WEBVTT

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<v Speaker 1>Do you know what real power is? It's knowing you're

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<v Speaker 2>See pocash Energy dot E for fulltiesncies. Oh hey, it's

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<v Speaker 2>your coworker who makes bunt cakes, Ali Ward. And speaking

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<v Speaker 2>of work, let's get right into it. How are we doing?

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<v Speaker 2>How are our brains? How are you feeling? Are you

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<v Speaker 2>feeling like a little bit like wilted lettuce? You feel

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<v Speaker 2>in like a swollen infection? Get a pop? We get it,

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<v Speaker 2>I get it. So this episode has been a long

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<v Speaker 2>time coming, and I cornered one of the world's leading

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<v Speaker 2>experts on burnout. They got their MBA at the University

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<v Speaker 2>of Oregon and a Doctorate of Education at the University

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<v Speaker 2>of Pennsylvania, where they are currently a senior Fellow. They're

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<v Speaker 2>the director of the Penmaster in Medical Education program too.

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<v Speaker 2>They wrote the book on burnout. It's called Burnout Immunity

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<v Speaker 2>so Ergo Pathology. It's the science of ergon, which is

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<v Speaker 2>work in Greek and pathology, which is something bad. But

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<v Speaker 2>what exactly is burnout? Okay, obviously we're going to cover it,

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<v Speaker 2>but if you're experiencing exhaustion, cynicism, and professional inefficiency, you're

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<v Speaker 2>going to want to keep listening before we get to it.

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<v Speaker 3>Though.

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<v Speaker 2>Thank you to all the patrons at patreon dot com

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<v Speaker 2>for submitting your questions for this episode. You can get

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<v Speaker 2>sneak peaks at future episodes, and you can submit questions

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<v Speaker 2>for them by joining Patreon for as low as a

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<v Speaker 2>dollar a month and for zero dollars. Thank you to

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<v Speaker 2>everyone leaving reviews which helped the show so much. Like

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<v Speaker 2>for example, this week Euphonium Shorty left a review that said,

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<v Speaker 2>I couldn't possibly care less about the making of street murals.

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<v Speaker 2>At least that's what I thought until Ali explained it

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<v Speaker 2>all to me. That's happened to me at least a

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<v Speaker 2>dozen times with this podcast. That's why I love it

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<v Speaker 2>amazing really the frequency with which they come out. If

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<v Speaker 2>I could change one thing they write, it'd be Ali

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<v Speaker 2>taking better care of herself. Euphonium shorty Timely. I'm doing

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<v Speaker 2>much better, and I'll tell you how I balance life

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<v Speaker 2>with work that I legitimately love. Also, speaking of love,

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<v Speaker 2>lots of love. Back to reviewer, Amari, you know who

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<v Speaker 2>you are. Okay, let's get into it. Please take a

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<v Speaker 2>load off, Lie down on a carpet, you can recline

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<v Speaker 2>against tree trunk. Take some time to listen and absorb

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<v Speaker 2>the teachings about what is burnout, who burns out faster

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<v Speaker 2>than others, who doesn't burn out? What professions are more

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<v Speaker 2>at risk for fatigue and mental health repercussions, How do

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<v Speaker 2>you tell your boss you're burned out? Neurodiversity and burnout grit,

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<v Speaker 2>The myths of guilt, hockey mascots, childhood trauma and lingering anxiety,

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<v Speaker 2>and how to tell your brain to tell your body

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<v Speaker 2>that you got this and when to acknowledge no, I

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<v Speaker 2>do not got this. Baby needs to rest. Also how

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<v Speaker 2>you don't need to wait until you're onotropical vacation to recharge,

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<v Speaker 2>in fact, don't with scholar author and burnout expert, ergo

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<v Speaker 2>pathologist for candy weeds.

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<v Speaker 4>Candy weens, she her mm hmm, burnout expert.

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<v Speaker 2>How does it happen this one become a burnout expert

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<v Speaker 2>just like diving right in. I'm like, tell me everything.

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<v Speaker 3>Well, let me tell you. When I was probably nine,

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<v Speaker 3>ten years old, that's the last thing I ever thought

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<v Speaker 3>I would be. In fact, I don't even hear the

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<v Speaker 3>word burnout until just probably, I don't know, eight, well

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<v Speaker 3>twelve years ago. So becoming a burnout expert for me anyways,

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<v Speaker 3>started with me having a life threatening wake up call

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<v Speaker 3>experience with burnout, the kind where I was having a

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<v Speaker 3>hypertensive emergency and just decided to go on a quest

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<v Speaker 3>to figure out like what was going on with me,

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<v Speaker 3>learn how to deal with my stress. And then as

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<v Speaker 3>I started nerding out and geeking out on the whole thing,

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<v Speaker 3>I decided to go get my doctorate. I just it

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<v Speaker 3>was like one of those I'm Okay, I'm going to

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<v Speaker 3>go figure this out for real. I'm going to science

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<v Speaker 3>the shit out of this thing, and I'm going to

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<v Speaker 3>find out why some people just seem to be somewhat

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<v Speaker 3>immune to burnout. They are clearly experiencing a lot of stress,

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<v Speaker 3>but they work alongside people like me that are experiencing

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<v Speaker 3>the same sort of stressers, but they're not burned out.

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<v Speaker 3>What's going on with them?

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<v Speaker 2>Can you tell me a little bit about that hypertensive

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<v Speaker 2>emergency if it's not true traumatic, But what was the

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<v Speaker 2>moment you realized that it was related to stress?

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<v Speaker 3>Yeah? So, at the time, this is back in twenty eleven,

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<v Speaker 3>I was a management consultant, on the road a lot,

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<v Speaker 3>had three young kids at home, living the whole type

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<v Speaker 3>a personality sort of career. Loved what I did, threw

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<v Speaker 3>myself into it, super engaged in work, loved my colleagues

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<v Speaker 3>and my clients and all of that. And I felt

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<v Speaker 3>at the time like I was experiencing a lot of stress,

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<v Speaker 3>but to me, it felt like the good kind of

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<v Speaker 3>keeping myself motivated sort of stress, alongside a lot of

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<v Speaker 3>the other bad stress too. But my approach back then

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<v Speaker 3>was just stuff that stress, like, put it in a box,

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<v Speaker 3>put it in a put that box in a closet,

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<v Speaker 3>like lock that closet, and don't touch that stress until

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<v Speaker 3>you're ready for it. What happened was when I had

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<v Speaker 3>this hypertensive emergency, which I had no idea I was

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<v Speaker 3>even having one. I went into my doctor's office just

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<v Speaker 3>for a routine annual physical you know that kind where

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<v Speaker 3>you go in and they check your blood pressure and

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<v Speaker 3>they check all your vital signs and you're in and

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<v Speaker 3>out in about twenty minutes. They give you your a and

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<v Speaker 3>say see you back here next year. I thought it

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<v Speaker 3>was one of those, But what happened was I was

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<v Speaker 3>in the exam room, the nurse checked my vital signs,

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<v Speaker 3>She checked my blood pressure four times before saying anything,

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<v Speaker 3>and the only thing she said to me was I'm

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<v Speaker 3>going to go talk to the doctor. And instead of

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<v Speaker 3>like taking that seriously and thinking, holy caw, like what

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<v Speaker 3>is this about? What's going on with my blood pressure?

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<v Speaker 3>Instead I picked up my phone and started working again

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<v Speaker 3>because that was the norm for me. And I know,

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<v Speaker 3>it's like I'm hearing stories from so many people that

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<v Speaker 3>that's what they would have done too, because the stress

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<v Speaker 3>I was feeling at the time had just become to

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<v Speaker 3>feel so normal to me that I wasn't recognizing the

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<v Speaker 3>fact that when my doctor came in she told me

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<v Speaker 3>that my blood pressure was two hundred over one ten. Yeah,

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<v Speaker 3>I didn't know what that meant at the time.

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<v Speaker 2>Just a side note, I had to look this up.

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<v Speaker 2>Normal blood pressure one twenty over eighty it's considered high

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<v Speaker 2>around one thirty over eighty. Stage two is like one forty.

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<v Speaker 2>But if you get a blood pressure reading over one

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<v Speaker 2>eighty over one twenty, you need to call nine one

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<v Speaker 2>one or go to the er immediately, like you could

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<v Speaker 2>die on the spot. And again, doctor Weens was two

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<v Speaker 2>hundred over one ten. What so, this is what's called

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<v Speaker 2>a hypertensive crisis, and it's usually caused by people forgetting

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<v Speaker 2>to take blood pressure meds, or kidney disease underlying or

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<v Speaker 2>heart disease, some pregnancy complications, taking meth or really high anxiety.

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<v Speaker 2>And according to the CDC, heart disease is the leading

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<v Speaker 2>cause of death for women in the United States, killing

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<v Speaker 2>over three hundred thousand women in twenty twenty one, or

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<v Speaker 2>about one in every five female deaths. We do have

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<v Speaker 2>a cardiology episode coming up, of course, but yeah, her

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<v Speaker 2>blood pressure was well into the range of all hands

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<v Speaker 2>on deck, holy shit.

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<v Speaker 3>And then of course she gave me a huge delsa xanax,

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<v Speaker 3>which I'd never had before, and brought my blood pressure

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<v Speaker 3>down and so like an hour later, she called my

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<v Speaker 3>husband to have them come pick me up, and about

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<v Speaker 3>an hour later I was finally stable enough where they

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<v Speaker 3>could send me home and not to the emergency room.

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<v Speaker 3>I was basically like ordered to be on bed rest

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<v Speaker 3>for several days. And my first thought when she told

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<v Speaker 3>me that was there's no way I can be on

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<v Speaker 3>bed rest because I have this big leadership development program

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<v Speaker 3>to run, and I almost panicked, like it almost sent

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<v Speaker 3>me back into another stress spiral. But then the second

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<v Speaker 3>thought was, well, thank god, someone's finally telling me I

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<v Speaker 3>can go home and rest, like giving me a permission

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<v Speaker 3>to rest, because because I wasn't giving myself enough rest.

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<v Speaker 3>And I hear this so often from people that I

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<v Speaker 3>work with and people who hear me speak. But then

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<v Speaker 3>my third thought was, you know, she's absolutely right. My

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<v Speaker 3>doctor is telling me I'm not fine. I need to

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<v Speaker 3>take this seriously. I need to stay home and not work.

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<v Speaker 3>And so for a few days, laying on the couch

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<v Speaker 3>on xanax and blood pressure medicine, I had a lot

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<v Speaker 3>of time to think and started reading some books and

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<v Speaker 3>started digging around on you know, what are the best

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<v Speaker 3>stress management techniques and doing to sell so a lot

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<v Speaker 3>of self reflection, and it started to dawn on me

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<v Speaker 3>then that I needed help. I needed to make changes

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<v Speaker 3>because my work environment was not going to change anytime soon,

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<v Speaker 3>so I needed to think about for myself what were

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<v Speaker 3>some immediate things I could do. But then also it

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<v Speaker 3>really dawned on me too, like longer term, I really

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<v Speaker 3>need to find a work environment and the right conditions

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<v Speaker 3>where I can really thrive without burning out. So that's

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<v Speaker 3>kind of how it started my interest and my geeky

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<v Speaker 3>curiosity on stress and burnout, and then it eventually turned

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<v Speaker 3>into me wanted to get my doctorate so I could

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<v Speaker 3>study it for real.

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<v Speaker 2>When you realized that you had to make some changes,

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<v Speaker 2>where do you start, Like did the doctor say like,

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<v Speaker 2>oh okay if you need to matter or are they just like

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<v Speaker 2>your blood pressure's good. You got to figure out the rest.

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<v Speaker 3>So it was like, you know, gave me medicine and

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<v Speaker 3>told me to go home and basically figure it out

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<v Speaker 3>for myself. She didn't recommend anything at all. And this

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<v Speaker 3>was again back in twenty eleven, where very few people,

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<v Speaker 3>if any, were talking about burnout, Like I wasn't really

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<v Speaker 3>hearing about it, and I worked in healthcare consulting, so

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<v Speaker 3>it wasn't really until like twenty twelve, twenty thirteen that

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<v Speaker 3>I started reading studies about this stuff and reading some

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<v Speaker 3>other stress management books and like practitioner kinds of books.

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<v Speaker 3>But then when I started digging into the research, I

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<v Speaker 3>started seeing, Okay, there is this thing called burnout, and

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<v Speaker 3>then I was able to put my finger on what

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<v Speaker 3>I was experiencing.

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<v Speaker 2>What exactly Looking back, now that you have your doctorate

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<v Speaker 2>and now you've been working in this for so long,

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<v Speaker 2>can you pick apart a little bit of what was

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<v Speaker 2>happening during a burnout episode. I imagine that it can

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<v Speaker 2>show up in your heart or your brain. I imagine

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<v Speaker 2>that whatever crisis people might finally get to can show

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<v Speaker 2>up at all kinds of ways.

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<v Speaker 3>Right, So they're really a number of ways that we

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<v Speaker 3>can pay attention to the fact that stress is turning

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<v Speaker 3>into something that's a little bit more dangerous, potentially getting

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<v Speaker 3>to a point where we're going to break down or burnout.

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<v Speaker 3>And I would say, first and foremost pay attention to

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<v Speaker 3>the physical science. Most of us can notice things like headaches,

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<v Speaker 3>not sleeping well, not being interested in exercise, not being

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<v Speaker 3>interested in intimacy with our partner, you know, all kinds

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<v Speaker 3>of physical manifestations that if we were to just really

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<v Speaker 3>pay attention, they are there. Those signs are there. But

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<v Speaker 3>then also like some of the psychological ways that burnout manifests,

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<v Speaker 3>that things like just lack of interest in things that

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<v Speaker 3>we once love to do, starting to feel more negative

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<v Speaker 3>and cynical about work or about other people, And then

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<v Speaker 3>we also might notice changes in our relationships. Some people

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<v Speaker 3>tell me that they notice the first signs of burnout

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<v Speaker 3>when they start to notice their relationships are kind of

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<v Speaker 3>fraying and starting to become more tense, that they start

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<v Speaker 3>lashing out, maybe at people that they really love or

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<v Speaker 3>they even enjoy working with. So there are a number

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<v Speaker 3>of ways that you can pay attention to how stress

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<v Speaker 3>is affecting you, and it's really noticing the fact that

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<v Speaker 3>burnout is really this thing that can be quite insidious,

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<v Speaker 3>meaning that it can really sneak up on you if

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<v Speaker 3>you're just going through the motions of life and keeping

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<v Speaker 3>with the grind that you've always been doing, which was

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<v Speaker 3>my case and a lot of people that I talk

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<v Speaker 3>to who have been burned out, that's how they experience

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<v Speaker 3>it because they're so focused on performing or achieving or

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<v Speaker 3>helping other people or just juggling life and family and

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<v Speaker 3>everything all at once that it's really easy to lose

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<v Speaker 3>track of what's going on with yourself.

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<v Speaker 2>And what's happening. From a scientific perspective, I know, the

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<v Speaker 2>amygdala has so many things to say when it comes

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<v Speaker 2>to stress. I know, we've got cortisol, we've got adrenaline,

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<v Speaker 2>we've got dopamine, we've got serotonin, We've got all kinds

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<v Speaker 2>of things going on. What is happening under stress where

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<v Speaker 2>it finally, just like the roof caves in.

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<v Speaker 3>Well, so for some people it caves in on a

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<v Speaker 3>physical level, and burnout for the most part, is a

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<v Speaker 3>psychological experience. With stress. Our body goes through all kinds

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<v Speaker 3>of chemical reactions when our amygdala goes off. It's that

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<v Speaker 3>part of our brain that triggers the fight flight or

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<v Speaker 3>freeze response. And very few of us, though, are actually

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<v Speaker 3>threatened by bears coming out of nowhere.

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<v Speaker 2>Yeah, I mean chased by.

