It’s Not Your Fault
When I started practice, medicine was still primarily a “cottage industry”. Since then, we have experienced an extremely rapid and chaotic industrialization which has left many of us feeling bewildered, stressed, and unsteady. This is true whether we are practicing on the “front line” or functioning as leaders in rapidly changing organizations.
In either case, we have experienced increased and shifting demands along with diminished control. This is a perfect recipe for the experience of helplessness. In fact, this is one of the models used to induce depression in lab animals.
The impact of this sense of helplessness is directly correlated with the compassion that attracted us to medicine in the first place. The caring which contributes to our ability to be good doctors makes us more vulnerable in our current healthcare environment. Interestingly, it has been shown that the higher the degree of narcissism, the lower the presentation of burnout.
Your distress is not your fault!