TY - JOUR T1 - Barriers, facilitators, and survival strategies for GPs seeking treatment for distress: a qualitative study JF - British Journal of General Practice JO - Br J Gen Pract DO - 10.3399/bjgp17X692573 SP - bjgp17X692573 AU - Johanna Spiers AU - Marta Buszewicz AU - Carolyn A Chew-Graham AU - Clare Gerada AU - David Kessler AU - Nick Leggett AU - Chris Manning AU - Anna Kathryn Taylor AU - Gail Thornton AU - Ruth Riley Y1 - 2017/09/12 UR - http://bjgp.org/content/early/2017/09/11/bjgp17X692573.abstract N2 - Background GPs are under increasing pressure due to a lack of resources, a diminishing workforce, and rising patient demand. As a result, they may feel stressed, burnt out, anxious, or depressed.Aim To establish what might help or hinder GPs experiencing mental distress as they consider seeking help for their symptoms, and to explore potential survival strategies.Design and setting The authors recruited 47 GP participants via e-mails to doctors attending a specialist service, adverts to local medical committees (LMCs) nationally and in GP publications, social media, and snowballing. Participants self-identified as either currently living with mental distress, returning to work following treatment, off sick or retired early as a result of mental distress, or without experience of mental distress. Interviews were conducted face to face or over the telephone.Method Transcripts were uploaded to NVivo 11 and analysed using thematic analysis.Results Barriers and facilitators were related to work, stigma, and symptoms. Specifically, GPs discussed feeling a need to attend work, the stigma surrounding mental ill health, and issues around time, confidentiality, and privacy. Participants also reported difficulties accessing good-quality treatment. GPs also talked about cutting down or varying work content, or asserting boundaries to protect themselves.Conclusion Systemic changes, such as further information about specialist services designed to help GPs, are needed to support individual GPs and protect the profession from further damage. ER -