Verge of a nervous breakdown?

BetterHalf

New Member
10+ Year Member
15+ Year Member
Joined
Nov 21, 2007
Messages
6
Reaction score
0
We moved halfway across the country so he could start his residency and now 3 months into it, I think he's on the verge of a breakdown.

This is obviously the wrong field for him and he feels trapped. We both want him to switch programs but we aren't sure if it's possible. Has anyone else been in this situation?
 
I think that unfortunately a lot of people would be unsympathetic. When people interview, you have to pretend that you know 100% for sure that you chose a field for certain reasons. To then, three months later, say that you've changed your mind may be absolutely true but then people would ask "how do you know my field is right for you?" It's very silly but that's the mentality he'd be up against. What exactly is bothering him?
 
I think that unfortunately a lot of people would be unsympathetic. When people interview, you have to pretend that you know 100% for sure that you chose a field for certain reasons. To then, three months later, say that you've changed your mind may be absolutely true but then people would ask "how do you know my field is right for you?" It's very silly but that's the mentality he'd be up against. What exactly is bothering him?

I'd like to disagree with you. People switch fields all the time. People ask the questions you mentioned, but they are not unanswerable questions

People switch fields all the time. Our med school experiences tend to be very different from what it's like to be a resident or an attending in the field. Program directors understand this. Obviously it depends on the competitiveness of the field your SO wishes to pursue instead, but switching often entails losing a year of training credit but that doesn't really compare to a lifetime in a field that you know is wrong for you.

I'd encourage your SO to make some discreet phone calls to old contacts in the field in which he is interested to find out if he would have their support. The question as to how to switch has been asked and answered many times in the various residency programs, so I'd encourage you to do a search in there.

:luck:
 
... People switch fields all the time...

Thanks for the encouragement. I actually found this forum as a tool to show him that many people get into fields that don't necessarily suit them. And that it is possible to switch without losing your mind.

My biggest fear is that he'll have to stay and be miserable for the duration of his contract. It breaks my heart when he calls me from work and I can hear the anguish in his voice. With any luck, his program director will cut him/us a break and I can start packing boxes again.
 
I know you don't want to go into the details of what he is doing or where he is doing the intern year, but can you tell those of us still in med school a little bit about what happened? How did he end up in a field that was not suited for him? Was he blindsided, pressured into it, misunderstood the training in that specialty, etc??? I often worry that my spouse would make the same mistake, but don't know what signs or advice to give on the subject. Any advice or info you could share now that your in the situation?

If it's any comfort I've read on here and in nearly all residency prep books that interns find themselves in programs they do not like and end up switching the following year. He is far from being alone in this problem!
 
Thanks for the encouragement. I actually found this forum as a tool to show him that many people get into fields that don't necessarily suit them. And that it is possible to switch without losing your mind.

My biggest fear is that he'll have to stay and be miserable for the duration of his contract. It breaks my heart when he calls me from work and I can hear the anguish in his voice. With any luck, his program director will cut him/us a break and I can start packing boxes again.

Contracts are for a year only. The only thing he has to do is finish out the year. He can get a letter of support from his PD and look into switching fields into something that suits him better.
 
Fast-forward nearly a year later:

My S.O. did change paths and we couldn't be happier for it. After 5 painful months in the wrong field, and many conversations with program directors and peers, he decided to do what was right for him (and his patients). We moved cross-country again, and he was placed mid-year (17 months PGY2) in a field that makes much more sense.

There should be a more open discussion about changing career paths in the medical profession. It does happen and NEEDS to happen without the stigma or hush-hush of a poorly executed decision. I don't know if he was lucky or smart to get back into a new residency as fast as he did, but I'd love to hear about other similar experiences.

As a partner (and now wife) of someone who was so incredibly unhappy in the wrong field, I want to extend sincere compassion to those also struggling with this decision. I guarantee you his worst day in the "right field" is levels above his best day in the wrong one. I hope this provides some comfort to anyone in a similar position.
 
What was this horrible field, so I can avoid it?
 
What was this horrible field, so I can avoid it?

It wasn't a horrible field, simply a horrible fit. I'm aware that so many students choose their paths based on a very narrow glimpse during rotations. If they had a bad experience during that rotation (heavy work load, unfriendly resident) it definitely taints that experience. And vice versa. My husband had a great rotation on this service because his resident there was a wonderful teacher.

For the record, when he told people what he was going into, the common response was "Really?". Definitely take that into account when choosing.

(I'll happily discuss more in private message if you like.)
 
I'm concerned about my husband's residency (but for a different reason). He's an older student and we have two children. Right now he's caught up in the whirl of residency interviews and what is the best program, etc., but I'm concerned that he's not putting enough weight on the amount of time he'll get to spend with our kids.

What if he has to work so much during his residency that he never gets to see them? That will definitely cause a nervous breakdown.

Does anyone have experience? Finding the most family-friendly program is only part of the issue; the other part is just the missing of family life. I'm scared it will be something he regrets forever. Help?
 
