Writing about mental health issue in my secondary?

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girlinthegarden

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One of the secondaries I'm working on asks about an obstacle that I have overcome and how it has defined me. The only thing that really comes to mind is my struggle to overcome an anxiety disorder that I have finally worked to get under control in the past year. Is this something that could end up hurting my chances of admission if I choose to write about it?
 
General consensus is yes. While that is an ideal topic to talk about on the surface, mental illness still carries stigma and you don't want the adcom worrying about whether or not you'll relapse when med school strains you. Get accepted without saying anything about it, then let the right people there know about it so they can help you.
 
General consensus is yes. While that is an ideal topic to talk about on the surface, mental illness still carries stigma and you don't want the adcom worrying about whether or not you'll relapse when med school strains you. Get accepted without saying anything about it, then let the right people there know about it so they can help you.


This.

It's going to cause some legitimate concerns to any adcom. Medical school is known to be ridiculously stressful and the lifestyle and work of a physician even moreso. One of the best-known pathways for inducing many mental d/os (incl. mood & anxiety d/os) is via stress. If you have anxiety issues that you have kept under wraps during college, there is a high likelihood of recurrence at a later date in high-stress situations. This makes you a risk. Of course, everyone has risk factors and every adcom knows no one is perfect, but the last thing you want to do is outright tell them why they should be concerned about taking you on!
 
That's what I figured. I just wasn't sure if I was over thinking it. Thanks for the advice!
 
I agree with the above responses. Even if you don't mention it, please make sure you take care of yourself and see someone periodically so that you don't fall into bad habits. Medical school can be very stressful at times.
 
I agree with the above responses. Even if you don't mention it, please make sure you take care of yourself and see someone periodically so that you don't fall into bad habits. Medical school can be very stressful at times.


Absolutely. I've actually had med students from one of the local medical schools end up on my unit due to attempted suicide after a recurrence of an anxiety or mood d/o. To my knowledge, all have been given a lot of grace by the school and allowed to repeat yrs missed and such but it does happen. Take care of yourself. We all have our limits -- most of us just haven't discovered our breaking point yet!
 
Absolutely. I've actually had med students from one of the local medical schools end up on my unit due to attempted suicide after a recurrence of an anxiety or mood d/o. To my knowledge, all have been given a lot of grace by the school and allowed to repeat yrs missed and such but it does happen. Take care of yourself. We all have our limits -- most of us just haven't discovered our breaking point yet!

Thanks guys! I really appreciate everyone's concern. I know that med school will be hands down the most stressful time of my life, so I'm planning to line up a therapist and psychiatrist wherever I end up just in case. I'm just glad that all of my anxiety issues happened during a time that I had the resources to reach out to others for help and take some time off of work when I absolutely needed to. I'm very grateful that I learned the skills I did and had the chance to really practice them before starting med school.

Also, there is a great NYT article that was just published about the topic: http://www.nytimes.com/2010/10/07/health/views/07chen.html?src=tptw
 
Thanks guys! I really appreciate everyone's concern. I know that med school will be hands down the most stressful time of my life, so I'm planning to line up a therapist and psychiatrist wherever I end up just in case. I'm just glad that all of my anxiety issues happened during a time that I had the resources to reach out to others for help and take some time off of work when I absolutely needed to. I'm very grateful that I learned the skills I did and had the chance to really practice them before starting med school.

Also, there is a great NYT article that was just published about the topic: http://www.nytimes.com/2010/10/07/health/views/07chen.html?src=tptw

Seems that there is a lot of stigma associated with mental health issues of any kind.
 
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The stigma on mental issues are there for everyone, no matter what. Not only does it affect one's professional life, but everyone close to you will lie to your face and say that it doesn't matter to them.

I wouldn't write about it. Now or ever.
 
The stigma on mental issues are there for everyone, no matter what. Not only does it affect one's professional life, but everyone close to you will lie to your face and say that it doesn't matter to them.

I wouldn't write about it. Now or ever.

That seems cynical. Although in some cases it's probably true. 🙁
 
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I'm only speaking from experience. I was diagnosed as manic-depressive by more than one psychiatrist after several months of examination, and I at first tried to receive support. Now I don't believe I still talk to a single person who knows I'm bipolar.

