Richard Juman

Psychologist, coach, organizational strategist, health care management, Past-President of the NY State Psychological Assoc (NYSPA).

[Richard Juman @richardjuman]

@TomSchmidt30 We all have an individual "surge capacity" that we must recognize and respond to. Good on you, Dr. Schmidt, and best wishes.

[Richard Juman @richardjuman]

Remember to go out of your way this season for those who might need a little extra attention: https://t.co/Q0GV6w0XV7 @ProviderMag

[Richard Juman @richardjuman]

@ProviderMag A10: Find the best possible way to include the resident in the family celebration. If it’s not possible for them to be there in person, visit them or have a video chat or have everyone record a video message. Get creative! #ProviderChats

[Richard Juman @richardjuman]

@ProviderMag A9: Take them outside if possible- sunshine can help with S.A.D. and the holiday blues #ProviderChats

[Richard Juman @richardjuman]

@ProviderMag A9: Help them focus on realistic ways to celebrate the holidays if you sense that they are dwelling on negative comparisons between their current situation and their memories of holidays past. #ProviderChats

[Richard Juman @richardjuman]

@ProviderMag A8: Recognize that their depression may intensify over the holidays & provide extra support. Don’t expect or force them to participate in holiday activities-let them decide how much “holiday” they want #ProviderChats

[Richard Juman @richardjuman]

@ProviderMag A7: Keep an eye on staff members who seem overwhelmed and find ways to support them #ProviderChats

[Richard Juman @richardjuman]

@ProviderMag A7: While people in other types of employment often get to slow down at work, health care workers don't. There can be added pressure at work on top of the holiday stress that everyone is impacted by. #ProviderChats

[Richard Juman @richardjuman]

@ProviderMag A6: Year round, residents suffering from depression would ideally be receiving either psychotherapy or pharmacotherapy or both. #ProviderChats

[Richard Juman @richardjuman]

@ProviderMag A5: Their symptoms may become exacerbated & the themes of their verbalizations may change, with more regret, loneliness & disconnection apparent. Bitterness towards family or the holidays in general that wasn’t present before #ProviderChats

[Richard Juman @richardjuman]

@ProviderMag A4: Sadness, lack of energy, crying are often present, but irritability, poor concentration, insomnia, anxiety are often a part. In residential settings a decrease in activities participation is a manifestation of depression #ProviderChats

[Richard Juman @richardjuman]

@ProviderMag A3: It can manifest in many ways- from symptoms of depression to noncompliance w/staff or refusing to attend facility holiday celebrations. Treat each resident as a unique person with their own way of expressing sadness #ProviderChats

[Richard Juman @richardjuman]

@ProviderMag A2: It can be hard for residents not to compare their situations w/holidays past, when they were w/family & friends, often playing host to festive gatherings in their homes. The disconnection from that & loneliness are key #ProviderChats

[Richard Juman @richardjuman]

@ProviderMag At this time of year it can be hard to distinguish between depression, Seasonal Affective Disorder & the holiday blues. We look at when the symptoms began, their severity & how the person perceives their change in mood #ProviderChats

[Richard Juman @richardjuman]

How to manage behavior in long term care, non-pharmacologically: https://t.co/vzG95Z2Dq1

[Richard Juman @richardjuman]

The SNF mental health revolution https://t.co/AghF2Gz2Rs

[Richard Juman @richardjuman]

It's time for mental health care in nursing facilities to get better. Lots of room for improvement! https://t.co/NU4pIbY31v
#geriatrics

[Richard Juman @richardjuman]

Addiction packs the added burdens of stigma https://t.co/Hkmf1yCg13
@_TheFix #addiction

[Richard Juman @richardjuman]

We have the technology to predict relapse. Is that a good thing? https://t.co/UYxTG0pUqr
@_TheFix #addiction

[Richard Juman @richardjuman]

The role of the "Charismatic Counselor" in addiction treatment: https://t.co/qTnGyyQTkg
@_TheFix
#substance abuse