Unfortunately, there seems to be a conspiracy of silence at most professional schools...it's sad, because it makes it hard for students to seek help. One my friends started med school at the same time I started law school, and we would commiserate about how grueling the workload could be. I started having issues with depression my second year, but I didn't want to seek help because I was afraid to would come back at me later. When you go through the registration process for the bar exam, they ask if you're under treatment for any mental illness and if you take medication to control it. (I did end up getting treatment and got through the rest of law school with no issues.) It was far worse for my friend in med school. I went through three years of law school, passed the bar, and started earning a nice paycheck. He had to go through four years of med school, then another four years of residency, all while making practically no money. Halfway through he started seriously questioning his career choice, but felt like he had to stick it out because he had so many student loans. He actually used to joke about fleeing to Mexico so the student loan people wouldn't be able to find him. I can't help but wonder if Derek was dealing with similar issues.