[Episode 49] In today's podcast I speak with Mark Meier, a licensed independent clinical social worker from Minneapolis, Minnesota most social workers together with depression. Depression is biopsychosocial disorder that interferes with daily functioning, interpersonal relationships, together with school/work. Depression is 1 of the most mutual psychiatric disorders, with 18% of men together with women inwards the US reporting at to the lowest degree 1 depressive episode inwards their lifetime (Kessler et al, 2005). Depression tin flame live treated successfully inwards most people using either verbalize therapy, medication or both.
In today's podcast, Mark together with I spoke most how social workers are iii times every bit probable to live depressed every bit people inwards the full general population. We talked most the personal together with professional person responsibleness social workers have got inwards addressing their depression, together with the role that schools of social work, agencies together with colleagues have got inwards supporting social workers to acquire treatment. Mark shared his personal experience with depression, suicidal ideation, together with the subsequent hospitalization. We ended our conversation with a give-and-take most what programs or workshops schools of social piece of work tin flame supply students to address the number of social workers together with depression.
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Jonathan Singer: So Mark, thank yous thus much for beingness hither with us today. I was wondering if yous could verbalize a niggling scrap most what nosotros know most rates of depression together with social workers, together with social piece of work students.
Mark Meier: Sure. You know the information is fairly express thus we’re going to rely a niggling scrap on anecdote hither every bit good every bit the data, but what nosotros know from a duo of studies that have got occurred, is that nosotros have got got some pretty high rates of depression occurring inwards the professional person population. Darcy Siebert, who did a study out of North Carolina a duo of years back, surveyed a 1,000 active NASW members together with she institute that 19% of those members scored inwards a higher identify the threshold for depression on the CES-D, which is the Center for Epidemiologic Studies for Depression, which when yous contrast that with rates of depression inwards the full general population of likely 6 to 7 percent, yous tin flame start to consider that inside our ranks nosotros have got a serious occupation on our hands. Within our pupil population, I guess I have got to rely a lot on my teaching experience together with I learn a course of study on mood disorders at the University of Minnesota Graduate School of Social Work together with I have got had many students come upward up to me during the course of study of diverse semesters together with portion with me their ain struggles together with battles with depression.
Jonathan Singer: It sounds similar the enquiry has institute that there’s to a greater extent than depression inwards social workers than inwards the full general population, is that true?
Mark Meier: That is absolutely truthful together with inwards fact yous know in that location is some other study that is out there, it was done inwards England, in 1 lawsuit to a greater extent than finding that yous know meaning rates of depression, I believe they institute upwards of 15-16%, we’re talking almost iii times the charge per unit of measurement of the full general population inside our ain ranks.
Jonathan Singer: That’s genuinely interesting, thus create they give whatever information, or create yous have got whatever information most what kinds of depression nosotros mightiness live talking most hither that nosotros would discover inwards the, alongside social workers together with students?
Mark Meier: And I intend is where we’ve got some existent gaps inwards our information together with our understanding, together with yous know looking at the piece of work that was done out of North Carolina, we’d live talking more, using the CESD, we’d live talking to a greater extent than your garden multifariousness major depression, yous know diverse levels of mild, moderate, to severe depression. You know I have got non come upward across anything talking most the incidence of bipolar disorder, or dysthymia, which quite honestly, I intend the truthful incidence of dysthymia is quite depression because you’re going to discover people with chronic depression levels of depression have got probable spiked at 1 betoken or another, together with would probable run into the criteria for a major depressive episode, thus the information is non existent clear. My experience has been both inwards teaching together with inwards talking to beau social workers, nosotros are talking primarily most yous know the major depressive episodes, to a greater extent than thus than bipolar, but in 1 lawsuit to a greater extent than bipolar tin flame live real hard to detect, together with unless nosotros are specifically looking for that, it is possible that’s portion of occupation every bit well.
Jonathan Singer: I was wondering, tin flame yous verbalize most some of the unique issues associated with beingness a social worker, together with how these issues mightiness live a portion of this higher charge per unit of measurement of depression nosotros consider alongside social workers?
Mark Meier: Well, I intend yous know, I intend the nature of the chore itself lends itself to beingness at jeopardy for depression. We piece of work inwards stressful environments, nosotros have got high caseloads, nosotros oft have got unrealistic demands placed on us past times the public, the organizations that nosotros piece of work for, to solve problems that are life long inwards developing together with nosotros are given xxx days to create them. You know nosotros piece of work inwards threatening together with unsafe environments, together with I intend when yous add together all of that together what yous come upward up with Jonathan is a moving painting of ongoing stress together with what nosotros know is that when nosotros don’t care our stress well, whether yous desire to telephone call upward it burnout or pity fatigue or what yous select to telephone call upward it, I intend what it is most of the fourth dimension is depression, together with in that location is such a growing torso of literature demonstrating that link betwixt stress, yous know unremitting stress, together with depression.
Jonathan Singer: So it sounds similar you’re talking most perhaps, people come upward into the profession, they have got a predisposition for depression or they mightiness have got a vulnerability to depression, but it’s the surroundings inwards which many social workers piece of work that would trigger this depression, the stress, the high illustration loads, the fact that it’s unremitting. Did I hear yous right?
Mark Meier: Yeah, I intend thus together with I hateful yous know historically social piece of work is a land inwards which predominantly females are in, together with the information is, yous know suggests that women endure from depression at higher rates, together with I intend along those lines a lot of men are unwilling, unable, or just reject to acknowledge they are suffering from depression, thus I intend in that location are some differences that could live explained betwixt the genders there. But I create intend a lot of us travel into this field, together with nosotros are caring people, together with peradventure yous know our perception of what we’re doing to live able to attain with our clients together with reality, sometimes those 2 things collide caput on together with it tin flame travel real disheartening together with real frustrating. You know yous tin flame sort of consider that low-cal at the halt of the tunnel for your clients together with when you’re unable to sort of steer them towards that halt of the tunnel, that takes its damage on people.
Jonathan Singer: Now yous have got talked openly most your experiences with depression together with I was wondering if yous could portion a niggling with us most that?
Mark Meier: Sure. Well I am 1 of those guys that went into graduate schoolhouse suffering from some challenges with depression, I was starting fourth dimension diagnosed with my ain depression together with anxiety issues agency dorsum when I was inwards college twenty something years ago, together with ignored it for a long time, together with made it through graduate schoolhouse together with similar a lot of people with depression, I sort of lay on my game human face upward together with made it through life. You know it was the stress of beingness a social worker, I believe, inwards many ways, I hateful in that location was manifestly many other factors associated with it, that genuinely sent me sort of inwards a downward spiral to the betoken where I did travel real depressed, real suicidal, together with inwards fact had to yous know I purposely left the social piece of work land for a duo of years, with the thought that that would create my depression, together with depression together with behold of course of study it didn’t, together with I ended upward beingness hospitalized, together with yous know basically out of committee for a few months piece I got myself dorsum inwards a functional position.
Jonathan Singer: What should social workers who are dealing with depression live aware of?
