Surviving Match: Personal Stories

 

 

While reflecting back on the internship match process, a lot of mixed emotions surfaced like anger, anxiety, sadness, acceptance, and elation. Sounds a lot like the five stages of grief because that is exactly what it felt like, being rejected the first time.

 

Not getting matched is the worst imaginable outcome for any psychology student. “The Match” is a horrible process to go through once and the idea of going through it twice is daunting. So much time is spent planning, writing, reviewing, redrafting, and rewriting essays. Then after spending weeks or months of selecting the ultimate internship list you have enough hope to charge your credit card over and over and over again. Hoping and waiting to hear back from the sites you are really interested in for internship. But one by one they slip through your fingers. Self-doubt and negativity begin to set in. You start to question your competency and think about what you could have done differently. Unfortunately, after going through all the rounds of the match process it began to set in that I will have to reapply for next year.

 

Goodness of fit was my most important factor for selecting the right internship. It was difficult to imagine selecting an internship that would cause me misery for one year. There were some sites I interviewed at the first time and did not even rank them because I knew it was not a good fit for my style of learning or career goals. The idea of waiting another year was devastating. It felt like I was being left behind while friends moved on with their careers and I was just stuck. It was embarrassing to tell people that I did not match and I wanted to forget it even happened.  Then it hit me that in only a few months the process begins again. There was little time to sulk and mentally process what just happened. My advice for all future applicants is to be prepared and feel confident to not rank less than ideal sites even if that means waiting another year. It was worth the wait for me!

 

To prepare for attempt No. 2, I asked my friends’ internship directors to review my essays and CV for feedback. I examined clinical areas to improve and gain further experience.  A lot of time was spent talking with my previous practicum supervisors for emotional support and keep them updated with my progress of reapplying for internship. Not only was I relying on others for support but I was also engaging in a lot of positive self-talk. Time was spent reminding myself that students go through this process two or even three times and they still become successful psychologists. I had to keep pushing myself forward and have a positive outlook on my future. It took me a while, but I realized waiting one more year was not the end of the world.

 

Before I knew it, the next round of coordinating flights, hotels, car rentals, and hoping to avoid disastrous weather began. When scheduling flights I made sure to avoid certain airports that are notorious for delays during bad winter weather (I’m looking at you Chicago). Due to scheduling conflicts, I had to decide which internship sites to decline their invitation to interview. Luckily some of the interviews were in December or spaced a week apart in January. However, during my most busy week, I had three interviews in four days.

 

For the first interview, I flew into a major city then drove three hours to a very small town during an ice storm. After the interview was over I hopped in the car and drove across the state to my second interview for the next day. As a note, while you fly and drive to interviews the only food you really eat is unhealthy fast food especially if you are in small towns. It was nice that this second interview site took the applicants out to a restaurant for lunch. I made sure to order the healthiest item on the menu and man was that not the best tasting broccoli I have ever had! After the second interview, I had to wake up the next morning at 3:00am to catch a flight because my next interview was in the afternoon that same day. I needed to walk off the plane and be prepared for the interview because there was no time to check into a hotel and get ready. If my flight was delayed or if there was an accident on the highway then I would have likely been late for the interview. Everything had to be timed perfectly. When I reached my final interview I was actually in a lot of physical pain. The back of my legs were sore from sitting in Planes, Interviews, and Automobiles. It was painful to sit so I stood and stretched while waiting to be interviewed. After a physically and emotionally draining week it was finally over.

 

Some consider ranking the sites to be the most stressful aspect of The Match. It is almost like a mind game of guessing where each site will rank you and trying to be strategic with each site. There is a big deal made about being accepted to an APA-Accredited site versus Non-APA. In a perfect world the only things that should matter are our clinical, personal, and professional skills. It is a ridiculous process but in the end everything will work itself out. Personally, I was more concerned about ranking sites based on goodness of fit rather than accreditation status. Leave the mind games out of the equation! Ask yourself if you can work at a site for one year or even longer. Would you be able to build a positive and effective relationship with the supervisors? Will an internship provide new experiences? Will you feel a part of a supportive and collaborative team or will you be a work horse?

 

During this whole process, it is important to stay calm and not allow distractions spill into the interview. Everyone will have some sort of “horror story” about their travels and interviews. While you are interviewing, the outside world does not exist and you should not worry about the next adventure. It is not only important to mentally and emotionally prepare yourself for interviews but also physically, as I had learned. Be sure to exercise, stretch, and find time for healthier food options. You will spend countless hours reviewing each interview site trying to come up with the best answers for potential questions you may be asked. Try to relax, enjoy the process, and be yourself.

 

This is the nature of the beast that is called The Match.

 

Jonathan Torres, M.S.
WKPIC Doctoral Intern

 

 

*Director’s note:  We’re pretty sure Jon picked us because we fed him a healthy lunch… Kidding! Mostly… 🙂 We are very proud to have him, and all of our interns. Our message is as always–you will get through this, and we have faith that you, our young clinicians, will not only survive but thrive in the field. Good luck to all of you!

