As I reviewed the notes, it occurred to me that many of my peers and I have displayed some of the signs and symptoms of mental illness. Our professor’s lectures emphasized the importance of recognizing these features in patients, but what about identifying them in ourselves? Should it also be our duty to recognize the signs and symptoms in our colleagues?
In a profession where we are trained to fight death around any corner, any day, students need to not only understand how to handle death in a medical setting but also how to cope with the weight we bring upon ourselves in end-of-life situations. No matter our past experiences, no matter our clinical training or how academically prepared we think we may be, it can be traumatic to feel the burden of responsibility for the loss of a life.
A few years ago, I found CrossFit. Since then, I have spent a large share of my free time training and improving my health and fitness. As with any sport, there was a large learning curve. However, as I trained, my mind and body adapted. I made strides both athletically and mentally that I never thought were possible. I never imagined that this preparation and development would translate to a seemingly opposing task: medical school.
Anxiety defined me more when I denied its existence than it does now that I’ve faced it head-on. Maybe the anxiety helped me get to where I was, but it was a burden I didn’t have to bear — especially not alone. Even knowing how important mental health is as a future physician, it embarrassed me to admit that I might need a prescription to help me cope with my fears and anxieties.
And with scientific advancements came cures and treatments that the healers of antiquity could have never imagined. However, these advances came at the cost of appreciating a holistic approach to health. How pitiful is it when a profession which was once completely focused on healing the whole person must now devote entire conferences and countless seminars to finding ways of injecting that back into both its practitioners and the people they serve?
I was anxious because I was used to moving at such a fast pace that slamming on the breaks gave me whiplash. I was desperate for things to do because I had forgotten how to slow down and relax — how to just be. Slowly, I began to see the opportunity that quarantine had presented me with.
I applied to medical school twice. In retrospect, I was unsuccessful the first time for a few reasons: my timing was terrible, I had too much humility about my achievements and I didn’t ask for enough opinions about my application from people who were rooting for me. My trauma was also too raw and recent to write in a way for strangers to understand.
A medical student, to whom I will refer as X, posted on their social media page they were going to kill themselves. Their letter was direct, raw and, as many suicide notes tend to be, apologetic. They explained they felt they no longer had the strength to keep fighting; it was simply “time for them to go.”
When it comes to our younger family members, this means acknowledging their social as well as functional and emotional needs. With this in mind, we should consider three key principles as we focus on the mental health of our younger family members.
Interviewers who ask these questions in a professional setting typically consider these issues to be academic — purely topics for discussion that might provide useful insight into the way the applicant views the world. But for applicants who have been affected, these issues are not merely academic and their discussion can invoke significant emotional turmoil. So before we continue to tacitly accept this shift in interviewing, it is important to consider its purpose and impact on those being interviewed.
“I still feel the same,” she says / after three weeks of ECT. / Monday / Wednesday / Friday —
In order to flatten the COVID-19 curve, many people have been practicing social distancing and staying at home to avoid possible exposure to carriers and infected individuals. While these measures are necessary to slow the spread of the virus and keep the number of cases at a manageable level, they have several implications for mental health.