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<v Speaker 3>A tiger or you know, in my case, I actually

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<v Speaker 3>am going through something that it's not physically threatening, but

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<v Speaker 3>it's psychologically threatening to me. So that to me is

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<v Speaker 3>much more stressful than something like coming on the Ologies podcast.

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<v Speaker 3>I was nervous to come on and also excited. Like

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<v Speaker 3>there's stress involved in both of those scenarios, but one

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<v Speaker 3>triggers a threat response to stress. The other one, coming

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<v Speaker 3>on your podcast triggers what's known as the challenge response

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<v Speaker 3>to stress. So our body is going to react differently

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<v Speaker 3>in each of those situations. And what's really important what

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<v Speaker 3>I write about in my book is learning how to

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<v Speaker 3>pay attention to those science so that you can regulate

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<v Speaker 3>your nervous system. Whether you're truly being threatened or if

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<v Speaker 3>the stressor is something that you are excited about and

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<v Speaker 3>looking forward to, you can learn how to regulate your

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<v Speaker 3>nervous system in a healthy, productive way so you can

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<v Speaker 3>show up as your best.

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<v Speaker 2>So doctor Weens says that the challenge response to stress

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<v Speaker 2>kicks in when we want to perform or achieve something,

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<v Speaker 2>and why it doesn't freak you out is because you've

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<v Speaker 2>told yourself that it's not life threatening, and so your

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<v Speaker 2>body uses those fight or flight hormones, like if you

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<v Speaker 2>are exercising or trying to beat your brother in law

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<v Speaker 2>in a potato sack race. So the challenge response gives

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<v Speaker 2>you energy and focus and motivation and just a little

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<v Speaker 2>bit of swagger. So how do you respond that way

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<v Speaker 2>instead of throwing up in a garbage can before your

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<v Speaker 2>annual performance review. Doctor Weens writes that you have to

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<v Speaker 2>like gently brainwash yourself, or you have to unbrainwash yourself

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<v Speaker 2>by telling yourself inside, hey, you can do it. You

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<v Speaker 2>can go crush this. So don't try to suppress the

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<v Speaker 2>stress because that makes it worse, and she says to

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<v Speaker 2>tell yourself, I'm stressed right now, but that's okay. I've

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<v Speaker 2>experienced stress before. I always get through it, or say hey,

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<v Speaker 2>why not go for broke. I'm stressed right now, but

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<v Speaker 2>this ain't my first rodeo, and I'm going to kick

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<v Speaker 2>some ass, she writes in her book. She also says

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<v Speaker 2>other quick mindset shifts include remembering all your strengths, remembering

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<v Speaker 2>all the prep you did for the challenge, all the

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<v Speaker 2>times you overcame similar challenges, imagining your loved ones rooting

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<v Speaker 2>for you, or having a mantra like I've got this,

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<v Speaker 2>I can handle this, or again. Her personal favorite is

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<v Speaker 2>this ain't my first rodeo, and she confesses in her

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<v Speaker 2>book that she'll actually wear a T shirt that says

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<v Speaker 2>this ain't my first rodeo under her suits when she

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<v Speaker 2>gives like a big keynote, I tell myself to show

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<v Speaker 2>up like you belong and have fun, which I guess

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<v Speaker 2>I didn't realize that I was shifting my terror into

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<v Speaker 2>a challenge response to stress. And I have to do

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<v Speaker 2>it every week before I record HI doing it right now.

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<v Speaker 3>Neuroscience researchers who look at this stuff and look at

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<v Speaker 3>really all the chemical reactions to stress and not just burnout,

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<v Speaker 3>but every everyday stress for long periods of time. Sometimes

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<v Speaker 3>that may lead to burnout, other times it may not.

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<v Speaker 3>It main lead to other psychological conditions. But yeah, when

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<v Speaker 3>we get stressed, and that turns on our nervous system,

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<v Speaker 3>and that nervous system switch is turned on for a

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<v Speaker 3>long period of time or it gets stuck in the

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<v Speaker 3>on position. We start to burn through our adrenaline first

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<v Speaker 3>and then our cortisol kicks in, and that's meant to

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<v Speaker 3>protect us. But over time, burning through all that cortisol

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<v Speaker 3>really really quickly can lead to other physical symptoms. It

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<v Speaker 3>will immediately cause your blood vessels to constrict, so you're

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<v Speaker 3>then experiencing lack of oxygen and healthy blood flow to

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<v Speaker 3>your brain, which then puts you in what we call

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<v Speaker 3>fast thinking mode. So it's like a chain reaction where

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<v Speaker 3>we first have an unconscious physical reaction through the release

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<v Speaker 3>of these kinds of hormones, you know, whether it's adrenaline

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<v Speaker 3>or cortisol, or in some cases with good stress, it's

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<v Speaker 3>dopamine and oxytocin and other things that help us manage stress.

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<v Speaker 3>But it's those physical things that happen without us even

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<v Speaker 3>knowing it before we start to fill the psychological effects

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<v Speaker 3>of stress and then eventually burn out.

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<v Speaker 2>So the chemical background here is that adrenaline helps you

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<v Speaker 2>survive in physical stress. It gives you this fuel boost

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<v Speaker 2>in the form of glucose, which helps you get out

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<v Speaker 2>a dodge or fight or hide in a bush or

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<v Speaker 2>whatever it takes to evade an attack. Now, the hormone cortisol,

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<v Speaker 2>this is our lined in the Frontiers and Psychology paper

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<v Speaker 2>Burnout and Hypocortisolism a matter of severity. Cortisol responses to

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<v Speaker 2>acute psychosocial stress. Cortisol gives us the energy mobilization to

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<v Speaker 2>fight off that attack, but as anyone who's ever had

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<v Speaker 2>nervous diarrhea knows, it's not always helpful. And it continues

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<v Speaker 2>this paper that long term exposure to stressful circumstances without

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<v Speaker 2>enough recovery is hypothesized to be the cause of fatigue

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<v Speaker 2>and exhaustion symptoms in people experiencing burnout. So things might

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<v Speaker 2>be happening physically to you under stress, but like your

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<v Speaker 2>own bo sometimes you can't even detect it. You're just

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<v Speaker 2>accustomed to it, and you might not even notice your

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<v Speaker 2>burnout and your anxiety symptoms until your body's very mad

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<v Speaker 2>at you or your sanity starts to fray. And I'm

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<v Speaker 2>speaking from experience. Do you think some people are more

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<v Speaker 2>predisposed to burnout? It's like, if you have an anxiety

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<v Speaker 2>disorder pre existing, or you have depression, or if you're neurodivergent,

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<v Speaker 2>do those people tend to push beyond their limits or

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<v Speaker 2>have a lower threshold for this kind of stuff.

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<v Speaker 3>Yeah, so there's interesting research that shows the relationship between

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<v Speaker 3>You can look at it by temperament, So each of

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<v Speaker 3>us is born with a certain type of temperament that

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<v Speaker 3>doesn't necessarily change as we age and get older, and

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<v Speaker 3>then we also all have personality traits that may change

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<v Speaker 3>through life experiences. Anxiety is an interesting ones. So people

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<v Speaker 3>who have just like underlying anxiety disorders or tend to

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<v Speaker 3>be one of the personality traits as neuroticism. So people

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<v Speaker 3>who are high on the neuroticism scale it's great, tend

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<v Speaker 3>to be more prone to burnout in certain contexts because

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<v Speaker 3>they are more easily triggered. But it's also not just

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<v Speaker 3>with people who tend to run anxious. I would say

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<v Speaker 3>what's important to look at for everybody is not necessarily

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<v Speaker 3>whether you have an anxiety disorder or depression or anything

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<v Speaker 3>like that, but really think about the interaction between what

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<v Speaker 3>you want and need out of a work and life

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<v Speaker 3>environment and what you're actually getting. What is the environment

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<v Speaker 3>that you're actually in, because it's really the interaction between

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<v Speaker 3>you and that environment that makes you more vulnerable to

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<v Speaker 3>burnout in certain contexts are in certain environments.

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<v Speaker 2>Yeah, I'm laughing about the neuroticism because we did a

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<v Speaker 2>Personality Psychology episode. I took a test and it was like,

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<v Speaker 2>You're neuroticism is so high we can barely measure it.

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<v Speaker 2>It was just like they know, so I know definitely

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<v Speaker 2>some of us are predisposed. And we'll link to that

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<v Speaker 2>Personality Psychology episode. It is a banger. We'll put that

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<v Speaker 2>in the show notes. But the cheat sheet is that

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<v Speaker 2>there is a scholarly five factor model of these five

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<v Speaker 2>core personality traits, which are agreeableness, conscientiousness, extraversion, neuroticism, and openness.

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<v Speaker 2>And there was a twenty twenty three study titled the

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<v Speaker 2>Big Five Model Personality Traits and Job Burnout a Systematic

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<v Speaker 2>Literature Review, and it showed that higher levels of neuroticism

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<v Speaker 2>and lower levels of agreeableness, conscientiousness, extraversion, and openness are

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<v Speaker 2>associated with higher levels of burnout. No surprise. So the

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<v Speaker 2>neuroticism and hiding from the world and being stubborn that

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<v Speaker 2>I think protects me from failure, Nope, it does not.

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<v Speaker 2>Why are we like this? Do you think that there's

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<v Speaker 2>anything in our past that makes us more prone to

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<v Speaker 2>pushing through? I understand things like, you know, childhood trauma

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<v Speaker 2>or codependency issues, things like that might make us take

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<v Speaker 2>on more than we necessarily should be handling. Does childhood

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<v Speaker 2>experience or does codependency or just like I can give

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<v Speaker 2>more than the average person because I should, Does that

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<v Speaker 2>figure into being predisposed for burnout?

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<v Speaker 3>It absolutely does. Yeah, absolutely, So if you think about,

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<v Speaker 3>like what really contributes to my vulnerability to burnout? In

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<v Speaker 3>yours alle your vulnerability might be different, it's two things,

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<v Speaker 3>like what are we born with? We're born with a

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<v Speaker 3>certain kind of temperament and personality, but then also what's

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<v Speaker 3>the environment, what are the conditions that we're exposed to

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<v Speaker 3>in our early childhood all the way up until where

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<v Speaker 3>we are today, And so, you know, aside from personality

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<v Speaker 3>and temperament, which are hard for us to change in general,

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<v Speaker 3>when we are able to reflect on the early experiences

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<v Speaker 3>we had in childhood, and not just the experience itself,

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<v Speaker 3>but who helped us or who did not help us

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<v Speaker 3>through stressful experiences.

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<v Speaker 2>And chronic trauma like surviving long term intimate partner abuse

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<v Speaker 2>or war or sex trafficking, or childhood trauma that can

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<v Speaker 2>result on what's called CPTSD or complex post traumatic stress disorder.

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<v Speaker 2>And as for CPTSD being distinct from PTSD, some experts

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<v Speaker 2>fight about that, which is not schill.

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<v Speaker 3>And it's interesting because there's really good research that shows

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<v Speaker 3>a correlation between people who have had a number of

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<v Speaker 3>what we call aces, adverse childhood events or experiences, and

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<v Speaker 3>the studies are mixed. It's really showing that people who

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<v Speaker 3>have a number of aces, like in my case, the

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<v Speaker 3>whole first chapter of the book describes my experience from

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<v Speaker 3>early childhood and how I went through a lot of adversity, and.

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<v Speaker 2>Her book details more of that, but she writes, I

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<v Speaker 2>grew up on an Indian reservation in eastern Montana. Picture

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<v Speaker 2>big blue skies, golden wheat fields, and their rich beauty

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<v Speaker 2>of Native American culture, alongside abject poverty, little opportunity for education,

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<v Speaker 2>and on my mom's side of the family, a long

419
00:22:42.079 --> 00:22:45.680
<v Speaker 2>history of mental illness and alcoholism. She writes. My parents

420
00:22:45.720 --> 00:22:48.640
<v Speaker 2>divorced after the tragic death of my two year old

421
00:22:48.720 --> 00:22:51.880
<v Speaker 2>middle sister, leaving my mom to care for a newborn

422
00:22:52.000 --> 00:22:55.720
<v Speaker 2>in me. Needless to say, she shares, we struggled a lot.

423
00:22:55.960 --> 00:22:58.640
<v Speaker 2>My mom was traumatized and grieving in ways I couldn't

424
00:22:58.680 --> 00:23:02.559
<v Speaker 2>begin to understand. Lived in government subsidized housing, and relied

425
00:23:02.599 --> 00:23:05.519
<v Speaker 2>on food stamps and Indian health Care for basics. I

426
00:23:05.559 --> 00:23:08.279
<v Speaker 2>was constantly bullied at school for being too skinny. Not

427
00:23:08.359 --> 00:23:11.000
<v Speaker 2>my fault, I would think to myself, I've barely eaten

428
00:23:11.160 --> 00:23:14.119
<v Speaker 2>in the last five days. So began my struggle with

429
00:23:14.319 --> 00:23:19.480
<v Speaker 2>adversity induced stress, she writes. So childhood adversity is even

430
00:23:19.599 --> 00:23:24.720
<v Speaker 2>more crushing, with systemic oppression and lack of financial resources

431
00:23:24.799 --> 00:23:25.880
<v Speaker 2>and support.

432
00:23:26.079 --> 00:23:28.480
<v Speaker 3>And at the same time, I had a really loving,

433
00:23:28.559 --> 00:23:32.039
<v Speaker 3>supportive family environment, even though it was very unstable and

434
00:23:32.079 --> 00:23:34.920
<v Speaker 3>I felt at times very very insecure, and that led

435
00:23:34.920 --> 00:23:38.480
<v Speaker 3>me to all kinds of bad patterns and habits around

436
00:23:38.799 --> 00:23:43.640
<v Speaker 3>overachieving and immersing myself to an unhealthy level. That was

437
00:23:43.680 --> 00:23:46.319
<v Speaker 3>offset by the fact that I had parents who loved me,

438
00:23:46.359 --> 00:23:48.400
<v Speaker 3>and I had other caregivers and people in my life

439
00:23:48.559 --> 00:23:51.200
<v Speaker 3>who were supportive and tried their best to give me

440
00:23:51.200 --> 00:23:54.039
<v Speaker 3>as secure of an environment as possible. So that all

441
00:23:54.079 --> 00:23:57.519
<v Speaker 3>factors into both my patterns and how I've responded to

442
00:23:57.559 --> 00:24:00.240
<v Speaker 3>stress up until today, as well as how how I

443
00:24:00.319 --> 00:24:04.240
<v Speaker 3>perceive stressers now and into the future, and how that

444
00:24:04.319 --> 00:24:07.160
<v Speaker 3>might make me more vulnerable to burnout. One that's really

445
00:24:07.200 --> 00:24:08.759
<v Speaker 3>interesting that I'd want to hit on a little bit

446
00:24:08.799 --> 00:24:10.400
<v Speaker 3>because I think a lot of people can relate to

447
00:24:10.440 --> 00:24:13.720
<v Speaker 3>this one is we hear a lot about grit, that

448
00:24:13.839 --> 00:24:16.440
<v Speaker 3>grit is a good thing, the ability to persevere and

449
00:24:16.480 --> 00:24:19.960
<v Speaker 3>work through things, you know, big hard challenges, And we

450
00:24:20.039 --> 00:24:22.559
<v Speaker 3>find that a lot of people who go through really

451
00:24:22.559 --> 00:24:26.519
<v Speaker 3>advanced education, like physicians go through you know, med school

452
00:24:26.519 --> 00:24:31.240
<v Speaker 3>and then residency fellowship, that they learn how to persevere,

453
00:24:31.359 --> 00:24:33.759
<v Speaker 3>like they have grit, like nobody's business sort of thing.

454
00:24:34.200 --> 00:24:36.440
<v Speaker 3>So I started digging into that, and sure enough, there

455
00:24:36.480 --> 00:24:40.799
<v Speaker 3>are studies that show that that grit protects people from burnout.

