Category: Job Stress & Burnout

Dr. Holland understands that successful people are not immune to symptoms like depression, anxiety, and addiction. Dr. Holland takes great pride in offering a private environment that caters to the needs of these individuals, providing them with a therapeutic atmosphere that offers a sanctuary where they can step away from the stresses of their everyday lives.

COVID-19 front line workers vulnerable to mental health problems

COVID Stress Takes a Toll on Mental Health with Health Care Worker

The daily toll of COVID-19, as measured by new cases and the growing number of deaths, overlooks a shadowy set of casualties: the rising risk of mental health problems among health care professionals working on the front lines of the pandemic. A new study, led by University of Utah Health scientists, suggests more than half of doctors, nurses, and emergency responders involved in COVID-19 care could be at risk for one or more mental health problems, including acute traumatic stress, depression, anxiety, problematic alcohol use, and insomnia. The researchers found that the risk of these mental health conditions was comparable to rates observed during natural disasters, such as 9/11 and Hurricane Katrina.

"What health care workers are experiencing is akin to domestic combat," says Andrew J. Smith, Ph.D., director of the U of U Health Occupational Trauma Program at the Huntsman Mental Health Institute and the study's corresponding author. "Although the majority of health care professionals and emergency responders aren't necessarily going to develop PTSD, they are working under severe duress, day after day, with a lot of unknowns. Some will be susceptible to a host of stress-related mental health consequences. By studying both resilient and pathological trajectories, we can build a scaffold for constructing evidence-based interventions for both individuals and public health systems."

The study appears in the Journal of Psychiatric Research. In addition to U of U Health scientists, contributors include researchers from the University of Arkansas for Medical Sciences; University of Colorado, Colorado Springs; Central Arkansas VA Health Care System; Salt Lake City VA Healthcare System; and the National Institute for Human Resilience. The researchers surveyed 571 health care workers, including 473 emergency responders (firefighters, police, EMTs) and 98 hospital staff (doctors, nurses), in the Mountain West between April 1 and May 7, 2020. Overall, 56% of the respondents screened positive for at least one mental health disorder. The prevalence for each specific disorder ranged from 15% to 30% of the respondents, with problematic alcohol use, insomnia, and depression topping the list.

"Front line providers are exhausted, not only from the impact of the pandemic itself, but also in terms of coping day to day," says Charles C. Benight, Ph.D., co-author of the study and a professor of psychology at the University of Colorado, Colorado Springs. "They're trying to make sure that their families are safe [and] they're frustrated over not having the pandemic under control. Those things create the sort of burnout, trauma, and stress that lead to the mental health challenges we're seeing among these caregivers."

In particular, the scientists found that health care workers who were exposed to the virus or who were at greater risk of infection because they were immunocompromised had a significantly increased risk of acute traumatic stress, anxiety, and depression. The researchers suggest that identifying these individuals and offering them alternative roles could reduce anxiety, fear, and the sense of helplessness associated with becoming infected.

Alcohol abuse was another area of concern. About 36% of health care workers reported risky alcohol usage. In comparison, estimates suggest that less than 21% of physicians and 23% of emergency responders abuse alcohol in typical circumstances. Caregivers who provided direct patient care or who were in supervisory positions were at greatest risk, according to the researchers. They say offering these workers preventative education and alcohol abuse treatment is vital. Surprisingly, health care workers in this study felt less anxious as they treated more COVID-19 cases.

"As these health care professionals heard about cases elsewhere before COVID-19 was detected in their communities, their anxiety levels likely rose in anticipation of having to confront the disease," Smith says. "But when the disease started trickling in where they were, perhaps it grounded them back to their mission and purpose. They saw the need and they were in there fighting and working hard to make a difference with their knowledge and skills, even at risk to themselves."

Among the study's limitations are its small sample size. It was also conducted early in the pandemic in a region that wasn't as affected by the disease as other areas with higher infection and death rates. Moving forward, the researchers are in the final stages of a similar but larger study conducted in late 2020 that they hope will build on these findings. "This pandemic, as horrific as it is, offers us the opportunity to better understand the extraordinary mental stress and strains that health care providers are dealing with right now," Smith says. "With that understanding, perhaps we can develop ways to mitigate these problems and help health care workers and emergency responders better cope with these sorts of challenges in the future."

