Doctors and Depression

[@Navevanho]

As a current medical student, I can attest to how difficult it is to admit having issues with depression since everyone is expected to excel in all aspects. Thanks for sharing Aaron. Respect.

[@NYUJEW]

My mom is a doctor, and has been under incredibly high workload this past year. I can tell the stress, and associated feelings of inadequacy combined with her history of depression, are starting to wear on her. I'm trying to help her, but it's difficult (not least because I am in a bit of a spiral right now myself). Regardless, thank you very much for producing this video. I hope it's of help to some people.

[@ThomasLangston]

It be cool if insurance paid for regular therapy sessions the same as preventive care, where you get a number of free or near free appointments per year.

[@gideontyler8410]

Qualified Psychotherapists are heavily underutilized and insurance companies need to change their attitude. They would be saving money long-term as cognitive illness is costly and long-lasting. I couldn't possibly agree with you more.

[@stormtemplar97]

A lot of insurance programs will cover it. I've never paid more than $20 a session. It's worth checking, and there are places that will do pro bono work if you can't afford it.

[@katrinhaerterich2454]

+Thomas Langston My free insurance because of low income through the state of Minnesota covers my therapist visits. I definitely couldn't afford to go without it.

[@emilyatkinson12]

We get a certain amount free in Australia but it's still never enough :/

[@PotionsMaster007]

+Emily Atkinson it's not really free. You get 10 sessions a year under Medicare where you get $85 back for each session regardless of how much the psych charges. I've been on the mental healthcare plan for the last 5 years. I love my psych, absolute legend.

[@skatesnlaces09]

As someone who has dealt with depression and anxiety in the past and who is currently on the road to medical school, this episode was two things for me. Firstly, I was honestly surprised by how high some of the statistics Aaron discussed, especially among anesthesiologists. I knew depression was an issue in medicine, but had no idea the substance abuse and suicide levels were so profound in certain specialties. Secondly, this episode is so important not only for currently physicians but for everyone working in healthcare and who is hoping to join the industry some day. I was just accepted to a masters program in medical science and am currently working as a CNA (like I said, I'm on the road headed towards becoming an MD). Even in my current position I catch myself getting anxious and worried after a long day. Did I care enough? Was I doing everything I could? Could I have done something better? These are all questions a nurse or doctor could also worry about. But what makes a difference is that I recognize these thoughts as my anxiety kicking in before I let it take over. I have worked with a therapist for over four years and I don't plan on stopping anytime soon. I go for maintenance now, not necessarily treatment, but I know it helps settle my mind and keep me at my best. Not talking about depression only exacerbates the problem. I'm glad Aaron mentioned how uncomfortable physicians can be discussing it, and how it can affect you professionally because I had no idea, but like him, it won't stop me from being open and honest. It makes me a better version of myself and if it helps even one person down the road, it's worth it.

[@phillipmarkey4363]

Devon, I’m glad that you have found ways to deal with your depression and anxiety. I wish you all the best on your road to becoming a physician. Like you, I am also a student on the track to becoming a physician. Hearing these types of statistics about depression in healthcare bring up some major concerns about the current system of training and the stigma that comes along with depression. Based on this video, it seems like the rates of depression are higher among doctors than almost any other profession, but it also seems that these rates are the highest among residents. This brings up some ethical questions. Since doctors are educated on health (and by extrapolation, mental health), knowingly subjecting residents to situations where such high rates of depression are prevalent violates the tenet of nonmaleficence. Having likely known doctors that have been depressed and potentially having gone through this themselves, the attending physician should do anything in their power to try and relieve this stress. Having depressed medical staff also has the potential to compromise the quality of care given to patients. Subjecting patients to sub-quality care also violates patient beneficence. How do we fix this? Talk about it! We need to confront these issues head on and find ways to remove unnecessary stress and depression from the workplace. Talking about it could also help dissolve the stigma surrounding depression (whether it be for the public or specifically for doctors).

[@rdidri]

Please keep talking about this. I worked with a pediatrician who committed suicide soon after residency. Perhaps if he had sought help, it would have helped him.

[@Rickmakes]

My childhood family doctor killed himself. His clinic was adjacent to a mental health facility owned by the same hospital. I was no longer a patient when he did it but it was shocking when I heard about it.

[@qonitabadegestm]

I know a doc who killed self too and I'm not even in the medfield.

[@Liv55555]

As a medical student with symptoms of (if not yet officially diagnosed) depression, thank you for this video. It's absolutely vital that we know when to seek help, and although I'm lucky in that I have friends who are very comfortable talking about mental health, it still took me far too long to recognise that I had a problem.

[@rachelcusumano3761]

I'm glad you have the support! Stay well dear.

