Daily Practice: In The Office with Dr Lui Yit Shiang, Specialist in Psychiatry

Our daily routines play a crucial role in setting the tone for our workday. Establishing a consistent rhythm not only helps us navigate through our tasks effectively but also helps us settle into a momentum as well as a sense of presence and mindfulness. Join me as I offer a glimpse into my daily practice, sharing tips and insights that have proven invaluable in my journey as a psychiatrist.

Find Your Unique Routine

Before the hustle and bustle of the day begins, I engage in a simple yet meaningful ritual: tending to my air plant and taking a moment to look at myself in the mirror; and smile. This small act of self-care serves as a reminder to approach each day with intention and positivity. By starting my day with a smile, I set the stage for a productive and fulfilling practice.

Prioritise Learning and Listening

In my practice, it is absolutely essential to prioritise learning and listening. Amidst the demands of a busy schedule, it’s easy to succumb to the pressures of time constraints. However, I firmly believe that a keen ear and active listening is paramount in fostering meaningful connections with my patients. By quieting my own thoughts and attentively absorbing what my patients have to say, I gain valuable insights into their experiences and needs.

Writing Notes and Maintaining Energy

To maintain productivity and focus throughout the day, I find that keeping notes and maintaining a to-do list has been very helpful in keeping me on track. By jotting down my thoughts and reminders, I not only stay organised but also minimises excessive screen time. Additionally, having small, healthy snacks also helps to sustain my energy levels throughout the day as I engage in deep listening and analysis with my patients.

Compassion as the Cornerstone

Despite the rewards of my profession, I encounter challenges on a daily basis, particularly in initiating conversations about mental health with new patients, as such discussions can be daunting and embarrassing for some. Recognising the courage it takes for individuals to seek help in the first place, I strive to create a safe and welcoming environment in which they feel comfortable expressing themselves. Employing a gentle and empathetic approach, regardless of how long the day has been for myself, I prioritise the well-being of my patients above all else.

What Caused the Emergency?

In the event of an emotional or difficult patient presenting for emergency care, I approach the situation with patience and understanding. When someone shows up in that manner, it’s a sign of inner distress or feelings that they can’t express clearly. I try to see past their outward behaviour and patiently try to dig deeper to find out what’s really bothering them. Remember that getting worked up along with the patient will not solve anything. It’s best to stay calm and focused. Also, having another colleague or clinic staff around can help take some of the pressure off the situation.

Embrace Personal Growth

When it comes to enhancing one’s own practice, I offer this advice to fellow healthcare professionals: avoid succumbing to preconceived notions about private practice or listening to hearsay โ€œI told you soโ€ advice. Instead, set your own goals and embark on your journey deliberately, starting small and gradually building momentum.

Believe in your abilities and the unique practice you want to shape. As you navigate through the challenges and successes of your daily work, including building up your patient load and finding a comfortable work style, you’ll gain clarity on what practices resonate most with you and your patients. Allow these experiences guide your evolution, shaping a practice that aligns authentically with your personal values and professional goals.

Connecting with Colleagues

At the end of the workday, I make it a point to connect with my colleagues at the clinic (whether it be another HCP or not). By taking the time to engage in casual, light-hearted conversation, we can decompress while also showing appreciation towards others who make contributions towards our shared environment.

The journey of a healthcare professional is constant, with moments of challenge and growth. By fostering the habits of continuous learning and active listening, we can create a practice that is instilled with intention and empathy, improving our professional endeavours as well as the experiences of our patients on their path towards better health.


Dr Lui Yit Shiang, MBBS, MMed (Psychiatry), MRC Psych, MSc (Addiction Studies), is a Specialist in Psychiatry and Director at Otium Mindhealth Pte Ltd. He holds certification as a substance abuse and gambling addiction counsellor from the Association of Professionals Specialising in Addiction Counselling (APSAC). He earned his MSc in Addiction Studies from Kingโ€™s College London with distinction, receiving the award for best research. Dr. Liu was granted the Academic Medicine Development Award (AMDA) by the National University Hospital (NUH). He is also conferred as an Associate of King’s College (AKC) and serves as an associate member of the Academy of Consultation Liaison Psychiatry (ACLP) in the US. Dr Lui’s clinical focus includes addiction psychiatry interventions and comprehensive consultation liaison services, ensuring holistic care for his patients.

Otium Mindhealth
03-03, i12 Katong, 112 East Coast Road, Singapore 428802


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