Read this article on Science Daily: Dr. Smith, Hannah M. Wright, Tiffany M. Love, and Scott A. Langenecker of University of Utah Health contributed to this study. The study, "Pandemic-related mental health risk among front line personnel," was published in the Journal of Psychiatric Research.


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Cancer patient caregivers deal with significant impact to emotional health

Researchers conclude that caregivers for older patients with advanced cancer are a vulnerable group

The number of informal caregivers who look after older adults with cancer is on the rise. Caregivers could be relatives, partners, or even friends who provide assistance to people in order to help them function. Most older people with cancer live at home and are dependent on informal caregivers for support with their cancer treatment, symptom management, and daily activities. Caregiving itself can also take a toll on a caregiver's own physical and emotional well-being, which makes it important to ensure the proper supports are in place.

Until now, no large study has evaluated whether or not caring for older adults with advanced cancer is linked to caregivers' emotional health or to their quality of life. Recently, researchers studied a group of adults aged 70 or older who had advanced cancer (as well as other challenges). This study used information from older patients with advanced cancer and their caregivers from local oncology practices enrolled in the "Improving Communication in Older Cancer Patients and Their Caregivers" study conducted through the University of Rochester National Cancer Institute Community Oncology Research Program Research Base between October 2014 and April 2017. Results from the study were published in the Journal of the American Geriatrics Society.

Cancer patient caregivers deal with impact to emotional and physical health

The researchers learned that the health problems of older patients with cancer were linked to a poorer quality of life for their caregivers, including poorer emotional health. This fact is confirmed by many other studies, which show that caregivers may even experience more emotional health challenges (such as anxiety, depression, and distress) than the people they care for, the researchers added. What's more, poorer patient health (measured by a geriatric assessment) was also associated with higher levels of caregiver distress.

The average caregiver in the study was 66 years old, though 49 percent of the caregivers were aged 70 or older. The majority of caregivers were female and white (non-Hispanic), and 67 percent were the patient's spouse or partner who lived with them. Close to 40 percent of the caregivers had serious chronic illnesses of their own. Nearly half (43.5 percent) said they experienced moderate to high distress, 19 percent reported having symptoms of depression, and 24 percent were anxious.

Interestingly, older caregiver experienced less anxiety and depression and better mental health, said the researchers. However, they were in poorer physical health. Being female was associated with experiencing less distress. An income of more than $50,000 a year also was linked to having better physical and mental health.

The researchers concluded that caregivers for older patients with advanced cancer are a vulnerable group. Thankfully, there are strategies caregivers can incorporate into their routines to help keep their own health and well-being top-of-mind. Talk with a healthcare provider about your own stress related to caregiving. If you prefer, you can ask to talk privately, without the person you care for present. Your healthcare provider may suggest ways to address the burdens you may experience with caregiving. There are strategies that have been found to help with specific tasks and challenges, decrease caregiver stress, and improve quality of life. You can learn more -- and take a free and private assessment of caregiver health -- at HealthinAging.org.

Story Source: Article provided by Science Daily ---> American Geriatrics Society. "Caring for an older adult with cancer comes with emotional challenges for caregivers, too." ScienceDaily,  www.sciencedaily.com/releases/2019/04/190402124355.htm.


Dr. Jenny HollandAccording to the AARP as many as 43.5 million Americans provide unpaid care for an adult or child. It's extremely important that caregivers pay attention to and honor their own needs. Without self-care in mind caregivers risk burning out and becoming unable to care for their loved ones. In fact, one of the most reported factors in a family’s decision to move an ailing relative to a long-term care facility is the caregiver’s own failing physical and emotional health.

Long-term caregivers are also vulnerable to something called compassion fatigue. When this occurs caregivers may experience symptoms including; exhaustion, trouble sleep, increased anxiety, frequent headaches and stomach upset. When irritability, numbness, loss of purpose and emotional disconnection sets in the caregiver may also experience problems with their own personal relationships and suffer health issues. Finding a balance between the needs of family and self is key for caregivers to remain healthy in mind and body. It's important for family caregivers to reach out for help when they need it to create a plan for maintaining health, including tending to their own medical concerns and taking respite from their roles.