[@phxtonash]

Very brave, hope this helps many people.

[@julialinden7254]

I'm a nurse battling schizoaffective disorder. Thank you for inspiring me, I sincerely hope you are well x

[@ems7623]

Schizoaffective disorder is a real bitch-and-a-half. I wish you all the best in your struggle for wellness. It's hard work

[@somecuriosities]

I'd personally rather have a doctor who has sought help for their symptoms and grown stronger from it - just like a broken bone grows back stronger - than one who is suffering but has not sought help. How can you help others if you wont help yourself? I will go even further and say that I might perhaps also choose a doctor who has recovered and grown from depression over one who has experienced depressive symptoms. Chances are, that part of them that is 'physical or behavioural' that predisposes them towards depressive symptoms might also play a part in the degree to which they truly care about their patients. Thank you for being so open about your experience on this topic Aaron.

[@ellesrevisionsession]

They do say pain carves out compassion in a person.

[@user-tk4qd8dj1p]

All of this ..YES

[@brycemartin1079]

Thank you Aaron for sharing so openly and personally about this issue. The efforts like yours to shine a light into these dark recesses of your profession and society will ultimately lead us to healthier people and more satisfied lives in the long run.

[@gideontyler8410]

Well said.

[@GregTom2]

Could it be just the fact that they are forced to work an amount of hours that is not healthy by any standard?

[@gideontyler8410]

I would think that that is a likely contributing factor.

[@doujin01]

+Gideon Tyler +GregTom2 It could also be the kind of work that they are doing. People lives are in your hand and if you f**k it up that patient could be crippled or die.

[@kourii]

+doujin01 they're not mutually exclusive

[@johnwilkins3116]

You do know that physicians just diagnose patients they don't perform surgery those are surgeons that do that right?

[@piehamcake1]

GregTom2 or it could be they prescribe people poison, I'd be depressed too knowing I'm not actually curing anyone

[@leiciey995]

This is wonderful. This dialogue really needs to be opened more. I'm a veterinarian and so many of us suffer from depression and compassion fatigue that we have one of the highest suicide rates and that needs to change.

[@phabelgreene7875]

I'm only in high school, but having a couple of friends in AP classes - friends who are looking to become doctors - it's painful how little this surprises me. Right from the get go, people studying to become doctors are told not to deal with their mental health. The other day one of my friends had an anxiety attack in the hallway because of stress and sleep deprivation. AP tests are on the horizon, and she hadn't slept for more than four hours a night for weeks. All of my friends bury their ails in their work without dealing with it. They think that just getting through will make everything okay, but what happens when the work recedes, and summer comes, and their minds are still out to get them? It scares me to think of them absorbing everyone else's problems. Doctors aren't trained for that kind of mental integrity.

[@krusmir]

Thanks for sharing and addressing the stigma with depression in medical fields. Hope this catches on and everyone is more open about depression and mental health. We all benefit as a society by being open about it.

[@Urspo]

Brilliant! I am a psychiatrist; my physician patients all have the worry getting treatment will effect their licenses and jobs. Whenever I renew my own license I am asked if I have any mental illness; if I were to check 'yes' they want more information etc. Until the threat of losing one's livelihood is addressed docs are not going to get help.

[@ems7623]

That's a serious problem. There must be a better way to handle this.

[@mastervader9796]

I have enjoyed this content and trusted its findings in this well documented format; but I must say I really respect you Aaron for being brave enough to not only trust others with guidance with your depression but your openness to help other current and future sufferers. Thank you for sharing and know that I have gained more respect for your honesty and still trust your judgment. I hope you continue to have a positive impact on many others for many years to come.

[@TopHatKitty]

I'm proud of anyone who will talk about their mental illness openly as a way to inform and help others. It helps break down the stigma piece by piece.

[@falcon7350]

i fight with suicide and depression every day for years .. i hope you can make more videos on this for every one and not just doctors as its hard to find some one how knows what there talking and has been there as well ...

[@gideontyler8410]

Hang in there man. It's possible to get beyond it. It's a good idea to have a depression hot-line number in your phones speed dial and to get acquainted to the staff. From my experience they have a tendency to provide some solid advice and know how to listen. It's their job to be good at listening. Feel free to message me if you'd like to share experiences.

[@trafficjon400]

WHY are people getting soo depressed'. i think 1 or at least 2 could find out the real story

[@jackwilliams4570]

This is the best episode Healthcare Triage has done so far. Keep it up! :D

[@o0Avalon0o]

Thank you for sharing this with us! I hope I'm not too bold in saying this, but being an emt, I think therapy (especially for medical personnel) should be free & without repercussions for employment. I went to therapy as a child, for my parents divorce, & it changed my life. No one should ever have to suffer alone.

