Tom R
kidneypsych.bsky.social
Tom R
@kidneypsych.bsky.social
Clinical psychologist in renal (kidney) medicine • Aligned to narrative and existential therapy approaches • Academic interests in circadian/ultradian endocrine distruption, narratives of illness & identity, autonomy in health, palliative care • 🏳️‍🌈+ He/They
Thanks Charlie - and you too! Always reallt value your posts. Take care
November 17, 2025 at 9:38 PM
System-wide investment in health and social services really are the necessary primary "treatment", i feel. The problem is *so* much larger than our amazing staff. (3/3)
November 17, 2025 at 9:27 PM
However good our institutional supports and Trust leaders are (and they are great!), I worry about this neoliberal narrative which places "failure to cope" solely in the domain of staff - and which is followed by an inevitable offering of "treatment" in the form of therapy. (2/3)
November 17, 2025 at 9:27 PM
Agree Charlie. Working environments themselves are tougher than ever - driven by staffing challenges, service saturation, and other system-wide issues, all of which can cause so much distress & hopelessness. (1/3)
November 17, 2025 at 9:27 PM
Impulsively eating junk after work is/was my *biggest* problem. Been using the Noom app for a while - it doesn't restrict anything per se, but really helps with awareness of food/impusle control, and helps me make better choices. Lost over 1st with it, would recommend!
August 8, 2025 at 7:02 AM
Totally agree with this. We've adjusted our "measurables" to recognise "time", rather than just "contacts", which better demonstrate (the value of) depth, rather than just "breadth" or "reach". Both important, but in very different ways, depending on who we come into contact with
August 1, 2025 at 10:54 PM
Our engines are doing the best they can - so yes, both permission-giving and self-compassion are really important, alongside choicefulness and (where we can) acceptance. (5/5)
July 26, 2025 at 1:35 PM
But there are some ways we can support our cars - out bodies - to manage despite the challenges. Pacing journeys from A to B, being choiceful about fuel use, and crucially, the importance of regular "car maintenance" to keep the engine "ticking over" as best we can. (4/5)
July 26, 2025 at 1:35 PM
Similarly, really important to acknowledge how often some external factors are hard to avoid e.g. weather and terrain can affect a cars' fuel efficiency, just like how e.g. temperature and "rocky symptoms" can affect how much fuel our bodies have left in the tank for other things. (3/5)
July 26, 2025 at 1:35 PM
People may have contexts that may inherently affect their "capacity" / "efficiency" relative to others (e.g. medical burden). So important to be aware/accepting of. Alongside this, we can think about how both external factors and our own "driving style" can play a huge role in "fuel use", too. (2/5)
July 26, 2025 at 1:35 PM
I love spoon theory. Some people I work with struggle with the metaphor, so I sometimes adapt and extend the analogy, talking with people about having "fuel in the tank" instead. Bodies are all lot like different cars, with different fuel capacities and fuel effiencies. (1/5)
July 26, 2025 at 1:35 PM