Saving Lives Without Destroying Yours
Boundaries for the Modern Physician
by Dr. Maryna Mammoliti and Adam Ly

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Physicians help people heal, but how well do they take care of their own physical and mental well-being? How does a physician’s personal history, medical training, and medical culture predispose and perpetuate potential health issues, relationship challenges, financial strain, abuse, or burnout in physicians? Does the prevalent mindset of pushing beyond our needs and losing ourselves in the physician identity perpetuate burnout or sustainability? How do emotions such as fear, obligation, guilt, and shame affect medical training, medical practice, physician lives, and their relationships? Saving Lives without Destroying Yours is a self-help book for physicians to set boundaries to improve their mental health and wellbeing, break intergenerational medical training traps, protect themselves, engage more in their life roles, and design a life and medical practice where physicians can thrive, not just survive. This book empowers physicians to know themselves – their needs, wants, abilities, and limitations - while being understanding and non-judgmental towards others’ needs when setting boundaries. Takeaway pearls include building self-awareness, setting boundaries, communicating assertively, identifying patterns of abuse, building healthy relationships, and managing interpersonal conflict using dialectical behavioural therapy principles and emotional intelligence. Dr. Mammoliti and Mr. Ly combine their experience in psychiatry, psychotherapy, coaching, and occupational therapy to encourage a comprehensive self-reflection journey and guide physicians in boundary setting. Discover how to say No appropriately and say Yes to a more meaningful and healthy life.

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Dr. Maryna Mammoliti is a Canadian psychiatrist who focuses on comprehensive psychiatric care, psychotherapy, physician health, ADHD, trauma, and eating disorders. She works in private psychiatric practice as well as doing ER psychiatry at the Centre for Addiction and Mental Health (CAMH) in Toronto, ON. She completed medical school at the University of Ottawa, followed by her Psychiatry residency at Western University in London, Ontario, and her executive coaching training through College of Executive Coaching in California. She enjoys teaching and mentoring medical students and residents and advocates for sustainable medical practice, physician health, and support for ADHD care for patients. Dr. Mammoliti has published and presented on various topics relating to physician health and is a former Psychiatry Section Chair at Ontario Medical Association (OMA). She is a mother of 4 children who are her best boundary and leadership teachers. Adam Ly has been practicing as a Registered Occupational Therapist since 2016 in Ontario, Canada. He completed his Bachelor of Health Science in Health Promotion and Master of Science in Occupational Therapy at Western University. His clinical practice focuses on mental health, mild traumatic brain injury, cognitive rehabilitation, chronic pain, disability, return to work, psychotherapy, and physician health. He is a seasonal lecturer at Western University in London, Ontario, Canada. He is an active member of the Canadian Association of Occupational Therapists (CAOT), delivering workshops on adult ADHD and cognitive rehabilitation. Dr. Mammoliti and Adam Ly have co-presented at numerous conferences and workshops such as the American Psychiatric Association and Ontario Family Medicine Summit, as well as co-published papers.

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Contributors

Author

Dr. Maryna Mammoliti

Author

Adam Ly

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