You can still be effective while carrying chronic stress—but the body keeps score. Here’s why survival mode comes at a cost for physicians, even when things look “fine.”
Read more...The holidays aren’t a break for many physicians. Even when time off is possible, the nervous system often doesn’t stand down. Here’s why rest doesn’t always feel restorative—and what actually helps.
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If you’re a physician heading into the new year feeling exactly as depleted as you felt last week: nothing is wrong with you. Your body can’t “reset” when it hasn’t completed the stress it’s been carrying. Here’s why — and how EMDR helps.
Presence isn’t a luxury—it’s a vital sign of nervous system health. If you’re a physician who can’t “feel here,” especially during the holidays, it’s not a failure of gratitude. It’s biology. EMDR helps bring you back.
Hope isn’t a mindset problem. It’s a nervous system state. If you’re a physician who can’t feel hope right now, it’s not because you’re negative—it’s because your body hasn’t stood down from survival mode yet.
There’s a moment in every physician’s story when the body says “enough.” Not dramatically—quietly. In the sleep that won’t come, the irritability you can’t explain, or the tension that never fully releases.
Physicians often mistake burnout for a mindset problem, but presence is a neurobiological state — not a personality trait. Learn why burnout disrupts clarity and focus, and how EMDR helps physicians restore presence and cognitive precision.
Many physicians spend Thanksgiving in the hospital, not at the table. Explore how gratitude and burnout can coexist—and how EMDR helps the body finally rest.
Physicians are trained to think through everything — to analyze, diagnose, solve, and keep moving. But when it comes to burnout, medical trauma, or chronic stress, logic alone isn’t enough. You can understand exactly why you feel exhausted and still feel stuck in the same symptoms: irritability, insomnia, emotional numbness, hypervigilance, and the dread that hits before a shift.
That’s because talking isn’t always the same as processing.
Burnout doesn’t live in the cortex — it lives in the nervous system.
Burnout doesn’t live in the cortex — it lives in the nervous system.
Current research, including the 2024 APA Clinical Practice Guideline for PTSD, shows that insight-based therapy alone doesn’t resolve trauma patterns held in the body. For physicians, those patterns often form after years of moral injury, relentless acuity, and high-pressure environments.
EMDR offers something different: a way to help the brain complete what chronic stress interrupted.
It’s efficient, confidential, and uniquely effective for medical professionals who don’t have time for months of weekly therapy.
It’s efficient, confidential, and uniquely effective for medical professionals who don’t have time for months of weekly therapy.
If you’ve been trying to “think your way out” of burnout, this post explains why that hasn’t worked — and what will.
Democracy is shaped not only in courtrooms and voting booths, but in ordinary public spaces — malls, workplaces, schools, sidewalks — wherever people encounter authority.
This seven-part series began after I filmed an interaction at the Mall of America and found myself under surveillance for it. What followed became a reflection on privilege, accountability, and what it means to witness safely and steadily when others cannot.
Surveillance observes. Witnessing protects. This is what democracy looks like.
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Medicine has a way of convincing even the strongest clinicians that exhaustion is a personal flaw.
You tell yourself you should be tougher.
You should bounce back faster.
You should “handle it.”
But what if your body isn’t failing — it’s protecting you?
What if the fatigue, irritability, scanning for threat even in the grocery store, the Sunday-night dread before walking back onto the unit — what if all of that is simply biology doing its job too well?
This is the truth physicians rarely hear:
Your body isn’t broken. It’s brilliant. It adapted to survive medicine.
And now it needs help coming back down.
Burnout implies weakness.
Moral injury names reality.
Moral injury names reality.
When physicians are blocked from delivering the care they know patients need — by coverage denials, deductible resets, or system collapse — it leaves a wound that no amount of grit can heal.
We don’t call that what it is often enough: moral injury.
The Anatomy of a Hidden Wound
Moral injury isn’t about endurance. It’s about conflict — the chasm between what you know is right and what you’re allowed to do.
It’s watching a patient’s condition worsen because their insurance didn’t approve the scan.
It’s telling someone, “We’ll try again with insurance,” and carrying the knowledge that waiting will cost them.
That dissonance doesn’t stay in your mind — it lands in your body.
Studies from the National Academy of Medicine (2022) describe moral injury as a central driver of physician distress, distinct from burnout. It’s not exhaustion; it’s embodiment — cortisol spikes, muscle tension, disrupted sleep, and the steady erosion of clarity and compassion.
The Human Cost
Every policy ripple becomes a personal one. When claims stall and safety-net programs freeze, care delays multiply. Physicians absorb that impact in silence — double-checking labs, rewriting notes, staying late “just to make sure.”
The AAMC projects a shortage of 124,000 physicians by 2036. The loss isn’t just workforce attrition — it’s moral attrition, as clinicians who once led with purpose leave to survive.
What Helps
Healing doesn’t come from resilience slogans or bubble baths. It comes from resetting the nervous system that’s been living in fight-or-flight for too long.
That’s where EMDR Intensives come in: three to five half-day sessions designed for physicians who can’t do months of weekly therapy but know something has to shift.
We work not through endless talking, but through the brain’s own capacity to reprocess stress at its source.
You can’t fix insurance policy overnight.
But you can reclaim your calm, your clarity, your capacity to be present — in medicine and at home.
Learn more here
References
- National Academy of Medicine (NAM). (2022). Validity of Moral Injury in Health Care Workers. NAM Perspectives.
https://nam.edu/validity-of-moral-injury-in-health-care-workers - Association of American Medical Colleges (AAMC). (2023). The Complexities of Physician Supply and Demand: Projections from 2021 to 2036. AAMC.
https://www.aamc.org/data-reports/workforce
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