‘Lived experience’ with suicidality with Dr. Lynes and Dr. Myers

Wednesday, February 12, 2020

William Lynes, MD, joins guest host Michael F. Myers, MD, to discuss his struggles with medical and psychiatric hardships, his suicidality, and the eventual suicide attempt that changed his life. Dr. Myers is professor of clinical psychiatry, State University of New York, Brooklyn.

Dr. Lynes, a retired urologist, author, and speaker/advocate on physician burnout and suicide, divides his professional life into two distinct eras: 1987-1998, during which he had a successful practice and happy life, and after 1998, when he spiraled downward medically and psychiatrically.

After meeting another physician with a similar experience who had published her story of burnout and mental health struggles in 2015, Dr. Lynes decided to speak out. Eventually, he published an essay about his experience in the Annals of Internal Medicine.

Take-home points

Being open with close colleagues or supervisors about mental health struggles and/or burnout can provide a much-needed lifeline to struggling physicians.
Addressing burnout and mental health diagnoses of physicians requires medical groups and institutions to provide access to psychiatric treatment from clinicians outside of the professional network in which the physician practices.
Practicing medicine can be a 24/7 profession, and being “on” all the time can contribute to burnout. Lifestyle choices such as exercise, hobbies, family, and spirituality are all helpful outlets to address the constancy of practicing medicine.
Giving in to the notion that you can treat yourself is not a good idea.
Decreasing the stigma tied to mental illness can be helped by people with lived experience, such as Dr. Lynes.

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References

Lynes W. The last day. Ann Intern Med. 2016 May 3;164(9):631.

Myers MF and Freeland A. The mentally ill physician: Issues in assessment, treatment and advocacy. Can J Psychiatry. 2019 Dec 6;64(12):823-37.

Forbes MP et al. Optimizing the treatment of doctors with mental illness. Aust NZ Psychiatry. 2019 Feb;53(2):106-9.

Myers MF. “Why Physicians Die by Suicide: Lessons Learned From Their Families and Others Who Cared.” 2017 Feb 14. (Self-published).

Bird JL. “Using Narrative Writing to Enhance Healing.” Medical Information Science Reference, 2019.

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Podcast Participants

^{Lorenzo Norris, MD}

Lorenzo Norris, MD, is host of the MDedge Psychcast, editor in chief of MDedge Psychiatry, and assistant professor of psychiatry and behavioral sciences at George Washington University, Washington. He also serves as assistant dean of student affairs at the university, and medical director of psychiatric and behavioral sciences at GWU Hospital. Dr. Lorenzo Norris has no conflicts of interest.

^{Renee Kohanski, MD}

Renée S. Kohanski, MD, is a board-certified psychiatrist with additional training in forensic psychiatry. She has been a board examiner for the American Board of Psychiatry and Neurology, and has enjoyed a broad-based practice in academic, community, and forensic psychiatry. She is currently a solo practitioner and owner of RK Psychiatry Associates and serves on the Editorial Advisory Board of MDEdge Psychiatry. Talkers magazine describes Dr. Kohanski as “one of the most reliable ‘go-to’ sources for insights and information about psychiatry in the media today.” Dr. Renée Kohanski has no conflicts of interest.