[@jaimie00]

Thank you for making this video. Someone very close to me became extremely depressed during the last year of medical school and into residency. They abused alcohol to sleep and to forget their problems. Thankfully, we were able to get them the help they needed, but even a decade later, the person still struggles with it from time to time. This is a huge problem, and it obviously doesn't have one clear cause. If we can really start a dialogue about it, then I think more research will be done, and we could save lives.

[@rachelcusumano3761]

Thank you so much for putting it out there Dr. Carroll. I am glad you are staying on top of it. I worked for my now father-in law who is an M.D. and we used to talk things out at the end of work each day to support one another. I still keep an eye on him with our family visits though our talks can't be the same due to Hippa and our distance, which is a good thing for me, but we talk and I think it still helps. I think it must be hard on veterinarians too.

[@Metalfreak327]

Kudos to you Aaron, God bless you for discussing an ever present unspoken out of fear phenomena with medical school and resident training.

[@aikifox85]

Thank you so much for this video, Aaron. There are so many factors that contribute to these feelings - I'm glad that you were able to seek help and that you had a support system. Working within fields (social work here) where we put the well-being of others ahead of our own and often watch people suffer, it is so very important to tend to self-care.

[@gideontyler8410]

This video hit me pretty hard, realizing the suffering of those who are doing their best to try to heal us. But with people like you out there trying their best to change the industry, the message brings me a sense of hope. Having suffered from major depression for a long, long 5 year period and knowing the pain and internal torment that comes along with it, if there is any way I can contribute to changing that in the medical industry I would like to.

[@EdGloss]

A big part of the stigma of depression almost certainly has a lot to do with the fact that those who have never experienced depression think it's just being sad and wonder why the person can't just get over it. While I didn't quite have that view exactly, I have to admit that it was definitely in that direction. Then I quit smoking and learned just how physically painful and emotionally draining depression is. I had heard that there was a physical side to it but never really gave it much thought. For over three weeks, no matter what I did I simply could not control my emotions, my thoughts and the physical pain that accompanied it. What made it worse for me personally (and I imagine many others too) is that I knew what was going on and why I was depressed and not being able to "snap out of it" made things even worse. I kept telling myself it was irrational and that I knew better. It bothered me that it controlled me. I was unable to feel joy in a way that literally hurt me, not just emotionally, but physically. It peaked at about two weeks and looking back I have to say that it pains me that I understand the suicide impulse. You just aren't thinking clearly and you lack control of a vital part of yourself--your emotions. While I didn't contemplate suicide I certainly could see how those living with long-term depression do and actually go through with it. The overwhelming feeling of bleakness is so incredibly powerful that it's hard to believe it exists. The only solution to this is to make therapy mandatory initially and the therapy is separated from anything that can possibly negatively affect their job or school prospects to the point where they are entirely separate entities. If not mandatory, it should exist where doctors can be assured that there is literally a zero percent chance that it'll have negative affect on their ability to train and work. That would solve the problem insofar as it would eventually bring the numbers down to the national average. This, along with medical schools requiring a seminar in when and how to seek treatment and which explains how it can't be a negative for them will solve this problem. Until this happens, it'll stay the same or become worse.

[@syddlinden8966]

I applaud your decision to speak out about this. As one who struggles daily with anxiety and depression, it's scary and horrifying that so many doctors don't feel they're allowed to deal with it. No one should ever feel like they're not allowed to talk about mental health issues. And it's kind of ironic that doctors, of all people, don't feel safe admitting to depression. I hope we can open up the dialogue more for everyone.

[@morgan4626]

Thank you for making this video about an issue that I didn't even know existed, but carries such weight and importance. I go to a university with a top tier medical school where a good half of my peers are Pre-Med. It's scary that I haven't seen this talked about more. I am in awe that you were able to talk so openly. Thank you.

[@batchampa]

I'm so grateful for the time and effort put in by my doctors and specialists. My GP especially, who's been with me for several years, and I always thank her for everything she's done to help me over the years, so she knows how much her work is valued. Depression is balls, and I'm so glad you could talk openly about it. Thanks!

[@ThePurplemaneater]

I'm incredibly glad that this is a topic that you're touching on. I'd like to see more in regards to depression and mental illness. If it helps in any way to lessen the taboo surrounding mental illness and spread knowledge regarding it? Even if it only helps one person, it's worth it in this regard. I have so much respect for what you're doing with this channel, and I want to thank you from the bottom of my heart. Thank you.

[@hatty7090]

Thank you for making this video. The more we all talk about our experiences the more society will progress towards understanding depression as an illness. I was truly amazed at these figures and how stigmatised mental illness continues to be even within the medical profession; the profession I would have thought would have the understanding of the illness.

