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Health and Wellbeing: Burnout

Ok, it’s time to get more serious now.  If the constant stress of work and life is leaving you feeling disillusioned, helpless and worn out then you may be suffering from burnout.

Burnout is a state of emotional, mental and physical exhaustion caused by excessive demands and prolonged stress. It leaves you feeling increasingly helpless, hopeless, cynical and resentful. Life loses its meaning and you may feel you have nothing left to give.  On the BMA website is a link to a questionnaire to rate your risk of burnout  Are you in danger of burn out?

Research into burnout suggests that GPs are at particular risk.  A Dutch study suggested that 40% of GPs were experiencing high levels of burnout, and a recent study by Pulse amongst UK GPs showed that 50% were experiencing symptoms suggestive of burnout.

Here are some common signs that you might be experiencing burnout:

Stages of Burnout

There are several different models but the stages are similar:

Honeymoon period

High energy, good satisfaction from trying to solve problems and make changes, you find the job interesting most of the time

Fuel starting to run low

Towards a crisis

Apathy

It is often the best doctors that burnout, because they invest the most energy, emotion and commitment to their patients, but at the expense of themselves.  If you are a hard working idealist or a perfectionist your risk is even greater.

Causes of Burnout

There are many causes of burnout, in many cases it stems from your job but can result from any situation where you feel overworked and undervalued. This may be a combination of work and home life. Other factors also contribute to risk of burnout, including lifestyle and personality traits.

Work related causes

Lifestyle causes

Personality traits

Preventing Burnout

There are lots of tips, books, websites out there with plenty of advice. Most involve some of the following and spending some time reflecting on how you can avoid burnout is never wasted, even if after reading the above you don’t feel it applies to you.

Recovering from burnout

If it’s too late, and after reading this it is clear to you that you need help, then you need to take your burnout very seriously. You can’t push through burnout and serious harm may come to you and your family if you do.

Step 1

SLOW DOWN. ­ You need to force yourself to slow down or take a break. Give yourself time to rest, reflect and heal.

Step 2

GET SUPPORT. ­ You need help. Share your true feelings, stop trying to deny the situation and talk to another person. Consider seeing your GP and perhaps book a double appointment, or contacting the BMA counselling or Doctor Advisor service on 08459 200 169.

Step 3

RE-EVALUATE. ­ Burnout is a sign that something isn’t working in your life. Your task is to find out what and put it right. You may need help to do this.

Step 4

TAKE TIME OFF. ­ If burnout seems inevitable then you might need to take a complete break from work. This often seems impossible for doctors as we tend to put our responsibilities before our health. This of course is part of the problem! Take a holiday, ask for leave of absence, take a sabbatical or you might need to take sick leave. Unless you take a break you will not be able to find the solutions.

Doctors are often very poor at managing their health and wellbeing, constantly putting work first and the traditional culture in medicine is that of needing to always be strong and not show vulnerability. We worry what others will think if we “confess” to having problems and of course if we do we may have to speak to a colleague who knows us professionally as well as being their patient. However, it is really important to put those fears and inhibitions to one side and trust the professional judgements and decisions of others. The strong person is the one who recognises the problems and decides to take action positively to get a better life.

Ref: The Stress of Medicine  -  David Rainham

More Helpful Links:

www.helpguide.org

https://www.wessexlmcs.com/gphealthservice

 

 

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Updated on 01 August 2017 3480 views