A sea change for sick doctors - how do doctors fare after presenting to a specialist psychotherapy service?

Davies, Sally, Meerten, Maja, Rost, Felicitas and Garelick, Antony (2016) A sea change for sick doctors - how do doctors fare after presenting to a specialist psychotherapy service? Journal of Mental Health, 25 (3). pp. 238-244. ISSN 0963-8237

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Abstract

Background: Little is known about doctors who present to services following an episode of psychological distress. MedNet is a psycho-dynamically informed confidential self-referral service for doctors. Aims: To examine the health and work trajectory of MedNet clients between 2002 and 2007 followed up in 2010. Method: We report and compare service-monitoring data for 124 doctors on engagement with health services, whether in work or not, sick leave utilised, and reported distress measured by CORE-OM at intake and at one follow-up time point. Results: 95.6% of doctors continue to work and progress in their careers. 58.3% remained engaged with services. Sick leave had reduced significantly at follow-up. Distress was significantly reduced, but no differences were found with respect to social functioning and well-being. An interesting shift was observed in doctors' use of medication from treating somatic complaints towards treating mood symptoms. Conclusions: Doctors show improvements and continue to progress in their careers after a psychotherapeutically orientated intervention. A shift in doctors' perception of their difficulties is indicated from more somatic to psychological concerns. Many doctor-patients continue with ongoing professional support.

Item Type: Article
Uncontrolled Keywords: Doctors' Health, Mental Health, Occupational Health, Psychotherapy, Resilience
Subjects: Disabilities & Disorders (mental & physical) > Mental Disorders
Department/People: Adult and Forensic Services
URI: https://repository.tavistockandportman.ac.uk/id/eprint/1503

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