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In this Department of the Dead episode, Th0t and Kilo are joined by Alyse, a licensed clinical social worker and host of the Not Your Typical Doctors Podcast. We get into the nitty-gritty about mental health issues and resources available for military personnel and veterans.
At 13:30-21:23, Alyse addresses whether a suicide attempt follows military personnel out of the service and discusses the potential consequences of such an attempt.
From 21:24-24:11, we examine the concept of suicidal ideation on a spectrum rather than a black-and-white criterion for help. Alyse emphasizes that it is important to consider ideation, intent, and plan when assessing the severity of suicidal ideation.
At 24:12-34:04, we discuss the topic of confidentiality and the sources available for seeking help, such as chaplains and MFLC. Additionally, she emphasizes the importance of being an approachable leader and acting as a filter before documentation.
From 34:05-35:49, Alyse gives us an in-depth look at the issues related to comparing trauma and how it discourages people from seeking help.
At 34:50-38:04, Alyse explains the psychological needs of individuals, including the need to feel intelligent, in control of the situation, and have a sense of community. She emphasizes compassion over comprehension of feelings.
From 38:20-41:40, Alyse discusses men's vulnerability and the stigma surrounding sexual assault in and out of the military. She also answers how many men she has seen go through therapy for sexual assault.
At 41:41-43:30, Alyse talks about the difficulties men face when seeking help for sexual assault.
From 45:35-53:10, Alyse addresses the common concerns related to getting mental health appointments and discusses the benefits of virtual therapy, MFLC, and VA vet centers.
At 53:13-55:09, We talk about how to get an off-post referral and avoid having it in your immediate medical file.
From 55:10-58:09, Alyse talks about documenting "undocumented" sessions with confidential sources for the VA claims process and how to advocate for yourself if you saw combat.
At 58:15-01:08:55, Alyse discusses the risks and workarounds associated with mental health, high-stakes positions, clearances, and background checks. She explains the importance of trusting your provider with patient notes and knowing what is in your file.
From 1:09:00-01:11:05, Alyse emphasizes the importance of breathwork and taking a minute to regain control in high-stress situations.
At 01:11:14-01:16:45, Alyse answers whether seeking help for anxiety and body dysmorphia affects SOF jobs.
From 1:17:00, We talk briefly about sleep paralysis, dreams, and how they relate to traumatic events.
At 1:23:58, we include information about drug therapy, including LSD, Ketamine, and Psilocybin.
From 1:26:44-01:39:36, we discuss veteran services available after the military and expectation management.
At 01:39:37- 01:41:22, The plug for Not Your Typical Doctor's Instagram and podcast
Thanks for listening, and stay spooky!
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https://open.spotify.com/show/46HCKlofNR2EaC01kRE82C?si=4ab08b0bbc114cb1