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Managing Overwhelm & Burnout at Work

Managing Overwhelm & Burnout at Work

When you’re overwhelmed at work, it’s easy to feel as though things are out of control. It’s a normal response that we’ve all experienced at some point. We take a look at managing overwhelm and burnout at work.

Manage Your Energy

Managing your energy is crucial. It’s the first step to feeling more able to take control back. Prioritise the one thing that you can do, right now, today that will make a difference. We’re not always great at recognising when we’re burning out so it shouldn’t come as a surprise to learn that over 90% of us experience burnout at work. The situation is so severe that WHO have recognised Burn-out an “occupational phenomenon” in the International Classification of Diseases. Forget time management, prioritising your energy will transform your productivity and help you to focus on what you can control, building momentum for further changes. Consider your energy in terms of three domains.

Resilience & energy domains
Resilience & energy domains

Domains are all about working to achieve a positive balance – even under pressure. When we achieve balance across all three domains, our wellbeing, performance, productivity and happiness are optimised. It’s the ability to maintain an energy equilibrium that develops resilience, helping us to bounce back when there are bumps in the road. Ask yourself:

  • Do I invest time in myself?
  • Is there space for rest & renewal?
  • Do my nutritional habits help or hinder my energy?
  • What is my sleep hygiene like?   
  • Where is my downtime?
  • How could I create micro actions to create renewal in domain 1?  e.g. take a lunch break, eat breakfast, walk part of my journey to work.

Cultivate Curiosity Around Overwhelm & Burnout

Stay Curious. Research by Francesca Gino, Behavioural Scientist at Harvard Business School discovered that when our curiosity is triggered we’re more creative when we face difficult situations. We’re also much less likely to be tripped up by confirmation bias – seeking out information to support what we believe rather than looking for evidence to suggest we are wrong. When we’re overwhelmed it’s easy to believe that there’s no way out, but there are always incremental changes that you can make to your day that will increase your control without feeling like yet another drain on your resources.

Ask Good Overwhelm & Burnout Questions

Bob Langer at MIT’s Koch Institute for Integrative Cancer Research encourages the practice of asking ‘good questions’ as the way forward when faced with challenging situations. Ask yourself where you can make changes in your day, research any innovative working practices in your profession, who is doing things differently? How?Examine ways of working differently and see if it’s possible to incorporate them into your day, your team or your department.

Don’t Buy Into The Multi Tasking Myth

Systemic processes and professional cultures often push us into multi-tasking. What we believe is a paradigm of efficiency in reality is reducing our efficacy. Switch-tasking, jumping from one task to another, is bad for your focus and bad for your brain. Researchers have  found that multi tasking adds to your cognitive load resulting in multiple errors along with increased stress, overwhelm and burnout.

Rather than making us more efficient, switch-tasking makes us less accurate and slows us down. When we pile on the pressure with multiple tasks, we’re feeding into the feeling that there’s too much to do and not enough time to do it in. We can change that by looking at how we work.

1.Compartmentalise tasks. Place tasks together into low focus, medium focus and high focus categories. Put aside periods of time in the day for high focus tasks of at least 60 minutes. For high focus tasks, create a space where there is less chance that you will be interrupted.

2. Go digital detox. Dial down the tech to minimise distractions. Have periods in your day when you turn off your alerts and unplug. To monotask and achieve flow you’ll need to minimise distractions and fully focus.

3. Resilience Architecture. Plan your day before you start. Prioritise and organise your time so that you’re working with your energy levels, building in time for renewal so that your day isn’t all about sacrifice and burnout.

4. Ditch Switch-tasking. Where you can re-train your brain. When it’s possible to focus and get into flow minus interruptions do it – even if it means saying no (see below).

Want to know more about monotasking? Take a look at our free Mindfulness at Work Toolkit or any of our free tools in the resources section.

Learn to say ‘No’ to Overwhelm & Burnout

Practice saying ‘No’. When you’re saying yes to something it usually means that you’re saying ‘No’ to something else – and that’s typically you or something that’s important to you. We all need downtime or activities that renew us. These are usually the first things we let go of when we’re stressed and burning out but that’s a mistake leading to a phenomenon known as sacrifice syndrome. It’s an easily recognisable corrosive pattern of workplace behaviours; working late, skipping lunch, catching up on weekends or working well after you should have finished. Here are some saying no strategies to get you started.

Strategies for Saying No

  • Focus on your feelings. If you’re used to dampening down your emotions it will take time to identify what you’re really feeling. Focus. Notice what’s going on for you when you feel the temptation to automatically say ‘yes’. Take a breath. Create some space to breath deeply and identify your true feelings. What’s here? Anger? Resentment? Passive acceptance? Fear? Notice what emerges without judging it as good or bad it’s all information. Once you’ve identified how you’re feeling, you can begin to articulate it calmly and confidently.
  • Monitor your inner critic. It’s possible that you’ll begin to hear your old self trying to pull you back into the habit of saying ‘yes’ to everything. Let’s call that voice the ‘Yes Monster’. You’ll probably feel resistance the first few times you say no. There’ll be guilt and a nagging voice warning you about how your new found assertiveness will be perceived. Recognise that those thoughts aren’t facts. They’re just thoughts and you can master them by changing your self talk to a more positive script “It’s ok to say no” “Not everyone has to like me” “It’s important I say what I think.”. 
  • Re-train yourself to say ‘No.’ Build your assertiveness muscles with small things that aren’t emotionally loaded. Yes, it might feel uncomfortable the first few times, but you’ll get over the discomfort the more you practice. You may notice the fear of rejection and confrontation creeping in again. It’s important that you speak your truth and you can do that in a compassionate, kind way whilst still respecting others.
  • Still, wondering if you’re the one being unreasonable? Flip the situation. If your roles were reversed, would you expect your own needs to be met at their expense? Probably not. Flipping the scene can unveil some truly ugly truths.

