psycho-biological condition can be described in medical and psychiatric terms. It is the disease of change.”

I think we can all agree that change of all kinds has continued to accelerate since 1970, but we have not taken the “intelligent steps to combat it” that Toffler called on us to address fifty-four years ago. Since then, there is another disease we have failed to address. In addition to the disease of change, we are experiencing a disease of complexity.

The latter problem was described by Rebecca Costa in her book, The Watchman’s Rattle: A Radical New Theory of Collapse that was published in 2010. She examined complex cultures throughout the world and described what happens when our human brains are unable to handle the complexity of society.

Costa examined past civilizations that had collapsed from the Mayans to the Roman Empire to see what we could learn that would help us address our current culture and predict whether we are heading for collapse. She found a numerous early warning signs including the following:

1. Gridlock. Like a major traffic jam, major parts of the system fail to function.

“A civilization insists on deploying methos once used to resolve smaller simpler problems to solve larger, more complex issues. Although these methods repeatedly fail, like a swimmer caught in an undertow, we stubbornly pursue variations of the same failed solutions decade after decade.” 

2. Irrational Opposition.

“Irrational opposition occurs when the act of rejecting, criticizing, suppressing, ignoring, misrepresenting, marginalizing, and resisting rational solutions becomes the accepted norm.” 

3. The Personalization of Blame.

“Throughout history civilizations have had a clear pattern of foisting the responsibility for complex problems onto the shoulders of individuals whenever complex problems persist.”

4. Silo Thinking. “Silo thinking,” says Costa,

“is the compartmentalized thinking and behavior that prohibits the collaboration needed to address complex problems. Instead of encouraging cooperation between individuals and groups that share a common objective, silo thinking causes undermining, competition, and divisiveness.”

5. Extreme Economics.

“When simple principles in business, such as risk/reward and profit/loss, become the litmus test for determining the value of people and priorities, initiatives and institutions.”

            While many have hoped, and continue to hope, that with enough education and insight we can avoid the collapse that so many previous civilizations have experienced, there is increasing recognition that we have passed the point of no return. Humans have so disrupted many of our human life-support systems that collapse is inevitable.

            The world-renowned biologist E.O. Wilson summarizes the human dilemma.

“The real problem of humanity is that we have Paleolithic emotions, medieval institutions, and God-like technology. We’re a mixed-up, and in many ways, an archaic species in transition.”

            Although healthcare professionals and the general public may not be aware of future shock and diseases of change and complexity, we are all aware of problems of anxiety. In his book, Anxious: Using The Brain to Understand and Treat Fear and Anxiety, Joseph LeDoux says,

“Collectively fear and anxiety disorders are the most prevalent of all psychiatric problems in the United States, affecting about twenty  percent of the population with an associated economic cost estimated to exceed $40 billion annually.”

            Judson Brewer, MD, PhD, author of Unwinding Anxiety: New Science Shows How to Break the Cycles of Worry and Fear to Heal Your Mind, says,

“Anxiety is everywhere. It always has been. But in the last several years, it has come to dominate our lives in a way that it perhaps never has.”

            Dr. Wendy Suzuki is a professor of neural science and psychology at the Center for Neural Science at New York University and is a celebrated international authority on neuroplasticity. In her book, Good Anxiety: Harnessing the Power of the Most Misunderstood Emotion, she says,

“We live in an age of anxiety. Like an omnipresent, noxious odor we’ve grown used to, anxiety has become a constant condition, a fact of life on this planet. From global pandemics to crashing economies, to intense, daily family challenges, we have plenty of justifiable reasons to feel anxious.”

            Clearly healthcare professionals are not only not immune to these problems, but we may actually be at higher risk because of who we are, where and how we work, and are feelings of professional responsibility to help those in need. We may need special support communities to help to keep ourselves sane so that we can help others.

            In her powerful and hopeful book, Who Do We Choose to Be? Facing Reality, Claiming Leadership, and Restoring Sanity, cultural pathfinder and author Margaret Wheatley, says,

“My aspiration is for you to see clearly so that you may act wisely. If we don’t know where we are, if we don’t know what to prepare for, then any path we choose will keep us wandering in the wilderness, increasingly desperate, increasingly lost.”