[@SehrKhan]

Wow, this is such an unspoken issue in our field. This is one of the first videos I've ever seen on the topic! Kudos.

[@ellesrevisionsession]

Respect for being so transparent

[@kevinmoore2501]

I underwent neurosurgery for brain cancer when I was 15, then radiation therapy for a recurrence when I was 17. Unfortunately, being faced with my own mortality several times in that time frame brought on some depression. This video brings to the attention of the viewer that depression isn't the doctor's, or the patient's fault. Being a doctor's a tough job, and so is being a patient. Take the people who say that they're having mood issues seriously. Offer help, but also, make the person aware of the stigmas that accompany treatment. The meds I was put on temporarily messed up my mood for a while. I felt terribly for a while, when I was on them, but I also had a few high points where my mood was the best it's ever been. I've since been taken off those meds, and haven't needed to return to taking them. Talk therapy definitely helps too. My psych doc was a huge help, and a very smart man. Thank god for people who study the brain, and what makes it work better, or worse, as well as those folks willing to go in, and treat patients. As someone honestly interested in both medicine, as well as science, and what makes a positive impact on a patient's life, thanks for posting this video. It makes a huge difference.

[@kujmous]

Truly feel lives can be saved with this. Sharing this.

[@princessmia737]

Thank you for being so open and honest about your lived experiences. I'm sorry you had to go through that at such a pivotal time in your life. I am glad you are here. I see people in the comments and in this broader discussion who are putting the onus on themselves. I just really want to emphasize the point that this is a systemic problem. It is not on you. It is on those licensing boards. We need to rally together to change the way the licensing process is carried out.

[@Tribble_Mama]

It is sad that there is still such a stigma in the world today about depression and therapy. I myself have struggled with depression for many years now, and a very deep depression the last couple. Despite that, I only in the last few months started to get treatment for it. I still struggle admitting that I have possibly suicidal thoughts. I like to think I am open to admitting I have depression, but admitting I need help with it is much harder, not to mention how bad the depression is. It's sad to think that those we turn to for medical advice have an even harder time of it. Of all the communities that should support those who struggle with mental illnesses, you would think the medical community would be near the top. I would think that therapy should be a mandatory (without being stigmatized) for such a high stress field Kudos to you for speaking out about this! Thanks for your continued outspokenness about all things health. Keep up the good work!

[@DefinedEdits]

mad respect buddy. keep up the vids :D

[@NigerianMedic]

Thanks for answering my question from Healthcare Triage Live a few weeks ago about residency inducing depression! I shared this video with other medical students and physicians.

[@Naoki22]

Thank you for opening up about your experience with depression. Yes, the attitude towards mental illness in the medical community has to change. Why is there still a stigma against mental illness anyway? I, and I'm sure many of my classmates in my medical program, experienced exactly what you described. We, unfortunately, even lost one of our classmates to suicide during his last internship. I was definitely afraid of telling anyone about my depression when I was going through school and after I graduated. I wish it were okay for medical professionals to speak openly about mental health. That's the first step in making it acceptable for medical professionals to get help, and in turn, be able to provide better care for their patients.

[@frollard]

Thank you for sharing. I've been struggling for a while in emergency services but using the support networks of friends and family around me has really helped. If it gets worse I'll have to escalate treatment because it's worse than just feeling crummy -- it negatively impacts everyone around you.

[@haleyelizabeth3926]

This video was very eye opening to me. Although I understand how doctors can feel less comfortable confronting the mental health issues that may arise in their life. It does worry me thinking me that doctors are more worried about being punished either professionally or personally than the ability to get help for the issues they are suffering from. Having suffered from depression I understand how difficult it can be for a person in normal standing to seek out help. I can only imagine how awful it must make these individuals feel knowing that because they have their medical careers on the line simply because they suffer from a mental illness. It is unfair to put so much pressure on the people who take care of us and not allow them to have some way to get the same support that they give us. It is very believable that there is such an increase in suicide rates in the medical profession but it is heart breaking. Just because these doctors have the access to drugs does not mean that they should feel the need to self-medicate. They should feel comfortable enough to ask for help from another medical professional instead of feeling like that is their one and only option. Therapy can be helpful for anyone and I truly believe that everyone in the healthcare field should attend therapy sessions even if it is just to gain some skills to manage anxiety, should they find themselves feeling it. Depression in the medical field is not just an issues because of the incredibly high suicide rates but also because of the found substance abuse. I do not think it is right on any standards that the board can ask questions about a person’s mental health because then these up and coming physicians or healthcare aids would chose rather to hide the illnesses that they are feeling instead of getting the treatment that they need because they feel like they could suffer a major professional setback. There has to be a way that we can help those who help us more than we are right now.

