
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.