456
00:24:41.200 --> 00:24:44.640
<v Speaker 2>So, according to a twenty eighteen paper, the relationship between grit,

457
00:24:44.799 --> 00:24:48.960
<v Speaker 2>burnout and well being in emergency medicine residence, grit is

458
00:24:49.000 --> 00:24:53.279
<v Speaker 2>this personality trait marked by perseverance and passion for long

459
00:24:53.400 --> 00:24:57.240
<v Speaker 2>term goals, especially over a sustained period of time, and

460
00:24:57.319 --> 00:25:01.000
<v Speaker 2>this study found that residence with higher grit appear to

461
00:25:01.039 --> 00:25:04.279
<v Speaker 2>be less likely to experience burnout. So how do you

462
00:25:04.359 --> 00:25:07.759
<v Speaker 2>know if you're gritty? If you're the Philadelphia Flyers hockey

463
00:25:07.759 --> 00:25:11.640
<v Speaker 2>team mascot Gritty, a huge furry orange thing whose lore

464
00:25:11.680 --> 00:25:14.519
<v Speaker 2>involves being disturbed from his secret hideout while the Wells

465
00:25:14.559 --> 00:25:18.039
<v Speaker 2>Fargo Stadium was being built, you definitely have grit because

466
00:25:18.119 --> 00:25:21.519
<v Speaker 2>Gritty gets his name from the grit of the Flyers team.

467
00:25:21.559 --> 00:25:24.000
<v Speaker 2>Because when you're from Philly, you go through things like

468
00:25:24.279 --> 00:25:28.480
<v Speaker 2>corrupt public officials and winter. Now, Gritty looks kind of

469
00:25:28.519 --> 00:25:32.079
<v Speaker 2>like a Jim Henson character who owns more than one bong,

470
00:25:32.480 --> 00:25:35.319
<v Speaker 2>and he was designed to represent someone that you'd high

471
00:25:35.319 --> 00:25:38.039
<v Speaker 2>five but not hug, and they really got that dialed in.

472
00:25:38.319 --> 00:25:41.680
<v Speaker 2>So gritty has grit. Maybe you're not gritty, but you

473
00:25:41.799 --> 00:25:44.240
<v Speaker 2>have grit. There's a test for that. It's called the

474
00:25:44.279 --> 00:25:46.880
<v Speaker 2>Grit Scale, and grit I just learned this. It's not

475
00:25:47.000 --> 00:25:50.000
<v Speaker 2>just about like someone who'd rubbed dirt, no wound. It

476
00:25:50.039 --> 00:25:54.400
<v Speaker 2>actually stands for something that stands for growth, resilience, instinct,

477
00:25:54.720 --> 00:25:58.680
<v Speaker 2>and tenacity and this scholar author and psychologist doctor Angela

478
00:25:58.799 --> 00:26:02.160
<v Speaker 2>Duckworth pioneered a test for it, which includes statements like

479
00:26:02.359 --> 00:26:06.480
<v Speaker 2>setbacks don't discourage me. I finish whatever I begin. And

480
00:26:06.519 --> 00:26:11.759
<v Speaker 2>this quiz tragically honestly reads like a reverse assessment for ADHD,

481
00:26:11.920 --> 00:26:14.359
<v Speaker 2>which we cover in depth on our three part ADHD

482
00:26:14.440 --> 00:26:17.319
<v Speaker 2>episode linked in the show notes with doctor Russell Barkley,

483
00:26:17.400 --> 00:26:20.279
<v Speaker 2>and we'll also cover NERD divergence later in this episode.

484
00:26:20.400 --> 00:26:23.359
<v Speaker 2>So the Grid Scale, though has its critics, scores are

485
00:26:23.480 --> 00:26:25.680
<v Speaker 2>kind of said to be in line with higher GPAs

486
00:26:25.720 --> 00:26:30.799
<v Speaker 2>for students and spelling beach championships and military academy success.

487
00:26:31.079 --> 00:26:35.319
<v Speaker 2>But as doctor Ween's explains, it's not an immunity amulet

488
00:26:35.599 --> 00:26:36.960
<v Speaker 2>to future despair.

489
00:26:37.559 --> 00:26:39.200
<v Speaker 3>But in my case, I thought, you know what, I'm

490
00:26:39.240 --> 00:26:42.039
<v Speaker 3>a really gritty person. I'm kind of off the scales

491
00:26:42.039 --> 00:26:43.920
<v Speaker 3>when it comes to grit. But why did I get

492
00:26:43.920 --> 00:26:47.480
<v Speaker 3>burned out? Well, my theory and what I found through

493
00:26:47.519 --> 00:26:51.359
<v Speaker 3>my research is that grit without self awareness can get

494
00:26:51.400 --> 00:26:55.039
<v Speaker 3>you in trouble. Oh, it may serve us really well

495
00:26:55.119 --> 00:26:58.319
<v Speaker 3>to get through things like medical school or whatever, these

496
00:26:58.319 --> 00:27:00.640
<v Speaker 3>hard things are that you're working for, but then at

497
00:27:00.640 --> 00:27:04.119
<v Speaker 3>some point that pattern and those ways of working become

498
00:27:04.200 --> 00:27:07.759
<v Speaker 3>so ingrained in us that we lose track of loose

499
00:27:07.880 --> 00:27:10.319
<v Speaker 3>sight of the fact that it's actually pretty unhealthy for

500
00:27:10.440 --> 00:27:11.680
<v Speaker 3>us to keep going at that pace.

501
00:27:12.359 --> 00:27:16.000
<v Speaker 2>When you do research on this, how do you approach that?

502
00:27:16.119 --> 00:27:18.960
<v Speaker 2>Do you have to go and find subjects? Where do

503
00:27:19.000 --> 00:27:21.400
<v Speaker 2>you even start? I imagine people who are going through

504
00:27:21.400 --> 00:27:23.680
<v Speaker 2>a burnout are like, I don't have time to talk to you.

505
00:27:24.240 --> 00:27:26.480
<v Speaker 3>Oh, totally. I was worried about that. Actually, when I

506
00:27:26.480 --> 00:27:29.799
<v Speaker 3>started my first study, which was my dissertation, I thought, Okay,

507
00:27:30.319 --> 00:27:32.160
<v Speaker 3>here's what I want to do. I want to find

508
00:27:32.200 --> 00:27:34.359
<v Speaker 3>people who are in probably one of the most stressful

509
00:27:34.400 --> 00:27:36.519
<v Speaker 3>jobs I've ever been exposed to. And a lot of

510
00:27:36.519 --> 00:27:40.440
<v Speaker 3>my clients were really busy on physicians and clinicians. And

511
00:27:41.039 --> 00:27:43.279
<v Speaker 3>then there are a number of physicians who have both

512
00:27:43.440 --> 00:27:47.839
<v Speaker 3>clinical responsibility and then they also have leadership responsibility. So

513
00:27:47.880 --> 00:27:51.200
<v Speaker 3>I thought, Okay, let me study chief medical officers because

514
00:27:51.279 --> 00:27:53.079
<v Speaker 3>I know I've worked with a number of them and

515
00:27:53.119 --> 00:27:55.680
<v Speaker 3>they just the pressure and the demands on them is

516
00:27:55.720 --> 00:27:58.279
<v Speaker 3>just like so extreme. So I thought, but wait, they're

517
00:27:58.319 --> 00:27:59.960
<v Speaker 3>probably not going to talk to me or it will

518
00:28:00.039 --> 00:28:02.920
<v Speaker 3>be extremely hard to get on their calendar. Well, I

519
00:28:02.960 --> 00:28:05.839
<v Speaker 3>was actually surprised because many of them wanted to sign

520
00:28:05.880 --> 00:28:08.279
<v Speaker 3>up when they heard that I was studying stress and burnout.

521
00:28:08.319 --> 00:28:11.319
<v Speaker 3>They were like, oh, let's talk about that. I have

522
00:28:11.400 --> 00:28:15.240
<v Speaker 3>some thoughts. I want to tell you my experience. So

523
00:28:15.440 --> 00:28:18.720
<v Speaker 3>I started studying that group of people, and the findings

524
00:28:18.759 --> 00:28:21.480
<v Speaker 3>were really the basis of what turned into more research.

525
00:28:22.160 --> 00:28:24.799
<v Speaker 3>The next big study I did was with over two

526
00:28:24.880 --> 00:28:28.960
<v Speaker 3>hundred police chiefs and other senior law enforcement officers. So

527
00:28:29.079 --> 00:28:33.039
<v Speaker 3>again I went after what profession do I think has

528
00:28:33.480 --> 00:28:37.440
<v Speaker 3>you know, very regular, very high stress for very long

529
00:28:37.480 --> 00:28:39.880
<v Speaker 3>periods of time. And sure enough, you know, when I

530
00:28:40.039 --> 00:28:43.640
<v Speaker 3>studied police chiefs along with the chief medical officers, what

531
00:28:43.680 --> 00:28:45.440
<v Speaker 3>I would have them do was first tell me, like,

532
00:28:45.480 --> 00:28:47.200
<v Speaker 3>on a scale of one to ten, how would you

533
00:28:47.519 --> 00:28:52.240
<v Speaker 3>characterize your stress with ten being worst possible, zero no stress,

534
00:28:53.039 --> 00:28:56.039
<v Speaker 3>and the ones who showed up as a seven or above,

535
00:28:56.119 --> 00:28:58.640
<v Speaker 3>which think about that for a second. They were telling

536
00:28:58.640 --> 00:29:00.680
<v Speaker 3>me that their stress for a long period of time

537
00:29:01.160 --> 00:29:05.799
<v Speaker 3>is severe, very severe, or worse possible, And then I

538
00:29:05.839 --> 00:29:08.480
<v Speaker 3>have them, I actually measure them. I have a psychometric

539
00:29:08.519 --> 00:29:10.359
<v Speaker 3>tool that a lot of researchers use.

540
00:29:10.759 --> 00:29:13.640
<v Speaker 2>So this quiz is the burnout Risk Assessment, and it's

541
00:29:13.640 --> 00:29:16.559
<v Speaker 2>included in her book, and it asks participants to rate

542
00:29:16.680 --> 00:29:21.240
<v Speaker 2>their degree of agreement or disagreement with statements like I

543
00:29:21.279 --> 00:29:24.240
<v Speaker 2>feel comfortable asking others for help when I'm stressed out.

544
00:29:24.799 --> 00:29:28.400
<v Speaker 2>I'm experiencing a lot of conflict with other people at work,

545
00:29:29.000 --> 00:29:31.839
<v Speaker 2>I'm working longer and harder than I want to. My

546
00:29:31.960 --> 00:29:36.200
<v Speaker 2>stress level does not feel sustainable, and I feel emotionally

547
00:29:36.279 --> 00:29:37.519
<v Speaker 2>exhausted at the end.

548
00:29:37.519 --> 00:29:38.160
<v Speaker 3>Of the workday.

549
00:29:38.519 --> 00:29:41.079
<v Speaker 2>So this burnout risk assessment, it's kind of like a

550
00:29:41.160 --> 00:29:43.960
<v Speaker 2>quiz in a magazine about like should I have a threesome?

551
00:29:44.160 --> 00:29:48.279
<v Speaker 2>But instead it's used to determine feelings like does my

552
00:29:48.400 --> 00:29:51.079
<v Speaker 2>life stress make me wish I was a box turtle

553
00:29:51.200 --> 00:29:53.440
<v Speaker 2>so I can hibernate five months out of the year.

554
00:29:53.759 --> 00:29:54.920
<v Speaker 2>That's what it boils down to.

555
00:29:55.440 --> 00:29:58.319
<v Speaker 3>So I found that there's this unique population of people

556
00:29:58.799 --> 00:30:01.519
<v Speaker 3>who have this high level seven or above stress for

557
00:30:01.559 --> 00:30:03.519
<v Speaker 3>a long period of time, but they're not burned out.

558
00:30:03.920 --> 00:30:06.720
<v Speaker 3>So then I conduct very in depth interviews with them,

559
00:30:06.759 --> 00:30:10.240
<v Speaker 3>sometimes speak to them multiple times or follow them over

560
00:30:10.559 --> 00:30:13.119
<v Speaker 3>a couple of months period to really dig in and

561
00:30:13.200 --> 00:30:16.960
<v Speaker 3>understand what are they doing to protect themselves. And that's

562
00:30:16.960 --> 00:30:19.680
<v Speaker 3>really the basis of the research. But aside from these

563
00:30:19.720 --> 00:30:22.319
<v Speaker 3>really high stress jobs, I also interview people who are

564
00:30:22.640 --> 00:30:26.480
<v Speaker 3>frontline workers and bartenders and barristas and babysitters, people who

565
00:30:26.599 --> 00:30:30.799
<v Speaker 3>just experience everyday stress that a lot of people can

566
00:30:30.839 --> 00:30:31.200
<v Speaker 3>relate to.

567
00:30:31.640 --> 00:30:33.640
<v Speaker 2>And we're going to talk about money issues in a bit.

568
00:30:34.000 --> 00:30:36.279
<v Speaker 2>Especially in the medical field. I've heard from so many

569
00:30:36.440 --> 00:30:40.039
<v Speaker 2>friends who are going through med school. It's just beyond

570
00:30:40.200 --> 00:30:43.440
<v Speaker 2>I mean, you're learning everything for the first time, you're studying,

571
00:30:43.480 --> 00:30:48.200
<v Speaker 2>you're on the floor, you're expected to work twenty hour shifts.

572
00:30:49.359 --> 00:30:55.119
<v Speaker 2>How does the medical field come into this when a

573
00:30:55.200 --> 00:30:58.799
<v Speaker 2>lot of the culture and the work around it is

574
00:30:59.160 --> 00:31:00.799
<v Speaker 2>already pretty fucked up.

575
00:31:01.279 --> 00:31:03.519
<v Speaker 3>It is really and this is one of the things

576
00:31:03.519 --> 00:31:05.200
<v Speaker 3>that some of my colleagues and I have really been

577
00:31:05.200 --> 00:31:07.599
<v Speaker 3>looking at is I did a study with a number

578
00:31:07.599 --> 00:31:10.880
<v Speaker 3>of physicians who wanted to look at you know, why

579
00:31:11.039 --> 00:31:13.440
<v Speaker 3>are our residents and fellows getting so burned out. Why

580
00:31:13.480 --> 00:31:16.000
<v Speaker 3>is the rate so high and why are they not

581
00:31:16.119 --> 00:31:18.839
<v Speaker 3>coming forward to ask for help? First of all, in

582
00:31:18.880 --> 00:31:22.359
<v Speaker 3>the medical professions, there's a lot of stigma around coming

583
00:31:22.400 --> 00:31:26.000
<v Speaker 3>forward about mental health issues, and there's a lot of

584
00:31:26.039 --> 00:31:28.559
<v Speaker 3>concern that if I raise my hand and ask for help,

585
00:31:28.799 --> 00:31:32.480
<v Speaker 3>that's like shameful. I should not be asking for help.

586
00:31:32.519 --> 00:31:34.799
<v Speaker 3>I should be an expert. I've been getting straight e's

587
00:31:34.920 --> 00:31:38.519
<v Speaker 3>throughout college and medical school, and now I don't know

588
00:31:38.559 --> 00:31:41.079
<v Speaker 3>what the fuck I'm doing. And then there's a lot

589
00:31:41.119 --> 00:31:43.480
<v Speaker 3>of pressure on me. And so if I'm the one

590
00:31:43.559 --> 00:31:46.039
<v Speaker 3>out of these other twelve residents who raises my hand

591
00:31:46.039 --> 00:31:48.279
<v Speaker 3>and asks for help, what is that going to say

592
00:31:48.279 --> 00:31:52.279
<v Speaker 3>about me? And so there's that kind of culture, and

593
00:31:52.519 --> 00:31:55.119
<v Speaker 3>I'm seeing it change in some institutions, which is a

594
00:31:55.119 --> 00:31:57.160
<v Speaker 3>good sign. But we need more research on this. We

595
00:31:57.200 --> 00:32:00.839
<v Speaker 3>need more just awareness of what's going on. What are

596
00:32:00.880 --> 00:32:04.079
<v Speaker 3>the cultural conditions that are really both causing the burnout

597
00:32:04.079 --> 00:32:06.920
<v Speaker 3>but also preventing people from coming forward and asking for help.

