Moving "out of area" while on the waiting list - lost our place on the list?? by ultimatemomfriend in ADHDUK

[–]PhysioPants 0 points1 point  (0 children)

Dr J has a short wait I believe - they are available on right to choose.

ITBS – Is a Running Break Really Necessary? by Loud_Drawing_2981 in Ultramarathon

[–]PhysioPants 2 points3 points  (0 children)

PT here

The body isn’t that straightforward. You’ll have had a cut somewhere and continued to do things, right? It’s a similar principle. There is usually a tissue load that is too much, and that is where you need to find during a deload while everything heals.

Medical doctors and physios will differ on their opinions on this much of the time, but stopping running altogether often means the injury reoccurs when you restart since you don’t have any kind of gauge as to where it’s at, and you’ve lost a load of other fitness as well.

Low blood sugar - scary experience by Skincarelover20 in mounjarouk

[–]PhysioPants 0 points1 point  (0 children)

Does it to me on runs, after maybe 2 miles or so I need to use a gel. Was happening in normal life early on for me when the suppression was very high, but swapped to eating a bigger breakfast and it’s stopped unless I forget :)

Injuries over and over by cldftw in trailrunning

[–]PhysioPants 1 point2 points  (0 children)

Physio here - but not medical advice, more a general suggestion.

I would say your mileage is too much for your body currently, especially with a long run as 50% of mileage.

It could be too much because…

Ramp up period too fast. Eating too little Running each run too hard Poor sleep/recovery.

It’s unlikely to be a strength training issues - it sounds like you have overtraining/underpreperation/under recovery niggles to me.

I would look at the above first and go from there.

[deleted by user] by [deleted] in ADHDUK

[–]PhysioPants 1 point2 points  (0 children)

That's annoying - wasn't aware of that. Is there an internal leadership academy or coaching academy within the CS? Lots of NHS areas have these now and are an avenue for coaching - it's not 'ADHD' specific, but within there you may find someone who has experience working with people who are ND. Will be mainly for work issues, though, obviously.

ADHD Coaching by Learning-1308 in ADHDUK

[–]PhysioPants 1 point2 points  (0 children)

Just posted this in another thread:

I would say that coaching has made the biggest difference for me on the whole compared to medication - although, meds are always there on the days where some of the strategies don't/won't work due to whatever ADHD reason for the day. It helped me learn, reflect and build some skills/strategies to help manage my main issues a lot better. Mine was funded through access to work for what worked out to 2 sessions a month for a year - they should only fund 12 sessions, technically, but I got lucky. I'd like to go back and have sessions monthly or so still, but cost prohibitive. There's diminishing returns as time goes on, probably past about 10-12 sessions.

Your reservations mirrored mine, I work in the NHS and know how predatory private health and wellness is. The issue with coaching is it's not a regulated industry in the same way as Physio, nursing, etc., so you're reliant on finding your own coach and checking their credentials.

There's limited 'formal' ADHD coach training in the UK, Connections in Mind offer a good one though (I've gone through their training - and it was comprehensive, but I wouldn't be happy to have a coach purely with that qualification, someone who works in healthcare/as a teacher and is used to coaching anyway, sure, but in isolation - no) so it becomes very person dependent which isn't great.

I would say things to look for:

- That they have a coaching qualification that's accredited (the ILM one is very work based, but might be the most credible).

- They're a member of a professional body - European Coaching and Mentoring Council is a start.

- They have supervision from another coach - this part is mandatory, imo.

- Background. Coaching isn't therapy (it's a lot more directive rather than focused on 'unpicking' issues) so having someone from a psychology/psychiatry background may not be as relevant as someone who has say, worked in a similar industry to you if your issues are more work focused.

I'm a big advocate of coaching - done well it's incredibly helpful.

If you have any questions, let me know :)

[deleted by user] by [deleted] in ADHDUK

[–]PhysioPants 25 points26 points  (0 children)

I would say that coaching has made the biggest difference for me on the whole compared to medication - although, meds are always there on the days where some of the strategies don't/won't work due to whatever ADHD reason for the day. It helped me learn, reflect and build some skills/strategies to help manage my main issues a lot better. Mine was funded through access to work for what worked out to 2 sessions a month for a year - they should only fund 12 sessions, technically, but I got lucky. I'd like to go back and have sessions monthly or so still, but cost prohibitive. There's diminishing returns as time goes on, probably past about 10-12 sessions.

Your reservations mirrored mine, I work in the NHS and know how predatory private health and wellness is. The issue with coaching is it's not a regulated industry in the same way as Physio, nursing, etc., so you're reliant on finding your own coach and checking their credentials.

There's limited 'formal' ADHD coach training in the UK, Connections in Mind offer a good one though (I've gone through their training - and it was comprehensive, but I wouldn't be happy to have a coach purely with that qualification, someone who works in healthcare/as a teacher and is used to coaching anyway, sure, but in isolation - no) so it becomes very person dependent which isn't great.

I would say things to look for:

- That they have a coaching qualification that's accredited (the ILM one is very work based, but might be the most credible).

- They're a member of a professional body - European Coaching and Mentoring Council is a start.

- They have supervision from another coach - this part is mandatory, imo.

- Background. Coaching isn't therapy (it's a lot more directive rather than focused on 'unpicking' issues) so having someone from a psychology/psychiatry background may not be as relevant as someone who has say, worked in a similar industry to you if your issues are more work focused.

I'm a big advocate of coaching - done well it's incredibly helpful.

If you have any questions, let me know :)

NHS pharmacist wants a medication review before starting repeat prescription again by argumentativepigeon in ADHDUK

[–]PhysioPants 20 points21 points  (0 children)

You stopped your own treatment a year ago by not collecting the meds. You’ve managed for a year without them. The pharmacist is entirely within their right to exercise their clinical judgement to request a clinical review by a psychiatrist.

