- Doctors’ Support Network, BMA counselling and NHS Practitioner Health provide confidential help.
- Register with a GP and use occupational health.
- Join specialty societies and local associations: mentorship and networks protect against isolation.
- IMGs can join community groups, mentoring schemes and “buddy” programmes in their trust.
Early warning signs
- Sleep disturbance, irritability, loss of enjoyment and dread before work.
- Using alcohol or other substances to cope.
- Avoiding colleagues or feeling you cannot ask for help.
If you notice these, speak to a trusted colleague, your educational supervisor or your GP. NHS Practitioner Health offers a free, confidential service to doctors and dentists in England, and the BMA runs a 24-hour counselling line for doctors.
This page is general education, reviewed 24 October 2026. Rules, fees and dates change: always confirm with the official sources below. It is not medical, legal or immigration advice.