598
00:32:07.599 --> 00:32:09.799
<v Speaker 2>You know, there's a lot of folks too who just

599
00:32:10.440 --> 00:32:15.039
<v Speaker 2>are feeling so burned out from you know, four and

600
00:32:15.039 --> 00:32:19.960
<v Speaker 2>a half years of a pandemic from lockdown, from increased

601
00:32:20.119 --> 00:32:25.599
<v Speaker 2>screen time, from decreased social interactions. For more on some

602
00:32:25.720 --> 00:32:29.000
<v Speaker 2>current stressors too, you can see our episode on Genocideology

603
00:32:29.279 --> 00:32:32.559
<v Speaker 2>with genocide expert doctor Dirkmosis, or just look at the

604
00:32:32.559 --> 00:32:36.279
<v Speaker 2>news in any capacity. So we've been trained to be

605
00:32:36.559 --> 00:32:40.799
<v Speaker 2>on high alert looking for information at all hours of

606
00:32:40.839 --> 00:32:43.640
<v Speaker 2>the day and night. Is there something about the way

607
00:32:43.680 --> 00:32:48.279
<v Speaker 2>that we are so tethered to devices that doesn't allow

608
00:32:48.359 --> 00:32:51.319
<v Speaker 2>us to rest the part of our brains or our

609
00:32:51.440 --> 00:32:52.519
<v Speaker 2>souls that need it.

610
00:32:53.559 --> 00:32:57.359
<v Speaker 3>Totally? Yeah, totally. It's become so common like if you

611
00:32:57.440 --> 00:33:00.359
<v Speaker 3>walk through any airport, I mean just about any where

612
00:33:00.359 --> 00:33:02.640
<v Speaker 3>you go a bus or train stations or whatever, you

613
00:33:02.640 --> 00:33:04.880
<v Speaker 3>see people on their phones. Like how often do you

614
00:33:04.880 --> 00:33:08.279
<v Speaker 3>actually go through a public place where more people are

615
00:33:08.359 --> 00:33:11.279
<v Speaker 3>engaging and talking to each other. It's much more common

616
00:33:11.279 --> 00:33:13.920
<v Speaker 3>that people are looking at their devices. So there's that

617
00:33:14.079 --> 00:33:16.960
<v Speaker 3>there's not enough time for people to really take their

618
00:33:16.960 --> 00:33:20.640
<v Speaker 3>brains offline, because when our brains are always online, even

619
00:33:20.680 --> 00:33:24.319
<v Speaker 3>if we're consuming good productive content, it's not allowing your

620
00:33:24.319 --> 00:33:27.319
<v Speaker 3>brain or your psyche enough time to rest and burnout

621
00:33:27.640 --> 00:33:31.119
<v Speaker 3>for the most part, is a psychological syndrome. And so

622
00:33:31.359 --> 00:33:33.799
<v Speaker 3>when we're not giving our psyche a break, it's more

623
00:33:33.920 --> 00:33:36.119
<v Speaker 3>likely that we're going to be susceptible to burnout.

624
00:33:36.480 --> 00:33:38.799
<v Speaker 2>And you can see our recent episode about fun with

625
00:33:38.960 --> 00:33:41.599
<v Speaker 2>Catherine Price, who also wrote the book How To Break

626
00:33:41.680 --> 00:33:44.279
<v Speaker 2>Up with Your Phone, The Thirty Day Plan to take

627
00:33:44.359 --> 00:33:48.160
<v Speaker 2>Back Your Life. What about working hours? Because our open

628
00:33:48.200 --> 00:33:50.000
<v Speaker 2>signs are just kind of always on. We're like, I

629
00:33:50.000 --> 00:33:51.920
<v Speaker 2>go my phone on me, Like we're always at a

630
00:33:51.960 --> 00:33:55.000
<v Speaker 2>computer because it's in our pocket. Has it been helpful

631
00:33:55.039 --> 00:33:56.839
<v Speaker 2>for some people to be like I start work at

632
00:33:56.960 --> 00:34:00.599
<v Speaker 2>nine and I'm off at five point thirty and no

633
00:34:00.640 --> 00:34:03.759
<v Speaker 2>one can tell me otherwise. Although even if you did that,

634
00:34:04.000 --> 00:34:07.880
<v Speaker 2>what have you got kids and they're like need food

635
00:34:08.079 --> 00:34:12.360
<v Speaker 2>and bathing. It's like, this is obviously from someone who's

636
00:34:12.440 --> 00:34:15.199
<v Speaker 2>dog is asleep very gently in the corner because I

637
00:34:15.239 --> 00:34:18.239
<v Speaker 2>could not handle kids. But like, where do you start

638
00:34:18.239 --> 00:34:20.360
<v Speaker 2>to put limits on it so that your psyche can

639
00:34:20.480 --> 00:34:22.519
<v Speaker 2>sort of repair itself.

640
00:34:23.320 --> 00:34:25.480
<v Speaker 3>That's that's the question of the day that each of

641
00:34:25.559 --> 00:34:29.440
<v Speaker 3>us needs to really do some soul searching on. Here's

642
00:34:29.440 --> 00:34:31.800
<v Speaker 3>how I look at it and how I think about it.

643
00:34:32.239 --> 00:34:34.119
<v Speaker 3>This has been one of the most helpful things for

644
00:34:34.199 --> 00:34:37.679
<v Speaker 3>me because during this research, which I consider to be

645
00:34:37.719 --> 00:34:40.199
<v Speaker 3>action research, meaning that when I was researching people, I

646
00:34:40.280 --> 00:34:43.119
<v Speaker 3>was applying this stuff on myself. So one of the

647
00:34:43.159 --> 00:34:45.440
<v Speaker 3>things I've learned and I still use to this day

648
00:34:46.360 --> 00:34:49.800
<v Speaker 3>is to do just a daily or for me sometimes

649
00:34:49.800 --> 00:34:51.639
<v Speaker 3>it's even a couple of times a day, just to

650
00:34:51.719 --> 00:34:55.199
<v Speaker 3>quick check in, like where am I on my stress curve?

651
00:34:55.679 --> 00:34:57.559
<v Speaker 3>So if you think about like we all need a

652
00:34:57.559 --> 00:35:00.519
<v Speaker 3>little bit of stress or even some good amount of

653
00:35:00.559 --> 00:35:02.840
<v Speaker 3>stress to feel motivated and engaged in all of that.

654
00:35:03.199 --> 00:35:06.159
<v Speaker 3>It gets us motivated and makes us want to perform

655
00:35:06.199 --> 00:35:08.119
<v Speaker 3>and do good things for the world and other people

656
00:35:08.159 --> 00:35:10.199
<v Speaker 3>and all that. But then at some point we get

657
00:35:10.400 --> 00:35:12.440
<v Speaker 3>way too much stress, like way more things to do

658
00:35:12.559 --> 00:35:14.119
<v Speaker 3>with all the kids and all the home things and

659
00:35:14.119 --> 00:35:16.920
<v Speaker 3>all that that we get out of what we call

660
00:35:16.960 --> 00:35:21.599
<v Speaker 3>the sweet spot of stress. So the exercise where I

661
00:35:21.639 --> 00:35:23.800
<v Speaker 3>really find a lot about value is just checking in

662
00:35:24.119 --> 00:35:27.119
<v Speaker 3>to see have I tipped over past my sweet spot

663
00:35:27.159 --> 00:35:29.400
<v Speaker 3>of stress? Not just today, but like if I were

664
00:35:29.440 --> 00:35:31.360
<v Speaker 3>to think about this past week and how it's gone

665
00:35:31.400 --> 00:35:34.119
<v Speaker 3>for me, what am I doing and what is it

666
00:35:34.320 --> 00:35:37.039
<v Speaker 3>really doing to me? So what am I doing to

667
00:35:37.039 --> 00:35:39.480
<v Speaker 3>take care of myself and how is that really helping

668
00:35:39.519 --> 00:35:43.039
<v Speaker 3>me create conditions to keep me in a zone in

669
00:35:43.119 --> 00:35:47.039
<v Speaker 3>a sweet spot of stress where I'm really challenged and engaged,

670
00:35:47.519 --> 00:35:51.079
<v Speaker 3>but I'm not flipping out and breaking down and burning out,

671
00:35:51.400 --> 00:35:53.599
<v Speaker 3>or what am I doing that's not good for me?

672
00:35:54.280 --> 00:35:57.440
<v Speaker 3>Maybe huh okay, turns out that I'm saying yes to everything,

673
00:35:58.079 --> 00:36:01.320
<v Speaker 3>I'm not setting boundaries, or I set boundaries, but I

674
00:36:01.360 --> 00:36:04.440
<v Speaker 3>don't uphold them. How can I focus on the things

675
00:36:04.480 --> 00:36:07.239
<v Speaker 3>I can control to keep myself in that zone of

676
00:36:07.280 --> 00:36:08.360
<v Speaker 3>sweet spot of stress?

677
00:36:08.880 --> 00:36:11.679
<v Speaker 2>So what if you're in a sour spot? Not sweet

678
00:36:11.800 --> 00:36:14.920
<v Speaker 2>at all? So Doctor Weans writes in her book that

679
00:36:15.159 --> 00:36:19.840
<v Speaker 2>optimism can prolong longevity if you do want to live longer.

680
00:36:20.119 --> 00:36:23.800
<v Speaker 2>But also optimism going into stress can help you make

681
00:36:23.880 --> 00:36:26.639
<v Speaker 2>choices that kind of better equip you to handle the stress.

682
00:36:27.039 --> 00:36:29.679
<v Speaker 2>And some of those choices are like engaging in more

683
00:36:29.760 --> 00:36:34.039
<v Speaker 2>movement or less alcohol or tobacco consumption. And if doctor

684
00:36:34.039 --> 00:36:36.239
<v Speaker 2>Weans knows she's going to have a tough week, like

685
00:36:36.280 --> 00:36:39.320
<v Speaker 2>the day we recorded this, she had a few important meetings,

686
00:36:39.599 --> 00:36:42.239
<v Speaker 2>and then right after we stopped recording this, she was

687
00:36:42.280 --> 00:36:44.800
<v Speaker 2>headed straight to a big book signing event. Or if

688
00:36:44.840 --> 00:36:49.440
<v Speaker 2>she feels overloaded, she dials down some things and adds others,

689
00:36:49.920 --> 00:36:50.360
<v Speaker 2>you know, not.

690
00:36:50.400 --> 00:36:53.440
<v Speaker 3>Drinking, eating really well, exercise, and getting enough sleep. I

691
00:36:53.440 --> 00:36:55.360
<v Speaker 3>know those things for sure will set me up for

692
00:36:56.039 --> 00:36:59.920
<v Speaker 3>a day or two of just good clarity and good

693
00:37:00.320 --> 00:37:02.559
<v Speaker 3>a good ability to focus, and a good ability to

694
00:37:02.559 --> 00:37:05.000
<v Speaker 3>tolerate stress that I knew was going to come along.

695
00:37:05.679 --> 00:37:08.079
<v Speaker 3>And sure enough, today is one of those days where

696
00:37:08.119 --> 00:37:10.960
<v Speaker 3>I've got both the bad kind of stress, the threat

697
00:37:11.000 --> 00:37:13.639
<v Speaker 3>response kind of stress, as well as some good challenge

698
00:37:13.679 --> 00:37:16.760
<v Speaker 3>response kind of stress coming on. So I feel good

699
00:37:16.800 --> 00:37:19.000
<v Speaker 3>about what I did the last several days just to

700
00:37:19.000 --> 00:37:21.400
<v Speaker 3>help set myself up to be able to handle today

701
00:37:21.400 --> 00:37:24.199
<v Speaker 3>really well. And then I also know that at the

702
00:37:24.320 --> 00:37:25.920
<v Speaker 3>end of today, because it's going to be a long

703
00:37:26.000 --> 00:37:28.760
<v Speaker 3>day and there's a lot going on, I know that

704
00:37:29.199 --> 00:37:31.800
<v Speaker 3>I have a really fun dinner to look forward to.

705
00:37:32.039 --> 00:37:34.360
<v Speaker 3>Right it will be a long day, but I get

706
00:37:34.400 --> 00:37:36.280
<v Speaker 3>to go do a book signing that I'm looking forward to,

707
00:37:36.320 --> 00:37:38.119
<v Speaker 3>and I get toep dinner with three people that I

708
00:37:38.119 --> 00:37:41.079
<v Speaker 3>absolutely love in a door. So those are just like

709
00:37:41.360 --> 00:37:44.119
<v Speaker 3>for example, for me, it's all about not just how

710
00:37:44.119 --> 00:37:45.599
<v Speaker 3>do you manage stress in the moment or how do

711
00:37:45.639 --> 00:37:47.679
<v Speaker 3>you take care of yourself afterwards, but it's also what

712
00:37:47.719 --> 00:37:49.360
<v Speaker 3>do you do to set yourself up when you know

713
00:37:49.440 --> 00:37:51.639
<v Speaker 3>you're going to go into a period of high stress.

714
00:37:52.000 --> 00:37:52.519
<v Speaker 3>M hm.

715
00:37:52.519 --> 00:37:55.199
<v Speaker 2>That makes total sense. Can I ask you some questions

716
00:37:55.239 --> 00:37:56.039
<v Speaker 2>from lastener?

717
00:37:56.280 --> 00:37:57.719
<v Speaker 3>Sure, it's okay.

718
00:37:58.039 --> 00:38:00.559
<v Speaker 2>We have a lot because I think a lot a

719
00:38:00.599 --> 00:38:03.719
<v Speaker 2>lot of people are feeling very burned out. But before

720
00:38:03.760 --> 00:38:07.519
<v Speaker 2>we get to your questions about capitalism and neurodivergence and

721
00:38:07.679 --> 00:38:10.239
<v Speaker 2>prevention of burnout, we're going to donate to a charity

722
00:38:10.239 --> 00:38:12.880
<v Speaker 2>of doctor Bean's choice, and she selected the Lorna Breen

723
00:38:13.000 --> 00:38:17.039
<v Speaker 2>Heroes Foundation, whose mission is to reduce burnout of healthcare

724
00:38:17.079 --> 00:38:20.599
<v Speaker 2>professionals and to safeguard their well being and their job satisfaction.

725
00:38:21.119 --> 00:38:23.920
<v Speaker 2>And they also worked to pass in twenty twenty two

726
00:38:24.159 --> 00:38:28.760
<v Speaker 2>the Doctor Laurna Breen Healthcare Provider Protection Act, which supported

727
00:38:28.800 --> 00:38:31.400
<v Speaker 2>healthcare workers' mental health and wellbeing. And we're actually going

728
00:38:31.440 --> 00:38:33.159
<v Speaker 2>to hear a little bit more about that backstory in

729
00:38:33.159 --> 00:38:35.280
<v Speaker 2>a few minutes, but they're linked in the show notes

730
00:38:35.320 --> 00:38:38.119
<v Speaker 2>at doctor Laurnabreen dot org. And that donation was made

731
00:38:38.159 --> 00:38:40.400
<v Speaker 2>possible by sponsors of the show, who you may hear

732
00:38:40.400 --> 00:38:44.280
<v Speaker 2>about now. Okay, on to your questions. This one's right

733
00:38:44.320 --> 00:38:47.199
<v Speaker 2>on the money. A lot of people Jess Sidney Knig, Anna,

734
00:38:47.280 --> 00:38:51.559
<v Speaker 2>Lauren Jacob Shepherd, Olivia Rermple, Earli Gramlkin, Jennifer Farrow, Brianna

735
00:38:51.679 --> 00:38:55.760
<v Speaker 2>l Vanessa Adams, Dana Coohello. All wanted to know, in

736
00:38:55.840 --> 00:38:57.840
<v Speaker 2>Jesse's words, how do you deal with it when you

737
00:38:57.920 --> 00:39:00.199
<v Speaker 2>got to have a job to, you know, live this

738
00:39:00.280 --> 00:39:03.960
<v Speaker 2>capitalist world? And I asked about is burnout primarily a

739
00:39:03.960 --> 00:39:07.480
<v Speaker 2>phenomenon of living working in such an intensely capitalist system?