Get in touch

The Resilient Doctor are experts in managing overwhelm and burnout at work. We provide online resilience courses for doctors and healthcare professionals to develop resilience, master stress management and sustain high performance. We also provide internal support to organisations, consultancy and leadership coaching. Our clients include the NHS, Fortune 100 companies, elite sporting bodies and international start ups. Contact us to find out how we can work with you.

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Elite Sport Performance Hacks for Doctors

Elite Sport Performance Hacks for Doctors

Can elite sport performance hacks for doctors really work? The concept of periodisation has long been used to plan and optimise the performance of elite athletes. These performance psychology principles can be used to sustain high performance for doctors, building workplace resilience and wellbeing to reduce stress and build resilience. Here’s how to borrow work periodisation performance hacks for doctors from elite athletes.

Periodisation and Performance for Doctors

Periodisation is used to break training into cycles. It recognises that in addition to high intensity training, there needs to be downtime for rest and recovery. Alternating phases of complexity and intensity is central to periodisation. Overtraining is the route to burnout and injury in the sporting world. When we work with sporting bodies like the FA and UK Sport we use periodisation training to help clients prepare for events more efficiently. When we coach doctors, we use it to manage energy levels and avoid burnout. Periodisation is bespoke and based upon the needs of each client.

Vary the Volume & Intensity of Your Day

These sports principles can be used in everyday life. It’s a way of constantly changing the volume and intensity of performance to suit individual need. We introduce Resilient Doctor coaching clients to this concept to help them create professional momentum alongside an effective work life balance. Performance and time are chunked into a framework that includes:

  • Macrocycles – a long term goal e.g. 6 months of a year
  • Mesocycles – smaller cycles, e.g. 6 to 8 weeks long
  • Microcycles – short cycles e.g. a session at the gym or project at work

Periodisation is a simple, data driven technique that when used with positive psychology will increase your performance and enable you to develop a growth mindset.

The Benefits of Periodisation for Doctors

Whether you’re adapting your performance for a busy period or you simply want to sustain your performance, periodisation has multiple benefits. Introducing this easy to use concept into your day will enable you to;

  • Manage physical and mental stress
  • Maximise performance during high stress periods
  • Increase endurance
  • Enable you to avoid plateauing
  • Maintain momentum
  • Avoid working practices that lead to stress and burnout
  • Improve your wellbeing
  • Better manage the stress of busy periods
  • Help you to monitor and assess progress

Periodisation – Sustainable Performance Hacks for Doctors

If long term performance is important to you, periodisation is a systematic strategy to help you sustain high performance. When your performance threshold is permanently set to high, just like elite athletes, you’ll eventually burn out. Healthcare is a high stress, high performance, burnout culture. Periodisation will help you to dial down the intensity, manage stress and develop resilience. Here’s how.

  1. Identify Peaks & Troughs. Look at your work and home commitments over a period of weeks and begin by identifying any natural peaks and troughs. Start to plot your time daily based upon those periods of high and low activity. Specificity is key. Chunk your time into cycles that work for your personal schedule, macro, mesa and micro.

When planning time chunking we use areas that include professional, exercise, personal and downtime. You can create addition categories as needed.

2. Intensity Map. When work demands high, intense energy and focus, identify where and how you can take regular breaks and include downtime. Next to each activity estimate the intensity required, for example, let’s take a look at a typical day.

Intensity Mapping

5.30am Wake up. Run 30 mins (80% intensity)

6.30am Commute and check emails (50% intensity)

7.30am Walk from station, meetings, completing work tasks, planning (40% intensity)

10.30am Break (downtime – if you’re lucky)

10.50am – 1pm See patients (60% intensity)

1pm Lunch walk and eat (again, if you’re lucky enough to take a lunch break. Many of the health professionals we work with don’t)

1.30pm – 5pm Surgery & meetings (80% intensity)

5pm Commute. Listen to podcast (20%)

6.30pm Dinner

7.30pm Working on personal development project 9pm (60% intensity)

Why Ploughing Through Won’t Work

It’s common to see people overextend themselves by ploughing through the day performing at high intensity without pressing pause, especially in healthcare settings that demand a high level of focus. Notice where high levels of intensity include regular breaks and periods of low intensity afterwards. If your entire week were to look like this with periods of high intensity (over 50%) dominating, we recommend that you include either a full day or a weekend of downtime for renewal. It’s important to create these chunks of time to stop yourself falling into the trap of sacrifice syndrome.

3. Vary Intensity. Make sure that your planned work and exercise cycles aren’t both set to intense on the same day. On a high focus work day, keep your exercise moderate to low and vice versa. Recognise that extended bouts of high intensity exercise can increase cortisol levels adrenal stress and feelings of depletion. You need downtime from work and exercise. Adjust the intensity level of tasks daily and weekly depending on the level of performance you’re working at.

4. Flexibility is critical. You’re constantly working with variables and it’s ok to make adjustments. Recognise where there are fluctuations. When you feel overwhelmed, give yourself permission to to take a break. Go for a walk, stretch, grab a coffee. Even if it’s just 5 minutes, incremental steps will begin to make a difference to your overall energy levels. Build down time into your schedule. Keep at least one weekend out of the month when you have real down time. That means no work, no work related emails and your alerts are switched to off. You’ll be better prepared for periods of high intensity in the days and weeks that follow.

Get in touch

The Resilient Doctor are experts in sustainable high performance, consultancy and leadership coaching. We work with Fortune 100 companies, elite sporting bodies and international start ups. Contact us to find out how we can work with you.