            As someone who has been working as a healthcare professional for more than fifty years, I have come to realize that we will continue to undermine our own health if we act like “lone rangers” fighting to change things on our own. We either become as dysfunctional as the systems we are trying to change or our own mental, emotional, and relational health is compromised.

Margaret Wheately has an answer that I have found to be workable and effective.

“As leaders dedicated to serving the causes and people we treasure, confronted by this unrelenting tsunami, what are we to do?, says Wheatley. My answer to this is also stated with full confidence: We need to restore sanity by awakening the human spirit. We can only achieve this if we undertake the most challenging and meaningful work of our leader lives: creating Islands of Sanity.”

She goes on to say,

An Island of Sanity is a gift of possibility and refuge created by people’s commitment to form healthy community to do meaningful work. It requires sane leaders with unshakable faith in people’s innate generosity, creativity, and kindness.”

In her new book, Restoring Sanity: Practices to Awaken Generosity, Creativity & Kindness in Ourselves and Our Organizations, she offers guidance and practical wisdom for creating and sustaining Islands of Sanity. I created my own Island of Sanity in 1979 when I joined a men’s group. We began as seven guys who made a commitment to support each other so we could do the work we knew was important in the world while staying sane. I wrote about our experiences in an article “’Til Death Do Us Part: The Life and Times of My 45-Year-Old Men’s Group.”

If you would like to learn more about my books, training programs, and current thinking, you can contact me at MenAlive.com.  



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The Future of Men’s Mental Health

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Part 2—Mental Health Crises Are Putting Everyone At Risk

            This is the second part of a multi-part series on “The Future of Men’s Mental Health.” I have been concerned about men’s mental health since I was five years old and my mid-life father took an overdose of sleeping pills after he had become increasingly depressed when he couldn’t support  his family doing what he loved. In Part 1 of this series, “Men and Mental Health, What Are We Missing?”, I detailed recent research showing the problems that have been neglected up until now.

            In a previous series of articles, “Healer Heal Thyself: Why Health Care Professionals Are Becoming Stressed, Depressed, and Suicidal,” I describe the challenging realities facing health-care professionals as well as those who seek them out for health support and healing.  In Part 1, I noted:

“Health care workers compared with non-healthcare workers have greater risks for mental health problems and long-term work absences due to mental disorders, and are at increased risk of suicide, compared with workers in other fields.”

“Our results extend earlier research from outside the United States that health care workers compared with non-healthcare workers have greater risks for mental health problems and long-term work absences due to mental disorders,” said Mark Olfson, MD, MPH, professor of Epidemiology at Columbia Public Health and professor of Psychiatry, Vagelos College of Physicians and Surgeons. “The importance of increased suicide risk of health care support workers is underscored by their growth from nearly 4 million in 2008 to 6.6 million in 2021.”

            Pamela Wible, M.D., is a family physician, author, and expert in physician suicide prevention. In her book, Physician Suicide Letters Answered, she says, “I’ve been a doctor for twenty years. I’ve not lost a single patient to suicide. I’ve lost only colleagues, friends, lovers–ALL male physicians–to suicide.”

            Males are not the only ones who die by suicide, but we are much more likely to die. Dr. Wible details the reasons that so many doctors and other healthcare professionals die by suicide including the following:

  • Doctoring is more than a job; it’s a calling, an identity.
  • With so much need, we often put the needs of others ahead of our own.
  • Most practitioners become burned out, overworked, or exhausted.
  • Workaholics are admired in medicine and other healthcare professions.
  • Caring for sick people can make us sick if we don’t take care of ourselves.
  • Seeing too much pain and not enough joy is unhealthy.
  • We don’t take very good care of themselves or each other.
  • We don’t acknowledge the reality that we are at high risk of overwork, overwhelm, breakdown, and self-harm.

            These issues are not only prevalent in males, but there are sex differences that we need to understand and address. According to Marianne J. Legato, MD, Founder of the Partnership for Gender Specific Medicine,

“Until now, we’ve acted as though men and women were essentially identical except for the differences in their reproductive function. In fact, information we’ve been gathering over the past ten years tells us that this is anything but true, and that everywhere we look, the two sexes are startingly and unexpectedly different not only in their normal function but in the ways they experience illness.”

