TY - JOUR T1 - Beyond burnout: medicine must find a way to navigate the new terrains of need JF - British Journal of General Practice JO - Br J Gen Pract SP - 414 LP - 414 DO - 10.3399/bjgp21X716945 VL - 71 IS - 710 AU - Rosie Marshall Y1 - 2021/09/01 UR - http://bjgp.org/content/71/710/414.abstract N2 - Medics learn that signalling stress, that is, an inability to cope, is failure. Where does this leave us when faced with untenable circumstances? Suffering from severe burnout before COVID-19, I fell into a void, hopeless, guilt ridden, and angry. The term ‘resilience’ fanned the simmering embers of my self-perceived inadequacy. Clinical work became unendurable as anxiety spiralled. I felt overwhelmingly alone, and yet I know that cannot be. To learn from each other, we must talk honestly about challenging experiences, and map out how we found a way through.When I eventually sought medical help, long postponed by disillusionment and self-blame, my expectation of hopelessness was confirmed. I was advised to relax. My body had no physical memory of relaxation, my mind no blueprints. I was offered a short course of CBT and encouraged to take medication. CBT is … ER -