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Are you at risk of burning out?

Stress is an inevitable and essential part of your life. Without stress, youd be bored. Without the positive stress of a best friend, you wouldnt try new things and you wouldnt have as much fun.

Stress is an inevitable and essential part of your life.

Without stress, youd be bored.

Without the positive stress of a best friend, you wouldnt try new things and you wouldnt have as much fun. Without the encouraging stress of a supportive parent, you might not push yourself to your potential.

If you had no stress at all, you wouldnt even get out of bed.

But like everything else that relates to health, you can have too much of a good thing.

Excessive stress causes distress physical, emotional and behavioural.

Stress raises your heart rate and blood pressure. It increases the acid in your stomach. It causes insomnia, exhaustion and headaches.

It can impair your concentration and cause panic attacks. It can make you irritable, moody or emotionally disconnected.

Take a pulse check now. Are you suffering from some of these symptoms? Whats your stress level now?

When you start attending to your own stress level, youll note how it varies throughout each day and throughout the week. If you have a high stress job such as a server in a busy restaurant youre likely more relaxed at home, when youre out with friends and on your days off.

If youre a busy parent with young kids, your break from stress might be when everyone else is asleep.

If you suffer from high levels of stress day in and day out from the moment you awaken until the moment you finally fall asleep, your stress may already be compromising your emotional and physical health.

We would all like an ideal job, but that wouldnt be one where you get paid to do nothing. When the challenge or demands placed on us are far below our capabilities, were bored. Ideally, wed want the challenge of our work to be a close match to our abilities. Well feel appropriately challenged and have a sense of accomplishment at the end of each day.

We get into trouble when we dont have the resources to meet the demands before us: a clerk with too much work to do without enough time or support, a single parent with sick or fighting kids, a nurse rushing to care for a ward of unstable patients, or a teacher with a class of out of control children.

When the demands of our life overwhelm us in the short term, we feel stressed and anxious. Its just a bad day.

But if we face this imbalance day after day with no end in sight, we begin to feel helpless. If this continues, were at risk for burnout. The key symptoms of burnout are: emotional exhaustion, feeling alienated or cynical about our work, and impaired performance.

Doctors or nurses who are burnt out will be irritable with coworkers and patients. They may start treating patients impersonally before the quality of their care declines.

When were overwhelmed by our situation, we feel helplessness, and this leads to anxiety. When we feel we have no control over our situation, we may feel hopelessness, and this leads to burnout and depression.

One key to managing stress and avoiding burnout and depression is your locus of control. The key factor in the development of burnout is the feeling of a loss of control, but in spite of the demands of our work or our lives, we often have more control than we think. We must accept the things we cannot change and accept our responsibility to change what we can.

Any one of us can feel emotionally overwhelmed at times. The next time you blow up or someone in front of you does, consider the 80/20 rule. 20 per cent of our reaction is related to the reality of the situation; 80 per cent arises from what we bring from our past and how we conceptualize the present.

The key to managing acute stress is to seize the locus of control.

First, identify the sources of stress. Ask, Am I reacting in proportion to this stress? Recognize what you can change or control. It might be your attitude or perspective. Will this make a difference a year from now?.

Accept what you cannot change; assume responsibility for what you can. Recognize your choices.

Next: Can we really achieve balance in life?

Dr. Davidicus Wong is a family physician and chair of the Burnaby Division of Family Practice. His Healthwise column appears regularly in this paper. You can read more about achieving your positive potential for health at