            In Part 2  of the series, I talk about the future of gender-specific healthcare and describe my interview with Dr. Legato, who told me,

“The premature death of men is the most important—and neglected—health issue of our time.”

I also described my interview with Richard V. Reeves, author of, Of Boys and Men: Why the Modern Male is Struggling, Why It Matters, and What to Do About It and founder of American Institute for Boys and Men (AIBM). Reeves says,

“It became clear to me that the problems of boys and men are structural in nature, rather than individual; but are rarely treated as such. The problem with men is typically framed as a problem of men. It is men who must be fixed, one man or boy at a time. This individualist approach is wrong.”

            In Part 3, I discuss the unique times we are living in today where rapid change of modern life have created a unique set of mental health problems that must be solved on a systemic as well as a personal level.  The futurist, Alvin Toffler called the problem Future Shock and said,

“It will not be found in Index Medicus or in any listing of psychological abnormalities. Yet, unless intelligent steps are taken to combat it, millions of human beings will find themselves increasingly disoriented, progressively incompetent to deal rationally with their environments. The malaise, mass neurosis, irrationality, and free-floating violence already apparent in contemporary life are merely a foretaste of what may lie ahead unless we come to understand and treat this disease.”

            Toffler notes that Future Shock results when societies are faced with too much change in too short a time. Not only are we being overwhelmed with the rate of change in our lives, but also the overwhelming complexity of our social systems that  can lead to collapse of entire civilizations. Rebecca C. Costa describes the effects of complexity in her groundbreaking book, The Watchman’s Rattle: A Radical New Theory of Collapse. The result is a critical increase in fear and anxiety, which impacts everyone.

            In his book, Anxious: Using The Brain to Understand and Treat Fear and Anxiety, Joseph LeDoux, one of the world’s leading mental health experts says,

“Collectively fear and anxiety disorders are the most prevalent of all psychiatric problems in the United States, affecting about twenty  percent of the population with an associated economic cost estimated to exceed $40 billion annually.”

            Dr. Wendy Suzuki is a professor of neural science and psychology at the Center for Neural Science at New York University, says,

“We live in an age of anxiety. Like an omnipresent, noxious odor we’ve grown used to, anxiety has become a constant condition, a fact of life on this planet. From global pandemics to crashing economies, to intense, daily family challenges, we have plenty of justifiable reasons to feel anxious.”

            The effects of all these changes are causing social and political upheavals. On April 7, 2024, The Morning Show on CBS aired a segment on the new movie, “Civil War” which follows a team of journalists who travel across the United States during a rapidly escalating Second American Civil War, that has engulfed the entire nation. It offers an unflinching look at a nation divided and violent, not in the 1860s, but today. The movie is a warning about potential things to come and like all wars, males are the main combatants.

Bringing Healers and Health-Seekers Together in Community

            It is becoming increasingly clear that the separation between “healers” and “those seeking help” is an artificial divide. We are all in need of help and support in addressing mental health issues and we are all able to learn to help ourselves and others. I believe it is time to bring healers and seekers together. In a recent article, “The Future of Mental Health: Bringing Together Health Seekers and Providers,” I noted the following:

            “We are living in crazy times, where the whole world seems angry, anxious, stressed, and depressed and things are getting worse. In 2018 the American Psychological Association surveyed a thousand U.S. adults about their sources and levels of anxiety. The APA found that 39% of Americans reported being more anxious than they were in 2017, and an equal amount (39%) had the same level of anxiety as the previous year. That’s nearly 80% of the population experiencing anxiety.

What are people most concerned about? The APA survey reported that:

  • 68% worried about health and safety.
  • 67% reported finances as their source of anxiety.
  • 56% were stressed about our political system and elections.

            The APA also found that 63% of Americans felt that the future of the nation was a large source of stress. 59% checked the box that “the United States is at the lowest point they can remember in history.”

            Men in the United States die by suicide, on average, at a rate four times higher than women. But the suicide rate for men is even higher in older age groups.

            Clearly with statistics like these, we can no longer view “mental illness” as simply a problem of individuals. We are experiencing a problem of whole systems collapsing and we need to develop new systems to bring about repair. My colleague, Margaret J. Wheatley, author of the book, Who Do We Choose to Be? Facing Reality, Claiming Leadership says,

“Our task is to create Islands of Sanity, both internally and within our sphere of influence, where sanity prevails, where people can recall and practice the best human qualities of generosity, caring, creativity, and community.”

