Gráinne Donohue

Existing research suggests that personal therapy positively contributes to the continued personal well‐being and ongoing professional development of mental health professionals, including psychiatrists. The aim of this research is to examine the use and characterization of personal therapy by consultant and trainee psychiatrists based in Ireland. This included an examination of participants who reported delivering psychotherapeutic interventions and their confidence in these skills. An anonymous survey was designed based on two existing questionnaires used in previous studies. Various recruitment strategies were employed to maximize response. A total of 139 psychiatrists responded to the survey; 44.6% reported having engaged in personal therapy at some point in their lives. Most respondents described their psychotherapy as short‐term, supportive and once weekly. Burnout was listed among the top reasons for seeking therapy. By providing new insights into the status of psychotherapy within contemporary psychiatric practice, this study could thus be of interest to psychiatric educators and curriculum developers. For people who present to psychiatric services, psychotherapy still has a critical role in the treatment of mental distress. Psychiatrists therefore need sufficient exposure to and experience of the differing psychotherapy modalities to confidently treat or appropriately refer their patients. Concerningly, only a minority of the participants in this research had confidence in their psychotherapeutic technique, and many indicated only seeking personal psychotherapy when they had reached a crisis of burnout.

Implementing technological innovations into practice can often be a challenge. In this article, Shane Kirwan and colleagues describe the successful implementation of a virtual reality exposure therapy intervention in a mental health setting, explaining key steps, such as needs assessment, stakeholder engagement and ensuring the appropriate standards.

Background: The COVID-19 pandemic placed increased pressure on service provision and healthcare worker (HCW) wellness. As the crisis of the pandemic receded, paediatric healthcare staff required an appropriate response to facilitate individual and organisational recovery, to minimise long-term HCW burn-out and to be better equipped for future crisis in paediatric healthcare.Objective: To explore the experiences of HCWs working during the COVID-19 pandemic in an acute paediatric hospital to determine an appropriate leadership response in the postcrisis work environment.Methods: Qualitative research design using responses from open-ended questions from 133 clinical and non-clinical staff (89% clinical) from an Irish paediatric teaching hospital. Responses were thematically analysed.Results: Paediatric HCWs experienced frustration, uncertainty, anxiety and stress, during the pandemic crisis. Perceived organisational contributors included communication inconsistencies, inadequate support and resources, including staff shortages. This exposed remaining staff to high risk for long-term burn-out as the pandemic recedes. Three themes were developed detailing this: support, communication and trust.Conclusion: This research supports the long-standing need to increase mental health service investment and to implement an appropriate response to regain and maintain a healthy workforce, post-COVID-19. The organisational response should address the biopsychosocial needs of the individual and paediatric healthcare organisations should work dynamically, creatively and collaboratively to ensure the psychological safety of their workforce.

Background: Research on psychedelics centres on two key areas: the action of psychedelics on the brain and the protocol for delivering therapy. There is little research that considers the implications of this novel therapy on the therapist delivering the treatment. This research study sought to explore this.Aim and Objectives: The aim of this research was to explore the considerations for psychotherapists interested in delivering psychedelic therapy. Objectives were to examine the therapeutic conditions needed for effective outcomes, to explore the perceived differences between the practice of standard psychotherapy and psychedelic therapy and to determine the challenges for therapists working in the field.Method: Six semi‐structured interviews were conducted with therapists who work in clinical or retreat settings. Interview transcripts were analysed using qualitative thematic analysis.Findings: Three themes emerged that highlight the importance of preparation for effective clinical outcomes, the differences in standard and psychedelic practice and the personal and professional implications for therapists.Conclusions: The results highlighted challenges and revealed the need for clear protocols for integrating psychedelics into psychotherapy practice.