740
00:39:08.079 --> 00:39:10.599
<v Speaker 2>Does burnout exist outside of capitalism?

741
00:39:11.079 --> 00:39:14.199
<v Speaker 3>Well? I need the names of everybody who submitted that

742
00:39:14.239 --> 00:39:16.360
<v Speaker 3>question because I want to send them all a handwritten

743
00:39:16.400 --> 00:39:20.239
<v Speaker 3>thank you note for asking that question, because those are

744
00:39:20.239 --> 00:39:22.480
<v Speaker 3>the kind of questions that we need to be asking.

745
00:39:22.760 --> 00:39:25.639
<v Speaker 3>And I would say one is to focus on what

746
00:39:25.679 --> 00:39:29.320
<v Speaker 3>I call meaningful connections. And so for people who actually

747
00:39:29.440 --> 00:39:32.280
<v Speaker 3>in these kinds of experiences like their jobs, they might

748
00:39:32.320 --> 00:39:34.079
<v Speaker 3>even love their jobs, but there's just too much of

749
00:39:34.079 --> 00:39:36.440
<v Speaker 3>it and there's not enough breaks, and they feel the

750
00:39:36.440 --> 00:39:40.880
<v Speaker 3>capitalism sort of pressure is to be very clear about

751
00:39:40.920 --> 00:39:43.199
<v Speaker 3>the things and the people in your life that bring.

752
00:39:43.119 --> 00:39:43.719
<v Speaker 4>Meaning to you.

753
00:39:44.559 --> 00:39:48.119
<v Speaker 3>And that means getting super clear on what your values are.

754
00:39:48.280 --> 00:39:51.320
<v Speaker 3>And values might be really small things like I value

755
00:39:51.360 --> 00:39:53.199
<v Speaker 3>a good night's sleep. I need to get at least

756
00:39:53.199 --> 00:39:55.760
<v Speaker 3>six seven hours of sleep a night or more, or

757
00:39:55.800 --> 00:39:59.480
<v Speaker 3>a big value like I value quality time with my

758
00:39:59.559 --> 00:40:02.360
<v Speaker 3>partner or with my pets, even just sitting down with

759
00:40:02.360 --> 00:40:04.440
<v Speaker 3>my dog for half an hour every day, and just

760
00:40:04.480 --> 00:40:05.880
<v Speaker 3>like connecting with my dog.

761
00:40:06.039 --> 00:40:08.960
<v Speaker 2>Or your human children, doctor Weens has three of them.

762
00:40:09.280 --> 00:40:14.079
<v Speaker 2>Or maybe it's volunteering at a raccoon rehab center, or whittling,

763
00:40:14.199 --> 00:40:19.119
<v Speaker 2>or bird watching or coding or reading about sci fi apocalypses,

764
00:40:19.280 --> 00:40:21.840
<v Speaker 2>whatever makes you go, ah, that's so good. I like this.

765
00:40:22.360 --> 00:40:24.840
<v Speaker 3>And maybe the big thing for all of us to

766
00:40:24.840 --> 00:40:27.679
<v Speaker 3>be thinking about is that for many of us, the

767
00:40:27.719 --> 00:40:30.440
<v Speaker 3>type of companies that we work in are not going

768
00:40:30.480 --> 00:40:34.320
<v Speaker 3>to change the fact that they are capitalist oriented organizations.

769
00:40:34.360 --> 00:40:37.199
<v Speaker 3>They just it's not going to happen overnight. So how

770
00:40:37.239 --> 00:40:40.400
<v Speaker 3>do we continue to operate and survive in these conditions?

771
00:40:40.760 --> 00:40:46.760
<v Speaker 3>Will also creating workplaces where there are microcultures that support

772
00:40:46.840 --> 00:40:50.519
<v Speaker 3>people to raise their hands when they need help, to

773
00:40:50.519 --> 00:40:52.400
<v Speaker 3>not make them feel bad when they need to take

774
00:40:52.440 --> 00:40:53.719
<v Speaker 3>a mental health day off.

775
00:40:54.159 --> 00:40:57.199
<v Speaker 2>So if you run a company or if you manage people,

776
00:40:57.719 --> 00:41:01.920
<v Speaker 2>you can be part of the solution rather than the problem. Now,

777
00:41:02.000 --> 00:41:05.000
<v Speaker 2>if you're undergoing this, Also if you're on the receiving

778
00:41:05.119 --> 00:41:07.880
<v Speaker 2>side and you feel like you have no power, consider

779
00:41:08.000 --> 00:41:12.400
<v Speaker 2>asking other employees if they're having similar experiences, and maybe

780
00:41:12.440 --> 00:41:16.639
<v Speaker 2>approach management as a unified force and you can remind

781
00:41:16.760 --> 00:41:20.239
<v Speaker 2>your bosses that more burnout leads to higher turnover and

782
00:41:20.320 --> 00:41:24.119
<v Speaker 2>staff and also reduced efficiency at your job. Now, what

783
00:41:24.199 --> 00:41:27.559
<v Speaker 2>if you were raised Catholic like me? So many patrons

784
00:41:27.719 --> 00:41:31.320
<v Speaker 2>asked about guilt, such as Jennifer Frow who said, why

785
00:41:31.400 --> 00:41:35.400
<v Speaker 2>do I feel so much guilt when not working full time? Mom?

786
00:41:35.480 --> 00:41:38.840
<v Speaker 2>And author Sam Wise asked about this, Rebecca Fitchett, Sarah

787
00:41:38.880 --> 00:41:42.199
<v Speaker 2>Man's and Mims, who asked, how do you stop yourself

788
00:41:42.239 --> 00:41:45.039
<v Speaker 2>from feeling guilty about needing a break? Asking for me

789
00:41:45.599 --> 00:41:48.679
<v Speaker 2>Mims not alone. A bunch of people wanted to know,

790
00:41:49.239 --> 00:41:52.280
<v Speaker 2>in when Constantini's words, how can people deal with the

791
00:41:52.320 --> 00:41:55.840
<v Speaker 2>shame and guilt that comes with literally not being able

792
00:41:55.880 --> 00:41:58.559
<v Speaker 2>to be productive? Mouse Pakston wan show any tips on

793
00:41:58.599 --> 00:42:01.079
<v Speaker 2>feeling guilty when you're too burned out to do things

794
00:42:01.079 --> 00:42:01.559
<v Speaker 2>with people?

795
00:42:02.280 --> 00:42:05.199
<v Speaker 3>Yeah, that was my experience for a long period of time,

796
00:42:05.239 --> 00:42:07.000
<v Speaker 3>and I felt like I should not be raising my

797
00:42:07.039 --> 00:42:09.800
<v Speaker 3>hand because everybody else around me is going through the

798
00:42:09.840 --> 00:42:12.119
<v Speaker 3>grind and performing in there. They don't see him burned out.

799
00:42:12.159 --> 00:42:14.400
<v Speaker 3>So I was carrying that shame, and then the shame

800
00:42:14.480 --> 00:42:17.119
<v Speaker 3>creates more stress. So it's a total vicious cycle which

801
00:42:17.119 --> 00:42:19.239
<v Speaker 3>you've got to get up yourself off that hamster wheel

802
00:42:19.239 --> 00:42:23.599
<v Speaker 3>as quick as you can, the sooner you can find

803
00:42:23.880 --> 00:42:26.880
<v Speaker 3>someone to connect with, you know, whether it's someone that's

804
00:42:27.039 --> 00:42:29.920
<v Speaker 3>currently in our circle of relationships or a professional that

805
00:42:29.960 --> 00:42:33.039
<v Speaker 3>we can reach out to. It's sometimes really just starts

806
00:42:33.039 --> 00:42:37.039
<v Speaker 3>with one conversation with the right person to get a

807
00:42:37.079 --> 00:42:39.440
<v Speaker 3>head start on the support and the help that you need.

808
00:42:39.880 --> 00:42:42.880
<v Speaker 2>And in her book, doctor Weans explains that excess pressure

809
00:42:42.920 --> 00:42:47.760
<v Speaker 2>on yourself like should statements impose a set of expectations

810
00:42:48.239 --> 00:42:50.960
<v Speaker 2>that aren't likely to be met because they aren't grouded

811
00:42:51.000 --> 00:42:55.039
<v Speaker 2>in reality, like it's not possible to make zero mistakes,

812
00:42:55.280 --> 00:42:58.480
<v Speaker 2>and believing that you should be flawless just sets you

813
00:42:58.679 --> 00:43:02.360
<v Speaker 2>up for a lot of self blame and shame and guilt.

814
00:43:02.760 --> 00:43:05.480
<v Speaker 2>And she calls this a form of thinking trap or

815
00:43:05.480 --> 00:43:08.280
<v Speaker 2>a cognitive distortion that you pull on yourself. And it's

816
00:43:08.320 --> 00:43:12.000
<v Speaker 2>about as effective, from my experience as punching yourself and

817
00:43:12.039 --> 00:43:12.639
<v Speaker 2>the kidneys.

818
00:43:12.960 --> 00:43:13.639
<v Speaker 3>So what do you.

819
00:43:13.639 --> 00:43:17.760
<v Speaker 2>Do if misplaced guilt is ruining your life? Doctor Wiens

820
00:43:17.840 --> 00:43:20.679
<v Speaker 2>tells a story of a physician's assistant she met who

821
00:43:21.039 --> 00:43:24.840
<v Speaker 2>went through therapy and learned that her work guilt was

822
00:43:24.960 --> 00:43:27.800
<v Speaker 2>itself a stress response and it stemmed from a traumatic

823
00:43:27.800 --> 00:43:32.199
<v Speaker 2>event from childhood, which helped her tap into self compassion instead,

824
00:43:32.239 --> 00:43:34.400
<v Speaker 2>so she was able to brush it off and not

825
00:43:34.480 --> 00:43:38.760
<v Speaker 2>take the guilt seriously giving herself a damn break, because again,

826
00:43:39.079 --> 00:43:42.000
<v Speaker 2>giving yourself a break and some self compassion and lowering

827
00:43:42.000 --> 00:43:45.079
<v Speaker 2>the stakes could actually save your own life. And on

828
00:43:45.199 --> 00:43:48.960
<v Speaker 2>that note, Daniel opdah Mean, Kelly Dueling, Si Rue and

829
00:43:49.280 --> 00:43:52.800
<v Speaker 2>sugar Puff Dadykins asked, in sugar Puff Daddykins's words, can

830
00:43:52.840 --> 00:43:58.320
<v Speaker 2>we please talk about mental illness and burnout? Yes, let's

831
00:43:58.840 --> 00:44:00.719
<v Speaker 2>a bunch of people did kind of of ask about

832
00:44:01.000 --> 00:44:04.599
<v Speaker 2>that mental health aspect too, and about reaching out, And

833
00:44:05.320 --> 00:44:07.199
<v Speaker 2>like Cleb and Fearn, wanted to know if there are

834
00:44:07.239 --> 00:44:11.039
<v Speaker 2>links between burnout and suicide. We just did a suicideology episode,

835
00:44:11.079 --> 00:44:16.159
<v Speaker 2>So could burnout ever lead to suicidal ideation for people?

836
00:44:16.840 --> 00:44:19.360
<v Speaker 3>It does? Yeah, there is a correlation there, you know,

837
00:44:19.519 --> 00:44:22.480
<v Speaker 3>studies are showing that. But we've also heard stories of

838
00:44:22.559 --> 00:44:29.360
<v Speaker 3>individuals who are suicidal with previous history of expressing stress

839
00:44:29.360 --> 00:44:32.960
<v Speaker 3>and burnout issues, and we do see higher rates within

840
00:44:32.960 --> 00:44:35.400
<v Speaker 3>the medical profession for examples. That's where some of these

841
00:44:35.400 --> 00:44:38.280
<v Speaker 3>studies have been done. And I hear actual stories like

842
00:44:38.559 --> 00:44:41.519
<v Speaker 3>this is really sad, but I hear I would say,

843
00:44:41.519 --> 00:44:44.280
<v Speaker 3>at least one story a year from someone that's close

844
00:44:44.320 --> 00:44:46.400
<v Speaker 3>to me, someone that I work with, that I know well,

845
00:44:46.519 --> 00:44:49.880
<v Speaker 3>telling me that someone who's a resident or a fellow

846
00:44:50.000 --> 00:44:52.960
<v Speaker 3>that they know of or mentored or something like that,

847
00:44:53.639 --> 00:44:58.400
<v Speaker 3>you know, died by suicide. Fortunately, we've got some organizations

848
00:44:58.440 --> 00:45:00.519
<v Speaker 3>out there that are working of as hard as they

849
00:45:00.559 --> 00:45:03.480
<v Speaker 3>possibly can, and they have some really dedicated, talented people,

850
00:45:03.920 --> 00:45:06.719
<v Speaker 3>like the Lorna Breen Foundation. It's one that I'm starting

851
00:45:06.760 --> 00:45:07.559
<v Speaker 3>to get involved in.

852
00:45:07.920 --> 00:45:10.320
<v Speaker 2>And doctor Lorna Breen, who we talked about and whose

853
00:45:10.360 --> 00:45:13.960
<v Speaker 2>foundation we donated to, was an emergency medicine physician who

854
00:45:14.000 --> 00:45:18.360
<v Speaker 2>died by suicide in late April of twenty twenty. After

855
00:45:18.400 --> 00:45:22.000
<v Speaker 2>being on the front lines of COVID and despite having

856
00:45:22.039 --> 00:45:26.119
<v Speaker 2>no known mental health difficulties prior, experienced a burnout and

857
00:45:26.199 --> 00:45:29.480
<v Speaker 2>a fear of poor performance that was so intense that

858
00:45:29.559 --> 00:45:32.159
<v Speaker 2>it led to her taking her own life, and the

859
00:45:32.199 --> 00:45:35.599
<v Speaker 2>foundation started in her honor. States that in the US,

860
00:45:35.760 --> 00:45:39.079
<v Speaker 2>four hundred physicians die each year by suicide. And female

861
00:45:39.079 --> 00:45:43.280
<v Speaker 2>physicians are more at risk, especially in emergency medicine. And

862
00:45:43.360 --> 00:45:45.920
<v Speaker 2>for more on these statistics you can see the twenty

863
00:45:46.000 --> 00:45:50.280
<v Speaker 2>ten study Burnout, Hopelessness and Suicide Risk in Medical Doctors,

864
00:45:50.679 --> 00:45:54.239
<v Speaker 2>which concluded that even fifteen years ago, people in charge

865
00:45:54.400 --> 00:45:58.440
<v Speaker 2>of workers' health should pay particular attention to the burnout

866
00:45:58.480 --> 00:46:02.199
<v Speaker 2>and doctors and interview with changes in the work environment.

867
00:46:02.440 --> 00:46:06.400
<v Speaker 2>Another twenty twelve study titled high Risk Occupations for Suicide

868
00:46:06.639 --> 00:46:09.840
<v Speaker 2>found that there were increases in rates of suicide in

869
00:46:09.880 --> 00:46:13.519
<v Speaker 2>the occupations of coal mining and construction laborers too. And

870
00:46:13.559 --> 00:46:16.760
<v Speaker 2>I've gotten questions in the past about veterinary medicine and

871
00:46:16.960 --> 00:46:20.239
<v Speaker 2>mental health, and there was a twenty fifteen paper suicide

872
00:46:20.280 --> 00:46:23.400
<v Speaker 2>in Veterinary Medicine, Let's talk about it and its cites.