[@drbacondrbacon2462]

I'm a second-year resident and the depression is so severe I can barely even function in normal life. My work is fine, but I find absolutely no joy in anything else. Glad to see I'm not the only one, and that it might not be this way forever.

[@gerryrepash6706]

I'm a psychotherapist who has an interest in helping physicians and surrgeons deal with anxiety and depression. Unfortunately, this is very underreported and i would proffer that most of the general public have no idea this is going on.Thank you for sharing your struggle.

[@kukaisbff]

I've always had a high opinion of doctors and to hear how much they stay silent is saddening. As someone who finds it difficult just to get out of bed somedays, I know how much depression hurts. It makes me feel like I want to find these people and just listen to them. Talking to my family and friend makes it easier to keep moving forward so maybe It'll help them too.

[@Stars-Mine]

I cant say I have many fears, but a recurrence of depression is very high up on my list of things I am terrified of.

[@whatshisnamegain1]

I wish you all the good. Have a lovely day :)

[@ems7623]

As a patient and chronic overachiever who has suffered recurrent severe MDD on top of ADHD, my heart goes out to these doctors. But I'm hoping that more doctors who have endured this means more professional motivation for improved mental healthcare treatments. Psychiatry and clinical psychology are just not good enough yet. Too many patients are never "cured". Missed diagnoses and misdiagnosis are far, far too prevalent. Medications, despite big leaps forward, are still so often inadequate. Psychotherapies are often full of guesswork. Comorbidities are so common, you have to wonder about the precision of diagnosis in general. It's a mess

[@-cosmicrogue-]

Such an important episode. Thank you so much for addressing this.

[@BasicTruths]

Thank you for bravely sharing your story! Much respect to you!

[@michaelmccollum5360]

Thank you for posting this video. Depression is certainly an issue, not only for doctors, but for nurses as well and I am sure for others that work in the medical profession. I am an psychiatric RN that suffers from depression and absolutely feel the same stressors, maybe not the 80 hour work weeks, but the responsibility I have toward the safety of another human being. I would absolutely love it if you would research and do a video on nurses and depression. I find that many of the patients I have in my practice are either doctors, nurses or research scientists. Sadly some of them are no longer with us.

[@justinhaughton]

Michael McCollum So your saying you have had multiple doctors, nurses, and others from the medical profession come in and not leave?

[@michaelmccollum5360]

Justin Haughton what I am saying is that I have had patients that work in the medical profession get discharged from my care only to be regretfully successful in ending their own life.

[@KinKinOmar]

Firstly, I would like you very much Aaron for talking about this. As a student who has suffered depression I can barely relate and I say " barely" because I am only an occupational therapy student so I cannot imagine what a medical student and a resident are going through. honestly, I was not surprised at all of the number of residents who commit or think of committing suicide. do not get me wrong, it is sad, very sad that it actually leads to that, but as I said; I am an occupational therapy student and I am stressed almost all the time. plus, what do you expect from a resident who works 80 hours a week, under pressure. I mean, I understand that it is a way to make sure they are able to do the job but they should make their hours shorter and their residency longer, most residence would probably will not agree with this, but for the sanity of the future physicians and the safety of their patients they should. but that is not out topic. but it shocking on how many residents and physicians turn to alcohol and drugs since they do have access to drugs, but shouldn't there be an inventory count or maybe a drug check out? I know that pharmacist have easy access to that but what about the rest? they all know pharmacist who would provide them with drugs? I did love what you said at the end, and I quote "Suicide is a tragedy, a physician committing suicide is a travesty.” it is truly sad.

[@jonasmuller1880]

Thanks so much for adressing this issue!

[@camerondaly96]

I would be interested to hear your opinion on general mental health check ups, much like how every 6-12 months we get dental checks or eyes every 2, should we get mental check ups at a certain rate. I think not only could it act as a preventative but also decrease stigma as it became more normal.

[@kimchristine11]

This was an excellent video. Thank you for speaking out about mental illness.

[@hakimahkamul9830]

Thank you

[@ThisMattPitts]

Another brilliant and informative vid. Thank you for being so brave and open!

[@Thunderwalker87]

Dr Carroll, will you be discussing 'compassion fatigue' in the medical professions and the need to better prevent/screen for/educate/train/manage against the same?

[@ktomatchu]

Thank you for sharing.

[@MewtwoShineX]

It seems hard being a doctor emotionally, not only do you have to deal with stress from your own life, you're caring about your patient's lives too. ;-;, my medical teacher told me as a nurse she has witnessed babies dying after birth, and that sounds painful, even if it isn't your child. However, she's glad to be a nurse, she still likes her job even with all that...