Dr. Holland works with caregivers suffering from overwhelm, burnout and caregiver fatigue. She helps clients to creatively work with the situation to discover a renewed sense of meaning and purpose, as well as important ways to stay healthy. Dr. Holland will help you learn how to help yourself so you can continue to do the work you love of helping others. Call 707-479-2946 to schedule a free consultation today.

Report finds burnout prevalent in health care community

Addressing clinician burnout will require a deliberate and substantive health care system redesign

Clinician burnout is affecting between one-third and one-half of all of U.S. nurses and physicians, and 45 to 60% of medical students and residents, according to a National Academy of Medicine (NAM) report.
Vanderbilt University Medical Center is among 32 institutions and foundations that sponsored the 296-page report, "Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being," which investigates the causes of widespread clinician burnout and offers solutions to address the problem at its source.

"There's an all too direct connection between clinician burnout and health care safety and quality. While clinician burnout isn't a new problem, its worsening prevalence and impact are due to system factors inherent in the modern health care system," said Matthew Weinger, MD, professor of Anesthesiology and Norman Ty Smith Chair in Patient Safety and Medical Simulation at VUMC, and a member of the NAM authoring committee for the new report.

"The Committee came to realize that addressing clinician burnout will require a deliberate and substantive health care system redesign with a focus on those activities that deliver the most value to patients while enabling and empowering clinicians to deliver high-quality care," he said.

The report discusses key issues that need to be addressed:

  • Clinician burnout needs to be tackled early in professional development and special stressors in the learning environment need to be recognized. Leaders in health care and health professions education have a responsibility to foster, monitor and continuously improve work and learning environments.
  • While some health care technologies appear to contribute to clinician burnout (poorly designed electronic health record systems, for example), there is real potential for well-designed and implemented technologies to help reduce burnout.
  • Federal and state governments, other payors and regulators and the health care industry itself have important roles to play in preventing clinician burnout. Increasing administrative burdens and distracting clinicians from the care of their patients can directly affect burnout.
  • Medical societies, state licensing boards, specialty certification boards, medical education and health care organizations all need to take concrete steps to reduce the stigma for clinicians seeking help for psychological distress and make assistance more easily available.

The report concludes with goals and recommendations centered on creating more positive work and learning environments, reducing administrative burden, enabling technology solutions, providing more support to clinicians and learners, and investing in research to address clinician burnout.


Story Source: Materials provided by Science Daily ---> Note: Content may be edited for style and length. Vanderbilt University Medical Center. "Consensus report shows burnout prevalent in health care community." ScienceDaily. ScienceDaily, 23 October 2019. www.sciencedaily.com/releases/2019/10/191023172121.htm.


Dr. Jenny Holland"On the job burnout reduces productivity and saps energy, causing feelings of being helpless, hopeless, cynical and resentful. The negative effects of burnout will eventually spill over into every area of life—including home, work and social life. Burnout can also cause long-term physical changes and increased vulnerability to illnesses like colds and flu. Because of its many consequences, it’s important to work through feelings of burnout with a counselor."

Dr. Holland works with professionals suffering from burnout by connecting the dots between symptoms and the root of the problem. She will help you to creatively work with your situation to help you discover new meaning in your work and offer ways you can stay healthy. Dr. Holland will help you learn how to help yourself so you can continue to do the work you love of helping others.

Contact Dr. Holland to get help with these problems today.

Poor sleep and job stress even more toxic than predicted

Employers should provide stress management and sleep treatment in the workplace

Stressed at work and trouble sleeping? It's more serious than you think

Work stress and impaired sleep are linked to a threefold higher risk of cardiovascular death in employees with hypertension. Study author Professor Karl-Heinz Ladwig said: "Sleep should be a time for recreation, unwinding, and restoring energy levels. If you have stress at work, sleep helps you recover. Unfortunately poor sleep and job stress often go hand in hand, and when combined with hypertension the effect is even more toxic."