            It seems both appropriate and timely that we create a health community focused on men’s mental health as an “island of sanity” that can offer support and services to heal men, as well as our families, communities, and the world.

            We need a new approach for addressing men’s mental health issues. In the next parts of this series, I will address the important topic of depression and anxiety. I will examine the differences between the ways males express their dis-ease and wounds verses the way females do so. If you’d like to read more articles like these, please visit me at MenAlive.com and receive our free newsletter with new articles and tools you can use to improve your mental, emotional, and relational health. 



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How to Design Effective Student Intervention Programs and Environments

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In the 20th episode of The Schoolyard Podcast, host Nancy Chung welcomes guests Soo Goda and Nicole Hill to discuss student intervention strategies in education.

Soo Goda is the District Coordinator of Expanded Learning for grades TK-6 at Saddleback Valley Unified School District. She has over 30 years of experience in education as a multilingual teacher, instructional coach, and champion of equitable access to education.

Nicole Hill is the Subject Matter Expert for Instructional Solutions at School Specialty. Her experience includes teaching and administration from early childhood to grade 12. Nicole brings expertise from curriculum and instruction to professional development and leadership.

Effective Student Intervention

In this episode, Soo and Nicole share their insights on designing effective intervention programs tailored to meet the needs of students.

They begin by discussing how to properly identify students needing intervention while avoiding premature labeling or stigma. They highlight the significance of building relationships and understanding individual student needs.

Soo and Nicole stress the importance of integrating data-driven decision-making into intervention strategies, emphasizing the need for consistency and collaboration among educators. They share personal anecdotes and experiences to highlight the value of personalized learning plans and culturally sensitive interventions.

Soo Goda (upper left) and Nicole Hill (bottom) are interviewed by host Nancy Chung.

Educators may face challenges when exploring and implementing intervention programs. Soo and Nicole offer practical advice on overcoming resistance to these programs and utilizing available resources effectively. They also emphasize celebrating progress and maintaining a positive learning environment as critical factors in successful intervention programs.

Tag, You’re It!

The episode concludes with our favorite game, “Tag Your It!” Soo and Nicole are asked whether they would rather be the funniest or smartest person in the room. Listen in on Spotify, YouTube, or Apple Music to hear their responses!

Soo Goda

Soo’s journey in education spans over three decades, embodying a commitment to linguistic diversity and student empowerment. With a career that commenced as a Bilingual Education teacher 31 years ago, she has traversed various roles. Hailing from Korea, Soo’s formative years were marked by a rich cultural tapestry, spending a portion of her childhood in South America before immigrating to the United States, where she received her education. From her tenure as a Spanish Dual Language Immersion teacher to assuming the role of an Instructional Coach, Soo’s expertise has been instrumental in shaping pedagogical practices. Currently serving as the District Coordinator of Expanded Learning TK-6 at Saddleback Valley Unified School District, she continues to champion equitable access to education. Drawing from her experiences as a multilingual learner and her extensive engagement with diverse student populations, she possesses a nuanced understanding of the multifaceted needs of learners today.


Nicole Hill

Nicole Hill has served within the field of education for 16 years as a classroom teacher, specialist, assistant principal, and principal. She is certified as an educator in EC-12 Principal, EC-8 Generalist, 8-12 English Language Arts, Reading and Social Studies, EC-12 Special Education, EC-12 Gifted and Talented, and EC-12 English as a Second Language. Her school experience varies to include work with students in pre-K through 12th grade, both in Texas and Europe, and within communities that were each uniquely diverse in terms of their demographics, size, and campus needs. While serving in these roles, she developed expertise in curriculum and instruction, professional development, and leadership. Nicole is currently the Instructional Solutions Subject Matter Expert at School Specialty.





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Colic in babies: Tips for soothing your child from a pediatrician – CHOC

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Published on: April 24, 2024
Last updated: April 24, 2024

A CHOC pediatrician explains the causes of colic in babies, and offers tips to parents for helping their colicky baby.

Link: https://health.choc.org/colic-in-babies-tips-for-soothing-your-child-from-a-pediatrician/



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