Mark Meier: Well, I intend this is 1 of the challenges because that for thus many of us, together with thus many people who have got depression, there’s a existent lack of insight. I hateful every bit a social worker I had a pretty practiced sense, together with I had a pretty savvy married adult woman who knew what was going on with me, together with I yet had these blind spots where I just couldn’t human face upward the fact that I was depressed. I was the clinical social worker, this shouldn’t direct identify to me. But I intend what nosotros have got to sentinel for is whatever changes inwards sort of our do patterns, I’ll tell yous what happened to me, I am a pretty profoundly optimistic mortal together with inwards the throws of my depression, every bit thus many depressed people suffer, I had travel profoundly negative together with pessimistic. You know I would acquire done with a customer together with I would intend what is the betoken of this, I can’t assist this person, nil is going to happen, together with yous know that was a existent wake upward telephone call upward for me that something was going on with me. And so, nosotros genuinely do, nosotros owe it to our clients, nosotros owe it to ourselves, together with to our colleagues, to live aware of sort of these changes that occur with depression, the negativity, the loss of concentration, the inability to focus, the yous know beingness unable to live introduce with your client, genuinely beingness self-aware regardless of whether you’re a psychotherapist, a illustration manager, whatever it is yous do, yous necessitate to live aware of how you’re operating with your clients.
Jonathan Singer: At whatever betoken did whatever of your clinical social piece of work colleagues state Mark, seems similar you’re having a touching time, are yous depressed, have got yous thought most getting treatment, I hateful did anybody come upward to yous together with state I intend yous necessitate some help?
Mark Meier: You know, no, together with what I intend I became together with for certain having gone dorsum together with talking to people, but what I became was that hard colleague. I was moody, I was unpredictable yous know people described they needed to walk on eggshells around me together with I hateful I was classic Jonathan, I hateful was oozing depression all over the place, together with no, yous know nobody did state anything to me, together with for certain that yous know may or may non have got had an impact on me. I yous know I intend from a supervisory standpoint I likely should have got been monitored much to a greater extent than closely, but yeah no, nobody came forward, together with nobody. You know I worked with a Dr. at the fourth dimension inwards the setting I was in, non a psychiatrist, yous know he said to me, Mark I intend nosotros necessitate to verbalize together with yous know I didn’t genuinely follow through with him, but none of my social piece of work colleagues genuinely did state anything.
Jonathan Singer: You know it’s ironic that we’re inwards a helping profession together with yous were suffering from 1 of the most debilitating diseases out in that location together with none of your colleagues said anything, together with the 1 colleague that did, yous didn’t follow through together with which sounds similar classic depression. So I guess the enquiry is what should nosotros create if nosotros suspect that 1 of our colleagues or a beau pupil is suffering from depression?
Mark Meier: I intend nosotros have got to start genuinely inwards together with manifestly my biases are such that I intend nosotros necessitate to heighten the awareness together with the teaching of depression starting inwards our schools of social piece of work together with I know that most of us have got classes inwards psychopathology together with mood disorders, but if yous intend most our piece of work together with who nosotros serve, nosotros genuinely really necessitate to emphasize depression because it is the most prevalent mood disorder, it is the most prevalent mental wellness number nosotros are going to encounter inwards our piece of work together with thus nosotros genuinely have got to parent the bar inwards terms of awareness together with what is depression. I’m oft surprised past times students or fifty-fifty colleagues lack of agreement of depression together with sort of the purchase into the stereotypes of good depression is you’re crying together with you’re distressing when nosotros know depression is thus much to a greater extent than than that. But I intend what nosotros necessitate to create is nosotros necessitate to experience comfortable going to our colleagues inwards a agency that conveys caring together with pity together with nosotros state to them “Look I am concerned most yous from many levels, I’m concerned most yous every bit a person, I am concerned most yous every bit a colleague, together with I’m concerned most the clients you’re serving” together with nosotros necessitate to have got systems inwards identify thus that social workers tin flame experience condom inwards getting help, yous know when yous aspect at the express information the argue people don’t acquire assist is their afraid for their license, their afraid for their job, their supervisors don’t sympathise it, yous know I intend inside our schools of social work, I suspect students don’t experience likewise condom going to advisors or deans together with maxim I am depressed, I’ve had students state I am afraid I’ll live issue of the computer program or I’ll have got a score that follows me. So creating environments together with cultures that sympathise together with desire people to acquire the assist because yous know on the other side of beingness depressed what yous mostly discover is people who are to a greater extent than motivated than before together with who are to a greater extent than self-aware than before, together with tin flame travel real very effective inwards their piece of work every bit social workers.
Jonathan Singer: It sounds similar you’re suggesting sort of this revolutionary thought that the do volition live preached?
Mark Meier: (Laughing) Well, unfortunately I abhor to acquire inwards good that uncomplicated but I hateful I intend that is truthful together with that is really, together with nosotros all acquire caught upward inwards busy days together with busy schedules, I’m never at a loss for how busy everyone is, but I intend it becomes yous know this imperative that nosotros just recognize what is going on together with absolutely nosotros do what nosotros preach, together with that nosotros create places, nosotros create whatever it mightiness be, whatever the scheme may be, for people to state yeah yous know what I am genuinely struggling together with necessitate some help. Because the longer nosotros permit this travel the worse people get, the less able nosotros are to care for them, together with the to a greater extent than hard the illness becomes, together with quite frankly the to a greater extent than professional person challenges people halt upward creating for themselves.
Jonathan Singer: So if nosotros start inwards schools of social piece of work together with nosotros create an surroundings where suffering from depression or dealing with depression is non stigmatizing, if nosotros allow students to genuinely verbalize most this openly to the extent that they desire to, recognizing that it’s of import that they seek treatment, that they acquire the assist that they need, that this is a practiced starting fourth dimension pace inwards addressing this number of what to create inwards the profession with people with depression?
Mark Meier: Absolutely together with I intend yous know what goes along with suffering from whatever type of mental illness is this accountability for the mortal who is suffering. You know just because I was depressed, it doesn’t hateful that I acquire to travel on going through my career every bit a social worker making life hard for my colleagues together with god knows what yous could create to your clients, thus I intend this surroundings includes several layers of non only a identify to self-disclose or to educate most depression, but to create the accountability inside the profession that nosotros await yous to acquire better, nosotros await yous to acquire the assist yous necessitate because letting someone travel through life with unremitting problems together with non challenging them, to me is counter what I’m trained to create every bit a social worker, together with I intend it demo sec a aeroplane of honour together with pity together with caring for others to betoken out what’s going on together with to await them to acquire the help. And I intend yes, I intend spending the fourth dimension at the graduate level, the undergraduate level, to educate people most stress management techniques for themselves, yous know nosotros verbalize most all the piece of work nosotros necessitate to create with our clients but raising that aeroplane of awareness most how create nosotros care our ain stress, how create nosotros recognize depression, how create nosotros yous know bargain with the fact that there’s a twenty percentage prevalence, yous know lifetime prevalence rate, together with that there’s a fairly practiced jeopardy that many of our colleagues together with students are going to bargain with this at 1 betoken or another.
Jonathan Singer: You know I genuinely similar the betoken that just made, which is yous have got a responsibleness to acquire ameliorate thus that yous tin flame supply the services that your clients need. And I desire to convey this dorsum to your story, yous said that yous left the profession, together with and thus yous came back. What happened with that? How did yous create upward one's hear to come upward back?
