Intended for healthcare professionals

Views & Reviews From the Frontline

Black dog

BMJ 2009; 339 doi: (Published 29 September 2009) Cite this as: BMJ 2009;339:b3995
  1. Des Spence, general practitioner, Glasgow
  1. destwo{at}

    There is always the distant chatter of children and dogs. Problems start when everything goes quiet. The children look at each other open mouthed as the share file download shreds the computer hard drive or emit hushed giggles as they play noughts and crosses on the wallpaper. Or the silence is broken by my shouting, “They’re labradors not bloody beagles!” as I discover them attempting to teach the dogs to smoke.

    I fear silence. People are often silent about their mental health. Life is harder than we ever imagine; we are dogged by …

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