In most cases it's manageable with medication and the right treatment, anyway. Once you're on the right path of practicing healthy coping mechanisms, it's not really an obstacle you think about much--nor is it something that you think people have to know about you. I believe that this could be the case for most mental issues, save for the more severe ones like schizophrenia, people who watch Army Wives, etc.
 
I found this relevant article and am posting a link here as a future reference to myself and for any others who might be interested.

One Adcom's Opinion about Mentioning Mental Health Issues in a Medical School Application

Conclusion seems to be: it is normally not a very good idea, unless you get lucky and an adcom who has personally been touched by something similar reads your essay. Then you are "in luck." 👎

EDIT: it looks like direct links to the website aren't allowed. But, the first hit in Google when searching for "Postmortem Howard Markel, MD, PhD" should be the article.
 
For what it's worth, I'd think chronic physical physical illness with the potential for debilitating flare ups would be viewed in a similar light by adcom
 
I'm only speaking from experience. I was diagnosed as manic-depressive by more than one psychiatrist after several months of examination, and I at first tried to receive support. Now I don't believe I still talk to a single person who knows I'm bipolar.

In most cases it's manageable with medication and the right treatment, anyway. Once you're on the right path of practicing healthy coping mechanisms, it's not really an obstacle you think about much--nor is it something that you think people have to know about you. I believe that this could be the case for most mental issues, save for the more severe ones like schizophrenia, people who watch Army Wives, etc.

Just so long as you stay on those meds! Bipolar pts have a tendency to become complacent and stop taking their meds b/c they no longer "feel they need them." As a result, it is usually only a matter of time before they A) end up dead (either suicide or accidental death) or B) end up on a psych ward for stabilization.
 
Just so long as you stay on those meds! Bipolar pts have a tendency to become complacent and stop taking their meds b/c they no longer "feel they need them." As a result, it is usually only a matter of time before they A) end up dead (either suicide or accidental death) or B) end up on a psych ward for stabilization.

Yes you listen the Doc like your life depended on it!

As for anxiety disorder, I would say to leave it out of the application as well, but if you do get in somewhere it will probably get worse for you in med school anyways since the stress in 100X that of UG, so it doesn't really matter unless you get therapy 🙂.
 
One of the secondaries I'm working on asks about an obstacle that I have overcome and how it has defined me. The only thing that really comes to mind is my struggle to overcome an anxiety disorder that I have finally worked to get under control in the past year. Is this something that could end up hurting my chances of admission if I choose to write about it?

Whatever you do, avoid talking about any mental health issues if you are applying for medical school even if you think your success at overcoming your illness is something to be proud of. Even though we live in the year 2010, you would be surprised at how many doctors are so ignorant about psychiatric illnesses.

Just as an example to illustrate my point, I will share my uncle's story. My uncle was a manic depressive who was completely stabilized with his medications and was highly functional (he completed 4 university degrees). He was taking a mood stabilizer and needed regular blood testing as his mood stabilizer carried the risk of causing neutropenia. One day, he felt like he was perfectly healthy, he got tired of his blood testing and wanted to be "normal" so he stopped his medications.

After my uncle abruptly stopped his medications, he had a a complete psychotic breakdown and heard voices - which he never experienced before or during the time he took medication. A lot of patients who take psych meds can get psychotic if they suddenly withdraw their medications even if they previously never experienced psychosis. Despite those symptoms, my uncle was sane enough to realize something was wrong,saw his doctor and agreed to take a sick leave.

As soon as the director of my uncle's residency (who he got along with) found out that he had to be hospitalized for this psychotic breakdown, he wanted to kick him out of the residency even though a psychiatrist managed to stabilize him about 2 months later with a combination of mood stabilizer and antipsychotic medications. His director told him he didn't want him to treat patients. He had to provide a number of doctor letters to convince him to accept him back in the rounds. My uncle was very hurt by the director's reaction because he admired him and enjoyed learning from him. All of the nurses also found out and they viewed him differently and didn't trust his judgment even though he was stabilized. You can only imagine the humiliation he went through.

