{"id":148265,"date":"2025-11-23T06:14:10","date_gmt":"2025-11-23T06:14:10","guid":{"rendered":"https:\/\/www.newsbeep.com\/il\/148265\/"},"modified":"2025-11-23T06:14:10","modified_gmt":"2025-11-23T06:14:10","slug":"mental-health-experts-on-burnout-therapy-and-the-medicalisation-of-mild-anxiety-in-ireland-the-irish-times","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/il\/148265\/","title":{"rendered":"Mental health experts on burnout, therapy and the \u2018medicalisation of mild anxiety\u2019 in Ireland \u2013 The Irish Times"},"content":{"rendered":"<p>The panel: <\/p>\n<p class=\"c-paragraph paywall \">Prof Brendan Kelly, <a href=\"https:\/\/www.irishtimes.com\/tags\/mental-health\/\" target=\"_blank\" rel=\"noreferrer nofollow noopener\" title=\"https:\/\/www.irishtimes.com\/tags\/mental-health\/\">psychiatrist<\/a> and professor of psychiatry at <a href=\"https:\/\/www.irishtimes.com\/tags\/trinity-college-dublin-tcd\/\" target=\"_blank\" rel=\"noreferrer nofollow noopener\" title=\"https:\/\/www.irishtimes.com\/tags\/trinity-college-dublin-tcd\/\">Trinity College Dublin<\/a>; Antoinette Moriarty, psychotherapist and director of solicitor services at the <a href=\"https:\/\/www.irishtimes.com\/tags\/law-society\/\" target=\"_blank\" rel=\"noreferrer nofollow noopener\" title=\"https:\/\/www.irishtimes.com\/tags\/law-society\/\">Law Society<\/a> of Ireland; and Dr Moira Kennedy, principal psychologist and director of The Children\u2019s Clinic, Ireland <\/p>\n<p>What do you find most rewarding and most challenging about the work you do?<\/p>\n<p class=\"c-paragraph paywall \">Brendan: I\u2019m a psychiatrist, a medical doctor who treats people with <a href=\"https:\/\/www.irishtimes.com\/tags\/mental-health\/\" target=\"_self\" rel=\"nofollow noopener\" title=\"https:\/\/www.irishtimes.com\/tags\/mental-health\/\">mental illness<\/a>. From a clinical perspective, I see people with schizophrenia, bipolar disorder and severe depression. These are severe conditions which can be very distressing and confusing for people who have them and for their families. That\u2019s what is challenging. What\u2019s rewarding is that some of the treatments for schizophrenia are very helpful when we can deliver them but it can be difficult to deliver some of the treatments to people with schizophrenia, which often involves a degree of disorganisation in the person\u2019s life. <\/p>\n<p class=\"c-paragraph paywall \">Antoinette: My job is collaborating with leaders in the legal profession to develop a healthy <a href=\"https:\/\/www.irishtimes.com\/tags\/work\/\" target=\"_self\" rel=\"nofollow noopener\" title=\"https:\/\/www.irishtimes.com\/tags\/work\/\">work<\/a> culture. Part of that involves training lawyers and judges to be high-impact professionals using professional <a href=\"https:\/\/www.irishtimes.com\/tags\/health-wellness\/\" target=\"_self\" rel=\"nofollow noopener\" title=\"https:\/\/www.irishtimes.com\/tags\/health-wellness\/\">wellbeing<\/a> tools. These are high-achieving people who are not in any kind of acute clinical need but who may, over their lives, dip in and out of having greater need of services. They are a fascinating cohort of people to work with. It\u2019s really rewarding to be able to integrate my training in psychoanalysis, primarily, into people\u2019s professional development.<\/p>\n<p class=\"c-paragraph paywall \">It\u2019s not about repairing people who burn out or break down. The context I work in is with people who will expect to have challenges to their minds and to who they are in the world.  <\/p>\n<p class=\"c-paragraph paywall \">Moira: I\u2019m a principal child and educational psychologist. Myself and my colleague Davida Hartman set up The Children\u2019s Clinic, Ireland\u2019s first neurodiversity affirmative clinic, about 10 years ago. We support babies, children and young adults in a neuro-affirmative way, identifying mostly autism, but other neurodivergences as well.  