Prosperous Doc Podcast

Podcast Episode 38 | The Importance of Physician Mental Health

Written by Dr. Michael Myers | Mar 5, 2021 12:00:00 PM

 

Episode Summary

Dr. Michael Myers admits he was late coming into the psychiatry field. As a first-year medical student in 1962, one of Dr. Myers’ roommates, also a medical student, committed suicide.

The stigmatization surrounding mental health and suicide was so profound that the school did not even acknowledge this student’s passing. It was then some years later as an internal medical resident that Dr. Myers saw, once again, the imminent threat of poor mental health amongst physicians.

“It was through that, that I got thinking I would like to attempt to be involved in people’s lives before they reach that desperate point,” Dr. Myers says of the experiences that drove him to his current profession.  

In this episode of Prosperous Doc, our host Shane Tenny, CFP® welcomes Dr. Myers to discuss his new book, “Becoming a Doctors’ Doctor,” and the path that led him to and his work in psychiatric care for physicians.

Dr. Myers also discusses the impact, both negative and positive, COVID-19 has had on physicians and all healthcare professionals. He says the level of work brought on by the virus has certainly caused more work, more pressure, and more isolation for healthcare professionals. He also acknowledges, however, the true grit camaraderie that has blossomed amongst physicians like he has never seen before.

The pandemic has also brought a newfound focus on mental health and self-care. People who spend their lives helping others are finally getting the focus and attention they deserve.

“I think that I've seen big changes. I'm so hopeful about everything. I just feel that despite all of this and what we're going through in the world, I think, in regards to physicians’ health, we're making big strides,” Dr. Myers says.

 

Featured Expert 

Name: Dr. Michael Myers

What he does: Dr. Myers is Professor of Clinical Psychiatry and recent past Vice-Chair of Education and Director of Training in the Department of Psychiatry & Behavioral Sciences at SUNY-Downstate Health Sciences University in Brooklyn, NY, where he focuses on research and mental health for physicians.

Company: SUNY-Downstate Health Sciences University

Words of wisdom: “My line is always the same, ‘Whatever you do, do something.’ Okay?”

Connect: Website | LinkedIn | Twitter | Book

 

On the Money

Top takeaways from this episode

  • Breaking the stigma around seeking mental health help is vital to physicians’ well-being. Medical professionals tend to be perfectionists so they have an internal stigma that tends to make them feel weak, flawed, or inadequate when their mental health starts deteriorating. There is also the external stigma that society has against those who suffer from a mental illness. Until these stigmatizations are eradicated, physicians will be in danger of suffering more.
  • A lot of research has been done, but there’s a long way to go. While conducting research for his book, Dr. Myers interviewed families whose loved ones had died by suicide. Roughly 15% to 20% of the people he spoke with reported that their loved ones had not sought consultation of any kind. Their treatable illness went completely ignored, leading to their death.
  • Whatever you do, do something. If someone, in any walk of life, feels like they need help with their mental health, Dr. Myers advises them to do something. Reach out. Tell someone. Seek help.

 

Prosperous Insights

[3:52] Background and motivation: After seeing his own roommate commit suicide in medical school and seeing the stress and threat of mental illness plague doctors while on a rotating internship, Dr. Myers was motivated to enter the psychiatry field. A few decades and books later, Dr. Myers is now chronicling his experiences in “Becoming the Doctors’ Doctor.”

[06:38] Community and camaraderie can save lives: In the wake of the COVID-19 pandemic, Dr. Myers explains how he and fellow psychiatrist Dr. Viswanathan start support groups for frontline physicians, including the critical care physicians, the anesthesiologists, trainees, as well as the emergency physicians to find some sort of solace with each other.

[11:44] Doctors are human too: For far too long, doctors and physicians have been pushed like work horses, expected to keep up with new patients and new cases as they present themselves. This mode of work is not sustainable.

[16:14] Changing perceptions on physician mental health: The national medical licensing boards are beginning to look at questions that are giving physicians the opportunity to be more vulnerable about their struggles with mental health.

[24:38] Psychiatrists can learn from their patients: Dr. Myers describes how psychiatrists can become overconfident. The antidote? Humility.

[27:49] Not seeking mental health expertise: A doctor wouldn’t die from cancer without having seen an oncologist at least once. However, often when a physician commits suicide, he or she likely has not sought help from a psychiatrist.

[30:25] How to help: When sufferers begin seeking help, performing simple tasks such as making a phone call can be monstrously daunting. Dr. Myers describes how best to help.

 

Financial Wellness Tip

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Disclaimer: Prosperous Doc podcast by Spaugh Dameron Tenny highlights real-life stories from doctors and dentists to encourage and inspire listeners through discussions of professional successes and failures in addition to personal stories and financial wellness advice. Spaugh Dameron Tenny is a comprehensive financial planning firm serving doctors and dentists in Charlotte, NC. To find out more about Spaugh Dameron Tenny, visit our website at www.sdtplanning.com. You can also connect with our host, Shane Tenny, CFP at shane@whitecoatwell.com or on Twitter.

Compliance code: CRN202302-278469

Top quotes from the episode:

[11:44] “I think for too long, there's been this sense that most doctors are tough, they're work horses. Just give them more work, pile it on and they can do it. But we've known them for a couple of decades or longer that that's not healthy. It can't be sustained.”

[17:15] “I interviewed family members of doctors who had taken their lives. I can tell you, there were at least 15 to 20% of these families that I interviewed where their deceased loved one, one died by suicide without a consultation. They did not go to a primary care physician, to a psychiatrist, to a psychologist, to the clergy, anybody … because they were just terrified of what this could mean in terms of their licensure or the disability insurance or things like that, and that is tragic. Absolutely tragic.”

[28:08] “I do so much education on things to watch for, red flags, making sure that you can kind of bust that stigma so that the doctor can just get help because it breaks my heart when I see people, including physicians, dying by suicide, a treatable illness. This doesn't happen in other branches of medicine. I have a lot of friends who are oncologists. I said, ‘You never heard of a doctor dying of cancer who didn't go to an oncologist at least once?’ He said, ‘No, I haven't.’ I said, ‘Well, we certainly see it in my branch of medicine.’ So there's those sorts of things because these things can be treated.”

Full Transcript