Are You Feeling Burned Out?

   Perhaps you’ve had a stressful day, and you find
yourself thinking, “I just can’t keep doing this.”  If
thoughts like this happen occasionally you are
probably in the safe zone.  If it happens frequently, it
could be a sign of burnout.

       Burnout is a special type of chronic stress that
often manifests itself as one of the following
symptoms:

   • Feeling a lack of accomplishment
(ineffectiveness)
   • Physical or emotional exhaustion
   • Cynicism
   • Detachment

       If affected by burnout you may have difficulty
functioning with friends, family or fellow workers.  
Usually burnout happens gradually - almost
undetected until one day it feels unbearable.  It’s
like a slow tire leak that gradually wears until the
inevitable blowout.  Learning to recognize the signs
of burnout before the blowout is a skill that can
benefit you and those around you.

      If you feel the signs of burnout in your life then
read on and take advantage of the resources listed
below. If you suspect burnout in others, pass this
advice along.


             The signs of burnout?

       Although everyone experiences stress, not
everyone is approaching a state of burnout.  The
symptoms of burnout vary in degree from
moderately annoying to debilitating. As a self
assessment, review the following checklist of
symptoms.   

   • I feel a lack energy and tired most days.
   • I feel physically and emotionally exhausted,
drained, and depleted.
   • I feel a sense of dread for what lies ahead.
   • I have trouble falling asleep or staying asleep
one or two nights a week.
   • I have lack of focus and mild forgetfulness.
   • I can't get my work done and everything is piling
up.
   • I more frequently experience colds, flu, and
other immune related problems.
   • I have begun to feel a loss of appetite.
   • I eat compulsively and can’t stop
   • I feel tension, worry, and edginess.
   • I feel anxiety that interferes with my personal life
and ability to work productively.
   • I feel sad and hopeless.
   • I have feelings of guilt and worthlessness.
   • I feel angry toward friends, family or people I
work with.
   • I feel a loss of enjoyment for what I do.
   • I try to avoid projects and figure out ways to
escape work.
   • I feel pessimistic about life.
   • I frequently engage in negative self-talk.
   • I don’t trust my coworkers and family members
   • I don’t feel like I can count on anyone.
   • I often come in early or leave late to avoid
interactions with certain people.
   • I easily become angry when someone speaks to
me.
   • I have a sense of being disconnected from
others.
   • I often call in sick.
   • I often don’t return calls and emails.
   • I have a feeling of apathy and hopelessness.
   • I feel nothing is going right or nothing matters.
   • I often think "what's the point?"
   • I often feel irritated by feelings of
ineffectiveness, unimportance, or uselessness.

   Should you experience any of the following
symptoms that may also accompany burnout, seek
immediate medical help.

   • I feel chest pain, heart palpitations, or shortness
of breath.
   • I feel dizziness, fainting, and headaches.
   • I sometimes feel the world would be better off
without me.

   Life comes with ups and downs.  Few make it
through the day without some stress or negative
feelings.   Almost everyone could occasionally
identify with some of the above symptoms.  When
several of these symptoms occur frequently, it’s time
to admit the possibility of an approaching burnout
that needs attention.  If you're not experiencing
these problems to a degree that concern you then
you’re probably on the right track. Just remain
aware that burnout has an insidious way of creeping
up that’s easily missed.  Life has a way of taking us
down unknown paths and you or someone you know
may benefit from a checkup to help appreciate the
onset of burnout.  

    While diet and exercise are not going to fix all
aspects of burnout, they do rate high on the list of
important things to address.  Burnout can happen to
anyone.  If you feel it’s happening to you then we
need to talk.  Often guidance in developing
relaxation skills is a good first step in getting life
back on track.

   Without periods of relaxation the stresses in life
can become unmanageable.  A walk outdoors is one
effective relaxation activity.  

   What better time than a Saturday morning for a
relaxing walk. It’s an opportunity to have a little
outdoor fun, relax, breathe deeply, and enjoy the
simple pleasures of life. Plan to join me.  It’s what I
prescribe for myself and best of all it’s free.

     Nancy Neighbors, MD
      Huntsville, Alabama


   How Companies Assess Burnout

       If you work with an organization wanting to
assess their teams’ level of burnout there are tools
to help.  The ‘gold standard’ for assessment is the
Burnout Inventory (MBI) created by Christina
Maslach, et al.  MindGarden.com distributes the
Burnout Inventory as part of their Areas of Worklife
Surveys (AWS) for assessing perceptions of work
setting qualities that play a role in whether
employees experience work engagement or
burnout. The AWS is a questionnaire with
demonstrated reliability and validity across a variety
of occupational settings. It produces a profile that
identifies key areas of strength and weakness in an
organization.  As part of reversing the high rate of
burnout among physicians (59%), Family Practice
Physicians have chosen a profession wide self
assessment as part of helping develop
individualized plans for recovery.  While physicians
may have the highest rate of burnout among the
professions, many other professions are not far
behind.  Burnout is also high among nurses, social
workers, teachers, school principals, attorneys,
police officers and public accountants.  In the trades
and service industries, high employee turnover rate
is often a symptom of burnout.



               More about Burnout

       There is more in the articles listed below about
understanding how to recognize the symptoms of
burnout and reduce your stress before it leads to
burnout.

   •
Refueling Your Engine: Strategies to Reduce
Stress and Avoid Burnout

   • Overcoming Burnout

   • Has Sleep and Stress Become a Vicious Cycle
in Your Life?

   • Too Stressed to Manage Your Stress?

   • Three Uncommon Strategies to Manage Stress