Hopefully, over time, you see them thrive and be their true, authentic selves. <\/p>\n<p><img decoding=\"async\" data-chromatic=\"ignore\" alt=\"Dr Moira Kennedy: Irish people are very prone to saying, 'sure, everything is grand'. But a lot of the time things aren&#x2019;t grand. Photograph: Nick Bradshaw\" class=\"c-image\" loading=\"lazy\" src=\"https:\/\/www.newsbeep.com\/il\/wp-content\/uploads\/2025\/11\/DMG4JKKRIJA5ZKWFSTBWX4BBE4.JPG\"   width=\"800\" height=\"533\"\/>Dr Moira Kennedy: Irish people are very prone to saying, &#8216;sure, everything is grand&#8217;. But a lot of the time things aren\u2019t grand. Photograph: Nick Bradshaw <\/p>\n<p class=\"c-paragraph paywall \">The hardest part of the work is when you\u2019re working as a psychologist with children and young people who experience high levels of distress and families who are highly distressed. It\u2019s often not having their needs identified in a timely manner. The other challenge is that it can be difficult to advocate for people within systems that are overstretched. And as someone who has worked in the public service for a very long time, I see that from both sides. <\/p>\n<p>How has your profession changed in recent years, and what forces have driven those changes?<\/p>\n<p class=\"c-paragraph paywall \">Moira: There has been a rise in neurodiversity awareness. There\u2019s been a shift from fixing to understanding, from apologising to embracing. This is now a human rights movement, an identity-affirming movement. There are no two autistic people in the whole world who are alike; we all have our own individual needs, and  that has been really helpful for people. In psychology there has been a massive increase in demand for psychological services, particularly in child adolescent psychology. <\/p>\n<p class=\"c-paragraph paywall \">Children are presenting with needs that appear to be more complex. I wouldn\u2019t go as far to say there\u2019s an epidemic. We\u2019re just getting much better at identifying [conditions]. I\u2019d still say we\u2019re under-identifying, or under-diagnosing. I also think there\u2019s been a societal shift since Covid in that the language of psychology is less stigmatising and has become more mainstream. And this has been a really good thing. It opens up the conversation. Irish people are very prone to saying, \u201csure, everything is grand\u201d. But of course a lot of the time things aren\u2019t grand. As a society we have become more accustomed to talking about this in a psychological sense.<\/p>\n<p><img decoding=\"async\" data-chromatic=\"ignore\" alt=\"Prof Brendan Kelly: 'Ireland&#x2019;s rate of prescription of psychiatric medications is actually quite low internationally.' Photograph: Nick Bradshaw\" class=\"c-image\" loading=\"lazy\" src=\"https:\/\/www.newsbeep.com\/il\/wp-content\/uploads\/2025\/11\/BP2FQJHWBVBS7JS6VWV4INU5XA.JPG\"   width=\"800\" height=\"533\"\/>Prof Brendan Kelly: &#8216;Ireland\u2019s rate of prescription of psychiatric medications is actually quite low internationally.&#8217; Photograph: Nick Bradshaw <\/p>\n<p class=\"c-paragraph paywall \">Brendan: In my view, the other big change in the past couple of decades is that since the year 2000 the rate of suicide in Ireland has fallen by about 30 per cent. And this is consistent with global trends. Even one suicide is one too many, but what it does tell us is that positive change is possible and happening. If the rate of suicide can go down by a third, you know what, it can go down by another third. So what this says to me is that we need to devote more resources, not fewer, to suicide prevention. <\/p>\n<p class=\"c-paragraph paywall \">I need to stress that statistics and numbers are no consolation to a person bereaved by suicide, which is always an individual tragedy. But I think if you ask about my profession in the past few years, there is a part of me as a researcher that must stand back and say, look, positive change is possible and it\u2019s happening. This doesn\u2019t mean the job is done.  <\/p>\n<p class=\"c-paragraph\">The increased awareness of mental health and mental wellbeing is a huge opportunity to try and prevent the emergence of more serious conditions or more distressing states of mind<\/p>\n<p>\u2014 \u00a0Prof Brendan Kelly<\/p>\n<p class=\"c-paragraph paywall \">Antoinette: About five years ago, the International Bar Association, the largest network of legal professionals in the world, set up a professional wellbeing commission, so that is a huge and welcome change in my sector. We\u2019ve since had the first global mental health study, which was published a couple of years ago, and it actually put figures on the rates of burnout. That\u2019s one change, ready access to data. <\/p>\n<p class=\"c-paragraph paywall \">And this might be controversial but another good development has been the role <a href=\"https:\/\/www.irishtimes.com\/tags\/social-media\/\" target=\"_self\" rel=\"nofollow noopener\" title=\"https:\/\/www.irishtimes.com\/tags\/social-media\/\">social media<\/a> has played in giving voice to people\u2019s internal world. Some of it is indulgent and annoying, but I think it is also very therapeutic, and it\u2019s developmental, and we\u2019re exploring these issues in public in a way we\u2019ve never seen before. The idea that you would speak into your phone about the state of your mental health on a Monday morning is amazing. In the past, you couldn\u2019t even say these things in confession. So I think that\u2019s been a fantastic change. <\/p>\n<p>What opportunities and risks do you see ahead for your field over the next decade in Ireland?<\/p>\n<p class=\"c-paragraph paywall \">Moira: A good development is that psychologists will finally get what they call statutory registration with Coru, [Ireland\u2019s multi-profession health regulator]. At the moment, in theory, anybody can call themselves a psychologist, so this has been a long time coming. It hasn\u2019t been an easy road but it\u2019s certainly very welcome and is a great opportunity to ensure public safety is front and centre of everything we do. <\/p>\n<p class=\"c-paragraph paywall \">I\u2019m also hopeful that there will be greater diversity and specialisation in psychology; this certainly seems to be the way that we\u2019re going. In addition to this, there\u2019s growing attention for the importance of psychology at policy-making level. In terms of risks, I\u2019d worry about \u201cneurodiversity lite\u201d, where it\u2019s treated almost as a buzzword but doesn\u2019t result in any meaningful change for people who are neurodivergent. We are talking a lot about autism and disability and yet the ableist culture we live in perseveres so that is something to flag.<\/p>\n<p class=\"c-paragraph b-it-article-body__interstitial-link\">[\u00a0<a aria-label=\"Open related story\" class=\"c-link\" href=\"https:\/\/www.irishtimes.com\/health\/your-wellness\/2025\/11\/11\/there-were-so-many-little-failings-the-patients-improving-irelands-health-system\/\" rel=\"noreferrer nofollow noopener\" target=\"_blank\">\u2018There were so many little failings\u2019: The patients improving Ireland\u2019s health systemOpens in new window<\/a>\u00a0]<\/p>\n<p class=\"c-paragraph paywall \">Brendan: The increased awareness of mental health and mental wellbeing is a huge opportunity to try and prevent the emergence of more serious conditions or more distressing states of mind. In terms of risks, if we identify the way we feel as a mental health issue, this can be experienced as disempowering rather than empowering. I\u2019m talking about medicalisation of unhappiness, of mild anxiety or states of normal distress. <\/p>\n<p class=\"c-paragraph paywall \">It\u2019s really important that the discussion about mental wellbeing and psychological symptoms and mental health is an empowering one that lets people navigate things themselves, supports them to find their own solutions, and doesn\u2019t disempower them by over-medicalising the problems that life brings. <\/p>\n<p class=\"c-paragraph paywall \">I guess the other risk I\u2019d always point to is with the lack of resources that are afforded to the public mental health service. It\u2019s a constant battle to make sure this gets sufficient attention on the political agenda.<\/p>\n<p><img decoding=\"async\" data-chromatic=\"ignore\" alt=\"Antoinette Moriarty: 'We often can fall in love with the problems, and I&#x2019;d like us to fall in love with the solutions.' Photograph: Dara Mac D&#xF3;naill \" class=\"c-image\" loading=\"lazy\" src=\"https:\/\/www.newsbeep.com\/il\/wp-content\/uploads\/2025\/11\/JSRMZYVMCNBVPJA4S6PHSZ3URE.jpg\"   width=\"800\" height=\"612\"\/>Antoinette Moriarty: &#8216;We often can fall in love with the problems, and I\u2019d like us to fall in love with the solutions.