[@ArCielCh.]

I'm curious to learn more about Nursing and Depression statistics as well as its effects on patient mortality/safety

[@brucestein988]

The symptoms and working conditions of interns and residents you described sound like combat conditions, and I've known 3 combat veterans (1 WW2 and 2 VietNam) who suffered for years and ended up taking their own lives. To me, it sounds like depression is a direct result of constant, life and death stress. Any research to support this?

[@strawberrysmoothie4563]

Awesome video! Thanks so much for sharing! Much appreciated

[@rashiparihar7958]

I am not feeling well suffering from anxiety and deppresion from four yrs treatment is going to ahemdebad and Delhi ,, PCOd too suffering from too much vomiting past ,,now also feeling like vomiting ,, acidity ,,sleep at 8 00 pm in night and wake up at 3am night

[@annah17]

This was horrifying, even for someone already somewhat familiar with the statistics. I can't thank you enough for speaking about this; I'm even considering a monthly donation despite still being in 6 figures of student loan debt. I'm a retail RPh and I pay extra for my medication at a competitor because my coworkers gossip and despite HIPAA and disability laws I wouldn't put it past my employer to find a reason to fire me if they knew my medical history. Even without a pic or a last name I'm worried someone will figure out my identity, but I felt compelled to post this anyway because I desperately want the stigma to end.

[@trafficjon400]

Do not have patients see this

[@gileswright4014]

I would be interested to know what solutions you think would improve the situation. Would it be as simple as decreasing work hours? That would require many more physicians. What about getting rid of the pressure of accreditation? Accreditation seems to protect the patient more than the physician. If there wasn't pressure to satisfy an accreditation board, then physicians would be more free to medicate themselves as needed. Would it be worth it? Has there been any studies regarding improvements to the industry with and without accreditation boards?

[@pixie7349]

Happens with nurses too; I know alot of nurses afraid to see someone for any mental illness from depression or anxiety to schizophrenia. It's hard to get help when there is such a stigma and fear of keeping their jobs.

[@ColoringKaria]

Ok I am going to ask again... pregnancy and depression and pregnancy and zoloft. what does the research say about pregnancy and zoloft?

[@kullwarrior]

+ColoringKaria It's a pregnancy category C drug, this should be discuss between you and your primary care provider. There isn't any anti-depressant currently available that has been shown to be safe during pregnancy and lactation.

[@ColoringKaria]

kullwarrior the problem is that different doctors are telling me opposing things so i wanted to know what the research says. what are the actual numbers and the actual data.

[@kullwarrior]

+ColoringKaria It's unclear because the results are, I'm not a physician nor medical student myself and I have very limited knowledge on it aside from my basic pharmacotherapeutic course where I learn that every medication must be reevaluated during pregnacy. Take a read of the following and talk to your OBGYN. If you are not familiar reading medical/ scientific literature, read it and bring the paper to your physician. 850: Selective serotonin reuptake inhibitor (SSRI) use during pregnancy and risk of preterm birth: a systematic review and metaanalysis. (2016). American Journal of Obstetrics & Gynecology, 214(1), S443-S443 1p. doi:10.1016/j.ajog.2015.10.900 701: What are the outcomes and costs of the treatment of depression during pregnancy with SSRI’s?. (2016). American Journal of Obstetrics & Gynecology, 214(1), S369-S370 1p. doi:10.1016/j.ajog.2015.10.748

[@ColoringKaria]

right i get all that but the same can be said for a 101 questions that get addressed on health care triage. Im not looking for a definitive answer or medical advise just a break down of what the research says. i mean if we cant ask "what does the research say" whats the point of health care triage?

[@conniel.2346]

've known a long time now about the higher rates of depression in physicians, but what about other clinicians? I'd love to hear your thoughts. I'm an NP and I am interested in hearing about other clinicians as well in this regard.

[@skysworld2174]

honestly while i know it's not quite the same...as a beginning teacher at a school that did not support or acknowledge the many special needs, with all English language learners and very difficult parents and students and adminstration in rural Qatar...I had a lot of the same feelings! I was also understaffed and overworked and very sleep deprived which just added to these feelings. Like even if I could find a therapist I couldn't imagine even finding the time to drive into Doha to see said therapist. I also didn't have a support network there when I arrived and no really really close friends to catch me. :( I cant imagine seeing kids you grew close to die though, that's one way its very different. :( Teaching is another one of those jobs where admitting to it can really impact your career negatively and because a lot of my friends were coworkers I felt like I couldn't open up about it. Teaching is another one of those jobs too where you can really influence vulnerable sectors by not having it dealt with. I wish that teacher (and physician!) mental health was something taken more seriously, and for those teaching overseas without a spouse or family I think it's doubly important to make sure that things are a-ok!