873
00:46:23.480 --> 00:46:26.280
<v Speaker 2>The rate of suicide in the veterinary profession has been

874
00:46:26.320 --> 00:46:29.119
<v Speaker 2>pegged at more than twice that of the medical profession

875
00:46:29.199 --> 00:46:32.559
<v Speaker 2>and four times the rate of the general population, and

876
00:46:32.639 --> 00:46:36.639
<v Speaker 2>the American Veterinary Medical Association said that burnout among animal

877
00:46:36.639 --> 00:46:40.440
<v Speaker 2>healthcare workers is even higher lately due to higher expectations

878
00:46:40.440 --> 00:46:44.840
<v Speaker 2>for pet owners, overwhelming workloads, the impact of the global pandemic,

879
00:46:45.159 --> 00:46:49.960
<v Speaker 2>educational debts, and this was surprising instances of cyberbullying are

880
00:46:50.000 --> 00:46:53.480
<v Speaker 2>taking a toll, which then leads to compassion fatigue, which

881
00:46:53.519 --> 00:46:57.719
<v Speaker 2>is this physical and emotional exhaustion that can result from

882
00:46:58.039 --> 00:47:01.679
<v Speaker 2>caring too much about your job. High stakes matters and

883
00:47:02.000 --> 00:47:05.840
<v Speaker 2>from vets to vet's. Military personnel are also experiencing post

884
00:47:05.880 --> 00:47:08.519
<v Speaker 2>traumatic stressors and burnout, and we go more into depth

885
00:47:08.800 --> 00:47:11.280
<v Speaker 2>on that in the Traumatology episode too, which we'll link

886
00:47:11.280 --> 00:47:14.039
<v Speaker 2>in the show notes. So jobs are hard in a

887
00:47:14.079 --> 00:47:17.360
<v Speaker 2>lot of sectors. The world is tough, and of course

888
00:47:17.519 --> 00:47:20.159
<v Speaker 2>people are trying to help. The helpers like the doctor

889
00:47:20.239 --> 00:47:23.360
<v Speaker 2>Laura Bring Heroes Foundation Doctor Wing continues and.

890
00:47:23.679 --> 00:47:27.719
<v Speaker 3>That foundation is doing some incredible research and some incredible

891
00:47:27.840 --> 00:47:32.400
<v Speaker 3>just like philanthropy, work to change the way hospitals evaluate

892
00:47:32.440 --> 00:47:35.880
<v Speaker 3>their physicians and the types of conditions that physicians work under.

893
00:47:36.599 --> 00:47:41.639
<v Speaker 2>You mentioned working with police chiefs and medical residents and

894
00:47:42.039 --> 00:47:45.440
<v Speaker 2>chief medical officers. What do we see about burnout On

895
00:47:45.840 --> 00:47:49.960
<v Speaker 2>the other side of the finance scale, where, like Tyler

896
00:47:49.960 --> 00:47:53.119
<v Speaker 2>Bates asked, how does one balance not working extra because

897
00:47:53.119 --> 00:47:55.360
<v Speaker 2>of burnout but when you low key need the money.

898
00:47:55.719 --> 00:47:58.840
<v Speaker 2>Tao also known as Nasty garden Rat says, what's the

899
00:47:58.880 --> 00:48:02.400
<v Speaker 2>effect of money or financial stability on burnout. My job

900
00:48:02.440 --> 00:48:05.199
<v Speaker 2>had me so exhausted at eighteen dollars an hour, but

901
00:48:05.280 --> 00:48:07.800
<v Speaker 2>much less so a twenty even though I'm doing the

902
00:48:07.800 --> 00:48:11.280
<v Speaker 2>same work. Still burned out though woof, they say, Dave

903
00:48:11.320 --> 00:48:13.559
<v Speaker 2>Cannon want to know, would winning the lotto help burnout?

904
00:48:13.719 --> 00:48:17.360
<v Speaker 2>Or is it something deeper? When you've got to grind

905
00:48:17.440 --> 00:48:20.000
<v Speaker 2>or you need that grit because you're working three jobs,

906
00:48:20.679 --> 00:48:22.880
<v Speaker 2>how can you even begin to start to balance that?

907
00:48:23.639 --> 00:48:26.400
<v Speaker 3>Yeah? Well, I would say, first of all, I think

908
00:48:26.400 --> 00:48:28.280
<v Speaker 3>one of the things we haven't really talked about is

909
00:48:28.280 --> 00:48:32.000
<v Speaker 3>that oftentimes people characterize what they're feeling and experiencing is burnout.

910
00:48:32.400 --> 00:48:35.239
<v Speaker 3>When these examples you just shared, I wonder a little

911
00:48:35.239 --> 00:48:39.800
<v Speaker 3>bit it may not be burnout. It may actually be overwhelmed, overwork, overfunctioning,

912
00:48:40.079 --> 00:48:42.559
<v Speaker 3>meaning that you have just way too much work, not

913
00:48:42.679 --> 00:48:45.800
<v Speaker 3>enough resources, not enough time, not enough support. A lot

914
00:48:45.840 --> 00:48:49.519
<v Speaker 3>of those people are just overworked and overextended. The remedy

915
00:48:49.559 --> 00:48:53.039
<v Speaker 3>for people who are overworked is oftentimes more recovery time

916
00:48:53.519 --> 00:48:55.239
<v Speaker 3>in the form of not just I don't mean just

917
00:48:55.320 --> 00:48:57.400
<v Speaker 3>like vacations or spot days and all that, I mean

918
00:48:57.519 --> 00:49:01.760
<v Speaker 3>micro recoveries where you're truly take a mental, physical, psychological

919
00:49:01.800 --> 00:49:06.480
<v Speaker 3>break and you are forcing yourself, like really intentionally creating

920
00:49:06.519 --> 00:49:10.239
<v Speaker 3>space in your life where you are connecting to the

921
00:49:10.280 --> 00:49:13.440
<v Speaker 3>things and the people in your life. You're giving yourself

922
00:49:13.559 --> 00:49:18.480
<v Speaker 3>positive energy to offset the feelings of overwork so that

923
00:49:18.559 --> 00:49:21.679
<v Speaker 3>you can create have that psychological capacity so you can

924
00:49:21.719 --> 00:49:24.800
<v Speaker 3>go to your boss and say, I've been working seventy

925
00:49:24.840 --> 00:49:28.079
<v Speaker 3>hour weeks for the last however long, I can't do

926
00:49:28.119 --> 00:49:30.000
<v Speaker 3>it anymore, like this is what it's doing to me.

927
00:49:30.159 --> 00:49:33.519
<v Speaker 3>So the goal is to help people get the psychological

928
00:49:33.519 --> 00:49:37.760
<v Speaker 3>strength to go to their leaders or whoever and say,

929
00:49:38.119 --> 00:49:40.960
<v Speaker 3>here's what I need in order to be my most

930
00:49:41.000 --> 00:49:41.920
<v Speaker 3>effective at work.

931
00:49:42.320 --> 00:49:45.000
<v Speaker 2>So, yeah, if you're thinking every day, one day, I'll

932
00:49:45.039 --> 00:49:46.719
<v Speaker 2>just go to an island for a week and I

933
00:49:46.880 --> 00:49:49.599
<v Speaker 2>will fix all of this, it's actually easier than that.

934
00:49:50.119 --> 00:49:52.039
<v Speaker 2>I mean, yes, it's wonderful to have something to look

935
00:49:52.079 --> 00:49:56.280
<v Speaker 2>forward to, and this positive anticipation has been shown in

936
00:49:56.320 --> 00:49:59.119
<v Speaker 2>studies to fight depression. But it doesn't have to be

937
00:49:59.360 --> 00:50:03.119
<v Speaker 2>an exp bensive escape to a piece of land in

938
00:50:03.159 --> 00:50:06.159
<v Speaker 2>an ocean. You can create a tiny, little safe space

939
00:50:06.280 --> 00:50:11.039
<v Speaker 2>every day, even for ten minutes, sitting and meditating, listening

940
00:50:11.079 --> 00:50:15.360
<v Speaker 2>to chill music and closing your eyes, breathing deeply reading

941
00:50:15.400 --> 00:50:18.000
<v Speaker 2>a chapter in a book or doing a craft. And

942
00:50:18.079 --> 00:50:21.639
<v Speaker 2>I know it might feel more stressful at the beginning

943
00:50:22.000 --> 00:50:25.280
<v Speaker 2>to carve that time out. Trust me, you're like, I

944
00:50:25.320 --> 00:50:27.679
<v Speaker 2>have no time, How can I possibly do this? Or

945
00:50:27.719 --> 00:50:30.079
<v Speaker 2>maybe you have to wake up a little earlier than

946
00:50:30.159 --> 00:50:32.559
<v Speaker 2>your kids or work, or you have to ask for

947
00:50:32.639 --> 00:50:35.039
<v Speaker 2>support to carve out that time. It might not feel

948
00:50:35.039 --> 00:50:38.199
<v Speaker 2>like it's helping immediately, but the routine of doing something,

949
00:50:38.239 --> 00:50:41.360
<v Speaker 2>even for ten minutes a day that feels chill and

950
00:50:41.400 --> 00:50:44.639
<v Speaker 2>feels like a treat that's not scrolling, helps you know

951
00:50:44.920 --> 00:50:48.400
<v Speaker 2>that you have that little respite daily reliably and that

952
00:50:48.480 --> 00:50:50.840
<v Speaker 2>you have your own back. And I wanted to get

953
00:50:50.880 --> 00:50:53.360
<v Speaker 2>back to this because you were mentioning the people who

954
00:50:53.400 --> 00:50:56.400
<v Speaker 2>don't experience burn out even though they're in the seven

955
00:50:56.440 --> 00:50:59.800
<v Speaker 2>to ten scale. What did you find in your research

956
00:51:00.159 --> 00:51:04.000
<v Speaker 2>that was common to that. I'm like, are they just associopaths?

957
00:51:04.039 --> 00:51:06.199
<v Speaker 2>Do they not feel me emotions?

958
00:51:06.280 --> 00:51:09.360
<v Speaker 4>Or do they have like really good recovery systems?

959
00:51:10.840 --> 00:51:13.599
<v Speaker 3>Exactly? That's what I wonder too, Like who are these

960
00:51:13.599 --> 00:51:16.360
<v Speaker 3>people they have? Like I don't know, were they raised

961
00:51:16.360 --> 00:51:19.639
<v Speaker 3>by unusually cool headed parents or they have like Jedi

962
00:51:19.679 --> 00:51:21.599
<v Speaker 3>mind tricks that they play on themselves so that they

963
00:51:21.639 --> 00:51:25.719
<v Speaker 3>can survive in some crazy stressful environment. I mean, that's

964
00:51:25.760 --> 00:51:27.800
<v Speaker 3>exactly what I went after in my research. That was

965
00:51:27.800 --> 00:51:31.199
<v Speaker 3>my primary research question. So a lot of it has

966
00:51:31.239 --> 00:51:33.519
<v Speaker 3>to do with our emotional intelligence. That's the whole basis

967
00:51:33.519 --> 00:51:36.559
<v Speaker 3>of my research in the book, is that stress creates

968
00:51:36.599 --> 00:51:40.840
<v Speaker 3>emotional responses. So it's learning as much as we possibly

969
00:51:40.880 --> 00:51:44.760
<v Speaker 3>can about how we respond emotionally to different types of stressors.

970
00:51:45.280 --> 00:51:48.760
<v Speaker 3>That includes things like understanding what triggers my stress, and

971
00:51:48.800 --> 00:51:51.760
<v Speaker 3>not just what triggers me and ticks me off, but

972
00:51:51.800 --> 00:51:54.599
<v Speaker 3>what's underneath that, where did that come from, what happened

973
00:51:54.639 --> 00:51:57.840
<v Speaker 3>in my past that led me to have this trigger.

974
00:51:58.199 --> 00:52:00.719
<v Speaker 2>So it's not just about avoiding stress and highly but

975
00:52:01.119 --> 00:52:04.519
<v Speaker 2>understanding and clocking your own reactions to it and your

976
00:52:04.559 --> 00:52:06.760
<v Speaker 2>own unique sensitivities to it.

977
00:52:07.199 --> 00:52:11.360
<v Speaker 3>So emotional self awareness is a big attribute that these

978
00:52:11.400 --> 00:52:14.119
<v Speaker 3>people with burnout immunity have. They're very in tune with

979
00:52:14.159 --> 00:52:17.599
<v Speaker 3>their emotional response to stress, very clear on what their

980
00:52:17.599 --> 00:52:20.400
<v Speaker 3>triggers are, what ticks them off. They're also clear on

981
00:52:20.559 --> 00:52:23.400
<v Speaker 3>what makes them tick, you know, what motivates them, what

982
00:52:23.480 --> 00:52:27.440
<v Speaker 3>gives them good positive energy, and then they're able to regulate.

983
00:52:27.480 --> 00:52:31.159
<v Speaker 3>This is the emotional regulation part of emotional intelligence. They're

984
00:52:31.199 --> 00:52:35.280
<v Speaker 3>able to regulate their emotions, their thoughts, and their behaviors

985
00:52:36.119 --> 00:52:40.119
<v Speaker 3>working in very stressful conditions. But just emotional self awareness

986
00:52:40.119 --> 00:52:43.880
<v Speaker 3>and emotional regulation are some of the big cornerstones of

987
00:52:43.920 --> 00:52:47.559
<v Speaker 3>creating burnout immunity. But it's also things like staying really

988
00:52:47.559 --> 00:52:51.960
<v Speaker 3>connected to your values, to people that you love, meaningful relationships.

989
00:52:52.440 --> 00:52:54.400
<v Speaker 3>It also has a lot to do with your outlook

990
00:52:54.440 --> 00:52:59.079
<v Speaker 3>on life. Some people thrive in certain conditions better because

991
00:52:59.559 --> 00:53:02.480
<v Speaker 3>they're look on that type of end environment is more positive,

992
00:53:02.519 --> 00:53:06.360
<v Speaker 3>and so that passion, that calling that they felt is

993
00:53:06.480 --> 00:53:10.079
<v Speaker 3>protective our general mindset and the way we think about

994
00:53:10.079 --> 00:53:11.639
<v Speaker 3>the world, the way we think about work.

995
00:53:12.199 --> 00:53:17.199
<v Speaker 2>So emotional awareness and regulation being the cornerstone of burnout

996
00:53:17.199 --> 00:53:21.239
<v Speaker 2>immunity means a bit more challenge to folks who are neurodivergent.

997
00:53:21.800 --> 00:53:24.719
<v Speaker 2>My hand is raised right now now. The National Institutes

998
00:53:24.760 --> 00:53:29.000
<v Speaker 2>of Health ADHD Support Toolkit recommends people wanting to support

999
00:53:29.079 --> 00:53:33.880
<v Speaker 2>someone with ADHD up their empathy and refrain from blaming

1000
00:53:34.000 --> 00:53:37.079
<v Speaker 2>and shaming someone who's struggling to handle a heavy load

1001
00:53:37.639 --> 00:53:42.199
<v Speaker 2>with executive function issues. So be patient, be empathetic, and

1002
00:53:42.320 --> 00:53:45.320
<v Speaker 2>it encourages for those with ADHD to take short breaks

1003
00:53:45.400 --> 00:53:49.519
<v Speaker 2>during tasks that require continued focus. And there's this brand

1004
00:53:49.559 --> 00:53:53.360
<v Speaker 2>new study in twenty twenty four titled Executive Function Deficits

1005
00:53:53.480 --> 00:53:57.559
<v Speaker 2>mediate the relationship between employees, ADHD and job burnout and

1006
00:53:57.599 --> 00:54:01.599
<v Speaker 2>have found that hell yeah, lower executive function contributes to

1007
00:54:01.679 --> 00:54:05.880
<v Speaker 2>faster burnout and fatigue. Not to mention masking, which is

1008
00:54:05.920 --> 00:54:07.719
<v Speaker 2>a term that means you spend a ton of your

1009
00:54:07.760 --> 00:54:11.960
<v Speaker 2>energy pretending to be neurotypical in a world built for

1010
00:54:12.000 --> 00:54:15.320
<v Speaker 2>this productive grind of working like ten hours a day,

1011
00:54:15.800 --> 00:54:18.880
<v Speaker 2>usually sitting at a desk, and this masking is common

1012
00:54:19.000 --> 00:54:22.679
<v Speaker 2>in autistic adults and kids as well, and Stanford Medical

1013
00:54:22.719 --> 00:54:26.400
<v Speaker 2>School has a neurodiversity project and one presenter, Katie Oswald,

1014
00:54:26.719 --> 00:54:31.320
<v Speaker 2>laid out that autistic burnout arises from chronic life stress

1015
00:54:31.360 --> 00:54:35.480
<v Speaker 2>and this mismatch of expectations and abilities without adequate support.

