Anxious and depressive reactions during transitions from psychiatry residency to career settings have been reported. The authors describe difficulties encountered in their transition from psychiatry residency to academic psychiatry within the same program. Four stages of transition are described: Termination--a time of separation and grief over losses; Adjustment--a time of ambivalence and uncertainty; Identity Formation--a time of increased productivity and comfort; Consolidation--a time of accomplishment and compatibility of life goals. Women may additionally encounter gender-specific problems in entering a predominantly male profession. The development of supportive relationships within and outside work settings are viewed as the best methods of coping with transitional stress.