A resident suffering from depression drinks too much and sleeps through a hospital shift the next morning. Another resident walks out of a patient room in the midst of a panic attack. As family medicine educators, how do we best handle these health concerns in our residents? The pendulum in medical training can swing in two directions. At one end, residents are indoctrinated into a macho mentality, where the need for self-care ...

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I’m just coming out of two years of sleep deprivation. Due to some sleep apnea issues (hopefully finally resolved), my now two-year-old daughter slept like a newborn until this summer. Which means, like the mom of a newborn, I was up every three hours at night for the last two years. This has given me more experience in living with sleep deprivation than I ever wanted and plenty of time to think ...

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“I don’t need meds,” the young psychology major told me confidently. “Or therapy really. Maybe I’ll just touch base with you every once in a while. I should be able to handle this on my own.” The young woman’s physician had been concerned enough in a recent visit about this patient’s panic attacks and passive suicidal ideation to refer her to meet with me for a primary care psychology consultation. ...

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