When you are the person that provides care, who takes cares of you?

Written By: Julianne Tieu

May 25, 2022

I think on this question every May as we observe mental health awareness in the United States. Individuals and organisations come together during the month to support advocacy, education and services for mental health care. Although one in five Americans will experience a mental illness in a given year, access to mental health care varies across the country due to disparities based on age, disability, location, race, sex, sexual activity and socioeconomic status.[1], [2] These factors can intersect to create obstacles for patients and providers, preventing them from attaining culturally competent mental health services. Despite training to understand the signs and symptoms of mental illness, providers can easily be swept up by the demands of our positions and succumb to burnout as a result of physical and psychological stress.[3]

As a female healthcare provider living in the United States, I have had my own mental health struggles, which, due to my upbringing, I’ve often convinced myself that I should handle alone. We tend to avoid speaking about inner conflicts, preferring to deny, ignore or minimise our mental health illnesses. I know I am not alone in feeling this way. However, I’ve come to accept that you may need more than yourself and even your family and friends to handle your mental illness. It’s not weak to go through therapy. It’s not shameful to be on medication for a mental health condition. It’s not a lack of will to have it.

To encourage more healthcare providers to seek help for their mental health illness, I believe that we and our fellow healthcare providers could be more transparent about our own mental health. I realise that this can be difficult to share, but it can often take only one person to speak up for another person to muster the courage to find the help they need. We need to create a culture where both patients and providers are comfortable to share personal stories and destigmatise mental health illnesses. Thus, anyone could feel encouraged to be proactive in their own care. Additionally, we need to continue creating robust programmes to provide accessibility, financial assistance and information for mental health services.

[1] Kessler RC, Angermeyer M, Anthony JC, et al. Lifetime prevalence and age-of-onset distributions of mental disorders in the World Health Organization’s World Mental Health Survey Initiative. World Psychiatry 2007;6(3):168–76.

[2] Disparities. Disparities | Healthy People 2020. https://www.healthypeople.gov/2020/about/foundation-health-measures/Disparities. Published 6 February 2022. Accessed 14 May 2022.

[3] Søvold LE, Naslund JA, Kousoulis AA, et al. Prioritizing the Mental Health and Well-Being of Healthcare Workers: An Urgent Global Public Health Priority. Front Public Health. 2021;9:679397. Published 7 May 2021. doi:10.3389/fpubh.2021.679397