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Medicare Item for Conception to 12 post pregnancy

There is a little known Medicare item that allows for 3 sessions provided to a patient who is currently pregnant or who has been pregnant in the preceding 12 months, by an eligible psychologist if:

(a)   the patient is concerned about a current pregnancy or a pregnancy that occurred in the 12 months preceding the provision of the first service; and

(b)  the patient is referred by a medical practitioner who is not a specialist or consultant physician; and

(c)   the eligible psychologist does not have a direct pecuniary interest in a health service that has as its primary purpose the provision of services for pregnancy termination; and

(d)  the service is at least 30 minutes duration;

The Australian Psychological Society (APS) notes that this item covers any concerns a women may have during pregnancy, following a pregnancy loss or post birth up to 12 months following. This includes issues such as anxiety during pregnancy or about childbirth, coping following birth, preparing siblings, miscarriage or stillbirth or not proceeding with a pregnancy. Partners are able to attend the sessions.

I have completed the additional training required to be an eligible psychologist to provide these services and claim the corresponding Medicare rebate.

The 3 sessions are separate to a mental health care plan but require the words “for non directive pregnancy support” to be written on the referral letter from your doctor.

Please contact me if you would like further information.

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Helping your HSC student

You’ve supported them through 13 years of schooling, the end is only a few weeks away and you are feeling as stressed as your HSC student.

Take a breath.

This may seem like a pinnacle moment but needs to be handled calmly so that no additional pressure is placed on your already overwhelmed HSC student.

As their parent how can you best support them?

Following are some hints from a parent (me) who has already completed the journey:

  • Provide a space that is neat, tidy and away from distractions
  • Ensure they take some time out to do something fun or connect with friends
  • Provide plenty of water and healthy snacks
  • Eat meals with them to check in with how they are feeling
  • If they are stressed suggest a break and go for a walk
  • Ensure they go to bed at a reasonable time – sleep is important to retain information
  • Stay positive, stay positive, stay positive!

And remember HSC is built up to be really important but there are many ways to get to where one wants to be in life…..it is just one avenue. It is so much more important that your HSC child is happy and healthy and feeling the least amount of stress as possible.

Good luck to all the HSC students and their parents over the next few weeks

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Managing Social Media

What we see on social media isn’t necessarily a proper representation of reality……what is shown is only what people want you to see.

If your interaction with social media results in you feeling bad then take steps to manage your exposure:

  1. Unfollow – from groups or people whose actions you don’t need to know
  2. Unfriend – from people who are no longer relevant in your life
  3. Turn off notifications – you decide when you have the time and energy to interact with it
  4. Mute tweets
  5. Choose who sees your posts so you only get positive responses 
  6. Unsubscribe or pause your account
  7. Delete the app

Don’t allow social media to impact on your daily functioning and mood when you can choose to control it at varying levels.

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New practice location in North Parramatta

After a fantastic five years with PBB Health Centre I’ve found a fantastic space just around the corner at 23 Harold St, North Parramatta. With a larger, dedicated room in a the lovely Windsor Cottage Integrated Health, you’ll find that same service in a relaxing environment. Bookings can be made directly on 0422 134 169, or via email to rhona@rhonabarkerpsych.com.au otherwise everything else: fees and charges, medicare rebates, etc stays the same.

While I plan to be there on Thursdays, as I was at PBB Health Centre, I can be a little more flexible at Windsor Cottage if Thursday is too difficult.

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Believe in Change

The Australian Psychological Society has launched the “Believe in Change” advertisement campaign. On their website http://believeinchange.com/ you will find fictional stories about how a psychologist can help. Change can be stressful but made less difficult by having a psychologist by your side. If you need support to take these steps then call me.

believe-in-change

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Forced adoptions

I’ve recently completed some training in understanding and counselling people affected by forced adoption. This practice was still occurring into the 1980’s which means there are many people–children now grown, mothers, fathers and extended families–presently in the community around us who have direct experience of it. They may experience feelings of shame, anger, grief, depression and anxiety, and this can lead to difficulties in relationships, parenting of children, formation of identity and mental health disorders. For a long time people were told to keep quiet about their experience.

The then PM, Julia Gillard made an official apology in 2013 and although this goes some way in recognising the harm done, it is not sufficient for healing. For those who are still affected by forced adoption I would encourage you to seek out and speak to a professional about it, or if you have a family member or friend suffering, encourage them similarly. It’s never to late to heal from these types traumas.

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Transition to Retirement

People often engage with a psychologist when working through a transition in life; leaving school, joining the workforce, becoming a parent. One transition that is often seen as a time to sit, relax and lay back is retirement. The difficulty with this approach to retirement is that when we leave employment we loose a part of our identity. This often results in feelings of sadness, frustration, emptiness and anxiety……unless a new identity if formed.

So what should you do when considering retirement? I would recommend building up social connections before retiring, perhaps work part time while you do this. When social connections are established and participated in, a new identity begins to form. You belong to a group and have activities with others to look forward to. You have a place. Added benefits include a reduction in risk of mortality (Umberson & Montez, 2010), memory decline (Ertel, Glymour & Berkman, 2008) and depression (Cruwys et al, 2013).

So those who are retired or planning to be, focus on staying active socially and get out there into our community!

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Bought a scout Christmas tree?

Like lots of people I volunteer in the community and I’ve found the Scouts to be a fantastic organisation. I’ve been a leader there and found it very rewarding. Today I loaned them my credit card terminal to help them sell Christmas trees at a fundraiser on the corner of Pacific Hwy and Banockburn Rd; and if you purchased a tree there and used a credit card you’ll see ‘Rhona Barker Psychology’ on your credit card statement. Don’t be alarmed – you haven’t been scammed – it was just me helping out the Scouts.

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Quote Book

There are many items people use to remind them of special moments in life; photos, letters and knick-knacks to name a few. But what about those special moments when your toddlers says something hilarious, insightful or intelligent? I guess if you are quick enough you may capture it on video but if not perhaps you could write it in, what I call, a quote book. We have done this in our family and it is full of all the stand out amazing things my children have said from when they could talk to .…..well we are still writing in it now when they are in their tweens. I love reminding my children of these, teasing that we’ll need to write that in the quote book and giggling at the words when we are going through a particularly difficult time. It is full of the memory of those special moments. If you are a parent of a toddler then now is the time to start one!