Improving Connection - Humanising the Remote Experience

Dr Amy Mednik is a psychiatrist working in her own private practice in New York. She grew up in New Jersey and went to college at MIT in Boston where she studied, and became fascinated by the brain and cognitive science. She then attended medical school and and fell into psychiatry halfway through the clinical rotation. She received her medical degree with Distinction in Research from Albert Einstein College of Medicine and a Bachelor of Science in Brain & Cognitive Sciences from MIT.

As a psychiatrist she mainly focused on medication versus psychotherapy. This developed into psychopharmacology, giving medication and seeing what symptoms can be quieted down so people can become their best self.  She wanted more to offer her patients so she then got involved with TMS which uses magnets to create electrical fields to intervene on the brain. She had just got up and running with in-person office based treatments when Covid struck and she had to shut down her office.

In 2020 she started working online with her patients, students etc. A colleague then invited her to write a book about an idea she’d had about the remote experience - what is wrong with the remote experience, why it makes us feel exhausted, why we have trouble focusing and why do we feel what we feel socially. They spent a year writing and living it and it was finished in 2022.

Brain science used to be very much about ‘this is where that happens’ and ‘that happens in that one part of the brain’. Things were learnt because when someone had a stroke and they couldn’t recognise faces that must be where faces are stored in the brain. Now we’re learning it’s not that simple and it’s really very network based. There is not one thing, there is a lot of communication between different areas and feedback loops that's great because networks are something that can be intervened on so that that network gets healthier and can be improved.

Amy is very interested in the use of psychopharmacology for anxiety and depression but with each of these things there are medicines that work well for people. When its done correctly negative symptoms are turned off and when you talk to the people you’ve prescribed for they can tell you what they experience and describe what the feeling in their head is really like. When the prescription is adapted, they can then describe the change and what that feels like.

There is a range or spectrum for drugs that also depends on the disorder. Anxiety and trauma really straddle the chemical responses to medicine versus environmental situational responses to therapy. With both of these you have symptoms that you can take and turn everything off so patients don't feel anything. If you are precise though there are a wide range of doses and sometimes a little does a lot so we just quiet the noise, we turn the volume down on the anxiety or trauma that's talking and not serving you. People begin to feel they have more access to themselves, their minds and to their creativity because the fight or fight response that should not be going is turned down. They can then engage better in therapy and in life and do more things. With trauma though its not always safe to go into those parts of your brain, your brain wont always let you into those parts before you build the scaffolding with a little bit of medicine, do the work, break the things down build them back up and then you might not even need the medicine.

Amy feels the maximum between sessions is six months but on average she sees patients every three months. If you are taking medicine and it’s helping you to feel better that's great but if it’s making you feel worse then it’s worth review. These things have side effects but it is not one or another – if your life has changed and you've done well in therapy and things are different to when you started the medicine its also worth reviewing. There is no right answer. Some people stay on them for live because they really help them to be their best self.

Amy’s new book about the virtual experience is Humanizing the Remote Experience through Leadership and Coaching: Strategies for Better Virtual Connections This looks at how we can foster wellness, raise engagement, and strengthen connections in professional contexts as our interactions become increasingly remote. Amy feels that as humans, we’re simply not wired for flat, two-dimensional virtual settings, that we’re built to connect in the real world. When this need isn’t met, we inevitably become stressed, struggle to focus, work harder, and burn out.

There are a lot of ways we can improve the remote experiences, but we need to learn the signs that our needs aren’t being met in our virtual interactions, for example why Zoom calls are physically exhausting, why what we intend to say gets lost and distorted in virtual settings and why being part of a remote team can increase stress.

To understand what is missing from these remote interactions, we need to understand how we use space, sensory cues and group dynamics and the challenges people face when their innate need for human connection is unmet.  Amy and her co-author Dr Diane Lennard used research and case studies, to outline the paradox that the digital technology we use to connect with others can leave us feeling less connected.

Amy’s book is Humanizing the Remote Experience through Leadership and Coaching: Strategies for Better Virtual Connections and you can learn more at www.HTRE-Book.com or you can find out more about Amy at dramymednik.com

  You can listen to the podcast in full and find out further information here. Our upcoming guest list is also available along with our previous blogs.
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