[@YusufSheth]

Great episode

[@Kara-tv2ns]

Depression among workers in the medical field is an important obstacle that needs to be defeated. I am pursuing nursing school and I am currently a CNA, and both of those can be stressful. There are points in time when I wonder if it’s all going to be worth it in the end. Not being able to see my patients because of the overload in school can be sad because they depend on me when I am normally scheduled. I did research on burnout in palliative care nurses and depression in medical staff is more common than one would think. One of the risks of seeking help for depressed physicians would be taking a step back from their job and not working. For some doctors, working is their life and could be the only thing keeping them going during this depressing stage in their life. Without knowing it at that point, they may be experiencing burnout which could also be a cause of depression. A lot of stress can be put on doctors and even nurses as I have experienced. Knowing that someone is dependent on you makes you feel like you can’t screw up and everything has to be perfect or that patient will lose respect and trust in you. After becoming so close with a patient, the feeling of letting them down can be heartbreaking and that feeling stays with you. Also, with a patient feeling so close to their doctor or nurse and their doctor committing suicide because of depression, can also make the patient depressed and even make the patient feel like it’s their fault. For doctors, physicians, nurses, or anyone in the medical field that may think they are experiencing depression should be allowed some days off and have some time to themselves to get back on the right track. If vacation time doesn’t help, further help is sought after. All medical field workers should feel comfortable with getting help, even if it seems unusual for someone as high up as a doctor to need help.

[@crystallovesduke]

Thank you for this video.

[@justinhaughton]

Well done sir. God bless.

[@Anonymous-bb5uc]

Wow. I am honestly shocked at how high some of the statistics were mentioned in this video. It’s very sad that so many doctors are feeling and experiencing this. I can imagine though that with all the hours they have to work, having people’s lives on their hands and watching some of their patients not make it can have a huge impact on them. I think this issue needs to be brought to attention more so that doctors can feel that they can be more open about it and people can help those who need it and people can be more aware of this issue. Considering that my major is nursing, I am curious to what the statistics for nurses and depression is.

[@johnwilkins3116]

you suck

[@johnwilkins3116]

Like for real though you really suck

[@boballende]

Excellent!

[@khyreedwards1228]

Thanks for sharing

[@NethDugan]

Someone should show this to Jeremy Hunt. Don't know how the stats vary here in the UK but considering what he's trying to do, may be important to consider.

[@michaelsjoquist976]

honestly the stress and anxiety is see docs go through as well as the depression rates scares me a way a bit from wanting to become a physician. Is this something i should consider when thinking about becoming a physician?

[@Quagthistle]

Sadly, it's not surprising. I wonder how many Doctors get into medicine just because they want to help people and then find out it's an endless labyrinth of rules forced upon them by "higher-ups" (even when they are detrimental to the patients' health), watch money bleed from their patients into everyone's pockets (except, seemingly, their own), and live under laws that probably aren't clear to anyone. Add to that the terrible hours, the long stretches of repetitiveness punctuated by the odd medical "zebra" here and there that, perhaps, deep down inside, they regret treating as a horse (though, speaking as a frequent medical "zebra", you get used to being mistreated after a while and, as a survival technique, become rather jaded about medicine in general because doctor after doctor after doctor... ...after doctor can't do anything to help, even offer a mere kind word). In short, I think the entire system is terribly broken. Doctors don't have time to be doctors, and NO ONE is good at diagnosing health probems. They put patients through a string of useless, potentially quite damaging tests because they don't know how to ask enough questions first to narrow the choices, and then abandon those patients into an endless cycle of Doctor-Psychologist ping pong (where patients are perpetually referred back and forth across the "medical-psychological barrier" as both sides find no cause for the obvious illness afflicting the patient). Having to be a player in this game of "ping pong", having to be one of the people upon whose shoulders rests responcibility for the sea of suffering that "ping pong" game causes to others, having to watch patients I couldn't help and didn't even understand why they were sick slowly degenerate would be very difficult. I do not envy Doctors their station in life, even while wishing they had a touch more compassion while playing "ping pong". I don't think any of the doctors I've dealt with, even the most rude and unkind ones, set out to start their day hurting someone in a way that, whether physically or emotionally... or more likely both, will last them the rest of their lives. Living with that knowledge would be difficult. The fact that I suffer pain every single day caused by Doctors' attempts (however unfruitful) to help me nearly two decades ago doesn't mean I can't show them more compassion than they ever bothered to show me.

