The prevalence of mental disorders among physicians is similar and, in some cases, such as suicide, is greater than that of the general population. Those problems may lead to serious consequences, not only for the psycho-physical wellbeing of the doctor and of his/her environment but also for the safety of his/her clinical practice. In Spain, the Integral Care programs for Sick Doctors (ICID) have been developed in order to promote voluntary help seeking, and to enhance prevention, early diagnosis and appropriate treatment of those problems in specialised treatment settings. In this study, we describe how the ICID of Barcelona has worked since it was created in 1998. We also describe the main principles, means of access, inclusion criteria and main service areas of this program. Finally, we present how a specific “therapeutic contract” tries to manage the cases in which there is a risk of malpractice.