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Getting the "411" on Diabetes and Mental Health from ACT at Duke
As part of the series, "What's the 411: Diabetes and Mental Health," ACT at Duke presented information for individuals with diabetes, and the providers who work alongside them.
The presentation focused on the ways that stigmatizing thoughts and feelings that are prevalent in our culture impact individuals directly and impede their ability to hold these thoughts lightly, especially in the face of this challenging disease.
We also addressed the latest research regarding diabetes and mental health, including the likelihood of individuals with diabetes to be misdiagnosed with depression when they could be suffering from the extremely common experience of diabetes distress.
Lastly, we emphasized the need for individuals with diabetes to engage in self-compassion and increase their awareness of when they are using language that emphasizes evaluation as opposed to information. For example, saying "my A1c is bad," is different from saying, descriptively, "my A1c is 8.1" or "my A1c is above my target range."
Durham County Health and Human Services
Feedback from presentation:
"Thank you again for the information you shared with us this morning. Your training was powerful in many ways. I appreciated the practical nature of your presentation as I documented interventions that I can begin to utilize with patients starting today. I also appreciated your exercises in empathy."
"Your presentation was really great and the participants really enjoyed it. People gave really great feedback on the surveys, particularly about how they’re going to try to view their glucose numbers as just facts and not as judgments and try to practice more self-compassion. Mental health isn’t something we talk about enough and I’m going to make an effort to discuss it more with the people I see."
Past Team Page Information
A list of past trainings can also be found here.
Featured Community Consultation News
Announcements from the Research Lab
iOmit: Reducing Underutilization of Insulin in Type 1 Diabetes (R21 DK106603, PI: Merwin). This treatment development project translates findings on the real-time precursors and correlates of intentional insulin omission among individuals with type 1 diabetes (R01 DK089329, PI: Merwin) into an ACT-based treatment augmented with mobile health technology.
The target population is individuals with type 1 diabetes with eating and weight concerns. This treatment is now called, iACT.
This study is closed for new enrollment. Final results will be available mid-2019.
Hunger and Hormones Study
Duke Psychiatry Research Incentive and Development Program (PRIDe) Award
This project examines disruptions in interoceptive awareness and appetite regulation among individuals with type 1 diabetes who omit insulin for weight control.
ACT for Resident Burnout
Duke Academy of Health Professions Education and Academic Development (Duke AHEAD)
This project tests whether an ACT workshop for psychiatry residents reduces burnout and improves patient care.
OUR COMMON FATE
Created by Rikke Kjelgaard
"The rejection of our common fate makes us strangers to each other. The election of that fate, in love, reveals us as one body."
- Sebastian Moore.
This powerful video depicts what it means to be human; the commonality of our suffering and the near universal fear that we "are not enough."
RFT HAS GONE MAINSTREAM!
Dr. Brown and Dr. Hooper recently published an article on relational frame theory (RFT) in the New Scientist--a weekly popular science magazine with a large following (~1 million in online readership).
"If RFT is correct, Skinner was right after all – sort of. Language is learned, although not quite
as he originally conceived it. We don’t need innate abilities such as universal grammar to account
for language generativity. Instead it is the product of a learned, generalised – and uniquely human –
ability to respond to simple relationships between stimuli. We take it for granted, but it is
arguably what makes us human."
Collaborations with Harvard Vanguard Medical Associates in Boston
ACT at Duke has teamed up with Harvard Vanguard Medical Associates, Atrius Health to provide quality training and treatment in Acceptance and Commitment Therapy (ACT). Last year, Dr. Elisabeth Morray, launched a new Behavioral Health Fellowship. She directs the program that includes 8 fellows who receive specialized training in evidence-based practices, including ACT. In January 2019, we provided 3 1/2 days of intensive didactic and experiential training for the 8 fellows and 30 local providers.
"The explanation of ACT and philosophy was very clear. I felt connected to the treatment philosophy and it aligns with how I conceptualize treatment. I left feeling really excited to learn more (even read half an ACT textbook over the weekend b/c I was excited!)."
"The real plays were very helpful in conceptualizing what an ACT-therapist stance looks like and how it can “feel” in the room"
"Practicing exercises during the training helped to learn the nuances on how they can work [be applied] in session."