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    Depression in Physicians and Medical Students Depression Common 17% of general population risk for physicians. Study of 454 MDs 40% clinically depressed 25-40% medical students and residents will experience a depression. Despite the incidence, the morbidity and mortality, depression in physicians often goes untreated.

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    Depression in Physicians and Medical Students Depression Common 17% of general population risk for physicians. Study of 454 MDs 40% clinically depressed 25-40% medical students and residents will experience a depression. Despite the incidence, the morbidity and mortality, depression in physicians often goes untreated.

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    32 views22 pages

    Depression in Physicians

    Uploaded by

    Premed
    Depression in Physicians and Medical Students Depression Common 17% of general population risk for physicians. Study of 454 MDs 40% clinically depressed 25-40% medical students and residents will experience a depression. Despite the incidence, the morbidity and mortality, depression in physicians often goes untreated.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT or read online from Scribd
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    of 22

    Depression in Physicians

    & Medical Students

    Dr. Leslie Flynn


    Depression

    ❚ Common

    ❚ 17% of general population

    ↑ risk for physicians


    Did you know?

    ❚ 1997 study of 454 MDs

    ❚ 40% clinically depressed

    ❚ 25-40% medical students &


    residents will experience a
    depression
    Did you know?

    ❚ 2 periods that place you at


    high risk

    ❚ end of 2nd year of medical


    school

    ❚ first year of residency


    What is Depression?

    ❚ an illness

    ❚ mood disturbance

    ❚ depressed mood, sadness, low


    Associated Symptoms

    ❚ Loss of interests & loss of


    pleasure
    ❚ Inability to concentrate
    ❚ Sleep disturbance
    ❚ Appetite disturbance
    ❚ Decreased energy
    ❚ Guilt
    ❚ Worthlessness
    Suici de
    ❚ Males: 1.5 x rate

    ❚ Females: 3 x rate

    ❚ estimated # equivalent to an
    average-sized medical school
    class
    Why are we at Risk?

    ❚ Personality Characteristics

    ❚ Occupational Risks

    ❚ Social Risk Factors


    Personality Characteristics

    ❚ I am excessively
    perfectionistic.
    ❚ I strive for control.
    ❚ I am dedicated and committed.
    ❚ I have self-doubt.
    ❚ I am competitive.
    ❚ I do not display anger.
    ❚ I am a perennial caretaker.
    Occupational Risks

    ❚ Workload
    ❚ Lack of Sleep
    ❚ Poor Eating Habits
    ❚ Poor Level of Fitness
    ❚ Exposure to Illness, Tragedy &
    Death
    ❚ Patients: demanding,
    dissatisfied, unappreciative
    ❚ Scrutiny
    Social Risk Factors

    ❚ Strained relationships

    ❚ Financial worries

    ❚ Too little time for personal


    activities

    ❚ Social pressures
    Risks for Medical Students

    ❚ New School
    ❚ New City
    ❚ Work Overload
    ❚ Expectations
    ❚ Inadequate Study Skills
    ❚ Fear of Academic Failure
    ❚ Loneliness
    Treatment Options

    ❚ Medication

    ❚ Psychotherapy

    ❚ 60-70% response to initial


    treatment

    ❚ Of remaining 30%, 90% respond


    to alternative therapy
    Despite the incidence, the
    morbidity & mortality, and
    the availability of effective
    treatments, depression in
    physicians often goes
    untreated.
    Barriers to Treatment

    ❚ Intellectual Defenses: Denial,


    Minimization,Rationalization,
    Reaction Formation,
    Displacement
    ❚ Lack of time
    ❚ Fear of psychiatrists
    ❚ Cynicism about psychiatry
    ❚ Fear of being a patient
    ❚ Stigma
    Prevention

    ❚ Self Awareness
    ❚ Self Care
    ❚ Adequate Sleep
    ❚ Healthy Eating
    ❚ Exercise
    ❚ Social Activities
    ❚ Avoid caffeine, nicotine,
    alcohol, marijuana
    Warning Signs!
    ↓ energy
    ↑ in physical problems
    ↑ in negative thoughts & feelings
    ↑ problems with relationships
    ↓ interaction with others
    ↓ cognitive ability
    ↓ exercise
    ↑ alcohol
    Depression is a treatable
    illness.

    Physicians do well when


    treated.
    Who to Cal l?

    ❚ Dr. Leslie Flynn

    ❚ Dr. John Smythe

    ❚ Dr. David Holland


    Who to Cal l?

    ❚ Your family doctor

    ❚ Student Health Services: Dr.


    Steve McNevin, Dr. Heather
    Pearson, Dr. Mike Condra
    Who to Cal l?

    ❚ Physician Health Program


    OMA
    Dr. Michael Kaufmann
    1-800-851-6606
    1-416-340-2972
    We are a community
    ❚ Since colleagues are reluctant
    to seek help, it is crucial to
    watch out for each other
    ❚ Recognize signs & sx of
    depression
    ❚ Offer help without judgement
    ❚ Call us!

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