Sunday Times

I truly believe my experience has enabled me to be a better, more caring physician to my patients …

- Dr McAlpine is a palliative care physician

At the age of 21, halfway through my medical training, I found myself in a psychiatri­c hospital for depression and substance abuse.

It’s hard to say which caused which but in a short period I had gone from being an upbeat guy with a loving family, great friends and a promising career to a hopelessly lost soul, stuck in a dark hole from which absolutely no light was visible. I don’t think there is a lonelier place than that hole.

It took many months of hard work, profession­al psychiatri­c help, counsellin­g, medication, group therapy, and time, but with the support of friends and family I was able to begin to see the light again.

I learnt that I wasn’t weak, just sick. I was incredibly lucky I had the resources available to me that I did — because, the truth is, there was no way I could have recovered alone.

In time, I was able, with profession­al support, to come off my medication. I continued therapy and support programmes for many years. I also began running. I went back to medical school and graduated, despite being told that I would never make it.

I truly believe that my experience has enabled me to be a better, more caring physician to my patients. When you’ve been in the same desolate place, you’re better able to empathise with those who are struggling. Depression, neverthele­ss, is not something I would wish on my worst enemy.

Doctors in SA are pushed too hard. No question. We see and do things daily that would give regular folk nightmares. We work ridiculous­ly long hours, our goodwill is exploited by our employers, and we are unsupporte­d by our regulatory bodies.

The high incidence of suicide and mental illness is testament to this. I was lucky I was able to survive it, but we need to find a kinder, better way. Our lives, literally, depend on it. —

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