Addressing the Issue
In reality, however, I think the opposite is true. Suicide has become such a prevalent issue in medicine that the profession has been forced to own it and forced to deal with it. Medicine has gone so far as to mandate a burnout and wellness curriculum for all medical schools. While attorneys commit suicide at a much lower rate than physicians, perhaps it is time for the legal profession to own up to burnout the same way it has finally confronted addiction.
When I think back on my own schooling – across graduate school, medical school, and law school – law school finals stick out as a time of extreme stress and burnout. While the free coffee in the library was nice, it did little to address the underlying issues. So my hopes here are twofold:
- That you make time to take care of yourself this exam season and
- That law schools take note and make meaningful efforts to address the issue of burnout, stress, and attorney suicide.
With that here are some tips for this exam season:
- One of the biggest contributors to stress is the lack of work-life balance when we dedicate so much of our time to school or work. An important step the medical field has taken to address this issue is to improve efficiency at work in order to reduce the number of hours spent at work.
When I was a law student I worked on this a couple of different ways. The first was approaching law school as an 8-5 job. I committed to being at school from 8-5 Monday-Friday the entire semester. With only 15-17 hours of class a week, this gave me nearly 20 hours a week to get work done at school.
As a result, I almost never took homework for evenings/weekends during the semester, and in exam season I did not feel like I had to burn the midnight oil night after night—although let’s be clear that I was still putting in close to 70 hours a week during exam season!
You can improve your efficiency at school too by using things like website blockers that will prevent you from visiting social media sites, etc. while you are trying to get work done. Remember, the less hours you have to spend studying, the more hours you have for yourself. Ultimately though, you got into law school by doing something that worked for you—so continue what worked for you, just apply that strategy smartly.
- It is hard to study effectively when you are tired, hungry, hung over, or otherwise not feeling your best. While important throughout the year, it is particularly important to prioritize healthy habits during exam season—which in the fall always coincides with flu season!
Work on sleep hygiene, aim for 7-8 hours of sleep a night, minimize evening caffeine, respect your circadian rhythm, make time to eat healthy, schedule gym time, avoid alcohol, and get your flu shot—these are all things that will keep you stick to a normal schedule and feel your best. With the schedule I set for myself, I was able to allot time for exercise and meal prep which I think contributed significantly to my well-being both during the regular semester and exam time.
- Get help. One of the most heartbreaking things about Joanna Litt’s article was how close her husband came to seeking help. As an Emergency Medicine physician, I take care of people who reach the point of contemplating suicide almost daily. More often than I wish, I take care of patients who have acted on these thoughts.
Stigma against Mental Illness
There is nothing to say that if Gabe had made it to an Emergency Department that the outcome would be different, but we could have gotten him the help he needed at that moment in time, and maybe we could have made a difference in the long run. His fear that seeking help for his depression would end his career is not unfounded.
There has long been a stigma against mental illness. Slowly, some states are making important changes in this regard. Indiana, for example, now asks if you have a condition that presently affects your ability to work as a lawyer. If you have a past condition or a condition that is currently treated and controlled, these do not require disclosure.
This is a vast improvement over the standard form of the question which flatly asked if you have been treated for a mental health issue in the last 5 years. It is crucial that schools, state bars, and legal employers work to remove consequences from seeking mental health care.
Law schools and the legal profession have a long way to go in terms of eliminating the stigma of burnout and depression. For example, The ABA recently released a Wellness-Pledge they are asking Legal Employers to sign. I will save my criticism for another day, but suffice it to say I find that the pledge falls short on many fronts. It is, though, a step in the right direction.
Perhaps before long, we can get law schools to take a similar pledge, because our profession cannot stand silent as we lose our colleagues to suicide.