Mark Meier: Well I, when I left, my province of affairs was such that I was suffering 1 of the classic wanderlust aspects of depression, together with I institute no satisfaction inwards beingness a social worker, which genuinely had nil to create with beingness a social worker, together with had to create with that I was depressed, together with thus yous know it was a practiced opportunity, yous know similar I said I have got a real savvy married adult woman who is a medical professional person together with yous know she pointed out to me what was going on, together with she pointed out to me that I wasn’t willing to acquire handling at that point, together with thus I took an administrative type chore together with finally everything sort of caved inwards on me together with I ended upward hospitalized together with suicidal, together with getting handling etc. When I got out of the infirmary together with spent the side past times side likely year, twelvemonth together with a one-half going to therapy, getting a adjusted on medication, together with coming out of my depression, what I genuinely saw was aspect I am a social worker at my core, together with it did every bit I said inwards my illustration create a whole novel aeroplane of self-awareness most the impact of mental wellness issues, of hard life struggles inwards full general on the clients that I served, together with thus inwards my illustration I was able to larn from my ain unpleasant experiences together with relate them dorsum to the clients I serve. And yous know, similar I hateful thus many people, I went through a profound betoken inwards my life, together with I desire to travel dorsum together with assist others sympathise that yous know handling is a lot less hard than the living with the disease, together with the sooner nosotros sort of accept this fourth dimension to acquire the assist nosotros need, ultimately, inwards most instances the happier, the to a greater extent than effective, yous know the higher character of life, together with the ameliorate professional person nosotros volition be.
Jonathan Singer: So if nosotros have got a personal responsibleness to heal ourselves right, is in that location a responsibleness that nosotros have got to betoken this out inwards our colleagues? Because I intend for me this is really, this gets to sort of a sticky issue, let’s say; I’ll just lay the enquiry out to you. Since you’ve been dorsum inwards your clinical social worker role, have got yous come upward across colleagues that are depressed? And if so, what have got yous done most it?
Mark Meier: I have got come upward across colleagues who are depressed, together with what I create is betoken out to them what I see, together with yous know it hasn’t been anyone that I have got worked direct with, thus I intend that would live a niggling scrap of a dissimilar scenario, but for certain afterward doing talks together with yous know I have got had the chance to verbalize all across the province most depression, together with people have got come upward up to me together with said yous know I intend I am genuinely suffering, together with what I endeavour to create is aspect I betoken out to them what I said earlier, yous have got a responsibleness to acquire treatment, together with yous necessitate to brand sure that your personal province of affairs is non impacting peculiarly your clients, together with importantly your colleagues, your family, together with your friends, etc. But I intend inwards whatever workplace setting, whether it’s social piece of work or a constabulary firm, if people are unable to perform their chore effectively because of a physical status or a mental condition, or yous know whatever it mightiness be, nosotros create necessitate to betoken this out. And I believe, nosotros have got a real potent ethical responsibleness to our clients to betoken out to others if indeed they are non yous know performing upward to the aeroplane that the customer needs them to live performing.
Jonathan Singer: So it sounds similar yous have got addressed this number with colleagues but they haven’t been people that yous worked direct with?
Mark Meier: Correct.
Jonathan Singer: And it seems similar that correct in that location is sort of the sticky issue, together with create yous have got whatever ideas or recommendations, together with I am thinking specifically most folks who are listening to this who are maxim to themselves, wow, straightaway that I am thinking most it, I intend thus together with thus is likely depressed.
Mark Meier: Right. And I intend what yous start getting into is some of the legal issues, together with in 1 lawsuit to a greater extent than this cuts across all situations but I create believe that what nosotros create inwards social work, that in that location is fifty-fifty a to a greater extent than urgent necessitate to address the number inwards colleagues because I volition tell yous that when I was thus depressed my interested inwards helping my colleagues, I’m sorry, my clients, was non real high on my priority list, together with yet these folks were coming to me with expectation that I every bit the professional, I was in that location to assist them. So I believe that yous know if yous know this is occurring inwards your colleagues, it’s imperative that yous verbalize to whether it’s an HR mortal who’s inwards accuse of this, or whether there’s a supervisor that’s inwards accuse of it, yous know I intend inwards the perfect footing yous approach the private every bit a professional, every bit a colleague together with parent the number to them together with if they select non to create anything most it, I intend yous have got to accept it to that side past times side aeroplane yous know depending upon where yous piece of work together with acquire it addressed because nosotros manifestly erode the credibility of our profession if nosotros are allowing yous know people who are non capable for whatever argue to travel on practicing. And beyond that, nosotros have got real very vulnerable people coming to us who necessitate people at the top of their game if yous volition to live providing services.
Jonathan Singer: So it sounds similar there’s no magic solution to this one, just sort of doing what nosotros do, connecting people with resources, making it known, together with it sounds similar yous sort of halt brusk of maxim that yous know I would have got a responsibleness to sort of brand this an number if somebody, if 1 of my colleagues didn’t desire to address it inwards themselves.
Mark Meier: Well together with thus permit me, if that’s yeah, I for certain don’t hateful that to live the procession because I create intend yous have got to acquire inwards an number together with I intend that people ought non live practicing who are suffering from profound depression that is getting inwards the agency of their powerfulness to effectively perform their chore because again, nosotros wouldn’t permit somebody who is actively abusing alcohol or drugs accept tending of patients together with that yous know impairs your judgment, impairs your thinking, it impairs your compassion, yous know it impairs thus many dissimilar things just similar depression does. And yous know nosotros desire people to acquire ameliorate together with nosotros desire people to acquire the assist they necessitate but at the same fourth dimension nosotros necessitate them to non live negatively impacting their clients past times yous know continuing to do when they’re suffering together with when they are struggling. So I intend it is, I intend it absolutely needs to made an number together with it’s ever challenging to intend most together with verbalize most where I was at, but yous know I was just ineffective every bit a social worker. Not only ineffective, I intend I could real good have got been damaging, together with needed to non live working direct with individuals at that betoken inwards my life.
Jonathan Singer: That’s quite a affair to live able to acknowledge to. Because I intend all of us have got under-performed at our jobs at some betoken or the other. But to genuinely sit down dorsum together with state wow, I intend I mightiness have got been doing impairment is pretty profound, together with I intend that most people would handgrip that’s non why nosotros came into this profession. I did non travel a social worker because I desire to brand your life to a greater extent than difficult. Maybe nosotros tin flame accept a pace dorsum here, clearly in that location are some challenges talking with a colleague most their personal life, especially if that personal number is a combat with depression that mightiness live impairing their job, their powerfulness to create their job. And I’m, before yous talked most talking with students together with making the schools of social piece of work together with the educational experience a dissimilar surroundings a identify where they tin flame get to address these issues inwards themselves together with genuinely sympathise why inwards the bigger scheme of things, it’s of import to address their ain depression. So I was wondering, what mightiness yous propose that nosotros offering inwards the agency of teaching or preparation to students every bit they movement into the land to assist them create create with stress together with depression thus every bit to peradventure acquire inwards less important, or less necessary for colleagues to live the ones to intervene?
Mark Meier: Well I intend that since nosotros know that that profession, I’m sorry, that depression is likely the 1 number that is most probable to occur inwards your professional person career, I intend yous offering classes, I intend yous offering seminars, yous know I can’t to speak to each private establishment obviously, but I intend yous acquire inwards a priority together with yous state aspect nosotros are going to piece of work with yous over the course of study of a quarter, a semester, together with we’re going to learn yous most professionalism, nosotros are going to learn yous most boundaries, nosotros are going to learn yous most managing your stress, nosotros are going to learn yous most self-recognition of your ain feelings together with your ain thoughts most the piece of work you’re doing. I recall when I was, together with I don’t know that nosotros have got to travel dorsum to this, but it struck me, I was inwards graduate schoolhouse dorsum inwards 1992 together with 1 of our adjunct professors, I retrieve him maxim that he went to graduate social piece of work schoolhouse inwards the 60’s, together with the computer program he went to, every social piece of work pupil was required to travel through some actual counseling sessions, yous know with this thought that they would endeavour to discover anybody who was struggling or having problems together with piece of work with them to brand sure that they were every bit good prepared every bit possible to travel into the field. I intend its’ inherently irresponsible to intend that nosotros don’t have got this number inwards our students together with our professionals, together with to sort of aspect the other agency together with launch people into a career that they’re non prepared for. And similar I said before, it does a disservice to our clients, our colleagues, to ourselves, together with for certain our profession. I hateful if yous accept a aspect at the, at medicine, yous know physicians have got notoriously ignored this number together with they have got profound rates of depression together with suicide, together with they are finally starting to sort of ain upward to it, there’s all sorts of campaigns inwards medical schools to educate residents, interns, medical students to live aware of depression. The American Foundation for Suicide Prevention (http://www.afsp.org) has issue a fantastic computer program for medical students. So nosotros necessitate to create the same, because nosotros have got equivalent if non higher rates of depression inwards our field.
