Saturday, August 6, 2022

Helping our patients to get out of the biopsychosocial loop

Often, I see patients who are stuck in the “biopsychosocial loop”. I am sure you have seen this pattern too.

It’s where their physical problems impact their psychological problems, which then impact their social problems, which then impact their psychological problems, which then impact their physical problems, and now they are stuck in this “biopsychosocial loop”. It can be overwhelming.

But nobody ever presents with, “Doctor. I am stuck in a biopsychosocial loop.  Can you help me break out from this vicious cycle?”

I am sure you can all relate, and have seen this pattern in your clinical practice.  

Thursday, August 4, 2022

How to achieve a life that we truly want and value

I was given an opportunity to talk to a small group of GP Registrars in South Brisbane the other day about how to thrive in General Practice.

It’s not an easy topic, but here’s what I shared in a nutshell metaphorically speaking.

1. Know your autopilot/feeling mind. Learn how to understand it. What are the values that are driving those feelings? Know how and when to update it for your current context. It’s might be driving a lot of your life in unconscious ways.  Whatever that life is, IS what one has to put in that autopilot.  The destination i.e. the life that one wants and value is different for different people. It encapsulate “all things” about one’s life.  Family, friends, community, career, kids, hobbies, adventures etc.  It encapsulates all the domains that is of value to one’s life. 

2. Know your pilot/thinking mind. Know when to override your autopilot when it gets it wrong.

3. Step back and be your flight control/observing mind especially in times of confusion or lack of clarity. Maybe have people who you trust to be part of that “flight control”. This is “mindfulness”.

4. Make sure you look after your plane/physical body and health. If you don’t have good physical health, it’s hard to go anywhere.

So the real question is, do you know where your blindpot/s are?

Is it in 1,2,3 or 4 above?
Or maybe all of them?

Once you know, you can start to take action.

Friday, July 29, 2022

One way to process a feeling

When an uncomfortable feeling arise, stay grounded, hold space, notice it, and consider asking, “What beliefs or life rules do I have that make me feel this way?”

The answer may help one to understand it, appreciate it, defuse from it, or change it depending on context.

I wonder if you know what I mean.

Thursday, July 28, 2022

Helping patients with the “feeling mind” problems

In counseling, when people are having problems with their “feeling mind”, I often ask the questions…

Is it a problem with them not being able to “vibe” or pick up the feelings of others and process those…


Is it a problem with them not being able to “vibe” or recognize their own feelings and process those…

OR both?

Being skillful with processing the feelings of others, doesn’t necessarily mean that one is going to be good at processing one’s own feelings.  The reverse is also true. 

As Family Doctors, I am sure that you have observed those.