What's with the recent pessimism on this board?

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hebel

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I've been following this forum for a while now, and it's always been a generally positive forum (probably one of the most positive of the specialties). Recently things seem more negative, almost like a lot of the regular posters are all suddenly getting burnt out. What's going on??
 
Probably an avalanche effect. It's seen as socially impermissible to talk badly about your specialty among your colleagues for a number of reasons. But once a person who is respected does it, others feel comfortable following. The more who follow, the easier it is.

Personally watching the forum I've found it rather nuanced. I followed sunlioness's posts with great interest, but I found her to be very balanced in her assessment of everything. I was even surprised to read someone say they enjoyed doing college mental health—I was sure that would get jeers. In general it seems like the people on this board enjoy the actual work with their patients, with the exception of people they haven't been trained to help, can't help, don't have time to help, or don't believe have problems that can be helped by psychiatry. I get the sense that when they think a person is appropriate for the psychiatric help they can provide, they seem to enjoy that.

Although, there must be some of a challenge for it to be rewarding. I wonder where that rub is. I remember the most excited customer I ever had working in customer service was a case where I had a woman reset her iPhone (holding the sleep/wake button and home button at the same time). I got such undeserved praise for something most people already know how to do. And then there were the cases where you had an angerball that you couldn't help (fix the person, then fix the problem was our motto). But the fun ones were when you figure something out that you didn't already know, or made some weird connection. Like isolating a hardware vs software problem by walking someone with an erratic trackpad through the accessibility options to turn on mousekeys, and when this works and stops the cursor from behaving crazily being able to positively identify the problem as hardware based. That's fun. Because they don't train you to do that. And it's also the cases where the customer doesn't necessarily realize it was rewarding for you. I would imagine it's the same with psychiatry.
 
I've been following this forum for a while now, and it's always been a generally positive forum (probably one of the most positive of the specialties). Recently things seem more negative, almost like a lot of the regular posters are all suddenly getting burnt out. What's going on??

Welcome to the Interwebz! Where people unhappy with their current circumstances come to commiserate with people who are similarly frustrated and people who are happy with their current circumstances don't bother posting.

There's a bit of hyperbole in that as well as some truth. I'm not a physician but I've been reviewing this board for the wife who is a psychiatrist and I've noticed the evolution as well. At lot of the posters who now seem a bit negative were once med students/residents around the same time my wife was and they're now newly minted attendings. I think they're just frustrated (like a lot of new docs I meet not just psychiatrists) that they've reached the light at the end of the tunnel and it's not as great as they had hoped. They're finding out that medicine like most everything else is just a job in the end.

Now there are people like my wife who have found a job she loves but she doesn't post on here so you won't see that side of the coin. Her position has its own issues but on balance it pays very well (for what it is) and has nice perks like 2 hour new evals, 1 hour followups, 28 clinical hours a week, and she's generally working a straight 40 hours a week, Not to mention pretty decent benefits. Plus there's the added bonus that she's working with a patient population she enjoys (but most people dislike working with) and she gets to work with the underserved which is one of the reasons she went into medicine in the first place. But if she ended up in a CMHC somewhere seeing 15 minute followups she'd probably be pretty unhappy right now too.

Occasionally on these boards you'll see people who enjoy their jobs as @OldPsychDoc and a couple of others seem to, but generally you'll be seeing more of the dissatisfied folks looking for idea on how to improve their current situations (just as just about anyone else would).
 
As a current resident, I greatly appreciate the frank discussions from some of the disgruntled attendings on this forum - a lot of very useful information flows from these discussions, and it is shaping my ideas of life after residency. Without the "pessimism" the conversation never starts.
 
Probably an avalanche effect. It's seen as socially impermissible to talk badly about your specialty among your colleagues for a number of reasons. But once a person who is respected does it, others feel comfortable following. The more who follow, the easier it is.
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A lot of this, I think. Burnout is a huge problem across all of medicine. Psychiatry does a bit better than most specialties, but we're not immune. Nevertheless I think we put pressure on ourselves to have everything be okay. I'm strong. I've got this. I do noble work. Then someone comes along and says, "hey, things really aren't so great for me right now" and that can trigger the rush of a lot of pent up feelings about the things that really kinda suck.

I think both are true. I am strong. I do have this. My work is important. And there are a lot of things about it that I wish were different.

The cool thing is that having had kind of a catharsis about the things that are bad, and having had this validated by people expressing similar frustrations has in no small part allowed me to come around again to seeing the good stuff.

I appreciate that and all of you immensely.

I'm talking to my old boss. The grass wasn't greener. And maybe you really can't go home again. I'm fortunate to be in a position where I can hopefully fix my mistake.


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Pessimism in general seems to be seasonal in my experience, no idea if that's the case here but everything sucks more when the days are short, maybe just wishful thinking on my part
 
Well it's been at least 5 minutes since I reminded everyone how awesome my Psychiatrist is so clearly this has caused the entire forum to fall into pessimistic disarray. Sorry, my bad. :whistle:

😛😀
 
Whopper is busy looking to get into private practice and old psych doc is busy trying to get the next crop of residents or students or something in to his place. They tend to be a couple of the more optimistic regular posters from what I have seen. Also, a thread entitled what do you hate about psychiatry might just pull for a bit of negativity.
 
The gripes that you hear a lot on this forum tend to run along themes of:
  • I don't get paid enough for what I do
  • My work isn't appropriately respected/appreciated
  • I question if the work I do makes a difference
  • Things aren't what they used to be and are probably going to get worse
I'd just like to say that these are the same gripes you hear about just about every job. Lawyers, waiters, writers, bankers, you name it. Kvetching about your job amongst colleagues is just part of any workplace. I think the only reason it might get noticed more on places like SDN is that for many members, this is really their first career workplace.

I wouldn't discount the negativity you see but I wouldn't overgeneralize it either. Every job has its drawbacks and downers and that is why they have to pay people. Even those of us who love our jobs can feel negative about them sometimes (in fact, people who love their jobs can sometimes feel most frustrated and negative).

SDN is a great forum to have for folks to vent about this stuff, as it's not always possible or wise to do so at a given workplace.
 
It is a bit invalidating to get the notion that your only opinions are supposed to be positive ones. In training and in the world in general, there's this normative force to be upbeat and "positive" all the time. There are negatives to our jobs. Our mental health system is broken (I don't think anyone would disagree with that), and there are very real challenges to our profession. Our income, which good, is maybe lower than it should be, especially when compared with other specialties.

Interestingly on a personal note, I actually don't hate my current job. It's got downsides, but I generally like what I do. The pay's not bad either.
 
I think I'm going to throw my hat in the ring for the Eagles job. Anybody got Jeff Lurie's number?


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