1016
00:54:35.760 --> 00:54:40.480
<v Speaker 2>And symptoms include long term, typically over three months, exhaustion

1017
00:54:40.840 --> 00:54:43.880
<v Speaker 2>and loss of function and a reduced response to stimuli.

1018
00:54:44.239 --> 00:54:47.440
<v Speaker 2>And some causes of this autistic burnout are life stressors

1019
00:54:47.440 --> 00:54:53.039
<v Speaker 2>and masking and cumulative overwhelm, lack of empathy and dismissal

1020
00:54:53.079 --> 00:54:55.920
<v Speaker 2>of struggles, and lack of support from others but it

1021
00:54:56.039 --> 00:55:00.559
<v Speaker 2>recommends some interventions like pure led support groups and meditation

1022
00:55:00.920 --> 00:55:07.079
<v Speaker 2>and exercise, Trauma informed care, art therapy, animal assisted therapy,

1023
00:55:07.119 --> 00:55:10.480
<v Speaker 2>and interventions that are pure led help a lot. So

1024
00:55:10.719 --> 00:55:14.159
<v Speaker 2>without this kind of support and empathy shown from others

1025
00:55:14.480 --> 00:55:18.800
<v Speaker 2>and ourselves, it's much harder to maintain this optimism and

1026
00:55:18.800 --> 00:55:22.119
<v Speaker 2>self confidence and self care like rest and time away

1027
00:55:22.119 --> 00:55:25.559
<v Speaker 2>from screens and healthy hobbies that we need to avoid burnout.

1028
00:55:25.679 --> 00:55:27.920
<v Speaker 2>But for all of us, Doctor Ween's has a chapter

1029
00:55:27.960 --> 00:55:30.639
<v Speaker 2>that details how to recover from burnout using what she's

1030
00:55:30.679 --> 00:55:34.000
<v Speaker 2>coined the three R prescription or a three RX, and

1031
00:55:34.039 --> 00:55:38.320
<v Speaker 2>that means recover, reconnect, and reimagine. And she acknowledges with

1032
00:55:38.360 --> 00:55:41.679
<v Speaker 2>the recovery that a certain painful irony exists that comes

1033
00:55:41.679 --> 00:55:45.239
<v Speaker 2>along with recommending tips and strategies for making a full

1034
00:55:45.360 --> 00:55:49.639
<v Speaker 2>burnout recovery, because the ultimate responsibility for burnout recovery and

1035
00:55:49.679 --> 00:55:53.760
<v Speaker 2>certainly prevention lies with the employer, she writes, not the employee.

1036
00:55:53.960 --> 00:55:56.800
<v Speaker 2>But we can try to do what's in our control.

1037
00:55:57.199 --> 00:56:00.599
<v Speaker 2>And sometimes you can't get better in the environ that's

1038
00:56:00.639 --> 00:56:03.719
<v Speaker 2>making you sick, in which case you got a balance,

1039
00:56:03.960 --> 00:56:07.079
<v Speaker 2>but you can try to change your mindset and set

1040
00:56:07.119 --> 00:56:10.480
<v Speaker 2>boundaries and the reconnect R involves getting in touch with

1041
00:56:10.519 --> 00:56:13.400
<v Speaker 2>things outside of work like people and hobbies and downtime

1042
00:56:13.480 --> 00:56:16.960
<v Speaker 2>and group activities, or even your values or your vision

1043
00:56:16.960 --> 00:56:19.679
<v Speaker 2>of your ideal self. And then the third R helps

1044
00:56:19.679 --> 00:56:23.360
<v Speaker 2>you reimagine your life going forward. So she details all

1045
00:56:23.360 --> 00:56:25.440
<v Speaker 2>these strategies in her book, but they can help you

1046
00:56:25.559 --> 00:56:29.519
<v Speaker 2>regulate your approach to stress and the emotions that come

1047
00:56:29.639 --> 00:56:32.559
<v Speaker 2>up from it to lessen the impact on your life

1048
00:56:32.599 --> 00:56:37.239
<v Speaker 2>and your brain and your body. An emotional regulation, I understand,

1049
00:56:37.400 --> 00:56:39.639
<v Speaker 2>is not the same thing as stuffing your feelings down

1050
00:56:39.719 --> 00:56:40.400
<v Speaker 2>and not feeling that.

1051
00:56:43.599 --> 00:56:45.719
<v Speaker 3>That was me and a lot of us saying oh well,

1052
00:56:45.800 --> 00:56:47.679
<v Speaker 3>that will just make it all go away if I

1053
00:56:48.280 --> 00:56:50.239
<v Speaker 3>if I stuff it. I have one guy tell me,

1054
00:56:50.280 --> 00:56:52.800
<v Speaker 3>one of my research participants, he was a chief medical officer,

1055
00:56:52.920 --> 00:56:56.199
<v Speaker 3>told me that he was a professional stuffer, like stuff

1056
00:56:56.199 --> 00:56:59.960
<v Speaker 3>to stress like crazy until hand it up with diverticulitis,

1057
00:57:00.079 --> 00:57:03.199
<v Speaker 3>which is like really bad things happening to your intestines.

1058
00:57:03.679 --> 00:57:07.719
<v Speaker 2>Not to mention, of course, cardiac and metabolic disease and

1059
00:57:07.840 --> 00:57:11.199
<v Speaker 2>autoimmune diseases. And there was one study, a twenty eighteen

1060
00:57:11.239 --> 00:57:15.400
<v Speaker 2>paper association of stress related disorders with subsequent autoimmune disease

1061
00:57:15.639 --> 00:57:18.199
<v Speaker 2>and it found that yes, it's stress related disorders were

1062
00:57:18.239 --> 00:57:23.960
<v Speaker 2>significantly associated with increased risk of autoimmune disease. So being

1063
00:57:24.000 --> 00:57:27.119
<v Speaker 2>exposed to high stress and not having the outlets to

1064
00:57:27.239 --> 00:57:30.239
<v Speaker 2>cope or to explore it, or to get support, or

1065
00:57:30.559 --> 00:57:35.719
<v Speaker 2>essentially developing what psychologists call emotional intelligence or regulation can

1066
00:57:36.079 --> 00:57:40.039
<v Speaker 2>be deadly. Yeah. OI, no better to deal with the

1067
00:57:40.039 --> 00:57:43.480
<v Speaker 2>emotions than whatever's going on in them guts, you know.

1068
00:57:43.760 --> 00:57:45.760
<v Speaker 2>But yeah, I was like, I have an idea. What

1069
00:57:45.840 --> 00:57:47.880
<v Speaker 2>if I just don't feel the bad feelings and I

1070
00:57:48.000 --> 00:57:51.199
<v Speaker 2>scroll instead? Poof, I made them disappear.

1071
00:57:51.599 --> 00:57:53.480
<v Speaker 4>You didn't until they come back again and they hat

1072
00:57:53.519 --> 00:57:54.480
<v Speaker 4>you exactly.

1073
00:57:55.039 --> 00:57:57.199
<v Speaker 2>Well, this is okay, this is my last listener question,

1074
00:57:57.599 --> 00:58:00.880
<v Speaker 2>Matthew Walker, I mean so many people. Lady is a geek.

1075
00:58:01.039 --> 00:58:05.320
<v Speaker 2>KATIEB already wanted to know, in the lady's words, does

1076
00:58:05.320 --> 00:58:07.480
<v Speaker 2>burnout leave a scar? If you've had one burnout, are

1077
00:58:07.519 --> 00:58:10.599
<v Speaker 2>you more likely to have another or experience it more easily?

1078
00:58:10.880 --> 00:58:13.559
<v Speaker 2>Same thing? Katie had that question too. If you get

1079
00:58:13.559 --> 00:58:15.840
<v Speaker 2>at once, are you more predisposed to it?

1080
00:58:16.679 --> 00:58:16.840
<v Speaker 4>Oh?

1081
00:58:16.880 --> 00:58:19.920
<v Speaker 3>It depends what you do with that information. Totally depends

1082
00:58:19.960 --> 00:58:23.239
<v Speaker 3>on how you were able to recover from that burnout experience.

1083
00:58:23.440 --> 00:58:26.159
<v Speaker 3>And what did you learn from it? What do you

1084
00:58:26.239 --> 00:58:28.679
<v Speaker 3>not want to do again? Because all of us, when

1085
00:58:28.719 --> 00:58:31.239
<v Speaker 3>we're burned out, all of a sudden it becomes clear like,

1086
00:58:31.360 --> 00:58:34.119
<v Speaker 3>oh that's what was causing the burnout. Oh that's you

1087
00:58:34.159 --> 00:58:36.840
<v Speaker 3>know what triggered me. Oh that's what I wasn't doing,

1088
00:58:36.960 --> 00:58:39.639
<v Speaker 3>or that's what I was doing that made me more vulnerable.

1089
00:58:40.079 --> 00:58:42.440
<v Speaker 3>So it depends what you choose to do with that information.

1090
00:58:42.519 --> 00:58:45.599
<v Speaker 3>In my case, I was like hell bent on not

1091
00:58:45.679 --> 00:58:48.400
<v Speaker 3>ever getting burned out again. And I you know, like

1092
00:58:48.400 --> 00:58:50.159
<v Speaker 3>I said, when I was nine or ten, I never

1093
00:58:50.199 --> 00:58:52.840
<v Speaker 3>wanted to be a burnout expert. I never crossed my mind.

1094
00:58:52.880 --> 00:58:55.239
<v Speaker 3>But now I'm glad that I am because it forces

1095
00:58:55.280 --> 00:58:58.480
<v Speaker 3>me to really pay attention and I made a commitment

1096
00:58:58.519 --> 00:59:00.239
<v Speaker 3>to myself. I'm not going to let that happen again.

1097
00:59:00.280 --> 00:59:02.480
<v Speaker 3>I want to live a full, happy life while I'm here.

1098
00:59:02.960 --> 00:59:04.679
<v Speaker 3>I want to have stress in my life. I actually

1099
00:59:04.719 --> 00:59:09.320
<v Speaker 3>want to have good stress and stress that will challenge

1100
00:59:09.320 --> 00:59:11.840
<v Speaker 3>me and help me learn and grow. But I also know,

1101
00:59:12.039 --> 00:59:13.920
<v Speaker 3>like I have a limit. I need to be really

1102
00:59:13.960 --> 00:59:16.480
<v Speaker 3>really aware of what that limit is, and it's my

1103
00:59:16.639 --> 00:59:19.519
<v Speaker 3>responsibility to get myself out of it. And that doesn't

1104
00:59:19.599 --> 00:59:21.800
<v Speaker 3>mean and I get it. People might be wondering, well,

1105
00:59:21.840 --> 00:59:24.519
<v Speaker 3>I don't have the luxury of getting myself out of it.

1106
00:59:24.599 --> 00:59:26.960
<v Speaker 3>I didn't feel like I had the luxury either when

1107
00:59:26.960 --> 00:59:29.079
<v Speaker 3>I was burned out, so I took my time. It

1108
00:59:29.079 --> 00:59:31.400
<v Speaker 3>took me a couple of years for me to create

1109
00:59:31.440 --> 00:59:34.320
<v Speaker 3>an exit ramp and a path, a new plan for

1110
00:59:34.400 --> 00:59:36.880
<v Speaker 3>myself where I was going in a direction that I

1111
00:59:36.920 --> 00:59:38.800
<v Speaker 3>knew was going to be right for me and wasn't

1112
00:59:39.000 --> 00:59:40.920
<v Speaker 3>going to cause burnout for me.

1113
00:59:42.079 --> 00:59:44.519
<v Speaker 2>I think it's also interesting that everyone else can see

1114
00:59:44.519 --> 00:59:48.079
<v Speaker 2>you on an absolute crash course a mile away and

1115
00:59:48.079 --> 00:59:50.519
<v Speaker 2>you're like, nah, I got this. And a lot of

1116
00:59:50.559 --> 00:59:52.920
<v Speaker 2>times there's at least you know one or two people

1117
00:59:53.000 --> 00:59:54.800
<v Speaker 2>in your life that are like, you're going to burn out,

1118
00:59:54.800 --> 00:59:57.719
<v Speaker 2>and you're like, other people might burn out, not me,

1119
00:59:57.880 --> 01:00:00.800
<v Speaker 2>watch this, and then you're just in a day crying.

1120
01:00:00.920 --> 01:00:03.559
<v Speaker 3>Oh yeah, denial. It's a thing.

1121
01:00:04.599 --> 01:00:04.920
<v Speaker 4>Yeah.

1122
01:00:05.280 --> 01:00:08.800
<v Speaker 2>I always ask people the worst thing about their job,

1123
01:00:08.920 --> 01:00:12.519
<v Speaker 2>and I am wondering, what is the hardest thing about

1124
01:00:13.639 --> 01:00:15.360
<v Speaker 2>your work in burnout?

1125
01:00:15.800 --> 01:00:17.440
<v Speaker 4>Oh, and not getting burned out?

1126
01:00:18.079 --> 01:00:20.519
<v Speaker 3>That's a Oh, it's a hard one, but maybe it's

1127
01:00:20.599 --> 01:00:23.039
<v Speaker 3>maybe it's actually an easy one. The hardest part for

1128
01:00:23.119 --> 01:00:26.960
<v Speaker 3>me is, well, I feel, really, I guess blessed that

1129
01:00:27.000 --> 01:00:29.480
<v Speaker 3>I get to hear that people feel comfortable opening up

1130
01:00:29.480 --> 01:00:32.079
<v Speaker 3>to me about their burnout experiences, and I feel honored

1131
01:00:32.119 --> 01:00:34.559
<v Speaker 3>that they do. So that's a good thing. But at

1132
01:00:34.599 --> 01:00:36.239
<v Speaker 3>the same time, the hard part about it is I

1133
01:00:36.239 --> 01:00:37.280
<v Speaker 3>want to help everybody.

1134
01:00:37.719 --> 01:00:38.960
<v Speaker 2>Yeah, I would love.

1135
01:00:38.800 --> 01:00:42.920
<v Speaker 3>To take everybody under my wing and just say, you know,

1136
01:00:43.000 --> 01:00:45.079
<v Speaker 3>follow me, let's do these things and you're going to

1137
01:00:45.119 --> 01:00:46.719
<v Speaker 3>be just fine, and I promise you we're going to

1138
01:00:46.760 --> 01:00:49.320
<v Speaker 3>get you out of this. And I just I can't

1139
01:00:49.320 --> 01:00:51.239
<v Speaker 3>do that. I mean, I help as many people as

1140
01:00:51.239 --> 01:00:53.840
<v Speaker 3>I can, and then I also have my limits where

1141
01:00:53.880 --> 01:00:56.000
<v Speaker 3>it's just that that's what can cause me to burn

1142
01:00:56.039 --> 01:00:59.079
<v Speaker 3>out because I'm expressing so much empathy and compassion for

1143
01:00:59.159 --> 01:01:02.599
<v Speaker 3>other people that then it turns into me not having

1144
01:01:02.639 --> 01:01:03.840
<v Speaker 3>good boundaries for myself.

