Depression begets isolation, and isolation begets depression. It was isolation that echoed in my head like wordless thunder. I felt unworthy of anyone's care and concern, and it was easy to discourage any effort to show me compassion. I radiated a message of wanting to be left alone. I struggled to be present with patients and residents, to smile even though I didn't feel joy. Supporting residents in distress, I couldn't silence the drumbeat of my own anguish. I was a fraud mentoring them along a career path I had veered off with no guide of my own.