Jonathan Singer: So in that location are other professions that are grappling with this together with it sounds similar doing a ameliorate chore of addressing the issue. And what yous mentioned most students getting their ain counseling, I retrieve having an adjunct who said the same affair to our shape together with I also retrieve thinking that it was swell that nosotros didn’t have got to create that because man child nosotros had fourth dimension to travel to land together with create classes, together with and thus acquire into counseling. In retrospect, I intend it would have got been practiced if in that location had been a niggling to a greater extent than urging on the portion the schoolhouse to bargain with your stuff. I decided to travel consider a counselor inwards portion because I genuinely thought the adjuncts thought was practiced together with I institute it an amazing experience that I push clit from inwards my ain clinical piece of work to this day.
Mark Meier: But I intend to acquire inwards portion of the curriculum, similar yous said nosotros don’t have got fourth dimension to travel to field, together with nosotros don’t have got fourth dimension to create the work, together with many of my students have got jobs together with families together with thus yous know to add together some other layer maybe creates a burden together with fifty-fifty though nosotros can’t mandate it inside the educational setting, yous know in that location are other avenues to deliver this information, through regular coursework or course of study offerings, together with yous know it goes dorsum to what yous just said, just going through that counseling puts yous inwards a seat of what it feels similar for your clients to live inwards that spot together with if yous push clit on it today, it was manifestly a real of import aspect of your education.
Jonathan Singer: Yeah, it genuinely was. You’ve mentioned a duo of times that in that location are ways to integrate this into the curriculum, together with I’m wondering if yous could call some specific classes or workshops or things similar that, that you’ve either been a portion of or created, or intend theoretically would live useful that educators who mightiness live listening to this podcast could consider incorporating into their ain schools of social work?
Mark Meier: One of the things that I’ve had the chance to create is travel dorsum to a few diverse graduate schools throughout the province together with create just short, two, three, 4 hr workshops either at nighttime or on a Saturday, together with the theme is depression together with the tidings customer rarely comes into it. It’s most talking to the professionals, it’s most opening upward dialogue, together with yous know yous acquire people who self-select together with probable are struggling with the issues who come upward to these seminars, I recognize that, but it gives an chance for people to verbalize most their ain struggles together with their ain fears most what create I create with this, who create I plow to, create I dare convey this number to light, together with what most people volition discover is that inwards talking to others that have got gone through it, the likelihood that I am non going to lose my license is real high together with that ultimately if I acquire assist I volition likely live a to a greater extent than effective professional. In my ain shape that I learn at the U, I’ve given students the opportunity, we’ll accept a duo of classes together with nosotros volition verbalize most what are your ain experiences with depression, together with in 1 lawsuit to a greater extent than inside the context that nobody is compelled or yous know I promise I create a practiced chore of creating an surroundings where people don’t experience yous know cornered to portion or to create issues that don’t exist, but to demonstrate that yous know what, this does happen, together with a lot of people, when given the opportunity, volition verbalize most it. And yous know the real starting fourth dimension time I shared my ain experiences inwards my shape was a large struggle, together with I went to the Dean together with the Associate Dean together with said yous know this is what I’m going to create or this is what I’d similar to do, what create yous think? And yous know I intend with appropriate mulling together with conversation, nosotros came to the conclusion, yous know using some practiced mutual sense together with beingness careful with yous know specific details, which I am ever aware of, they said yeah why don’t yous endeavour it. Well I tin flame tell yous the response was overwhelming, together with my students were thus grateful to hear somebody state yous know what, I had these problems, I got over them, together with hither I am today every bit effective, genuinely to a greater extent than effective together with successful every bit I was before.
Jonathan Singer: So yous really, this is coming total circle, thus yous were able to convey inwards the experiences that yous had with depression to convey upward the dependent land with your students, which together with thus resulted inwards genuinely an opening of the dialogue, which genuinely is just what yous said yous wanted to create inwards the starting fourth dimension place, which is acquire students to intend most this, to verbalize most this, thus when they travel inwards the land every bit professionals, this is non a taboo dependent land thus they tin flame serve their clients the best they can.
Mark Meier: Exactly, together with I abhor to live cliché, but yous know if I had diabetes together with I was teaching inwards a medical school, I would openly portion challenges I’ve had with managing my glucose, or my diet, or yous know my exercise. Depression is a bio-psycho-social number together with it is non taboo, together with we’re getting there, but nosotros necessitate it to acquire to a greater extent than out on the tabular array thus people tin flame verbalize most it.
Jonathan Singer: Well Mark, I genuinely appreciate yous taking the fourth dimension to verbalize with us today most your experiences with depression, but the number of depression together with social workers inwards general, together with I intend that I don’t know most our listeners, but I have got for certain learned from yous most the importance of bringing this upward inwards shape together with beingness aware of this inwards colleagues, thus give thank yous you thus much.
Mark Meier: Oh, my pleasure, together with I genuinely appreciate yous bringing this to light, together with I promise people volition concealment it together with intend most it because I intend that’s all I would inquire at this point.
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In today's podcast, Mark together with I spoke most how social workers are iii times every bit probable to live depressed every bit people inwards the full general population. We talked most the personal together with professional person responsibleness social workers have got inwards addressing their depression, together with the role that schools of social work, agencies together with colleagues have got inwards supporting social workers to acquire treatment. Mark shared his personal experience with depression, suicidal ideation, together with the subsequent hospitalization. We ended our conversation with a give-and-take most what programs or workshops schools of social piece of work tin flame supply students to address the number of social workers together with depression.
Download MP3 [34:36]
Bio
Mark received his master’s grade inwards social piece of work from the University of Wisconsin Milwaukee inwards 1994 with a concentration inwards physical health. Mark has utilized his social piece of work skills inwards a multifariousness of settings over the lastly fifteen years including hospital, mental health, dialysis, together with character improvement organizations. In March of 2005 Mark formed his ain consulting company, Equalicare to specifically address the impact of depression inwards businesses, healthcare settings, together with educational institutions. Since forming his fellowship Mark has developed depression trainings for the University of Medicine together with Dentistry of New Jersey, The American Nephrology Nurses Association, The University of Wisconsin Milwaukee School of Social Welfare, every bit good every bit many other businesses throughout the United States. In gild to address the needs of men to sympathise together with overcome depression though the usage of education, online tools, together with peer support, Mark started the Face It Foundation. Mark lectures extensively across the province on the impact of depression on individuals with kidney illness together with other chronic illnesses. Mark is a frequent contributor to the NBC affiliate inwards Minneapolis speaking most depression inwards college students, depression inwards the workplace, together with the impact of depression on relationships. In add-on to his piece of work with Face It, Mark is an adjunct faculty fellow member at the University of Minnesota teaching a graduate aeroplane course of study on depression.Face It Foundation
2500 Highway 88 Suite 201
St. Anthony, MN 55418
(o) 612.789.9897
info@faceitfoundation.org
Transcript
[pdf download ]Jonathan Singer: So Mark, thank yous thus much for beingness hither with us today. I was wondering if yous could verbalize a niggling scrap most what nosotros know most rates of depression together with social workers, together with social piece of work students.
