I diagnosed depression in my patients every day. I prescribed antidepressants, recommended therapy, and validated their experiences with compassion and expertise. And for two years, I was severely depressed myself, and I told no one.
I am a psychiatrist. I have spent my entire career treating depression, anxiety, PTSD, and the full spectrum of mental health conditions that bring people into my office. I have prescribed thousands of prescriptions for SSRIs, SNRIs, and mood stabilizers. I have sat with patients through their darkest moments and helped them find their way back. I am good at my job, and I am proud of the work I do.
And from 2017 to 2019, I was severely depressed.
It started gradually — the way depression often does. I was sleeping more but feeling less rested. I was losing interest in things that had always brought me joy: cooking, reading, spending time with my nieces. I was irritable with my patients in ways I had never been before, and I caught myself counting the minutes until each session ended. In the evenings, I would sit on my couch and stare at the wall, unable to summon the energy to do anything else.
I knew what was happening. I had diagnosed depression hundreds of times. But I could not bring myself to seek help. The stigma was internal, but it was powerful: psychiatrists are supposed to have their mental health under control. We're supposed to be the ones helping, not the ones needing help. If I admitted I was depressed, what would my colleagues think? What would my patients think? What would the medical board think when I renewed my license and had to answer the question about "mental health conditions that impair your ability to practice"?
I hid it for two years. I functioned — barely. I saw my patients, wrote my notes, attended my meetings. And then one day, a patient asked me a question that broke through everything. We were talking about her own reluctance to seek treatment, and she said: "Would you judge me if I told you I needed medication?" I said, of course not. And she said: "Then why are you judging yourself?"
I didn't have an answer. I went home that night and called a colleague — a psychiatrist I trusted — and told her everything. She prescribed me an SSRI and recommended a therapist. I started both within a week. It took about six months before I felt like myself again.
I still practice psychiatry. I still prescribe antidepressants. But now I tell my patients something I never said before: I have been where you are. I know what it feels like to need help and be afraid to ask for it. And here is what I learned: the stigma is a lie. Depression is an illness, not a failure, and treating it is an act of courage, not weakness.
Physician Burnout by Specialty
Percentage reporting at least one symptom (Medscape, 2024)

Read the Stories That Changed Everything
Over 200 physicians interviewed. 26 stories that will challenge what you believe about life, death, and everything in between.
Buy on Amazon — 4.5★ (1,018 ratings)
