Our Interview With Shairi Turner MD, MPH, Chief Health Officer at Crisis Text Line

Shairi Turner, MD, MPH, is the Chief Health Officer at Crisis Text Line, a free, 24/7, confidential mental health service.

1. From your perspective, what are the most common mental health challenges pre-med and medical students face today?

Many pre-med and medical students face intense pressure to succeed, often juggling rigorous academic demands with long hours and high expectations (internal and external). Common mental health challenges include anxiety, depression, burnout, and imposter syndrome—feelings of self-doubt despite accomplishments. Unfortunately, this can also progress to self-harm, suicidal ideations, or attempts. The competitive environment, fear of failure, and limited time for self-care can make it difficult for students to prioritize their mental well-being.

2. What early signs of burnout or chronic stress should these students be mindful of?

Students should watch for early signs of burnout or chronic stress, such as constant exhaustion, difficulty concentrating, increased irritability, or feeling detached from their studies or peers. Changes in sleep or appetite, extreme sadness,  a loss of motivation, or feeling overwhelmed by tasks that once felt manageable can also be red flags. Recognizing these signs early can be key to taking steps toward rest, support, and recovery.

3. How can aspiring medical students begin to build healthy coping mechanisms before entering medical school?

Medical students can begin building healthy coping mechanisms by establishing  routines that support balance and well-being. Develop an individual self-care practice before starting medical school. This might include regular exercise, mindfulness practices like meditation, maintaining supportive relationships, and setting realistic goals to manage stress. Learning to recognize personal limits, seeking help when needed, and prioritizing rest can help form a strong foundation for resilience before the demands of medical school begin.

4. What role should medical schools play in supporting student mental health, and where do you feel gaps currently exist?

I am not well versed enough in the current medical school curricula or services to speak to specific gaps. At this point, most if not all universities should be aware of the youth mental health crisis and are allocating resources as they can. These mental health resources should be available to medical students if they are not already. This includes offering accessible mental health services, creating safe spaces for open conversations, and integrating wellness into the curriculum. However, many students may fear stigma or professional consequences for seeking help, and support services are often under-resourced or not tailored to the unique stressors of medical training. For many medical students, this will be the first time that they face death and dying. This must be recognized as both a stressor and potentially a trigger. Trauma-informed services for medical students would be a benefit in all situations.

If medical students need support anytime of the day, they can reach out to Crisis Text Line—a free, 24/7, confidential mental health service in English and in Spanish. Simply text HELLO or HOLA to 741741 to reach a live volunteer Crisis Counselor.

5. What advice do you have for students who are hesitant to seek help due to stigma or fear of professional consequences?

I understand and I have been there. Fortunately, the general conversations and awareness about mental health have evolved exponentially since I was in medical school. That said, there is still an unspoken, existing negative narrative about healers seeking help.

However, reaching out for support is a sign of strength, not weakness. Many professionals in medicine have faced similar struggles and found that taking care of their mental health made them stronger, more compassionate caregivers. Confidential resources exist for a reason—please use them. Know that you're not alone—and that your well-being matters more than any perception or career concern.

6. Are there specific tools, habits, or daily practices you recommend for students balancing heavy academics with personal well-being?

Prioritize sleep, even when it feels optional, and set aside time each day—no matter how short—for something that brings you peace or joy, whether it's a walk, journaling, or a quick mindfulness practice. Exercise - it will reduce stress, help with your memory/ retention and improve your mood. Break tasks into manageable steps, and use tools like planners or digital reminders to stay organized and reduce mental clutter. Most importantly, stay connected—talking with friends, mentors, or a counselor can provide perspective and much-needed support.

7. What would you say to a student who feels like they’re falling behind or not ‘cut out’ for medicine because of mental health struggles?

Struggling doesn’t mean you’re unfit for this path; it means you’re human. Many incredible doctors have experienced  the same doubts and come out stronger and more compassionate. Your empathy, resilience, and willingness to face challenges head-on are qualities that make you more suited for medicine, not less. It’s okay to ask for help—and it’s okay to move at your own pace. Remember, if you need support, Crisis Text Line is here. Simply text HELLO or HOLA to 741741 to reach a live volunteer Crisis Counselor.

Inspira Advantage is proud to feature insights from leaders like Dr. Shairi Turner to help pre-medical students better understand how to care for their mental health throughout the demanding journey to medical school.

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