Sometimes it is hard for us to remember that we are human, and prone to the same mental health challenges that anyone else in the community might face. We are lucky to have colleagues who are willing to share some of their personal experiences dealing with both their own mental health and that of their family and friends. In the cases of colleagues that have been lost, I am grateful for the family members who have raised the profile of doctor mental health, and the challenges that we face as a profession when we are not okay.
Self care within an overwhelmed system can be difficult. It is important to identify the things that help you to feel grounded, and try to practice them each day. Sometimes these things are very basic, sometimes they take some planning. For me the list includes some daily exercise, eating proper meals, and spending some time with my family. A colleague ensures that they spend 20 minutes each day meditating and commits to limiting treats to the weekend. A doctor who taught me at medical school told me that he always gets a little down over winter, and that exercising outdoors a few times a week is the key to keeping him on track.
What do we do when we are trying our self care, and we are still not okay? It is best not to be our own doctor.
I want to encourage everyone to have their own GP. Someone who knows you. Someone who knows your history. Someone you feel safe to talk about how you feel. This step is a little easier for those that are in stable living circumstances. If you are a doctor in training who is moving regularly, I encourage you to speak to your hospital team to identify local GPs who are happy to see you. If these options are not available, please contact the Doctors Health Advisory Service. On this site you can find the contact number for 24 hour assistance, as well as a list of GPs in NSW. Similar lists are available in other states.
If you are really not okay, and are concerned about your safety please call lifeline or the suicide callback service. Both services offer supportive counselling that is free, and follow up sessions can be organised if needed.
I want you to know that you are not alone. Please do not be afraid to seek help. We are here for you.
Dr Kerrie Aust 