PIC 1Coping with a Professional Crisis

Things don’t always turn out the way you hope they will. Most people understand that, however, some can’t accept it.

They look for someone to blame. That’s true in all areas of life. Shame is a burden for many people who struggle.

Bankers, CEO’s, clinicians, doctors, entertainers, judges, lawyers, entrepreneurs, medical personnel, and other high achievers, by definition, are driven, ambitious, and accomplished.

They have high expectations of themselves and others have high expectations for them. A lot of professionals are used to being successful in various endeavors and having a sense of mastery.

When they come up against something that overwhelms their ordinary capacities to cope, they often see the sense of failure.

They describe worries about the stigma, and I think stigma is a code word oftentimes linked to shame, because of worry about the way status or reputation is going to be marred or tarnished because of the experience they are having behind closed doors. Leaders, especially prominent leaders, are so demanding of themselves that they don’t allow for illness. They’re very resilient people.

We all have limits in how much we can be self-reliant and manage on our own.

When you hit those limits, you feel out of control. You are so used to managing on your own that you are deficient in being able to rely on other people.

Many leaders entering PIC centers are dealing with social isolation. 

PIC assistance is unique, in that it allows professionals adequate time to immerse themselves in a therapeutic community.

Residents receive individual therapy, medication management, and group therapy during their normal six-to-eight week stay.

In group meetings people are taught “shame resilience. They learn that shame is an experience common to all human beings and are taught how to move out of it and into a state of belonging. As we’re vulnerable and we’re received by other people with empathy and compassion, that is the route whereby we move out of shame.

Being received with empathy, being understood, and being cared about helps us become reconnected.

Some professionals must overcome business, community and family cultures that hold negative views of being in crisis. 

Reevaluating priorities while in treatment is common, as it would bPIC 4e for anyone facing a professional crisis. Some professionals really need to rethink their careers. Of course, that is a major, gut-wrenching process. 

The centers that Dr. Frances recommends for her clients are beautiful, peaceful, and welcoming.

The staff will include top professionals in several disciplines (psychiatry, chaplaincy, nursing, internal medicine, social work, psychology). A complete teamwork approach maximizes the benefit for the people being served.

Dr. Frances is always researching the quality of the staff at the centers she recommends: highly-trained, experienced, deeply caring, collegial, and committed staff that provide an integrated approach to healing wwhich includes psychological, relational, physical, and spiritual elements, is at the top of her list for all her clients. 

The intensive programs are designed for professionals who struggle with a variety of disorders and often co-occurring addictions, including:

  • Addictive disorders, including gambling; sexual compulsivity; Internet, spending, drug or alcohol addiction
  • Anxiety or panic disorders
  • Career decisions and transitions
  • Depressive disorders
  • Disciplinary action or loss of license
  • Dual or co-existing disorders (both psychiatric and addictive disorders)
  • Impaired ability to skillfully and safely perform job tasks
  • Impaired concentration and memory
  • Impulsive or disruptive behavior, anger or self-injury history
  • Personality disorders
  • Post Traumatic Stress Disorder (PTSD)
  • Professional boundary violations
  • Severe burnout and stressPIC 3
  • Trauma

Dr. Frances works with you one-on-one to build an individualized program to address your unique situation.

A longer-term stay of approximately six to eight weeks helps people learn the tools needed to make a successful transition back to their home and community for continued growth and change.

Please be aware that electronic devices such as cell phones, smart phones, tablets and personal computers will not be permitted in almost all PIC treatment centers. Computers with e-mail access are usually available for limited use when needed. Mail is delivered each weekday. 

Bedrooms are usually private or semi-private; some are handicapped accessible. Most have built-in desks, upholstered reading chairs and personal clothes storage.

All semi-private rooms are single gender. Each client has a private bathroom in most treatment centers. 

Upon arrival each client normally receives a thorough psychiatric, medical, psychological and psychosocial diagnostic assessment.

These evaluations help the treatment team integrate an appropriate blend of individualized therapeutic interventions.

The use of medication, when needed, is discussed in detail since patients need to make the ultimate decision about what to put in their bodies. 

A psychiatrist is usually the team leader of each treatment team and works with the patient and other team members to establish an effective medication regimen.

Upon admission, the client meets with their psychiatrist for an initial assessment of medication needs.

The medication regimen is reassessed twice weekly. Clients receive education regarding medication, intended effects and side effects so that they can participate in self-monitoring and are prepared to assume responsibility for their medication after discharge. 

Dr. Frances recognizes it can be very stressful to have a loved one experiencing psychiatric illness and not know how to help. That’s why she encourages her clients in the Professionals in Crisis Program (PIC) to include their children, partners, spouses, and parents as a vital part of their path to wellness. 

With the client’s permission, Dr. Frances and the treatment team establishes and maintains regular contact with family members.

The team will coordinate on-site visits, phone calls and scheduled videoconferencing between the patient and family members to encourage growth in family relationships and ensure as smooth a transition as possible for the patient’s return to business, community and family life. 

You may reach Dr. Frances for a confidential initial call at 303-448-8803. When leaving a message, please refer to PIC. 

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