Burnout Might Really Be Depression; How Do Doctors Cope?

Burnout Might Really Be Depression; How Do Doctors Cope?

Leigh Page

Disclosures

January 17, 2018

51
In This Article

Many Depressed Physicians Don't Get Treatment

Physicians often do not seek treatment for depression because doing so can lead to licensure restrictions, limits on hospital privileges, and extra follow-up examinations.

"Physicians cannot talk honestly about what is happening," says Pamela Wible, MD, a family physician in Eugene, Oregon, who speaks on physician depression and runs a suicide hotline for doctors. In an informal survey of physicians, Dr Wible found that a majority had been depressed at some point in their career, but only about a third sought professional help.[2]

"Some physicians with depression drive hundreds of miles to get treatment so that they won't be identified," Dr Wible said.

Does Depression Affect Patient Care?

In Medscape's Burnout & Depression Report, one third of depressed physicians said their condition affected patient care. Specifically, 33% said they were more easily exasperated by patients, 32% said they were less engaged with patients, and 29% said they were less friendly with patients. (Physicians could select more than one answer.) More concerning, 14% said that due to depression, they might make errors that they wouldn't ordinarily make, and 5% said they've made errors that could harm patients.

Higher numbers of respondents said their depression affected dealings with colleagues and staff. Fully 42% indicated exasperation with colleagues, another 42% indicated less engagement with colleagues, and 37% said they expressed their frustration in front of staff or peers.

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