Mark Meier: Sure. You know the information is fairly express thus we’re going to rely a niggling scrap on anecdote hither every bit good every bit the data, but what nosotros know from a duo of studies that have got occurred, is that nosotros have got got some pretty high rates of depression occurring inwards the professional person population. Darcy Siebert, who did a study out of North Carolina a duo of years back, surveyed a 1,000 active NASW members together with she institute that 19% of those members scored inwards a higher identify the threshold for depression on the CES-D, which is the Center for Epidemiologic Studies for Depression, which when yous contrast that with rates of depression inwards the full general population of likely 6 to 7 percent, yous tin flame start to consider that inside our ranks nosotros have got a serious occupation on our hands. Within our pupil population, I guess I have got to rely a lot on my teaching experience together with I learn a course of study on mood disorders at the University of Minnesota Graduate School of Social Work together with I have got had many students come upward up to me during the course of study of diverse semesters together with portion with me their ain struggles together with battles with depression.
Jonathan Singer: It sounds similar the enquiry has institute that there’s to a greater extent than depression inwards social workers than inwards the full general population, is that true?
Mark Meier: That is absolutely truthful together with inwards fact yous know in that location is some other study that is out there, it was done inwards England, in 1 lawsuit to a greater extent than finding that yous know meaning rates of depression, I believe they institute upwards of 15-16%, we’re talking almost iii times the charge per unit of measurement of the full general population inside our ain ranks.
Jonathan Singer: That’s genuinely interesting, thus create they give whatever information, or create yous have got whatever information most what kinds of depression nosotros mightiness live talking most hither that nosotros would discover inwards the, alongside social workers together with students?
Mark Meier: And I intend is where we’ve got some existent gaps inwards our information together with our understanding, together with yous know looking at the piece of work that was done out of North Carolina, we’d live talking more, using the CESD, we’d live talking to a greater extent than your garden multifariousness major depression, yous know diverse levels of mild, moderate, to severe depression. You know I have got non come upward across anything talking most the incidence of bipolar disorder, or dysthymia, which quite honestly, I intend the truthful incidence of dysthymia is quite depression because you’re going to discover people with chronic depression levels of depression have got probable spiked at 1 betoken or another, together with would probable run into the criteria for a major depressive episode, thus the information is non existent clear. My experience has been both inwards teaching together with inwards talking to beau social workers, nosotros are talking primarily most yous know the major depressive episodes, to a greater extent than thus than bipolar, but in 1 lawsuit to a greater extent than bipolar tin flame live real hard to detect, together with unless nosotros are specifically looking for that, it is possible that’s portion of occupation every bit well.
Jonathan Singer: I was wondering, tin flame yous verbalize most some of the unique issues associated with beingness a social worker, together with how these issues mightiness live a portion of this higher charge per unit of measurement of depression nosotros consider alongside social workers?
Mark Meier: Well, I intend yous know, I intend the nature of the chore itself lends itself to beingness at jeopardy for depression. We piece of work inwards stressful environments, nosotros have got high caseloads, nosotros oft have got unrealistic demands placed on us past times the public, the organizations that nosotros piece of work for, to solve problems that are life long inwards developing together with nosotros are given xxx days to create them. You know nosotros piece of work inwards threatening together with unsafe environments, together with I intend when yous add together all of that together what yous come upward up with Jonathan is a moving painting of ongoing stress together with what nosotros know is that when nosotros don’t care our stress well, whether yous desire to telephone call upward it burnout or pity fatigue or what yous select to telephone call upward it, I intend what it is most of the fourth dimension is depression, together with in that location is such a growing torso of literature demonstrating that link betwixt stress, yous know unremitting stress, together with depression.
Jonathan Singer: So it sounds similar you’re talking most perhaps, people come upward into the profession, they have got a predisposition for depression or they mightiness have got a vulnerability to depression, but it’s the surroundings inwards which many social workers piece of work that would trigger this depression, the stress, the high illustration loads, the fact that it’s unremitting. Did I hear yous right?
Mark Meier: Yeah, I intend thus together with I hateful yous know historically social piece of work is a land inwards which predominantly females are in, together with the information is, yous know suggests that women endure from depression at higher rates, together with I intend along those lines a lot of men are unwilling, unable, or just reject to acknowledge they are suffering from depression, thus I intend in that location are some differences that could live explained betwixt the genders there. But I create intend a lot of us travel into this field, together with nosotros are caring people, together with peradventure yous know our perception of what we’re doing to live able to attain with our clients together with reality, sometimes those 2 things collide caput on together with it tin flame travel real disheartening together with real frustrating. You know yous tin flame sort of consider that low-cal at the halt of the tunnel for your clients together with when you’re unable to sort of steer them towards that halt of the tunnel, that takes its damage on people.
Jonathan Singer: Now yous have got talked openly most your experiences with depression together with I was wondering if yous could portion a niggling with us most that?
Mark Meier: Sure. Well I am 1 of those guys that went into graduate schoolhouse suffering from some challenges with depression, I was starting fourth dimension diagnosed with my ain depression together with anxiety issues agency dorsum when I was inwards college twenty something years ago, together with ignored it for a long time, together with made it through graduate schoolhouse together with similar a lot of people with depression, I sort of lay on my game human face upward together with made it through life. You know it was the stress of beingness a social worker, I believe, inwards many ways, I hateful in that location was manifestly many other factors associated with it, that genuinely sent me sort of inwards a downward spiral to the betoken where I did travel real depressed, real suicidal, together with inwards fact had to yous know I purposely left the social piece of work land for a duo of years, with the thought that that would create my depression, together with depression together with behold of course of study it didn’t, together with I ended upward beingness hospitalized, together with yous know basically out of committee for a few months piece I got myself dorsum inwards a functional position.
Jonathan Singer: What should social workers who are dealing with depression live aware of?
Mark Meier: Well, I intend this is 1 of the challenges because that for thus many of us, together with thus many people who have got depression, there’s a existent lack of insight. I hateful every bit a social worker I had a pretty practiced sense, together with I had a pretty savvy married adult woman who knew what was going on with me, together with I yet had these blind spots where I just couldn’t human face upward the fact that I was depressed. I was the clinical social worker, this shouldn’t direct identify to me. But I intend what nosotros have got to sentinel for is whatever changes inwards sort of our do patterns, I’ll tell yous what happened to me, I am a pretty profoundly optimistic mortal together with inwards the throws of my depression, every bit thus many depressed people suffer, I had travel profoundly negative together with pessimistic. You know I would acquire done with a customer together with I would intend what is the betoken of this, I can’t assist this person, nil is going to happen, together with yous know that was a existent wake upward telephone call upward for me that something was going on with me. And so, nosotros genuinely do, nosotros owe it to our clients, nosotros owe it to ourselves, together with to our colleagues, to live aware of sort of these changes that occur with depression, the negativity, the loss of concentration, the inability to focus, the yous know beingness unable to live introduce with your client, genuinely beingness self-aware regardless of whether you’re a psychotherapist, a illustration manager, whatever it is yous do, yous necessitate to live aware of how you’re operating with your clients.