1145
01:01:04.199 --> 01:01:06.480
<v Speaker 2>What about the best thing about what you do?

1146
01:01:07.480 --> 01:01:09.800
<v Speaker 3>The best thing, I think is really just bringing awareness

1147
01:01:09.800 --> 01:01:12.280
<v Speaker 3>to something that so many people are struggling with. And

1148
01:01:12.840 --> 01:01:15.679
<v Speaker 3>after a speaking event or a podcaster and people will

1149
01:01:15.679 --> 01:01:18.840
<v Speaker 3>reach out and say, you know, your story really resonated

1150
01:01:18.880 --> 01:01:21.320
<v Speaker 3>with me. I felt like you were in my head.

1151
01:01:22.079 --> 01:01:25.159
<v Speaker 3>And I just feel super honored that people are opening

1152
01:01:25.239 --> 01:01:28.000
<v Speaker 3>up more about it. And my hope is that the

1153
01:01:28.039 --> 01:01:30.840
<v Speaker 3>more we talk about it, the more we bring awareness

1154
01:01:30.840 --> 01:01:33.800
<v Speaker 3>to it and try to really decrease the stigma associated

1155
01:01:33.840 --> 01:01:36.760
<v Speaker 3>with it, that we will start to see cultures change.

1156
01:01:36.760 --> 01:01:38.800
<v Speaker 3>But it's going to take people like me and you

1157
01:01:38.840 --> 01:01:41.800
<v Speaker 3>and others who have been burned out and recovered to

1158
01:01:41.880 --> 01:01:44.360
<v Speaker 3>get back in there and say, look, there are ways

1159
01:01:44.400 --> 01:01:48.000
<v Speaker 3>to create cultures where we can expect, you know, really

1160
01:01:48.079 --> 01:01:51.559
<v Speaker 3>high performance out of people, but also not to the

1161
01:01:51.599 --> 01:01:53.119
<v Speaker 3>point where we're going to lose them.

1162
01:01:53.639 --> 01:01:54.360
<v Speaker 4>Yeah, it is.

1163
01:01:54.480 --> 01:01:58.000
<v Speaker 2>I think speaking out about it is so helpful for

1164
01:01:58.079 --> 01:01:59.880
<v Speaker 2>me to hear other people talk about it and to

1165
01:02:00.119 --> 01:02:04.920
<v Speaker 2>that it's not just like a moral failing. I'm so

1166
01:02:04.960 --> 01:02:07.159
<v Speaker 2>glad I got a chance to talk to you. I

1167
01:02:07.159 --> 01:02:10.159
<v Speaker 2>imagine there's so many avenues you can go down. Do

1168
01:02:10.199 --> 01:02:14.320
<v Speaker 2>you see yourself doing this? Just wanting to ask and

1169
01:02:14.360 --> 01:02:17.119
<v Speaker 2>answer questions for you know, as long as you can.

1170
01:02:17.840 --> 01:02:19.360
<v Speaker 3>It's so fun and like that is one of the

1171
01:02:19.360 --> 01:02:21.639
<v Speaker 3>best parts in my job too. Like I've always been

1172
01:02:21.679 --> 01:02:24.519
<v Speaker 3>someone who's just naturally curious. I mean, I love researching itself,

1173
01:02:24.840 --> 01:02:26.639
<v Speaker 3>to go in there and dig into people's lives and

1174
01:02:26.679 --> 01:02:30.320
<v Speaker 3>really truly understand at an empirical level what is going

1175
01:02:30.360 --> 01:02:33.119
<v Speaker 3>on burnout is a phenomenon. So it's one of those

1176
01:02:33.119 --> 01:02:34.800
<v Speaker 3>things that we can get in there and study by time.

1177
01:02:34.840 --> 01:02:36.599
<v Speaker 3>But we need to talk to people and hear about

1178
01:02:36.639 --> 01:02:38.800
<v Speaker 3>their life experiences, and that's pretty fun.

1179
01:02:39.280 --> 01:02:42.880
<v Speaker 2>I mean, there's no shortage of need or examples.

1180
01:02:43.440 --> 01:02:45.400
<v Speaker 3>That's great, that's true.

1181
01:02:45.599 --> 01:02:49.119
<v Speaker 2>You are guaranteed a job in this culture and economy.

1182
01:02:49.760 --> 01:02:50.960
<v Speaker 3>I don't know if that's a good thing.

1183
01:02:51.280 --> 01:02:57.280
<v Speaker 2>Yeah, exactly, So ask experts amateur questions, because honestly, it

1184
01:02:57.400 --> 01:02:59.880
<v Speaker 2>might save your life. Now, this was recorded a month

1185
01:03:00.079 --> 01:03:03.760
<v Speaker 2>to a go when optimism and hope may have been

1186
01:03:04.000 --> 01:03:07.039
<v Speaker 2>easier to come by, so it might seem like easier

1187
01:03:07.079 --> 01:03:09.800
<v Speaker 2>said than done, which, let's be honest, that's like most

1188
01:03:09.840 --> 01:03:13.679
<v Speaker 2>things in life. But unfortunately, keeping tabs on your mental

1189
01:03:13.679 --> 01:03:18.440
<v Speaker 2>health is more important than ever because you're an ape

1190
01:03:18.920 --> 01:03:21.599
<v Speaker 2>wearing a shirt and you're really not built for this.

1191
01:03:21.719 --> 01:03:25.400
<v Speaker 2>I'm sorry to say so. Part of combating global stress

1192
01:03:25.519 --> 01:03:28.199
<v Speaker 2>is learning when it's getting to be too much and

1193
01:03:28.239 --> 01:03:32.320
<v Speaker 2>taking care of yourself in constructive and not just numbing

1194
01:03:32.519 --> 01:03:36.440
<v Speaker 2>and dissociating ways. Trust me, scrolling is not helping you,

1195
01:03:36.800 --> 01:03:39.519
<v Speaker 2>so heed my warnings please, And for more info, you

1196
01:03:39.559 --> 01:03:42.159
<v Speaker 2>can pick up Candy Ween's book Burnout Immunity, which will

1197
01:03:42.159 --> 01:03:44.559
<v Speaker 2>link in the show notes and will also link where

1198
01:03:44.559 --> 01:03:46.599
<v Speaker 2>you can follow and find out more about her work.

1199
01:03:46.679 --> 01:03:49.000
<v Speaker 2>So thank you so much for me and on Dr

1200
01:03:49.000 --> 01:03:51.639
<v Speaker 2>Ween's so you can learn more about Ologies and you

1201
01:03:51.679 --> 01:03:55.719
<v Speaker 2>can follow us at Ologies on Blue Sky and Instagram.

1202
01:03:55.800 --> 01:03:58.119
<v Speaker 2>You can find me at Ali Ward on both platforms.

1203
01:03:58.280 --> 01:04:00.639
<v Speaker 2>We also have a shorter kid friendly episode available in

1204
01:04:00.679 --> 01:04:04.159
<v Speaker 2>their own podcast feed. It's called Smologies. Wherever we get podcasts,

1205
01:04:04.239 --> 01:04:06.719
<v Speaker 2>you can look for the new green logo, which was

1206
01:04:06.760 --> 01:04:09.800
<v Speaker 2>designed by Portland artist's Body Dutch. We also have Ologies

1207
01:04:09.840 --> 01:04:12.559
<v Speaker 2>Merch available at ologiesmerch dot com, where they'll link in

1208
01:04:12.599 --> 01:04:16.119
<v Speaker 2>the show notes. Aaron Telbert adminsiologies podcast Facebook group. Aveline

1209
01:04:16.119 --> 01:04:19.519
<v Speaker 2>Malick makes our professional transcripts. Noel Dilworth is our scheduling producer.

1210
01:04:19.639 --> 01:04:22.840
<v Speaker 2>Kelly Ardwyer makes the website. Susan Hale managing directs the

1211
01:04:22.840 --> 01:04:25.599
<v Speaker 2>whole Shippang Jake Chafe co edits a show and lead

1212
01:04:25.719 --> 01:04:28.480
<v Speaker 2>editor and Canadian who is trying not to burn out

1213
01:04:28.519 --> 01:04:33.599
<v Speaker 2>with American and global genocide stressors is Mercedes Maitland of

1214
01:04:33.599 --> 01:04:37.400
<v Speaker 2>Maitland Audio. Nick thorburn Nick Thorp Burnout made the theme

1215
01:04:37.480 --> 01:04:39.159
<v Speaker 2>music and if you stick around until the end of

1216
01:04:39.159 --> 01:04:41.719
<v Speaker 2>the episode, I tell you secret. In this week it's

1217
01:04:41.840 --> 01:04:45.199
<v Speaker 2>I'm the ghost of Burnout, past and future, and I'm

1218
01:04:45.199 --> 01:04:49.320
<v Speaker 2>here to tell you, no matter how strong you are,

1219
01:04:49.440 --> 01:04:52.400
<v Speaker 2>or how good at suffering, or how much you want

1220
01:04:52.400 --> 01:04:55.280
<v Speaker 2>to fix the world, you have to take care of

1221
01:04:55.280 --> 01:04:59.480
<v Speaker 2>yourself or you will possibly be sick and sadder and

1222
01:04:59.559 --> 01:05:02.360
<v Speaker 2>less a able to do the things you want to

1223
01:05:02.360 --> 01:05:05.679
<v Speaker 2>to change the world. So I have been through that.

1224
01:05:05.800 --> 01:05:08.280
<v Speaker 2>I thought I was tougher than anyone else, and I

1225
01:05:08.320 --> 01:05:11.000
<v Speaker 2>thought I could just get through things. As you might know,

1226
01:05:11.119 --> 01:05:14.760
<v Speaker 2>last summer, I had an excruciating burnout that landed me

1227
01:05:14.840 --> 01:05:17.119
<v Speaker 2>in the hospital a few times, and then I had

1228
01:05:17.119 --> 01:05:19.559
<v Speaker 2>to take a bunch of time off and relearn how

1229
01:05:19.599 --> 01:05:23.760
<v Speaker 2>to talk to my own brain. So everyone warned me

1230
01:05:23.960 --> 01:05:26.360
<v Speaker 2>for years ahead of time I was going to burn out.

1231
01:05:26.440 --> 01:05:28.280
<v Speaker 2>I love this job. I love a lot of the

1232
01:05:28.360 --> 01:05:30.719
<v Speaker 2>jobs that I have and have had all at once,

1233
01:05:31.199 --> 01:05:34.000
<v Speaker 2>and I just didn't know how to live like a

1234
01:05:34.039 --> 01:05:37.480
<v Speaker 2>normal person. I was like, I'm a robot. I'm a machine.

1235
01:05:37.639 --> 01:05:41.400
<v Speaker 2>I keep work. No, so you're a person if you're

1236
01:05:41.440 --> 01:05:43.559
<v Speaker 2>listening to this, unless you're an AI, which is weird.

1237
01:05:43.760 --> 01:05:45.760
<v Speaker 2>But you're a person, and you got to take care

1238
01:05:45.800 --> 01:05:48.320
<v Speaker 2>of yourself. So when I do, which has been helping

1239
01:05:48.320 --> 01:05:50.159
<v Speaker 2>me a ton. I mentioned this in another episode, but

1240
01:05:50.199 --> 01:05:51.960
<v Speaker 2>I have a list of things that I do to

1241
01:05:52.039 --> 01:05:55.039
<v Speaker 2>keep myself alive, and I print it out. I check

1242
01:05:55.079 --> 01:05:57.440
<v Speaker 2>it off every day. It's helped so much in the

1243
01:05:57.480 --> 01:06:00.000
<v Speaker 2>last few months. Again, I print out a new shee

1244
01:06:00.159 --> 01:06:03.360
<v Speaker 2>every week. Each day I get a point for things

1245
01:06:03.440 --> 01:06:07.639
<v Speaker 2>like drinking at least sixty four ounces of water, or meditating,

1246
01:06:08.199 --> 01:06:10.920
<v Speaker 2>or going on a walk, or reading a book even

1247
01:06:11.039 --> 01:06:16.559
<v Speaker 2>one page, journaling, avoiding too much caffeine, avoiding alcohol, avoiding scrolling,

1248
01:06:16.960 --> 01:06:20.000
<v Speaker 2>doing a hobby. I love cross stitch because I can't

1249
01:06:20.079 --> 01:06:23.039
<v Speaker 2>use my phone and it's zero stakes, and for some

1250
01:06:23.079 --> 01:06:26.360
<v Speaker 2>reason it calms my nervous system. I literally get a

1251
01:06:26.400 --> 01:06:29.000
<v Speaker 2>point for showering and then I add up the points

1252
01:06:29.000 --> 01:06:30.800
<v Speaker 2>of the day to see how I'm doing. And it's

1253
01:06:30.880 --> 01:06:33.519
<v Speaker 2>kind of like a game to play. But doing something

1254
01:06:33.559 --> 01:06:35.440
<v Speaker 2>if you need to gamify it, if you need to

1255
01:06:35.599 --> 01:06:37.920
<v Speaker 2>have a checklist of stuff you do, don't do it

1256
01:06:37.960 --> 01:06:40.320
<v Speaker 2>because you have to do it, because you deserve to

1257
01:06:40.360 --> 01:06:43.320
<v Speaker 2>do it, and it'll start becoming a routine that helps.

1258
01:06:43.320 --> 01:06:46.880
<v Speaker 2>So checking in with yourself and giving your little ape brain.

1259
01:06:47.280 --> 01:06:50.360
<v Speaker 2>The comfort that you need takes less time than what

1260
01:06:50.400 --> 01:06:53.960
<v Speaker 2>you would spend staring into space and worrying. Whatever you

1261
01:06:54.000 --> 01:06:57.159
<v Speaker 2>want to do to contribute to a more just world,

1262
01:06:57.320 --> 01:06:59.039
<v Speaker 2>you'll be able to do it if you're nice to

1263
01:06:59.079 --> 01:07:02.320
<v Speaker 2>yourself first. So there is my secret. There's my advice

1264
01:07:02.440 --> 01:07:06.239
<v Speaker 2>to not grind yourself into a nub. The world needs

1265
01:07:06.239 --> 01:07:09.559
<v Speaker 2>you to take your survival and your health seriously, and I, honestly,

1266
01:07:09.679 --> 01:07:13.199
<v Speaker 2>as your dad, board as your internet dad, let me

1267
01:07:13.280 --> 01:07:15.880
<v Speaker 2>be a cautionary tale that it just doesn't work long term.

1268
01:07:16.079 --> 01:07:18.519
<v Speaker 2>You will nose dive at one point, and you deserve it.

1269
01:07:18.559 --> 01:07:21.159
<v Speaker 2>Every single person deserves to take care of themselves. So

1270
01:07:21.400 --> 01:07:23.679
<v Speaker 2>if you're still sitting under that tree or lying on

1271
01:07:23.719 --> 01:07:25.960
<v Speaker 2>the carpet, just think of things that make you happy

1272
01:07:26.079 --> 01:07:29.039
<v Speaker 2>and make you feel better, and please do them for yourself.

1273
01:07:29.239 --> 01:07:31.519
<v Speaker 2>Doesn't have to be a vacation. Okay, go drink some water,

1274
01:07:31.559 --> 01:07:31.880
<v Speaker 2>all right?

1275
01:07:31.960 --> 01:07:32.360
<v Speaker 3>Byebye?

1276
01:07:32.679 --> 01:07:45.840
<v Speaker 2>Pacodermatology, homeology, r doo zoology, lithology and technology, meteorology, paratology, napology, seriology, selenology.

1277
01:07:52.559 --> 01:07:54.159
<v Speaker 3>We all agree that you deserve a break.