&#8217; Photograph: Dara Mac D\u00f3naill  <\/p>\n<p class=\"c-paragraph paywall \">Antoinette: In my work I am able to sit with somebody weekly for 10 years or 15 years. In that time, they might have gone from being a trainee solicitor to being a busy parent. They might have gone from being somebody who was very isolated, very unsure of themselves, very low confidence, to being the partner or managing partner of a big legal workplace. That\u2019s an immense journey to have and I relish the opportunity to be beside that person in their thinking. <\/p>\n<p class=\"c-paragraph paywall \">The risk I see is that there is still quite a lot of emphasis on the ill mind rather than on the healthy or the high-functioning mind. The roots of our relationship with our mental health are really in the pathology and the problem areas and the breakdowns and in serious illnesses. And yet actually, that\u2019s a very small part of our experience. Most of us will also benefit from knowing more about how our heads work and how we grapple with big transitions such as having a serious illness, losing a partner, gaining a partner. These are ordinary events, but they can create chaos in our minds and we don\u2019t really speak about that enough. We often fall in love with the problems, and I\u2019d like us to fall in love with the solutions.   <\/p>\n<p>What do people most often misunderstand about your work or your industry?<\/p>\n<p class=\"c-paragraph paywall \">Moira: There\u2019s an idea in some circles that the neurodiversity rights based movement is a bit woke and, of course, that\u2019s completely untrue. What we know is that in the past people felt really unsafe and clinically very unwell and developed very significant mental health difficulties because they spent decades masking and pretending and not being themselves. <\/p>\n<p class=\"c-paragraph paywall \">Brendan: If I\u2019m out socially, and I say I\u2019m a psychiatrist, people often say: are you analysing me now? And the answer is: no, I am not. The other big misunderstanding about psychiatry tends to be the notion that psychiatrists believe medication is the answer to all states of distress. Certainly, like a great number of psychiatrists I know, I believe that for some people with moderate or severe conditions, medication can make a contribution but it tends not to be enough on its own ever. Ireland\u2019s rate of prescription of psychiatric medications is actually quite low internationally. And indeed, if I had a single wish for people with severe mental illness, it would be that they all had supported housing in the community. It would transform the lives of many, many people with schizophrenia, bipolar disorder or severe depression.  <\/p>\n<p class=\"c-paragraph b-it-article-body__interstitial-link\">[\u00a0<a aria-label=\"Open related story\" class=\"c-link\" href=\"https:\/\/www.irishtimes.com\/opinion\/2025\/11\/18\/neuropsychologist-ian-robertson-troy-parrotts-words-give-clue-to-those-key-five-minutes\/\" rel=\"noreferrer nofollow noopener\" target=\"_blank\">Neuropsychologist Ian Robertson: Troy Parrott\u2019s words show a remarkable quality of Irish cultureOpens in new window<\/a>\u00a0]<\/p>\n<p class=\"c-paragraph paywall \">Antoinette: I suppose one misunderstanding is the idea that lawyers are any different to anybody else. Lawyers have a very tough relationship with themselves. In my experience, they\u2019re also very hard on themselves. The general public would have no sense of how they really want to get it right all the time. They worry more than people might imagine. They also have a very high degree of imposter syndrome, which is a hard thing to carry when you\u2019re presenting yourself in court or in negotiations, and the environment itself is quite inhospitable to vulnerability. <\/p>\n<p class=\"c-paragraph paywall \">On another subject, there is a lot of misunderstanding around mental health advice: mindfulness apps, yoga, Pilates classes, getting enough sleep, getting your steps in, all of that. All of that talk is like nails down a blackboard for me. None of that is going to bring somebody back from burnout in the same way somebody with severe and enduring mental illness is not going to be made better by counselling.   <\/p>\n<p class=\"c-paragraph paywall \">Brendan: A lot of distress people feel is because of their context. It\u2019s because they\u2019re homeless, because they\u2019re unemployed, because they can\u2019t buy a house, because they can\u2019t move out, because they\u2019re in a difficult job, because the expectations are too great. Their basic needs are not being met. We need to support people but also keep in mind that there is a landscape that shapes risk, that shapes access to treatment and shapes outcome. So, I think what I\u2019m arguing for is a complete social and economic revolution, but in the absence of that, we need more resources to help people deal with distress.<\/p>\n<p>When you think about the future \u2013 for yourself, your career, and for Ireland \u2013 are you optimistic? Why or why not?<\/p>\n<p class=\"c-paragraph paywall \">Brendan: I am optimistic for lots of reasons. I\u2019m optimistic because many key indicators of mental health are improving, as I mentioned earlier. These do not suggest any of these problems are solved; it means positive change is possible, and we need to focus on that more. I\u2019m also optimistic based on young people, teenagers, young adults. They are better able to navigate the complex social media landscapes than middle aged people like myself. The internet and phones entered my life at a certain age so younger people are obviously way ahead. And contrary to a lot of the hysterical talk, I think young people are likely to prove much more emotionally attuned and able to build a better world. <\/p>\n<p class=\"c-paragraph paywall \">Antoinette: I\u2019m fundamentally optimistic, I think. But at the same time we in psychotherapy are like the foster child of the sector and, while I appreciate what Moira said earlier, some of the recent advances with Coru have been to the absolute decimation of any hope for psychotherapy as a profession. What\u2019s happening now with Coru is that they\u2019re removing the obligation on trainee psychotherapists to do any personal therapy work of their own. Most of my best colleagues have been in analysis for a very long time, and that\u2019s why they\u2019re as good as they are and as busy as they are. And to take that away is to really, I think, remove its potential contribution. <\/p>\n<p class=\"c-paragraph paywall \">Moira: I\u2019m optimistic generally but I\u2019d feel cautious around exactly what Brendan said earlier around people\u2019s basic needs not being met. How is it 2025 and disabled members of our community, citizens of Ireland, still don\u2019t have jobs, can\u2019t get jobs, can\u2019t go to college, can\u2019t attend school? How is that still the case? Those basic things like housing are not there for so many of our people in our community. So I\u2019m optimistic, yes, but we\u2019ve still got a lot of work to do in terms of looking after the more vulnerable members of our society.<\/p>\n<p>Keep an eye out for other articles in the series: the teachers, the tech workers, the creatives<\/p>\n","protected":false},"excerpt":{"rendered":"The panel: Prof Brendan Kelly, psychiatrist and professor of psychiatry at Trinity College Dublin; Antoinette Moriarty, psychotherapist and&hellip;\n","protected":false},"author":2,"featured_media":148266,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10],"tags":[3495,163,9411,85,46,522,2460,90624,483,1264],"class_list":{"0":"post-148265","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-health","8":"tag-for-you","9":"tag-health","10":"tag-health-wellness","11":"tag-il","12":"tag-israel","13":"tag-mental-health","14":"tag-social-media","15":"tag-the-professionals","16":"tag-weekendreview","17":"tag-work"},"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/posts\/148265","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/comments?post=148265"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/posts\/148265\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/media\/148266"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/media?parent=148265"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/categories?post=148265"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/tags?post=148265"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}