Bhugra (Reference Bhugra2008) says that if our trainees see us as tired, fed up and demoralised they are likely to question not only our commitment but also their own professional attributes. But there are other possibilities. Feeling tired, fed up and demoralised should lead to reflection on what internal and external factors are driving this. Our trainees should see the real world as it is and what they are signing themselves up for. It is not in their interests to see a rose-tinted picture. Questioning is good, but both they and we must ask the right questions. I see this as an issue of integrity and being honest with trainees and ourselves.

Walking in to work every day with masked depression is not healthy.