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Burnout and Mental Health

stephaniehurlburt.com

111–118 of 118 posts

Re: Burnout and Mental Health

#111
post #97

Earlier quoted context omitted.

Very important point. I think the older you are, and particularly if you have dependents, you need a longer period of savings. Couple TV programs (e.g. Suze Orman show) advise to have at least 8 months salary worth of savings. I think if we have that bare minimum of comfort (i.e. 3/8/more salary months), then after that we should try to focus on being healthy. Working more and compromising health is a very bad deal.…

Yep, fortunately I had about 3 months, but in retrospect it was too close for comfort and I should have had more saved (was at about the worst time for me--just added six figures of debt due to grad school). Whether it's 3 months or 6 months or 12 months, the point remains: If you can't afford to lose your job, you will do crazy things and work insane hours just to keep it. The other thing to consider, which only app…

The weird thing is COBRA isn't "super-expensive" - it's what the cost is. Just, in most cases, an employer is picking up some, most or all of the cost, so employees don't see it.

This is what's truly hosed up about US-based health insurance/services. People are so divorced from the reality when things are 'good' that the horribleness of it is exposed only when you can least deal with it.

Everyone should be required to buy their own insurance, with no employer interference at all. We'd see massive shift in peoples' attitudes, and probably a bigger shift to single-payer, quickly.

I'm self-employed and have had to deal with the expense of health insurance head-on for years. I was happy when we got 'high-deductible' HSA options, as it reduced monthly expense. ACA/Obamacare has more than doubled our monthly premiums in just 3 years, and I still can't afford to get sick at all without incurring hundreds or thousands of dollars in medical bills. :(

Re: Burnout and Mental Health

#112
post #89

I just came back from a 5 day holiday. I was working so much on my own project that I burnt out. It took me a few days to realize what was going on since my project was getting easier and yet I felt a lost in motivation. So I locked my computer up, took a road trip for 3 days and did literally nothing for another 2 days. I started working again yesterday afternoon and was quite surprised how much more agile my mind h…

> ...nothing is really ever that urgent.

When my co-author died (of old age at 90) and our book was unfinished I began to distinguish between artificial deadlines and true deadlines. I realized I'd missed a real deadline because I'd allowed myself to prioritize other projects with deadlines that turned out to be artificial, but had more insistent people demanding urgency.

We often operate in a culture where the squeaky wheel gets the grease, so urgency is usually exaggerated as you describe. Look out for real deadlines though.

A true deadline, like death, has irreversible consequences. Most "deadlines" are really targets and can be reprioritized or deferred, especially to avoid unhealthy behavior like burnout.

Re: Burnout and Mental Health

#113

I gave a talk on burnout and "digital overwhelm" in 2015. It's a bit of my story and some tips on coping under the weight of the world. If you're interested: https://vimeo.com/147213533 — Slides are linked in the comments.

Loved this and I completely agree with most of the points you're making. What happened to wonder and boredom? What's your current system? Do you use a smartphone? Intentionally disconnect for periods of time?

I went back to a smartphone after having lost mine for a period of months. I regret most of it every day. There are things I like about it. The GPS, the music, the podcasts, the camera; all in my pocket. It's just all the other stuff that it comes with — the notifications, the interruptions, the availability.

I know that's on me. It's a will power thing. But I'm only human. When I didn't have my phone on me, it forced me to really examine if I cared about something or if it was just fleeting. Like, who won the NHL MVP in 1978? If it was still a burning question the next time I was around an Internet connection, I'd look it up.

But 9 times out of 10, I'd forget. And wonder. And my life was better for it.

My current system is that I turn off all notifications except from my mother and wife. My email is not fetched unless I fetch it. I have no games on my phone. I've never had Facebook and haven't posted to Twitter in over two years. But with all that, it's still not the same.

I've relapsed at least twice since that talk. I have a phone. And it's still my boss. But I'm working on a bigger plan to abandon it all together. Whether I can get there or not, that's another story.

Re: Burnout and Mental Health

#114
post #74

Earlier quoted context omitted.

I'm not a medical professional but a fellow sufferer, so you should probably take this all with a grain of salt. It's more than likely you'll see a psychologist who will administer cognitive behavioural therapy; essentially the rational examination of your thinking as described above. Although specific treatment modalities somewhat depend on the nature and severity of your anxiety disorder. If your anxiety is more 'p…

I'd like to offer a counterpoint to your views on medication. For those who suffer from acute, short-term anxiety over a specific event, for example an exam or an interview, beta blockers such as propranolol can be really helpful - as I understand it they interrupt the fight-or-flight adrenaline response to stop you working yourself into a panic. They were wonderful for me during exams and graduate interviews, and no…

> For those who suffer from acute, short-term anxiety over a specific event, for example an exam or an interview, beta blockers such as propranolol can be really helpful - as I understand it they interrupt the fight-or-flight adrenaline response to stop you working yourself into a panic.