Despite that difficult event, my uncle eventually finished his residency and eventually specialized in cardiology. However, that is not the end of my story. When my uncle applied for his medical license he had yet more hurdles. In one state, the application asked if the candidate had a history of psychiatric illness. My uncle had been stable for about 3 years after his hospitalization but apparently, that was not good enough for the state. His psychiatrist's medical report (who had followed him for 15 years) was not sufficient and he was sent to 2 psychiatric experts appointed by the Board. It took him about 4 months till he was given his license.

In other words, when it comes to mental health issues, we are still in the Middle Ages/Witch Hunting days. Whatever you do, if you can avoid it, only share your mental health history with those in your close entourage. Avoid telling classmates or future colleagues or professors about your condition unless you need to divulge your condition for your medical license application. Out of all medical health issues today, mental health is the LAST THING you want to share with others. Not even your friends should know unless you know them extremely well. Most of my uncle's friends are completely oblivious of his condition and would never guess he ever was sick or is presently taking medications for a psych condition. My uncle is doing far better than the average person - really hard to believe.

Until everyone - especially doctors- are more accepting of psychiatric illnesses, you have to be extremely cautious about who you divulge your medical history to. If you write about your anxiety problem in your application for medical school, you are playing with fire. I wouldn't do it. Don't tell me I didn't warn you...

Try to find legal methods (eg. exercise, religion/spiritual practices and meditation) to combat stress as stress can aggravate your condition. Find a good physician/psychiatrist to follow you.
 
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For what it's worth, I'd think chronic physical physical illness with the potential for debilitating flare ups would be viewed in a similar light by adcom

Really? Does anyone else agree with this? Because I feel like if you had a chronic condition that you managed and monitored consistently, it wouldn't be an issue.

And in regards to mental illness, I have a friend who's applying to med school too who is agonizing over whether or not she should disclose her eating disorder. It affected her grades for 2 semesters so I told her I thought she should explain the circumstances. I had cancer and everyone is always advising me to talk about it. So I felt the same way about her medical problem - it is amazing that she beat her disorder and came back to school. I guess I felt like adcoms would respect the mental and emotional discipline that sort of accomplishment requires. It makes me really sad to think that she'll have to hide this on her application and feel bad about getting sick, rather than proud of what she overcame. Meanwhile, I get to talk freely about beating cancer on my apps. This seems very wrong. People don't get to choose their medical problems. Why is mine "better" than hers?
 
I'm in a similar situation. I'm a 24 year old freshman. I made a two semester long attempt at college when I was 18, but ended up dropping out as a result of my mental health issues. I had developed symptoms of melancholic major depression when I was 16, and because my family didn't have health insurance I had never gotten treated. I finally got on a treatment regimen last year, and I'm fine now. I still struggle with depressive episodes from time to time, but I'm functioning now.

I feel like there are six "lost years" in my academic/professional life, and I don't know how I'm going to explain this period to adcoms without divulging my mental health history.

At the same time, I think it's bull**** that I have to hide it in the first place. If anything, the fact that I'm able to pursue this academic path while dealing with this issue should be seen as a plus. It angers me in ways I can't even explain that anyone who finds out about my condition will view me as some sort of cognitive leper. 😡
 
Really? Does anyone else agree with this? Because I feel like if you had a chronic condition that you managed and monitored consistently, it wouldn't be an issue.

And in regards to mental illness, I have a friend who's applying to med school too who is agonizing over whether or not she should disclose her eating disorder. It affected her grades for 2 semesters so I told her I thought she should explain the circumstances. I had cancer and everyone is always advising me to talk about it. So I felt the same way about her medical problem - it is amazing that she beat her disorder and came back to school. I guess I felt like adcoms would respect the mental and emotional discipline that sort of accomplishment requires. It makes me really sad to think that she'll have to hide this on her application and feel bad about getting sick, rather than proud of what she overcame. Meanwhile, I get to talk freely about beating cancer on my apps. This seems very wrong. People don't get to choose their medical problems. Why is mine "better" than hers?

I would still say that the mental illness is going to be viewed more negatively - by similar light, I definitely didn't mean the same light. I just meant an adcom would probably weigh in some risk of the illness when considering you.
 
Do Not write anything about mental illness, trust me! they will reject you, even if they are nicest people on earth, dont ruin your future, just trust me, if you have physical problem go head, it may help you, but If you have mental problem , I am 100% sure that it just ruin your application,
 
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