The legal profession has long been defined as a high-performance environment characterized by competition and long hours. While dedication and hard work remain hallmarks of successful lawyers, there is a growing recognition of the tension between these professional demands and attorney mental health. Dean David Jaffe, Associate Dean for Student Affairs at American University, offers a unique perspective on this challenge, having co-piloted two national surveys on law student well-being.
Recent data illuminates significant mental health challenges within the legal community. In a 2021 national survey, nearly one-third of law student respondents reported a diagnosis of depression, and approximately one-third had contemplated suicide at some point in their lives. These statistics mirror parallel surveys of practicing lawyers, which show similarly high rates of depression, anxiety, and suicidal ideation.
While there are positive trends—such as a reported decrease in binge drinking between 2014 and 2021—other concerns have emerged, including increased illicit sharing of prescription drugs. Jaffe notes that while some of these shifts may be circumstantial, attributable to the isolation of the COVID-19 pandemic, the overall numbers present a persistent challenge for the profession.
To understand the root causes of this distress, Jaffe suggests the application of Self-Determination Theory (SDT), which posits that individuals thrive when their needs for autonomy, competence, and relatedness are met. The structure of legal education and early practice often undermines these pillars. First-year law students frequently experience a loss of autonomy as their schedules are dictated for them, and the competitive nature of the curve can erode their sense of competence.
Furthermore, the isolation inherent in high-pressure legal study can attack the need for "relatedness" or connection. This dynamic often continues into law firm life, where young associates may feel isolated from clients and colleagues, viewing peers as competitors rather than a support system. Jaffe argues that restoring these pillars is essential, suggesting that law schools and firms must work to create environments where students and associates can maintain their sense of self and purpose.
A significant impediment to mental wellness in the legal profession is the stigma surrounding help-seeking behaviors, often reinforced by regulatory structures. Jaffe’s research indicates that over 60% of students who feared seeking help did so because they believed it would threaten their admission to the Bar. This fear stems largely from "Character and Fitness" questions on Bar applications that ask about a candidate's history of mental health or substance use treatment.
Dean Jaffe advocates for curtailing these questions and even cites to Department of Justice findings that such inquiries may violate the Americans with Disabilities Act. He argues that regulatory bodies should focus on conduct and behavior rather than medical conditions. When students fear that seeking therapy will derail their careers, they may avoid treatment until a crisis occurs, ultimately endangering both themselves and their future clients.
Beyond the moral imperative, there is a compelling business case for improving attorney well-being. The "commodification" of associates—a model that accepts high turnover as a cost of doing business—is increasingly viewed as economically inefficient. Replacing an attorney can cost in excess of $400,000, factoring in recruitment, training, and lost productivity.
Forward-thinking law firms are beginning to recognize that supporting attorney health creates a more sustainable business model. This goes beyond "window dressing" or superficial wellness programs. True change requires leadership by example, where partners respect boundaries, mandate vacations, and model healthy behaviors themselves. Jaffe highlights that some firms are now offering billable credit for wellness activities, signaling that the institution values the lawyer’s health as much as their output.
Despite the entrenched challenges, Jaffe remains an optimist, viewing the current focus on well-being as a movement rather than a passing trend. Incoming law students are displaying greater self-awareness and a willingness to advocate for their needs, including seeking accommodations when necessary. As the profession continues to grapple with these issues, the path forward lies in reducing stigma, reforming regulatory barriers, and fostering a culture where seeking help is viewed as a sign of strength and competence.
"It Is Okay to Not Be Okay": The 2021 Survey of Law Student Well-Being — A comprehensive national survey highlighting increased rates of anxiety, depression, and trauma among law students during the pandemic.
Suffering in Silence: The 2014 Survey of Law Student Well-Being — The landmark study that first revealed the significant extent of mental health and substance use issues among law students across the nation.
Settlement Agreement: United States v. Louisiana Supreme Court — The Department of Justice settlement that established that bar admissions questions must focus on conduct rather than mental health diagnosis.
A Lawyer's Addiction — Brian Cuban shares his personal journey of recovery and discusses the culture of substance abuse in the legal profession.
Mindfulness & Attorney Stress — Professor Nathalie Martin explores how mindfulness practices can serve as a powerful strategy to mitigate stress in the legal field.
Overachieving, Anxiety, & Addiction — Author Lisa Smith chronicles her experience as a high-functioning alcoholic in Big Law and the hidden struggles of corporate attorneys.
Fighting the Zombie-Lawyer Apocalypse — Professor Peter Huang discusses "zombification"—mindlessly reacting to stress—and how to break the cycle of burnout.