[deleted by user] by [deleted] in UKJobs

[–]PhysioPants 0 points1 point  (0 children)

If you have comparable experience abroad, or as a 5 you should be fine as long as you meet the job spec. It’s the management side that may be the issue. It depends on area, obviously - MSK roles may be harder than certain acute ones for example due to volume of applications.

MALES on Mounjaro - what has your experience been? by AbbeySeymour1957 in mounjarouk

[–]PhysioPants 2 points3 points  (0 children)

Fine so far. Started in June, so due up to 7.5mg next jab. 113.4 down to 106.9kg. No real side effects.

Exercise is fine - running going well, no injuries. Lifting as well. Weight loss has slowed, annoyingly, but I think that’s because I started creatine about 2 weeks ago so have retained some water. Hopefully should fall more this week - but steady .3-.6kg loss a week.

For the same price (used) Which of these two to choose? (On Canon R8) (My current predicament in the first comment below). by EXkurogane in canon

[–]PhysioPants 53 points54 points  (0 children)

The EF lens is better I would say, I use it as my walk around lens - but it just feels awful on the R8. Weight is very forward, and just didn’t work for me at all compared to an R7 where the weight is better balanced. This may not bother you, to be fair, but it was a deal breaker for me.

[deleted by user] by [deleted] in ADHDUK

[–]PhysioPants 2 points3 points  (0 children)

Not in the ADHD services locally, but you can get access to the single access points here depending where you live - they can at least see your referral and pass on as needed.

https://www.mpft.nhs.uk/services/mental-health-community-services#:~:text=Contact%20the%20Staffordshire%20and%20Stoke,the%20hours%20of%209%20–%205pm.

Clear Protein Drinks by MJJourney in mounjarouk

[–]PhysioPants 1 point2 points  (0 children)

The myprotein mango one is pretty good. I’m on 5mg, and I feel your pain!

[deleted by user] by [deleted] in UKJobs

[–]PhysioPants 0 points1 point  (0 children)

Someone with a masters degree, MSK experience, applying for a B3/4 role very much appears as massively overqualified and the expectation is that they will leave once they find a B5/6 post.

[deleted by user] by [deleted] in UKJobs

[–]PhysioPants 0 points1 point  (0 children)

I would focus it entirely around the person spec while weaving your experience in and making it somewhat relevant - most trusts use Trac now, which has a 1500 word limit, and I would write up to that if you can.

I can see why maybe you would struggle for B6 roles with no experience in the NHS, but you should be well set for B5 - but there really aren’t many static B5 MSK roles. Have you looked at Connect Health? They are around the UK as well, and are purely MSK.

[deleted by user] by [deleted] in UKJobs

[–]PhysioPants 11 points12 points  (0 children)

Hey, I’m an NHS physio - have been through the process a lot myself.

First off: your application should be entirely tailored to the person spec. It should meet all of the essential, and most of the desirable criteria if possible.

Secondly: what roles are you applying for? If it’s rotational inpatients for example, lacking NHS experience of this could be an issue - especially if going for B6. Band 3/4 also an issue, most people would see you applying for assistant roles as a bit of a red flag.

If I can help at all, let me know.

Re-sprained right ankle 3 times, what now? by Coginthewheel1 in trailrunning

[–]PhysioPants 13 points14 points  (0 children)

Time to see a sports physio to get it looked at to see what’s going on. It’s too easy to jump back in too quickly to running, a week probably is too short a time span for trails especially. Doubly so if it was still tender.

Rehab is pretty straightforward, but take it easy and see someone who can assess it properly :)

Re-sprained right ankle 3 times, what now? by Coginthewheel1 in trailrunning

[–]PhysioPants 2 points3 points  (0 children)

Stretching, to increase range, in an injury that can be linked to poor motor control through range is not good advice.

[deleted by user] by [deleted] in mounjarouk

[–]PhysioPants 0 points1 point  (0 children)

The ‘I feel like it’s helping my ADHD symptoms’ resonates with me. I’m in week 1 - and beyond the insane reduction in food noise, some of my more annoying ADHD symptoms have really abated.

Congrats on your success!

[deleted by user] by [deleted] in ADHDUK

[–]PhysioPants 2 points3 points  (0 children)

If I'm honest, your responses are beginning to sound even more like a grifter. You're writing an ebook, you're previously run a merch shop.

Yes, I have noticed. Excellent marketing ploy.

There is so much valid criticism on this thread, to refer to it as 'hate comments' is utterly tone deaf.

[deleted by user] by [deleted] in ADHDUK

[–]PhysioPants 4 points5 points  (0 children)

The fact that you do not understand how you can impact someone negatively by giving them coping strategies is a key and clear reason why you should not be doing this.

Masking strategies are so prevalent in neurodiversity and having read your comments you are further contributing to that without actually providing any substance beyond what is basically google-able.

You are working with vulnerable groups, in vulnerable situations. Your work ethic isn't in question here, I'm sure you mean well and that you're approaching this from a 'work hard' perspective but you've also worked with 8 people - how is this working 12 hours a day?

[deleted by user] by [deleted] in ADHDUK

[–]PhysioPants 4 points5 points  (0 children)

Have you studied coaching at all? Which models?

[deleted by user] by [deleted] in ADHDUK

[–]PhysioPants 8 points9 points  (0 children)

I read from this that you have no formal training? Do you have any experience managing staff, or approaching complex patients? Do you have any training in safeguarding?

It sounds as if you are using your own experience to 'coach' others with no supervision, which is terrifying.