Jonathan Singer: At whatever betoken did whatever of your clinical social piece of work colleagues state Mark, seems similar you’re having a touching time, are yous depressed, have got yous thought most getting treatment, I hateful did anybody come upward to yous together with state I intend yous necessitate some help?
Mark Meier: You know, no, together with what I intend I became together with for certain having gone dorsum together with talking to people, but what I became was that hard colleague. I was moody, I was unpredictable yous know people described they needed to walk on eggshells around me together with I hateful I was classic Jonathan, I hateful was oozing depression all over the place, together with no, yous know nobody did state anything to me, together with for certain that yous know may or may non have got had an impact on me. I yous know I intend from a supervisory standpoint I likely should have got been monitored much to a greater extent than closely, but yeah no, nobody came forward, together with nobody. You know I worked with a Dr. at the fourth dimension inwards the setting I was in, non a psychiatrist, yous know he said to me, Mark I intend nosotros necessitate to verbalize together with yous know I didn’t genuinely follow through with him, but none of my social piece of work colleagues genuinely did state anything.
Jonathan Singer: You know it’s ironic that we’re inwards a helping profession together with yous were suffering from 1 of the most debilitating diseases out in that location together with none of your colleagues said anything, together with the 1 colleague that did, yous didn’t follow through together with which sounds similar classic depression. So I guess the enquiry is what should nosotros create if nosotros suspect that 1 of our colleagues or a beau pupil is suffering from depression?
Mark Meier: I intend nosotros have got to start genuinely inwards together with manifestly my biases are such that I intend nosotros necessitate to heighten the awareness together with the teaching of depression starting inwards our schools of social piece of work together with I know that most of us have got classes inwards psychopathology together with mood disorders, but if yous intend most our piece of work together with who nosotros serve, nosotros genuinely really necessitate to emphasize depression because it is the most prevalent mood disorder, it is the most prevalent mental wellness number nosotros are going to encounter inwards our piece of work together with thus nosotros genuinely have got to parent the bar inwards terms of awareness together with what is depression. I’m oft surprised past times students or fifty-fifty colleagues lack of agreement of depression together with sort of the purchase into the stereotypes of good depression is you’re crying together with you’re distressing when nosotros know depression is thus much to a greater extent than than that. But I intend what nosotros necessitate to create is nosotros necessitate to experience comfortable going to our colleagues inwards a agency that conveys caring together with pity together with nosotros state to them “Look I am concerned most yous from many levels, I’m concerned most yous every bit a person, I am concerned most yous every bit a colleague, together with I’m concerned most the clients you’re serving” together with nosotros necessitate to have got systems inwards identify thus that social workers tin flame experience condom inwards getting help, yous know when yous aspect at the express information the argue people don’t acquire assist is their afraid for their license, their afraid for their job, their supervisors don’t sympathise it, yous know I intend inside our schools of social work, I suspect students don’t experience likewise condom going to advisors or deans together with maxim I am depressed, I’ve had students state I am afraid I’ll live issue of the computer program or I’ll have got a score that follows me. So creating environments together with cultures that sympathise together with desire people to acquire the assist because yous know on the other side of beingness depressed what yous mostly discover is people who are to a greater extent than motivated than before together with who are to a greater extent than self-aware than before, together with tin flame travel real very effective inwards their piece of work every bit social workers.
Jonathan Singer: It sounds similar you’re suggesting sort of this revolutionary thought that the do volition live preached?
Mark Meier: (Laughing) Well, unfortunately I abhor to acquire inwards good that uncomplicated but I hateful I intend that is truthful together with that is really, together with nosotros all acquire caught upward inwards busy days together with busy schedules, I’m never at a loss for how busy everyone is, but I intend it becomes yous know this imperative that nosotros just recognize what is going on together with absolutely nosotros do what nosotros preach, together with that nosotros create places, nosotros create whatever it mightiness be, whatever the scheme may be, for people to state yeah yous know what I am genuinely struggling together with necessitate some help. Because the longer nosotros permit this travel the worse people get, the less able nosotros are to care for them, together with the to a greater extent than hard the illness becomes, together with quite frankly the to a greater extent than professional person challenges people halt upward creating for themselves.
Jonathan Singer: So if nosotros start inwards schools of social piece of work together with nosotros create an surroundings where suffering from depression or dealing with depression is non stigmatizing, if nosotros allow students to genuinely verbalize most this openly to the extent that they desire to, recognizing that it’s of import that they seek treatment, that they acquire the assist that they need, that this is a practiced starting fourth dimension pace inwards addressing this number of what to create inwards the profession with people with depression?
Mark Meier: Absolutely together with I intend yous know what goes along with suffering from whatever type of mental illness is this accountability for the mortal who is suffering. You know just because I was depressed, it doesn’t hateful that I acquire to travel on going through my career every bit a social worker making life hard for my colleagues together with god knows what yous could create to your clients, thus I intend this surroundings includes several layers of non only a identify to self-disclose or to educate most depression, but to create the accountability inside the profession that nosotros await yous to acquire better, nosotros await yous to acquire the assist yous necessitate because letting someone travel through life with unremitting problems together with non challenging them, to me is counter what I’m trained to create every bit a social worker, together with I intend it demo sec a aeroplane of honour together with pity together with caring for others to betoken out what’s going on together with to await them to acquire the help. And I intend yes, I intend spending the fourth dimension at the graduate level, the undergraduate level, to educate people most stress management techniques for themselves, yous know nosotros verbalize most all the piece of work nosotros necessitate to create with our clients but raising that aeroplane of awareness most how create nosotros care our ain stress, how create nosotros recognize depression, how create nosotros yous know bargain with the fact that there’s a twenty percentage prevalence, yous know lifetime prevalence rate, together with that there’s a fairly practiced jeopardy that many of our colleagues together with students are going to bargain with this at 1 betoken or another.
Jonathan Singer: You know I genuinely similar the betoken that just made, which is yous have got a responsibleness to acquire ameliorate thus that yous tin flame supply the services that your clients need. And I desire to convey this dorsum to your story, yous said that yous left the profession, together with and thus yous came back. What happened with that? How did yous create upward one's hear to come upward back?
Mark Meier: Well I, when I left, my province of affairs was such that I was suffering 1 of the classic wanderlust aspects of depression, together with I institute no satisfaction inwards beingness a social worker, which genuinely had nil to create with beingness a social worker, together with had to create with that I was depressed, together with thus yous know it was a practiced opportunity, yous know similar I said I have got a real savvy married adult woman who is a medical professional person together with yous know she pointed out to me what was going on, together with she pointed out to me that I wasn’t willing to acquire handling at that point, together with thus I took an administrative type chore together with finally everything sort of caved inwards on me together with I ended upward hospitalized together with suicidal, together with getting handling etc. When I got out of the infirmary together with spent the side past times side likely year, twelvemonth together with a one-half going to therapy, getting a adjusted on medication, together with coming out of my depression, what I genuinely saw was aspect I am a social worker at my core, together with it did every bit I said inwards my illustration create a whole novel aeroplane of self-awareness most the impact of mental wellness issues, of hard life struggles inwards full general on the clients that I served, together with thus inwards my illustration I was able to larn from my ain unpleasant experiences together with relate them dorsum to the clients I serve. And yous know, similar I hateful thus many people, I went through a profound betoken inwards my life, together with I desire to travel dorsum together with assist others sympathise that yous know handling is a lot less hard than the living with the disease, together with the sooner nosotros sort of accept this fourth dimension to acquire the assist nosotros need, ultimately, inwards most instances the happier, the to a greater extent than effective, yous know the higher character of life, together with the ameliorate professional person nosotros volition be.
