41. Cognitive Reframing | Shifting the approach with addiction, end of life, and catastrophizing

We have a choice in how we perceive and act on any situation. Using that knowledge in an intentional way to shift perspective is at the core of cognitive reframing. Epictetus, the great Stoic philosopher, said it best,  "It is our attitude toward events, not events themselves, which we can control."

Guest Bio: Jaime Hope, MD  is an attending emergency physician at Beaumont hospital in Detroit, Michigan. She is the author of Habit That!: How You Can Health Up in Just 5 Minutes a Day, leads the Better Health Habits online course, and teaches the Behavior Change and Motivational Interviewing Courses to future physicians at Oakland University William Beaumont School of Medicine.

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For full show notes of this episode and all sorts of other goodies, visit our podcast website

We discuss:

• Reframing, a psychological technique which involves thinking about something from a different perspective [04:30];
• How reframing can be used in the ED when you’re engaging with a patient or a patient’s family member who is hostile and upset [07:50];
• Discussing comfort measures with the family of a dying patient [12:12];
• 'Status dramaticus' -- the loud, demonstrative patient who catastrophizes their (often relatively minor) symptoms, triggering irritation for many providers [14:30];
• Reframing when treating patients who suffer from addiction [16:30];  
• Ways to reframe yourself and your job to offset burnout [20:00];
• Advice to first year medical students [25:40];
• And more.