Addiction workers play a crucial role in addressing the complex interplay between trauma and addiction, often navigating empathic connections with clients who have trauma histories. This study delves into the phenomena of vicarious trauma (VT) and vicarious post-traumatic growth (VPG) among addiction workers, exploring (counter)transference dynamics and the trauma–addiction nexus. Thematic analysis was conducted on narratives provided by six experienced addiction workers (mean age = 33 years, SD ≈ 5.86), comprising 33.33% men and 66.67% women. The analysis identified key themes including boundary dilemmas, therapeutic victories, defensive responses, and potential risk factors. The study highlights the detrimental effects of trauma on addiction workers while also revealing coping mechanisms and avenues for personal growth. Understanding the impact of trauma on addiction workers is vital for developing effective support strategies. By acknowledging both the risks of vicarious trauma and opportunities for vicarious post-traumatic growth, organizations can better support addiction workers and improve client care.

Background: It is widely acknowledged that personal therapy positively contributes to the continued personal well-being and ongoing professional development of mental health professionals, including psychiatrists. As a result, most training bodies continue to recommend personal therapy to their trainees. Given its reported value and benefits, one might hypothesize that a high proportion of psychiatrists avail of personal therapy. This systematic review seeks to investigate whether this is the case.Aim: To identify and evaluate the findings derived from all available survey-based studies reporting quantitative data regarding psychiatrists’ and psychiatry trainees’ engagement in personal therapy.Method: A systematic search for survey-based studies about the use of personal therapy by psychiatric practitioners was conducted in four databases and platforms (PubMed, Scopus, Embase and EbscoHost) from inception to May 2022 following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Studies were assessed for quality using the quality assessment checklist for survey studies in psychology (Q-SSP) and findings summarized using narrative synthesis.Results: The proportion of trainees who engaged in personal therapy ranged from a low of 13.4% in a recent UK based study to a high of 65.3% among Israeli residents. The proportion of fully qualified psychiatrists who engaged in personal therapy varied from 32.1% in South Korea to 89% in New Zealand.Conclusion: This review represents the first known attempt to collect and synthesize data aimed at providing insights into the past and current trends in psychiatrists’ use of personal therapy across different geographic regions and career stages.

Objectives: An increasing number of young people are experiencing mental health difficulties and schools have been identified as environments that can support them. However, it is unclear how students feel about the current supports in school and whether they are used. The aim of this study is to explore the perceptions of young people in Irish post-primary schools regarding mental health and well-being supports in schools.Methods: An online survey was conducted with (n=109) young people to determine the perceptions of mental health and well-being supports in post-primary Irish schools. Using a convenience sampling method, an online survey was distributed via gatekeepers in local youth and sporting groups. Data collection was completed using the Barriers to Seeking Help-brief version (BASH-B) and additional tailored questions.Results: Qualities like being ‘trustworthy’ and ‘a good listener’ were reported as key for adults to be considered a good support in schools. Current mental health and well-being supports were not considered adequate with 65.1% of the participants feeling ‘somewhat supported’ and 22.9% feeling ‘not at all supported’.Conclusions: Better advertising of mental health support services should be implemented in schools to promote awareness. This study can inform the development of such services which are urgently needed.

Introduction: Day care (DC) treatment for people with an eating disorder (ED) provides for an easier transition from hospital to home, along with a treatment milieu where patients can maintain occupational and social functioning and allow for the transfer of newly acquired skills to everyday life. Aim: To explore patients' experiences of attending a remote day programme following intense inpatient treatment in an adult ED service. Method: A qualitative descriptive methodology informed the study. In depth semi structured interviews were conducted with 10 consenting patients. A thematic analysis framework was used to guide the process of data analysis. Results: Three themes reflected participants' experiences: Moving On: Preparing for Change', Navigating a New Support System' and Increasing Agency'. Discussion: An underlying issue for participants was an ongoing but changing experience of anxiety. While anticipatory anxiety is evident in preparing for discharge, this is replaced with a real time anxiety as they endeavour to negotiate an effective support network. Implications for Practice: The findings from this study provide a basis on which mental health nurses can develop timely and effective treatment and support systems with patients who are transitioning from a high support inpatient ED programme to a less intensive ED remote DC programme.