First AD

Second AD

B. An adjustment disorder related to professional stressors

C. An acute stress reaction with underlying psychiatric symptoms

D. Medical problems that have not been diagnosed or treated

 A combination of an acute stress reaction and underlying symptoms of more persistent psychiatric issues (ie, anxiety, depression).

“Disruptive behavior” on the part of a physician in the medical workplace can include angry outbursts, harassment of hospital staff, use of vulgar or profane language, passive-aggressive refusal to complete medical records in a timely fashion or attend required meetings, and even violent acts such as throwing sharp instruments or punches in the operating suite.

The first step in providing effective and meaningful treatment involves completing a thorough evaluation to identify all sources of distress, functional impairment, and potential danger to the physician and his patients. Physicians who are willing to accept help and to participate in treatment often do well in individual psychotherapy; some may also need pharmacotherapy for depression, anxiety, or other diagnoses.

What You Need to Know When Treating Physicians: Issues, Sensitivities, and Considerations

,” by Penelope P. Ziegler, MD, on which this quiz was based.

“Burnout”: Strategies to Prevent and Overcome a Common-and Dangerous-Problem

Major Depressive Disorder

Quizzes

When physicians behave disruptively in the workplace, what is the most likely cause?

Mini Quiz: Physicians as Patients

Penelope P. Ziegler, MD