 

 

Friday Factoids Catch-Up: The Holiday Blues

 

The happiest time of year can actually be quite miserable. For a select few, the months of November and December can be overwhelming, stressful, exhausting, depressing and filled with dread. The thoughts of finding the ideal gift, planning the most wonderful meal, going into debt, seeing family and all the travel are almost unbearable. All around they see bubbly people, hear upbeat music and are enthralled with cheerful advertisements of perfection (perfect family, meal, gifts) and they begin to feel even more down in the dumps, lonely, inadequate and pressured to live up to unrealistic expectations. They have the holiday blues.
 

While “holiday blues” is not a clinical diagnosis, Major Depressive Disorder is. It can often be mislabeled and/or underestimated this time of year. Depression symptoms and severity are different for each individual, so not everyone will be affected the same–but it can be debilitating for some. Here are some of the symptoms to remain aware of as clinicians, and as people who may experience these issues as well:

•           Feeling sad, down and/or blue nearly every day
•           Being abnormally irritable and/or grouchy
•           Finding it difficult to enjoy things once liked or loved
•           Changes in sleep pattern – either not enough or too much, trouble falling
asleep, trouble staying asleep, trouble getting up
•           Change in appetite – either lose weight or gain weight
•           Feeling worthless
•           Feeling guilty
•           Problems concentrating or focusing
•           Decreased energy
•           Low, sad or irritable mood
•           Thinking about or wishing to fall asleep and never wake up
•           Having actual thoughts of self-harm or suicide.
 
If you or someone you know is experiencing a combination or all of the above symptoms, then you should schedule an appointment with a mental health professional as soon as possible. If you are having thoughts of ending your life, then please tell someone immediately, call 911 or contact The National Suicide Prevention Hotline at 1-800-273-TALK (8255).  While depression can negatively affect many to most aspects of life, it is treatable. Treatment options can range from therapy, medication or a combination of the two. 350,000,000 people suffer from depression worldwide and 50% will not seek help (Holes, 2015). They continue to suffer needlessly. Help is waiting and all it takes to begin is the first call.
 
References
Holiday Anxiety and Depression: Click for Survival Tips. (n.d.). Retrieved December 16, 2015,   from http://www.medicinenet.com/holiday_depression_and_stress/article.htm

 
Holmes, L. (2015, January 20). 11 Statistics That Will Change The Way You Think About Depression. Retrieved December 16, 2015, from http://www.huffingtonpost.com/2015/01/20/depression-statistics_n_6480412.html
 
National Suicide Prevention Lifeline. (n.d.). Retrieved December 16, 2015, from             http://www.suicidepreventionlifeline.org/
 
 
Crystal K. Bray
WKPIC Doctoral Intern
 

Friday Factoids: Sydenham’s Chorea

The link between mental illness and viral/bacterial/parasitic infections is proving to be greater than we ever imagined. Many neurological disorders are now known to be caused by infections in addition to already known genetic and other factors. Sydenham’s chorea (SD) is a neurological disorder that is produced by the bacterium that causes rheumatic fever. It is an acute symptom of rheumatic fever and in some cases the only sign that a patient is ill. SD mostly occurs in children ages 5 to 15. However, it can arise in pregnant women. It is a gender selective disorder that presents in prepubescent females more often than males.

 

SD is characterized by uncoordinated movements, muscular weakness, stumbling, falling, slurring of speech, difficulties with writing, trouble concentrating and emotional instability which can include loss of emotional control, periods of inappropriate laughing or crying and obsessive compulsive disorder. There is usually a history of the patient having a sore throat for several weeks before the onset of SD. Onset is usually rapid, however, it can be insidious meaning that symptoms can gradually develop. In these cases of slow onset, the symptoms can be present for up to five weeks before they become troublesome enough to seek medical attention. However, in some children, symptoms might not arise for 6 month after the infection and/or fever has been treated and cleared.

 

Blood testing is currently used to identify specific proteins associated with the disorder. They can also be used to detect markers that indicate an erythrocyte sedimentation rate (ERS) of rheumatic fever which is another good indication of SD.  ERS is a test that indirectly checks the level of inflammation in one’s body.

 

Treatment is fairly basic. Those who only have a mild case will be prescribed several days of bed rest. Those with more severe cases will need a medical professional to prescribe antibiotics to kill the bacterium that caused rheumatic fever. SD symptoms usually lessen and clear in several months. However, for those with severe cases, future antibiotics are usually prescribed as well. There is currently a debate as to if those who had SD should be treated with antibiotics until age 18 or for the duration of their life to prevent the return of symptoms. Additionally, in some cases, psychopharmacological drugs are prescribed with the antibiotics to help control the severity of involuntary movements, emotional outbursts and OCD behaviors.  These too, however, usually clear in several months for most cases.

