The second step might be to acknowledge that burnout can start quietly, creeping into our mental health, patient care, and relationships, and surreptitiously affecting us without our notice until we reach a crisis point. Perhaps the initial step is to determine the components that require balance, including the nuances unique to psychiatric practices that make that achievement even more challenging ( Figure). So how, then, do we achieve this elusive work-life balance? Or they bring psychologically jarring elements of work (ie, difficult interactions or traumatic events) into their home lives without the ability to decompress or uncouple from those experiences. In fact, many colleagues report they bring work home, often finding themselves charting late into the night. In addition, most of us do not have the ability to clock in and out and leave work completely behind. And so many of us do this exact thing, tirelessly. Yet overworking-especially in invalidating, exhausting, or even downright toxic environments-without the ability to refuel by tapping into enriching or meaningful personal areas of life is a fast track to burnout. We are often of the mind-set that dedication to our profession requires extraordinary sacrifices-to our health, time with children and family, and anything else outside of work. Understanding and Addressing Physician Substance Use and Misuse
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