I'm concerned about my husband's residency (but for a different reason). He's an older student and we have two children. Right now he's caught up in the whirl of residency interviews and what is the best program, etc., but I'm concerned that he's not putting enough weight on the amount of time he'll get to spend with our kids.

He has no control over this. With few exceptions, regardless of the program or field he ends up in, he will work at least 80hrs/wk, and probably more.

What if he has to work so much during his residency that he never gets to see them? That will definitely cause a nervous breakdown.

With you? Great job being supportive. Nothing destroys residents more than psychological breakdowns by their spouses as they are stuck working the equivalent of 2-3 full time jobs.

Does anyone have experience? Finding the most family-friendly program is only part of the issue; the other part is just the missing of family life. I'm scared it will be something he regrets forever. Help?

Residency is a strain on even the strongest of marriages. Based on what you've written here, you're more concerned about your kids than you are him. While that's understandable, it also breeds resentment and discord, and strikes me as a harbinger of what's to come over the next few years.

Tell him to get a divorce lawyer now. If he's quick, he can get through the Family Court proceedings now before he starts in July.
 
I'm concerned about my husband's residency (but for a different reason). He's an older student and we have two children. Right now he's caught up in the whirl of residency interviews and what is the best program, etc., but I'm concerned that he's not putting enough weight on the amount of time he'll get to spend with our kids.

What if he has to work so much during his residency that he never gets to see them? That will definitely cause a nervous breakdown.

Does anyone have experience? Finding the most family-friendly program is only part of the issue; the other part is just the missing of family life. I'm scared it will be something he regrets forever. Help?

There really isn't any such thing as a "family-friendly" program, in the sense that you're referring to. There are "family-friendly" specialties - i.e. specialties that allow for more free time (such as pathology, dermatology, anesthesiology to an extent, etc.). But, for instance, there is no such thing as a "family friendly" neurosurgery program - ALL neurosurgery programs are going to be very demanding and very time-consuming.

(When people talk about "family friendly" programs, they generally use the phrase to refer to programs where most of the residents and attendings have families as well. This is in contrast to programs where most of the residents tend to be single and/or casually dating.)

All residency programs within a certain specialty tend to have similar time requirements. For example, every general surgery residency program is going to require 80-90 hours per week, whether or not that program is in Maine or in California.

While I understand that you're worried (and it's certainly a justifiable worry) - please try to understand where your husband is coming from. He is not just trying to find a "job," he is trying to best prepare himself for a career that he will probably practice for the rest of his life.

I am sorry to have to say this, but his happiness in residency will depend, in part, upon you. You'll have to be more organized - spontaneous road-trips on the weekends are no longer going to be feasible. You'll also, at the same time, have to be flexible - patients are unpredictable, and there may be an emergency that he will have to deal with half an hour before he was supposed to leave.

While I am not married, I believe that open communication between you and your spouse is VERY important. So instead of asking an internet forum (full of strangers) what they think, I think that sitting down and talking to your husband about the challenges in the future would be more important. Your husband, having gone through some demanding rotations as a third year, has (at least) a tiny inkling of how much time he is going to be able to spend at home. He may have thought about this, and may be able to offer you some reassurance.

If you can't maintain open communication now, at this stage in the game, your marriage may not last during residency.

I would also carefully and objectively read Tired's excellent (if somewhat blunt) post. I know that you definitely need to consider your own needs, and the needs of your children, but your husband will be under a lot of stress - he will need you to be supportive.
 
If you read my post, Tired, you will see that my concern is for *my husband*, not for myself. I will get to spend time with my children; he will be working too hard to do much of that. I was hoping that someone would have some useful, practical advice about supporting him through what will be a difficult time for him. I am grateful to the people who did so in private messages.

As for "Tell him to get a divorce lawyer now" -- This is unwarranted and you should know it.

I would urge you, Tired, to think about the impact of what you write on the community as a whole. I'm pretty self-confident myself, but what other spouses are going to submit reasonable requests for support if you are lurking the background with personal attacks and uninformed vitriol?
 
I would urge you, Tired, to think about the impact of what you write on the community as a whole. I'm pretty self-confident myself, but what other spouses are going to submit reasonable requests for support if you are lurking the background with personal attacks and uninformed vitriol?

Given the number of marriages I have watched disintegrate during the residency process, I stand by my comments.
 
It wasn't a horrible field, simply a horrible fit. I'm aware that so many students choose their paths based on a very narrow glimpse during rotations. If they had a bad experience during that rotation (heavy work load, unfriendly resident) it definitely taints that experience. And vice versa. My husband had a great rotation on this service because his resident there was a wonderful teacher.

For the record, when he told people what he was going into, the common response was "Really?". Definitely take that into account when choosing.

(I'll happily discuss more in private message if you like.)
Oh come on, you can share the specialties with us.
 
I have found a lot of support through the International Medical Spouse Forum - they have great ideas and stories about how to survive and thrive in a "medical marriage". There are people on there that have been in your situation.
Best of Luck!
 
Top