Jonathan Singer: So if nosotros have got a personal responsibleness to heal ourselves right, is in that location a responsibleness that nosotros have got to betoken this out inwards our colleagues? Because I intend for me this is really, this gets to sort of a sticky issue, let’s say; I’ll just lay the enquiry out to you. Since you’ve been dorsum inwards your clinical social worker role, have got yous come upward across colleagues that are depressed? And if so, what have got yous done most it?
Mark Meier: I have got come upward across colleagues who are depressed, together with what I create is betoken out to them what I see, together with yous know it hasn’t been anyone that I have got worked direct with, thus I intend that would live a niggling scrap of a dissimilar scenario, but for certain afterward doing talks together with yous know I have got had the chance to verbalize all across the province most depression, together with people have got come upward up to me together with said yous know I intend I am genuinely suffering, together with what I endeavour to create is aspect I betoken out to them what I said earlier, yous have got a responsibleness to acquire treatment, together with yous necessitate to brand sure that your personal province of affairs is non impacting peculiarly your clients, together with importantly your colleagues, your family, together with your friends, etc. But I intend inwards whatever workplace setting, whether it’s social piece of work or a constabulary firm, if people are unable to perform their chore effectively because of a physical status or a mental condition, or yous know whatever it mightiness be, nosotros create necessitate to betoken this out. And I believe, nosotros have got a real potent ethical responsibleness to our clients to betoken out to others if indeed they are non yous know performing upward to the aeroplane that the customer needs them to live performing.
Jonathan Singer: So it sounds similar yous have got addressed this number with colleagues but they haven’t been people that yous worked direct with?
Mark Meier: Correct.
Jonathan Singer: And it seems similar that correct in that location is sort of the sticky issue, together with create yous have got whatever ideas or recommendations, together with I am thinking specifically most folks who are listening to this who are maxim to themselves, wow, straightaway that I am thinking most it, I intend thus together with thus is likely depressed.
Mark Meier: Right. And I intend what yous start getting into is some of the legal issues, together with in 1 lawsuit to a greater extent than this cuts across all situations but I create believe that what nosotros create inwards social work, that in that location is fifty-fifty a to a greater extent than urgent necessitate to address the number inwards colleagues because I volition tell yous that when I was thus depressed my interested inwards helping my colleagues, I’m sorry, my clients, was non real high on my priority list, together with yet these folks were coming to me with expectation that I every bit the professional, I was in that location to assist them. So I believe that yous know if yous know this is occurring inwards your colleagues, it’s imperative that yous verbalize to whether it’s an HR mortal who’s inwards accuse of this, or whether there’s a supervisor that’s inwards accuse of it, yous know I intend inwards the perfect footing yous approach the private every bit a professional, every bit a colleague together with parent the number to them together with if they select non to create anything most it, I intend yous have got to accept it to that side past times side aeroplane yous know depending upon where yous piece of work together with acquire it addressed because nosotros manifestly erode the credibility of our profession if nosotros are allowing yous know people who are non capable for whatever argue to travel on practicing. And beyond that, nosotros have got real very vulnerable people coming to us who necessitate people at the top of their game if yous volition to live providing services.
Jonathan Singer: So it sounds similar there’s no magic solution to this one, just sort of doing what nosotros do, connecting people with resources, making it known, together with it sounds similar yous sort of halt brusk of maxim that yous know I would have got a responsibleness to sort of brand this an number if somebody, if 1 of my colleagues didn’t desire to address it inwards themselves.
Mark Meier: Well together with thus permit me, if that’s yeah, I for certain don’t hateful that to live the procession because I create intend yous have got to acquire inwards an number together with I intend that people ought non live practicing who are suffering from profound depression that is getting inwards the agency of their powerfulness to effectively perform their chore because again, nosotros wouldn’t permit somebody who is actively abusing alcohol or drugs accept tending of patients together with that yous know impairs your judgment, impairs your thinking, it impairs your compassion, yous know it impairs thus many dissimilar things just similar depression does. And yous know nosotros desire people to acquire ameliorate together with nosotros desire people to acquire the assist they necessitate but at the same fourth dimension nosotros necessitate them to non live negatively impacting their clients past times yous know continuing to do when they’re suffering together with when they are struggling. So I intend it is, I intend it absolutely needs to made an number together with it’s ever challenging to intend most together with verbalize most where I was at, but yous know I was just ineffective every bit a social worker. Not only ineffective, I intend I could real good have got been damaging, together with needed to non live working direct with individuals at that betoken inwards my life.
Jonathan Singer: That’s quite a affair to live able to acknowledge to. Because I intend all of us have got under-performed at our jobs at some betoken or the other. But to genuinely sit down dorsum together with state wow, I intend I mightiness have got been doing impairment is pretty profound, together with I intend that most people would handgrip that’s non why nosotros came into this profession. I did non travel a social worker because I desire to brand your life to a greater extent than difficult. Maybe nosotros tin flame accept a pace dorsum here, clearly in that location are some challenges talking with a colleague most their personal life, especially if that personal number is a combat with depression that mightiness live impairing their job, their powerfulness to create their job. And I’m, before yous talked most talking with students together with making the schools of social piece of work together with the educational experience a dissimilar surroundings a identify where they tin flame get to address these issues inwards themselves together with genuinely sympathise why inwards the bigger scheme of things, it’s of import to address their ain depression. So I was wondering, what mightiness yous propose that nosotros offering inwards the agency of teaching or preparation to students every bit they movement into the land to assist them create create with stress together with depression thus every bit to peradventure acquire inwards less important, or less necessary for colleagues to live the ones to intervene?
Mark Meier: Well I intend that since nosotros know that that profession, I’m sorry, that depression is likely the 1 number that is most probable to occur inwards your professional person career, I intend yous offering classes, I intend yous offering seminars, yous know I can’t to speak to each private establishment obviously, but I intend yous acquire inwards a priority together with yous state aspect nosotros are going to piece of work with yous over the course of study of a quarter, a semester, together with we’re going to learn yous most professionalism, nosotros are going to learn yous most boundaries, nosotros are going to learn yous most managing your stress, nosotros are going to learn yous most self-recognition of your ain feelings together with your ain thoughts most the piece of work you’re doing. I recall when I was, together with I don’t know that nosotros have got to travel dorsum to this, but it struck me, I was inwards graduate schoolhouse dorsum inwards 1992 together with 1 of our adjunct professors, I retrieve him maxim that he went to graduate social piece of work schoolhouse inwards the 60’s, together with the computer program he went to, every social piece of work pupil was required to travel through some actual counseling sessions, yous know with this thought that they would endeavour to discover anybody who was struggling or having problems together with piece of work with them to brand sure that they were every bit good prepared every bit possible to travel into the field. I intend its’ inherently irresponsible to intend that nosotros don’t have got this number inwards our students together with our professionals, together with to sort of aspect the other agency together with launch people into a career that they’re non prepared for. And similar I said before, it does a disservice to our clients, our colleagues, to ourselves, together with for certain our profession. I hateful if yous accept a aspect at the, at medicine, yous know physicians have got notoriously ignored this number together with they have got profound rates of depression together with suicide, together with they are finally starting to sort of ain upward to it, there’s all sorts of campaigns inwards medical schools to educate residents, interns, medical students to live aware of depression. The American Foundation for Suicide Prevention (http://www.afsp.org) has issue a fantastic computer program for medical students. So nosotros necessitate to create the same, because nosotros have got equivalent if non higher rates of depression inwards our field.
