This timely book offers a balanced and thoughtful review of the current mental health emergency and its impact upon and among medical professionals, supported by the best available evidence and illustrated through real-life cases. Recognising the increasing stressors in the role including the impact of the environment in which doctors work, the book examines some of the key emotional drivers for this unhappiness among doctors at work - shame, stigma, suffering and sacrifice - and offers practical steps to emotional and physical recovery. Despite the obvious challenges and stresses of the role, with the right support in place the vast majority of doctors can thrive in their jobs. In reading this book, policy makers, politicians, educators, hospital managers will be reminded of the ethical duty to ensure that doctors are cared for and have access to the time, people and spaces to remain psychological healthy, while doctors will learn to recognize and seek actively the help that they need, and to support and guide one another.
Acknowledgements Contributors Preface SECTION I. THE MAKING OF A DOCTOR 1. The making of a doctor: medical self and group of belonging 2. Mental illness in doctors: an historical context 3. What makes medicine such a difficult task master and doctors at higher risk of mental illness? 4. Rising levels of mental illness, fact or fiction? 5. Surviving and thriving in medicine 6. Resilience 7. Shame in medicine 8. Suffering, sacrifice and stigma SECTION II. DOCTORS AND THEIR ILLNESSES 9. Doctors and mental illness: an overview 10. Doctors and substance misuse disorder 11. Autism in doctors 12. Burnout in doctors 13. Suicide in doctors and its sequelae 14. Bipolar disorder and other psychotic states 15. COVID-19 and mental illness SECTION III. DOCTORS AS PATIENTS 16. Doctors as patients 17. Doctors treating doctors 18. The doctors' doctor 19. How to be a good enough patient: from sickness to health 20. Services for mentally ill doctors 21. The migrant doctor 22. Medical students 23. Different specialities and risk of mental illness 24. Talking helps SECTION IV. WHEN THINGS GO WRONG 25. Sticking to the rules: professional and unprofessional behaviour 26. Making sense of the regulatory process 27. Improving the outcome of a serious investigation Index