
Some physicians may be more comfortable sharing their mental health struggles with a trusted colleague, and there is evidence that peers can provide early recognition, emotional support, and referrals for distressed co-workers. How?
Recognition: Indicators of mental distress include:
- Negative, unexpected changes in emotions, attitude, or behavior.
- Self-medicating with alcohol or other drugs.
- Impaired work performance.
- Uncharacteristic conflicts with colleagues.
- Unusual mood swings or outbursts.
Intervention:
- Express concern in a respectful, supportive way.
- Share your own struggles, past or present, with stress.
- Ask if they want to discuss.
- If so, listen and ask open-ended questions (what, how, why).
- Avoid playing “therapist.”
- Determine if they want professional support.
Referral: If your colleague is amenable, you can recommend a trusted mental health resource you know.




