Symptoms of Burnout

BOX 1—1 Symptoms of Burnout

Behavioral

I Withdrawal I Contemplating career
I Risk taking and impulsiveness change

I Ambivalence I Increased useofcaffeine,

. . alcohol, and nicotine
I Decreased productIVIty

Physiologic
I Chronic fatigue I Appetite change
I Frequent minorailments I Sexual difficulty

I Sleep changes

Psychologic

I Attempts to blame others I Depression

I Stereotyping patients I Hostility and negativism

I Nightmares I Loss of tolerance

Cognitive

I Decreased ability to make I Lack of initiative
decisions I Forgetfulness

I Poor judgment