[@serseriherif9530]

Thank you for sharing this is a great insight and very usefull for future physicians like me

[@johnwilkins3116]

Now if your a resident is there a possibility that you could have to work long hours? and if so couldn't that lead to sleep deprivation which side effects are depression, moodiness, cognitive dysfunction, impaired brain activity. Now also if they have to stay at there hospital for more than a couple of days they could possibly have symptoms of homesickness now this isn't that likely but it could happen. Now this is a big issue because physicians are able to prescribe medication to patients and or themselves. Event though physicians think that they know more about what's going on in there life and try to self diagnose themselves they need to realize that they should never do that.

[@RainAngel111]

My grandpa was a doctor and barely any of the colleagues he worked with in his age group are doing well. Most of them are depressed and abusing, despite having relatively successful careers...

[@DogsBAwesome]

The only time I got depression was caused by struggling to cope in a new job, I suspect it's the same for trainee doctors.

[@mitchumsport]

wow. thanks for sharing!

[@freeradicalpanda]

We lack a proper support structure. I’m a depressed MD with light substance abuse issues. The former will put me on the radar for a review board and the latter could cost me my license… In Denmark where I live psychologists have a duty to report problematic behavior and because of this, I cannot get help. Apart from my own help, but that’s severely hampered by 70 hour work weeks without proper rest or time to heal. We’re expected to be smart scientists and Teflon-like heroes, so anything short of that feels like a failure. Even if you’ve never made a mistake… And yesterday I got a colleague complaint for being ‘distant’… nurses just pile more flaming shit on the burning dumpster fire that is an average MD’s mental health. In 3 years of practicing medicine I’ve had 3 young colleagues kill themselves. The system is broken unless you’re a psychopath.

[@BazookaTooth707]

Great upload

[@willow93932]

you rock man. thank you for making this video.

[@jenacorn]

Is there a correlation between depression and "burnout"?

[@TheDirolo]

Could you make more videos about mental health pleeeaase? Emotional health is also included in the full health spectrum.

[@JCResDoc94]

We dont keep EtOH on the anesthetic trolley, do we? Or do I never make it that far along. Or not remember... Dont you guys have a secret doc rehab over there?

[@ChristophWagnerCW]

A few years ago I had a girlfriend who studied to become a doctor (Germany). It took her a very long time to go into therapy because of her depression as she would have to pay far more to get occupational disablement insurance :(

[@meganhecox5381]

This video was very surprising to me as someone who is pursing Medical school. Currently as a Pre-Med undergraduate student, I am focused on the grades to get into medical school and not the effects that medical school can have on a person. It is not a secret that medical school involves long hours of studying, tons of stress, and very little sleep. But the facts in this video about the amount of residents who show symptoms of depression were very shocking to me. The amount of doctors that have symptoms but do not get medically diagnosed because they are afraid it will affect their professional career is too high. Doctors are humans too, and should not be subjected to not getting the treatment they deserve. Knowing the facts about depression in this field does not effect the that I want to pursue this career. I am choosing to have a career that is focused on beneficence, which is the moral duty to benefit others. As the video states, Doctors have to continuously care for others but are unable to get the care they need because of negative affects surrounding the stigma of doctors who are depressed. Without this care doctors and patients are at great risks because instead of getting the treatment they deserve doctors are turning to harmful addictions that can have seriously negative effects on them and every patient they treat. Along with the addiction rate among physicians, the suicide rate is also way too high, the health care field has become to business-like and less health care oriented. Doctors are sometimes more worried about their business than their own health. While I do believe running a business is another task doctors must take on, their health should be considered more important. I believe all doctors should be able to get the care they need without the fear of ruining, or at the least impacting, their professional career.

[@cait4976]

you stated a while ago that there was a video about SSRIs coming out... is that going to be soon?

[@AlexTheMary]

He already did one.

[@cait4976]

+Alexandria Ingram there's one on prenatal depression and one on antidepressants affecting autism rates, but that's all I see in terms of SSRIs

[@cait4976]

*parental/ postnatal, not paying attention sorry.

[@AlexTheMary]

Ah, gotcha!

[@Tredoslop]

Very professional and brave! Good video!

[@AlexRo2016]

Can you talk about the new sepsis definition?

[@trafficjon400]

every body go's through depres-

[@megann2546]

No one talks about mental health!!! Can we not keep this going? Everyone knows someone.

[@kennyc002]

Psh. That's nothing compared to the despair of those of us who see these words year after year: "You have not matched"

[@goddessdejour]

Please address this for others who are not doctors. I would love more insight on this disease. It seems to be one of out greatest epidemics right now - all around the world.

[@rashiparihar7958]

I am 16years old plz help me taking Metformin

[@eoinMB3949]

Ridiculous hours, dealing with difficult and abusive patients, having to spend a disproportionate amount of time studying, abuse from superiors and a toxic work environment......that's why.