Jonathan Singer: So in that location are other professions that are grappling with this together with it sounds similar doing a ameliorate chore of addressing the issue. And what yous mentioned most students getting their ain counseling, I retrieve having an adjunct who said the same affair to our shape together with I also retrieve thinking that it was swell that nosotros didn’t have got to create that because man child nosotros had fourth dimension to travel to land together with create classes, together with and thus acquire into counseling. In retrospect, I intend it would have got been practiced if in that location had been a niggling to a greater extent than urging on the portion the schoolhouse to bargain with your stuff. I decided to travel consider a counselor inwards portion because I genuinely thought the adjuncts thought was practiced together with I institute it an amazing experience that I push clit from inwards my ain clinical piece of work to this day.
Mark Meier: But I intend to acquire inwards portion of the curriculum, similar yous said nosotros don’t have got fourth dimension to travel to field, together with nosotros don’t have got fourth dimension to create the work, together with many of my students have got jobs together with families together with thus yous know to add together some other layer maybe creates a burden together with fifty-fifty though nosotros can’t mandate it inside the educational setting, yous know in that location are other avenues to deliver this information, through regular coursework or course of study offerings, together with yous know it goes dorsum to what yous just said, just going through that counseling puts yous inwards a seat of what it feels similar for your clients to live inwards that spot together with if yous push clit on it today, it was manifestly a real of import aspect of your education.
Jonathan Singer: Yeah, it genuinely was. You’ve mentioned a duo of times that in that location are ways to integrate this into the curriculum, together with I’m wondering if yous could call some specific classes or workshops or things similar that, that you’ve either been a portion of or created, or intend theoretically would live useful that educators who mightiness live listening to this podcast could consider incorporating into their ain schools of social work?
Mark Meier: One of the things that I’ve had the chance to create is travel dorsum to a few diverse graduate schools throughout the province together with create just short, two, three, 4 hr workshops either at nighttime or on a Saturday, together with the theme is depression together with the tidings customer rarely comes into it. It’s most talking to the professionals, it’s most opening upward dialogue, together with yous know yous acquire people who self-select together with probable are struggling with the issues who come upward to these seminars, I recognize that, but it gives an chance for people to verbalize most their ain struggles together with their ain fears most what create I create with this, who create I plow to, create I dare convey this number to light, together with what most people volition discover is that inwards talking to others that have got gone through it, the likelihood that I am non going to lose my license is real high together with that ultimately if I acquire assist I volition likely live a to a greater extent than effective professional. In my ain shape that I learn at the U, I’ve given students the opportunity, we’ll accept a duo of classes together with nosotros volition verbalize most what are your ain experiences with depression, together with in 1 lawsuit to a greater extent than inside the context that nobody is compelled or yous know I promise I create a practiced chore of creating an surroundings where people don’t experience yous know cornered to portion or to create issues that don’t exist, but to demonstrate that yous know what, this does happen, together with a lot of people, when given the opportunity, volition verbalize most it. And yous know the real starting fourth dimension time I shared my ain experiences inwards my shape was a large struggle, together with I went to the Dean together with the Associate Dean together with said yous know this is what I’m going to create or this is what I’d similar to do, what create yous think? And yous know I intend with appropriate mulling together with conversation, nosotros came to the conclusion, yous know using some practiced mutual sense together with beingness careful with yous know specific details, which I am ever aware of, they said yeah why don’t yous endeavour it. Well I tin flame tell yous the response was overwhelming, together with my students were thus grateful to hear somebody state yous know what, I had these problems, I got over them, together with hither I am today every bit effective, genuinely to a greater extent than effective together with successful every bit I was before.
Jonathan Singer: So yous really, this is coming total circle, thus yous were able to convey inwards the experiences that yous had with depression to convey upward the dependent land with your students, which together with thus resulted inwards genuinely an opening of the dialogue, which genuinely is just what yous said yous wanted to create inwards the starting fourth dimension place, which is acquire students to intend most this, to verbalize most this, thus when they travel inwards the land every bit professionals, this is non a taboo dependent land thus they tin flame serve their clients the best they can.
Mark Meier: Exactly, together with I abhor to live cliché, but yous know if I had diabetes together with I was teaching inwards a medical school, I would openly portion challenges I’ve had with managing my glucose, or my diet, or yous know my exercise. Depression is a bio-psycho-social number together with it is non taboo, together with we’re getting there, but nosotros necessitate it to acquire to a greater extent than out on the tabular array thus people tin flame verbalize most it.
Jonathan Singer: Well Mark, I genuinely appreciate yous taking the fourth dimension to verbalize with us today most your experiences with depression, but the number of depression together with social workers inwards general, together with I intend that I don’t know most our listeners, but I have got for certain learned from yous most the importance of bringing this upward inwards shape together with beingness aware of this inwards colleagues, thus give thank yous you thus much.
Mark Meier: Oh, my pleasure, together with I genuinely appreciate yous bringing this to light, together with I promise people volition concealment it together with intend most it because I intend that’s all I would inquire at this point.
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References together with Resources
- Kessler, R. C., Berglund, P., Demler, D. Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Depression - How Social Workers Help
- Online version of the Center for Epidemiologic Studies Depression Scale (CES-D)
- American Foundation for Suicide Prevention: Physician Depression together with Suicide Prevention
- 10 Professions With the Highest Levels of Depression The National Institute of Mental Health (NIMH) describes 6 dissimilar forms of depression:
- Major depressive disorder, also called major depression, is characterized past times a combination of symptoms that interfere with a person's powerfulness to work, sleep, study, eat, together with taste once–pleasurable activities. Major depression is disabling together with prevents a mortal from performance normally. An episode of major depression may occur only in 1 lawsuit inwards a person's lifetime, but to a greater extent than often, it recurs throughout a person's life.
- Dysthymic disorder, also called dysthymia, is characterized past times long–term (two years or longer) but less severe symptoms that may non disable a mortal but tin flame forestall 1 from performance usually or feeling well. People with dysthymia may also experience 1 or to a greater extent than episodes of major depression during their lifetimes.
Some forms of depressive disorder exhibit slightly dissimilar characteristics than those described above, or they may develop nether unique circumstances. However, non all scientists handgrip on how to characterize together with define these forms of depression. They include:
- Psychotic depression, which occurs when a severe depressive illness is accompanied past times some shape of psychosis, such every bit a suspension with reality, hallucinations, together with delusions.
- Postpartum depression, which is diagnosed if a novel woman parent develops a major depressive episode inside 1 calendar month afterward delivery. It is estimated that 10 to fifteen percentage of women experience postpartum depression afterward giving birth.1
- Seasonal affective disorder (SAD), which is characterized past times the onrush of a depressive illness during the wintertime months, when in that location is less natural sunlight. The depression mostly lifts during outflow together with summer. SAD may live effectively treated with low-cal therapy, but nearly one-half of those with SAD create non response to low-cal therapy alone. Antidepressant medication together with psychotherapy tin flame trim down SAD symptoms, either lonely or inwards combination with low-cal therapy.2
- Bipolar disorder, also called manic-depressive illness, is non every bit mutual every bit major depression or dysthymia. Bipolar disorder is characterized past times cycling mood changes-from extreme highs (e.g., mania) to extreme lows (e.g., depression). Visit the NIMH website for to a greater extent than information most bipolar disorder.
APA (6th ed) citation for this podcast:
Singer, J. B. (Producer). (2009, Apr 13). Social workers together with depression: Interview with Mark Meier, MSW, LICSW [Episode 49]. Social Work Podcast [Audio podcast]. Retrieved from /search?q=social-workers-and-depression-interview
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