Thanks for the recommendation. My girlfriend thinks she needs benzodiazepenes for anxiety. The doctors give her just enough to get addicted, then take them away.

Looking around just now, it seems like Clonidine is another anti-adrenaline drug that would be useful for acute anxiety. It's commonly used for smoking withdrawal too.

Re: Burnout and Mental Health

#115
Holy crap.

This article made me realize that I don't remember hardly anything of the time I spent working at one of my startup jobs. Bits and pieces of specific events stand out, but not a lot. The last six months I was working there I worked at least 60 hours a week, and it crept up to 80 hours a few times. The hours let up after I was hospitalized for a day because of all the stress. I didn't do much else besides sleep and go to work. Maybe that's why, it just blended together.

And I have a crappy memory in general, so I don't know how much of it is because of that. Anything more than a few years ago is kind of hazy.

But still, it's almost like that year and some change might as well have not existed, other than to put a few lines on my resume. But there are much easier ways to do that.

Re: Burnout and Mental Health

#116
post #52

Oh this is too real. I spent 3 years of my life, working ~100 hours a week on the same project. It was a startup (local one) and I can't remember the details of that time. I went to 2 vacations, only to spend my time working on my laptop, just by a pool rather than at the office. I carried my laptop to everywhere. Kept my phone accessible 7/24. Even got stressed on ~1 hour flights I had to take, because I'd be offlin…

Congratulations on breaking free. Humbly, I would suggest, however, that your incredibly difficult journey made your now better life possible.

Many of us have sacrificed multiple years of our lives for a better future. Four years of medical school and 6 years of residency/fellowship were my sacrifice.

Certain paths in life require some initial torture, unfortunately.

Re: Burnout and Mental Health

#117
post #92

One of the best things I've ever done for myself: quit my job. Stating this not to brag but to make my point: 8 months ago I was clearing north of $140k plus options at a top tech co (plus all the usual perks/full benefits) at age 23. The path was probably open for a management position and easily over 200K per year by age 30. I hated it. The work was agonizingly mundane. The environment was intellectually letheragic…

"I'm now convinced there's 'one easy trick' to becoming a 10x engineer and that's quitting your job. You learn out of necessity when you have few resources and no fallbacks. It also seems obvious now in hindsight that the surest way to realize your full potential is to work on your own terms building something you care about."

I couldn't agree more. I see a lot of engineers in startups that claim to have X years of experience, but when you read their code, it more like 1*X years of experience. They never progressed passed the 1 year point because they were doing the same things again and again. Most of the time it was not the correct way either but because they have repeated the same process so many times, its the only ways they knew and naturally accepted it as is.

The best programmers I have seen are always those that worked on their own project with very limited resources. You are force to learn and do things out of the box this way. It's definitely a slow learning process but for me, just thinking back on how much I have learnt (and be able to utilize my knowledge correctly) in the last year is mind boggling.

Re: Burnout and Mental Health

#118
post #74

Earlier quoted context omitted.

I'm not a medical professional but a fellow sufferer, so you should probably take this all with a grain of salt. It's more than likely you'll see a psychologist who will administer cognitive behavioural therapy; essentially the rational examination of your thinking as described above. Although specific treatment modalities somewhat depend on the nature and severity of your anxiety disorder. If your anxiety is more 'p…

I'd like to offer a counterpoint to your views on medication. For those who suffer from acute, short-term anxiety over a specific event, for example an exam or an interview, beta blockers such as propranolol can be really helpful - as I understand it they interrupt the fight-or-flight adrenaline response to stop you working yourself into a panic. They were wonderful for me during exams and graduate interviews, and no…

Wow, I can't believe I forgot beta-blockers... Especially since I have a long running prescription for them. I agree with all you've said and would even go a little further. They're quite safe to take on a regular basis and are especially effective for 'panic' type anxiety reactions (i.e. 'physical' anxiety symptoms). I still remember the first time I took these. That day, I spoke up in a large work meeting with a bunch on unfamiliar people. And for the first time in my life, I was not a shaking, sweaty mess afterwards.

The only very minor risk with them is if you're taking a fairly high daily dose and then suddenly stop. From what I understand this is really only a problem if you have some sort of pre-existing coronary disorder. Also contra-indicated if you have asthma (as it basically does the exact opposite of what those ventolin puffers do).

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