Anxiety disorders amongst doctors beck’s anxiety inventory test pdf – the elephant in the room faculty of medicine

We lived then in zambia and this family trip was beck’s anxiety inventory test pdf faithfully recorded on my mum’s box brownie, the results being of the “find the elephant” variety. We had been walking with an african game guard who beck’s anxiety inventory test pdf was intimidated into going far too close to a herd beck’s anxiety inventory test pdf of elephants by a bullying and over- zealous american. I ran faster than I have ever run before or beck’s anxiety inventory test pdf since, heart pounding, hyperventilating and scared silly. Anxiety disorders feel exactly the same – but there is no elephant and you cannot run away.

As doctors, we respect the fact that for patients, mood disorders are seen as an illness, a disorder for which we can suggest treatment.


We accept that there is a high incidence of anxiety beck’s anxiety inventory test pdf and depression in our community. However, this is not necessarily how we feel when confronted by beck’s anxiety inventory test pdf a colleague with symptoms or even when we suffer ourselves.

There seems to be a belief that as doctors we beck’s anxiety inventory test pdf are omnipotent, infallible and that somehow we avoid the problems our patients beck’s anxiety inventory test pdf present with, particularly issues of mental health. In truth there is a high prevalence of anxiety disorders beck’s anxiety inventory test pdf amongst the general population and this is reportedly even higher beck’s anxiety inventory test pdf among doctors and medical students.(1) we need to talk about it because by not talking beck’s anxiety inventory test pdf about it, the problem remains hidden and this is isolating and may beck’s anxiety inventory test pdf discourage doctors from accessing treatment.

The beyond blue survey asked whether the respondents would trust beck’s anxiety inventory test pdf a colleague they found out had a mental health disorder, many said they would have reservations. It is small wonder that many medical students and doctors beck’s anxiety inventory test pdf are reluctant to discuss their problems with other medical professionals. Those who do are sometimes met with judgement or at beck’s anxiety inventory test pdf times with a complete lack of understanding for the profound beck’s anxiety inventory test pdf effect anxiety and depression may have. Those with symptoms of anxiety often suffer in silence, fearing their competency will be in question or worse, that their licence to practice could be withdrawn. The unfortunate consequence of delaying care is that the disorder beck’s anxiety inventory test pdf may become more severe, they may develop more complex symptoms and worse, may have thoughts of self-harm, and there is evidence their performance may be affected, possibly compromising patient care.

“I can’t seem to get it across that my stress is beck’s anxiety inventory test pdf constantly 1000% of what I feel able to manage and it absolutely beck’s anxiety inventory test pdf rules my life; I don’t go out, I don’t socialise and I feel on the verge of a beck’s anxiety inventory test pdf mental breakdown constantly. I can’t even watch medical themed programs on TV because I beck’s anxiety inventory test pdf find them stressful! It’s ridiculous and makes me feel pathetic and weak because beck’s anxiety inventory test pdf I know I’m capable of more and this just isn’t me. Every single moment of my life (I even dream about it) is spent obsessing about work.” (young doctor, blogging)

Our profession is very demanding and there is little room beck’s anxiety inventory test pdf for error. Even to reach the starting block, to gain medical school entrance requires a high level of beck’s anxiety inventory test pdf dedication and commitment to studying. Medicine attracts high achievers and perfectionists. Those very traits which allow them to be high achievers beck’s anxiety inventory test pdf both pre- and post-graduation are the traits that may lead to anxiety during beck’s anxiety inventory test pdf their career.

It is almost impossible now for one individual to hold beck’s anxiety inventory test pdf the breadth of medical knowledge. Medicine is not an exacting science, so that for each of the enormous number of diseases beck’s anxiety inventory test pdf we have identified, each may have several ways of presenting and may present beck’s anxiety inventory test pdf differently in the disease’s different phases. How therefore can any one individual have an infallible sense beck’s anxiety inventory test pdf of safety in their own resources? When stressors are high for doctors both within and outside beck’s anxiety inventory test pdf the work arena, a relationship breakdown, being sued, an error of judgement, a stressful clinical encounter, symptoms of anxiety may arise for the first time or beck’s anxiety inventory test pdf escalate, affecting their ability to cope.

Transition times create a vulnerability to anxiety which may not beck’s anxiety inventory test pdf have previously manifested – students moving into the clinical phase of training, starting work as a junior doctor, sitting exams which dictate whether you can progress or not, taking full responsibility as a specialist, where the buck stops here. These are really important times to practise self-awareness and self-care, to create support networks and find ways of supporting your beck’s anxiety inventory test pdf work/life balance.

As a profession we are tough on ourselves, often having completely unrealistic expectations of ourselves. We expect ourselves to be superhuman, perfectionist and on top of that to be altruistic and beck’s anxiety inventory test pdf compassionate towards our patients. Couple that with a curious intolerance of lack of toughness beck’s anxiety inventory test pdf in colleagues and we have created a monster for ourselves. Small wonder doctors developing anxiety disorders judge themselves.

“I have become more reclusive having been very social in beck’s anxiety inventory test pdf the past and I fear for my future career. My biggest problem seems to be performance. I am very comfortable taking care of patients but having beck’s anxiety inventory test pdf to get up in front of crowds for presentations and beck’s anxiety inventory test pdf even sometimes during surgery I find myself dizzy, nauseated and on the verge of vomiting. It is becoming too much me for me to handle, and unfortunately I have attempted to seek help but discovered beck’s anxiety inventory test pdf my concerns will not be so well understood by my beck’s anxiety inventory test pdf superiors.” (surgical trainee, blogging)

RELATED_POSTS