Thread by @nabuelezam

I am a high-achieving WOC in academic medicine. I am almost 9 months postpartum. I had my annual physical with my PCP today. I confided that I felt everything was a bit dull/sad lately. I asked for advice on who I could talk to to feel more like myself. Here's what happened (🧵):

PCP said: "Not everything is like a baby commercial, things won't always be happy and clean. It'll get better."

PCP said: "You just have to realize that your life is a bit messier now. You can't give 100% to your job anymore. Try giving 75%."

PCP said: "Try exercising and getting more active outside now that the weather is better." (All things that I am actively pursuing and had just mentioned.)

When I asked if I could be referred to a therapist, PCP said: "It is SO hard to find a therapist right now, although telehealth makes it a little bit easier. It may be really difficult for you to talk to someone soon... that's why I recommend exercise."

I have the resources, knowledge, and ability to be able to look for my own support. But what if I didn't? What if I had come to my PCP, disclosed really sensitive and stigmatizing information, and walked out feeling like there was no hope/need for help soon #MentalHealthAwareness

What if I didn't speak English well or didn't have financial resources to pay for therapy? What if my family and friends weren't supportive of therapy? What if I was having harmful thoughts?

PCPs are the gatekeepers. My gatekeeper failed me today.