 

References

Frey, R., Polsdorfer, J., “Sydenham’s chorea.” A Dictionary of Nursing. 2008, & “Sydenham’s chorea.” The Columbia Encyclopedia, 6th ed.. 2015. (2005). Sydenham’s Chorea. Retrieved December 3, 2015, from  http://www.encyclopedia.com/topic/Sydenhams_Chorea.aspx

 

NINDS Sydenham Chorea Information Page. (n.d.). Retrieved December 3, 2015, from  http://www.ninds.nih.gov/disorders/sydenham/sydenham.htm

 

Washington, H. (2015, November 3). Catching Madness. Retrieved November 29, 2015, from  https://www.psychologytoday.com/articles/201511/catching-madness?collection=1081138

 

Crystal K. Bray
WKPIC Doctoral Intern

 

 

Individual Autonomy and Peer Support

 

 

This is a note from a personal perspective:

 

I have studied the Peer Support Training Manual from front to back.  I know the evidence-based practices involved.  It is something that I must practice daily so to override my instinctual reactions to people and issues.  I am a mother-er.  Even before I had kids, I was the mother-er to my friends.  You don’t have to be a mother to be like this.  You don’t even have to be female.  You are just the type of person who wants to fix things and people.

 

I have always been the one there to listen to problems.  The issue is that I want to put a bandage on everything and make it better.  I want to fix things.  I’m afraid if my son played football, I’d be the parent running on the field every time he was tackled saying, “Oh! Are you okay??” and embarrass him. Thankfully, he doesn’t play football.

 

Peer Support isn’t counseling and I’m not allowed to give a lot of advice.  The premise is to be an affective listener; it is to ask open-ended, honest questions.  Peer Support has to allow the individual the autonomy of choosing his or her own path.  Even if I am not sure that they are ready to work, if they say they want to work, I am to point them in directions where they can get more information, or just be their advocate.

 

If you are like me, you want to surround the person in bubble wrap and protect them from the world.   People, however, deserve the chance to live a “self-directed life.”  Parents, family, and mental health workers mean well when trying to protect the person from the world, but every human has a right to try to reach his or her own full potential…and to try to reach their dreams.

 

As a Peer Specialist, it has been tough not being able to just say, “Well, you can do this or that, and it would solve your problem!”  It has been tough not getting out my package of band aids to “fix” things.  It is hard not being able to “mother” or “parent” the patients, because I do care about them a great deal.  Every person deserves the ability to succeed or fail.  Everyone deserves a shot at flying from the nest.  It is a skill that I’ve had to learn.

 

Rebecca Coursey, KPS
Peer Support Specialist

Friday Factoid: Toxoplasma Gindii

 

 

An interesting tidbit of information that recently caught this writer’s attention is the possibility that we are susceptible to psychiatric disorders stemming from parasites. That is not to say that all or even the majority of those diagnosed contracted a parasite but according to several studies it is a probability that a few may have. Toxoplasma gondii (T. gondii) is one of the more studied parasites that has already been linked to intellectual deficiencies, prenatal brain damage, retinal damage, abnormal head size, deafness, cerebral palsy and seizures. However, many doctors, scientist and researchers believe that it can also cause schizophrenia.

 

T. gondii is a one-celled, protozoan parasite that infects most warm-blooded animals including humans. All members of the cat family are currently the only known definitive host and they can shed the “eggs” for up to two weeks. Birds and mice can be secondary carriers of the parasite, however. Many humans who carry the parasite suffer no symptoms or ill effect due the body’s immune system keeping the parasite at bay. However, for a select few, the parasite can lead to toxoplasmosis. (Toxoplasma infection, 2013, January 10).

 

Several studies, including one by Dr. E. Fuller Torrey, have shown that mothers who became infected with T. gondii and essentially toxoplasmosis while they were pregnant had children with higher rates of schizophrenia in adulthood versus children of uninfected mothers. However, the most notable find discovered by Dr. Torrey was a correlation between those who were diagnosed with schizophrenia and were infected with T. gondii as children or teens. Essentially, what he identified was a link between increased incidences of schizophrenia in locations that had parks or community play areas that also had sandboxes. His explaination was that on average, 4-24 cats had been shown to use the sandboxes as a litterbox, the T. gondii eggs were shed in the feces and the children’s hands were infected while playing. (Washington, H., 2015, November 31).

 

To help support his theory, Torrey looks to history. He points out that up until about the year 1808 schizophrenia was relatively rare. However, he notes that in 1808 the prevalence of schizophrenia increased dramatically. At the same time, he also brings notice to the fact that cat ownership became progressively more popular in the United States and other areas around the world. He believes this shared surge of occurrence is much more than coincidence and that indicated that additional research should be conducted. Whether you agree or not with his insight to the increase and one probably cause to schizophrenia, one has to note it should be further explored. (Toxoplasma infection, 2013, January 10; Washington, H., 2015, November 31).

 

Work Cited

Parasites – Toxoplasmosis (Toxoplasma infection). (2013, January 10). Retrieved from             http://www.cdc.gov/parasites/toxoplasmosis/

 

Washington, H. (2015, November 3). Catching Madness. Retrieved November 29, 2015, from  https://www.psychologytoday.com/articles/201511/catching-madness?collection=1081138

 

Crystal Bray
WKPIC Doctoral Intern