One-third of the working population has hypertension (high blood pressure). Previous research has shown that psychosocial factors have a stronger detrimental effect on individuals with per-existing cardiovascular risks than on healthy people. This was the first study to examine the combined effects of work stress and impaired sleep on death from cardiovascular disease in hypertensive workers. The study included 1,959 hypertensive workers aged 25-65, without cardiovascular disease or diabetes. Compared to those with no work stress and good sleep, people with both risk factors had a three times greater likelihood of death from cardiovascular disease. People with work stress alone had a 1.6-fold higher risk while those with only poor sleep had a 1.8-times higher risk.

In the study, work stress was defined as jobs with high demand and low control -- for example when an employer wants results but denies authority to make decisions. "If you have high demands but also high control, in other words you can make decisions, this may even be positive for health," said Professor Ladwig. "But being entrapped in a pressured situation that you have no power to change is harmful." Impaired sleep was defined as difficulties falling asleep and/or maintaining sleep. "Maintaining sleep is the most common problem in people with stressful jobs," said Professor Ladwig. "They wake up at 4 o'clock in the morning to go to the toilet and come back to bed ruminating about how to deal with work issues."

"These are insidious problems," noted Professor Ladwig. "The risk is not having one tough day and no sleep. It is suffering from a stressful job and poor sleep over many years, which fade energy resources and may lead to an early grave." The findings are a red flag for doctors to ask patients with high blood pressure about sleep and job strain, said Professor Ladwig. "Each condition is a risk factor on its own and there is cross-talk among them, meaning each one increases risk of the other. Physical activity, eating healthily and relaxation strategies are important, as well as blood pressure lowering medication if appropriate."

Employers should provide stress management and sleep treatment in the workplace, he added, especially for staff with chronic conditions like hypertension.

Components of group stress management sessions:

  • Start with 5 to 10 minutes of relaxation.
  • Education about healthy lifestyle.
  • Help with smoking cessation, physical exercise, weight loss.
  • Techniques to cope with stress and anxiety at home and work.
  • How to monitor progress with stress management.
  • Improving social relationships and social support.

Sleep treatment can include:

    • Stimulus control therapy: training to associate the bed/bedroom with sleep and set a consistent sleep-wake schedule.
    • Relaxation training: progressive muscle relaxation, and reducing intrusive thoughts at bedtime that interfere with sleep.
    • Sleep restriction therapy: curtailing the period in bed to the time spent asleep, thereby inducing mild sleep deprivation, then lengthening sleep time.
    • Paradoxical intention therapy: remaining passively awake and avoiding any effort (i.e. intention) to fall asleep, thereby eliminating anxiety.

Story Source: Materials provided by Science Daily. Note: Content may be edited for style and length. European Society of Cardiology. "Stressed at work and trouble sleeping? It's more serious than you think." ScienceDaily. ScienceDaily. www.sciencedaily.com/releases/2019/04/190428143520.htm.


Every job situation will come with varying degrees of stress and frustration that ebb and flow. Burnout, however, is more than that. It is an all-encompassing feeling that you are being pulled in every direction at once and that no matter what you do, you are unable to make progress or move forward. If chronic burnout is left untreated, it can lead to issues with physical and mental health.

Dr. Holland understands that successful people are not immune to symptoms like depression, anxiety, and addiction. Yet, many successful people are often hesitant to seek treatment because of their high-profile statuses and stressful career responsibilities. For this reason, Dr. Holland takes great pride in offering a private environment that caters to the needs of these individuals, providing them with a therapeutic atmosphere that offers a sanctuary where they can step away from the stresses of their everyday lives.

A good first step for healthcare providers and other professionals suffering from burnout and exhaustion is to acknowledge those feeling and to talk about it with a trusted counselor. Dr. Holland works with professionals suffering from burnout by connecting the dots between symptoms and the root of the problem. She will help you to creatively work with your situation to discover new meaning in your work and discover ways to stay healthy. Dr. Holland will help you learn how to help yourself so you can continue to do the work you love of helping others.

Contact Dr. Holland to get help with these problems today.