.content p, .content p span { margin-bottom: 0px !important;}

The Four Habits of Highly Stressed Overachievers


Stimulus

Doctoring Done Well

Hi Friends,

This week, we shared a bonus Stimulus podcast segment: "Don't do what I did for burnout."

You can watch the video here or listen to the podcast here.

It’s a cautionary tale about how I handled burnout the wrong way for many years—until I finally figured it out.

Snapshot: I was stressed and dreading work. The constant overwhelm and staying hours late after every shift only fueled that stress. It was not fun.

I decided to take action—by teaching more.

Wait, what? That doesn't sound like a solid plan, and you'd be right.

Teaching was purpose-driven and incredibly fulfilling, but it didn’t solve the main problem.

Sure, I sometimes felt a little less dread, thanks to the joy teaching brought me. But the underlying issue remained untouched.

Random vs. Strategic

I was randomly throwing ideas against the wall to see what would stick, also making the common mistake of adding something new to an already full plate.

I was deep in the maladaptive habits of highly stressed physicians.

The 4 Habits

As high-level achievers, we tend to respond to burnout in at least one of these four ways:

Work harder. Hard work has solved so much for us, so we think it will solve this too. Instead of removing stressors, we take on even more.

Hope it goes away. We shove burnout into a corner, hoping it’ll disappear.

Numb ourselves. We distract with alcohol, food, social media, or other behaviors.

Take unfocused action. We make changes or decisions without addressing the root cause.

None of these will get the job done.

Operationalizing Burnout Reduction

Reducing burnout requires small, intentional steps toward change.

How do you figure out the steps? List, pick, and test.

List: What is contributing to burnout?

Pick: One thing on that list.

Test: What small experiment can you run to see if you can start moving the needle in the right direction?

Do These Two Things

Burnout isn't a one-size-fits-all experience. Its three main dimensions—cynicism, reduced accomplishment, and emotional exhaustion—can affect us in unique ways.
You might feel the weight of one or be hit hard by all three.
But here's what I've learned and now teach:

First, approach burnout strategically and head-on.

Second, don’t go it alone. Talk to a mentor, coach, or peer. Keeping it bottled up only fuels the fire.

Keep on rocking,

Robbie O

P.S. I'd love to hear your thoughts on this article—just hit reply, and your message will go straight to my inbox.


Recent Releases

🎙️ Stimulus Podcast

#132 Is Your Hospital Toxic? | The critical role of psychological safety

📸 Instagram

How do you deliver the worst news imaginable?

Do you rent or own your career?

🎥 YouTube

Don't do what I did for burnout

video preview

Free Resources

To help you kick ass in your life and career

1-on-1 Coaching

Work on your job rather than just in it


Rob Orman, MD

Physician and Executive Coach

roborman.com

Doctoring Done Well

Forwarded this newsletter and want to subscribe? You can do that!

61 NW Oregon Ave, Bend, OR 97702
Unsubscribe · Preferences

Rob Orman, MD

Our free biweekly newsletter helps you stress less and love your work more. Rob's expertise draws from 20 years as an emergency physician and award-winning educator. Never Lame. Never Spammy. Always Fresh.

Read more from Rob Orman, MD

Taking a deep breath when you're stressed is solid advice, but how you take that breath is what really counts. People in high-stakes environments (that’s you) often use box breathing: four in, hold for four, four out, hold for four. It works, but is it the most effective way to calm the nervous system, allowing you to stay clear-headed and take action? Probably not. Across all cohorts of the UnBurnable course, we’ve taught a range of downregulation techniques, and breath consistently stands...

Key takeaway: Approach your job like a professional athlete What you'll learn: 5 pillars to stay mentally and physically durable for your specific career When you watch LeBron James practice with his team, you can see that he constantly works on his skills, just like you do. He shoots 3-pointers from half-court; you stay current on transfusion strategies in trauma. You both keep the sword sharp. Most of LeBron’s time is spent doing this. Most of LeBron’s time, however, is spent off the court,...

Hey Friend, Our in-person live event, Awake + Aware, is officially open for registration. It’s happening May 5-7, 2025 in Bend, Oregon, and now’s the time to snag your spot. What makes this different? This isn’t just another conference where you sit back and passively absorb. Awake + Aware is an intimate, hands-on, 3-day workshop designed to get you out of the daily grind and into a space with people who get what it’s like to always be “on.” You’ll walk away with legit, practical tools for...