Stress in veterinary medicine comes from dealing with life and death, emergencies, schedule disruptions, work-life balance conflicts and the very real financial pressures that come not only from reconciling patient care with client resources, but also the student debt faced by a large number of practitioners. The stoic “game face” some people put on does not mitigate the real negative effects that unmanaged stress can take on one’s mental and physical health.
Of course, stress can be beneficial, triggering the release of adrenaline that facilitates rapid reaction time and even heroic accomplishments. In that respect, stress is nature’s stimulus to increase proficiency and productivity at critical times. A tree or vine under drought stress, for example, will often produce more fruit because fruit is what propagates the species. That’s why the best vineyards are planted on poor, rocky soil unsuitable for most other types of agriculture.
In and of itself, stress is not problematic. In fact, a life without any stress may feel boring and without meaning. We feel stressed when we’re engaging in work or relationships and activities that we care about. Stress becomes problematic when it’s not acknowledged or managed. Chronic and poorly managed stress can be debilitating and result in poor physical and mental health. It can tear at the fabric that holds a team together. Therefore, it’s important to take proactive measures to manage personal and team stress.
Step 1. Don’t be afraid to talk about it
Recognize and acknowledge that stress is part of the environment in veterinary practice. Openly discussing stress gives people “permission” to acknowledge their own stressors and deal with them. It also brings relief to those who feel burdened by stress but feel isolated in their experience.
Discuss stress at your next team meeting. Share some of the data from the Merck Animal Health Veterinary Wellbeing Study (get the findings at vetwellbeing.com). Encourage people to recognize stress in their own lives and the circumstances that most often trigger it.
Step 2. Nourish well-being in your practice
“Well-being” is a well-established psychological construct. It’s basically a subjective measure of how people feel about their lives compared to the best or worst possible lives they can imagine. Our study found that, on average, older veterinarians had higher levels of well-being and younger veterinarians lower compared to the general population.
Well-being and stress can be related. The study found that higher levels of well-being were associated with people who:
• Travel for pleasure
• Read for pleasure
• Spend time with family
• Socialize with friends
• Have a hobby
• Exercise regularly
These activities represent a person’s investment in self-care and work-life balance. They should be encouraged and celebrated in the work environment. Here’s a way to do that: Periodically, in team meetings, invite people to talk about their hobbies, what they did on their last vacation or what their favorite social activity is when they get together with friends. Give a Starbucks gift certificate to the person voted by the team with the most unusual hobby, most novel vacation or most fun-sounding social activity.
What else can you do to reduce stress and foster well-being in practice?
• Bring healthy snacks like nuts, trail mix or fruit to team meetings or the break room, instead of donuts or sweets. Evidence continues to grow about the way nutrition affects mental health.
• Hang inspirational or motivational posters in work areas. They foster positive thinking. Such posters are widely available from Internet suppliers and office supply stores.
• Provide a comfortable space of an entire room for veterinary team members to briefly exercise or do yoga, or even to get away for a few minutes of reading or reflection. It’s amazing what a few minutes of “downtime” after a stressful episode can do to refresh people.
• Periodically invite a mental health professional from the community to speak to your team about the importance of self-care, stress management plans and well-being (see “Manage your mental messes” on the next page).
Step 3. Publicize resources
Every practice should post a list of outside resources that people can turn to when needed. Distribute this list to practice employees and put the list in the employee manual.
Financial planners. Our study demonstrated that financial pressures, often caused by high student debt loads, were one of the biggest sources of stress for associate veterinarians. A financial plan can help an associate determine how to best deal not only with student debt but also with other needs such as home and car purchases, child care and perhaps even saving for retirement or investing in a veterinary practice. Identify certified financial planners in the community and share their contact information with employees.
Community social workers and psychologists. Nearly 10 percent of veterinarians younger than 45 years old are suffering from severe psychological distress, according to our study. Only about half are receiving professional treatment. Identify mental health professionals in the community, and share the list with employees so it’s available if and when they need it. Employees should be encouraged to work with counselors when needed. Just as important, the practice should allow employees time off for these appointments.
Telebehavioral health services. Phone calls, video chats and message boards are a new way emoloyees can work with a counselor. There are several available through e-counseling.com. Another novel service is 7cups.com, a free, anonymous and confidential online text chat service with trained listeners, online therapists and counselors.
Veterinary organization resources. Many professional veterinary organizations now have services or more information on stress available online. These include dvm360.com, AVMA, AAHA, VIN and many state veterinary medical associations. Those resources can be found on the organizations’ websites.
Local Mobile Crisis Units. If someone appears to be facing an immediate mental health crisis, help is available in virtually every community by typing “Mobile Crisis” into your computer search engine.
911. Any time you suspect that someone may be a danger to themselves or others, dial 911 immediately.
Suicide prevention hotline. If someone you know or suspect is feeling suicidal, the National Suicide Prevention Hotline is 800-273-8255. You can also text "HELLO" to 741741 for the Crisis Text Line or visit crisistextline.org, and a live trained counselor will respond.
Stress is an inescapable component of veterinary practice. However, stress in and of itself is not “bad.” It’s necessary for living a productive and meaningful life and is the result of caring about what you do. Stress can be managed on an individual as well as practice level, and you’ll enjoy the benefits of higher personal well-being as well as better employee morale.