A recent article in JAMA reveals a critical public health issue: a significant number of doctors with mental health conditions are not seeking treatment. This is particularly concerning given that physicians experience higher rates of burnout, depression, anxiety, and suicide risk compared to the general population. This 'treatment gap' not only impacts a doctor's personal well-being but also the quality of patient care and the overall stability of the healthcare system.
A Culture of Silence and Risk
Several interrelated factors contribute to this problem. A key issue is the culture of medicine itself, which often normalizes high levels of distress and inadequate self-care. As Dr. Daniel Saddawi-Konefka of Massachusetts General Hospital notes, there's a mentality of 'If you cough up a lung, you shove it back in and get back to work.'
On top of this, doctors fear the professional consequences of seeking help. They worry it could jeopardize their licenses, credentials, or careers. According to a CDC report, the most common barriers cited by physicians are difficulty getting time off work and concerns about confidentiality. The fear of a privacy breach is a major deterrent for nearly two-thirds of practicing physicians.
Solutions for a Healthier Medical Community
To address these barriers, experts recommend a comprehensive approach focused on systemic change and increased support. This includes:
- Policy Reform: Healthcare organizations must eliminate discriminatory questions about mental health during the licensing and credentialing process.
- Education: Leaders should openly demonstrate that seeking mental health care is compatible with professional success to help reduce the stigma.
- Support Programs: It's essential to expand confidential and easily accessible resources, such as anonymous screening tools and therapy networks.
The most urgent priority, according to the authors, is to implement these proven strategies to support physician well-being. As Dr. Saddawi-Konefka says, seeking help isn’t about heroism—it’s about doing what’s necessary to take care of yourself.
Source: Physician's Weekly | September 2, 2025