​Physician burnout is a world-wide phenomenon that has increased during recent decades. Various sources report that roughly half of physicians display burnout symptoms. This article looks beyond past burnout stereotypes to its global definition, associated signs, and contributors. Assessment resources and methods are presented and discussed.

Although article content touches on the overall risks burnout presents within healthcare systems, the primary focus is on those physicians at risk for and suffering because of burnout’s toll. Heightening awareness of this occupational phenomenon is required to identify and research solutions, particularly by linking contributors with systems and organizational function.

Burnout Basics
The history of burnout dates back to the 1970s and 80s when Freudenberger described a set of symptoms as “burn-out.” Christina Maslach with the Maslach burnout inventory has provided further discussion and study of this phenomenon, including its occurrence among medical personnel. Regardless of occupation, Maslach and colleagues describe three definitions, or indicators, of burnout, those being:

• Emotional exhaustion,
• Depersonalization, and
• Low personal accomplishment.

Each of these three definitions is associated with various signs discussed in burnout literature and included in the World Health Organization (WHO) description. It notes that burnout is an occupational phenomenon that is listed in the International Classification of Diseases (ICD). The ICD-11 has added detail to the definition provided in the ICD-10. The updated definition includes signs found throughout burnout literature, such as:

• Energy depletion,
• Mental distancing from work, often with associated cynicism, and
• Reduction in professional efficacy.

WHO makes particular note that burnout is not a medical condition. Rather, it refers specifically to phenomena in the occupational context and is not appropriate for application to other areas of one’s life. This point is especially vital when considering burnout contributors, much as occurs in this article’s primary section.

Various relatively current sources indicate the rate of reported and/or assessed burnout at almost 1 in every 2 physicians. In a 2019 report, 44% of more than 15,000 physicians in at least 30 specialties reported to Medscape that they feel burned out. This reflects a steady increase since 2013.

Levels of burnout across specialties range from 28 to 54%. Women are more likely than men to report burnout with data comparisons of 50 to 39%, although males accounted for 60% of survey respondents. Self-report of burnout, as applied in the Medscape report, has been noted to have an accuracy rate 72% of the time when compared with the Maslach Burnout Inventory. Although this is older data, it is worthy of consideration given the proportion of physicians reporting burnout at an increasing rate.

Burnout: Its Definition and How It’s Assessed    This article’s opening paragraphs provided burnout definitions presented by Maslach and the WHO as part of an overview discussion. Burnout assessment involves expanded discussion of its definition with particular emphasis on how it is described by those living with feelings associated with burnout.  

Definition Overview
Although emotional exhaustion has been noted to be a primary burnout indicator, others report that depersonalization is more likely associated with negative outcomes. These physicians have high cynicism scores, reflective of being detached and uncaring. Those who score high in emotional exhaustion report feeling over-extended as well as physically and emotionally drained. A high inefficacy score is related to physicians having diminished confidence and doubting that their work matters. It is reported that healthcare burnout researchers omit low personal accomplishment, replacing it with job satisfaction measures.

Burnout Assessment
The National Academy of Medicine (NAM) provides information about valid and reliable instruments for measuring burnout and other related factors. The page links to sources that offer additional guidance for organizations. It presents the most commonly used assessment as being The Maslach Burnout Inventory (MBI) that assesses the three areas noted above and measurement of workplaces factors that may be contributing to burnout.

Mind Garden offers the MBI and other assessments. The Maslach Burnout Toolkit for medical personnel includes, as part of its survey, items that measure work environment factors that may contribute to burnout. The entire assessment, including workplace and individual measures, can be completed in about 30 minutes. Discussion presented by the NAM and other researchers indicate successful use of a limited number of MBI queries to improve response rates.

Woven within discussion in the resources presented thus far are burnout contributors. Given that about half of physicians report regular feelings of burnout, there is compelling need to examine contributing factors. Doing so leads to inquiry that ultimately can provide solutions.

Burnout: The Burden of Contributors
This article examines contributors that are systems and/or organizational in origin. Doing so is well supported in medical burnout literature, including resources cited here. Consider that burnout among physicians is double that of other American workers, even with controls applied.

At times, this discussion seems personal. That is because loss of sleep, financial concerns, and extended work hours are just that—very personal. As are concerns about depression, coping mechanisms, and work/life imbalance.

The 2019 Medscape report asked respondents to report on what contributed most to burnout. Almost 60% indicated this to be too many bureaucratic tasks including charting and paperwork. The next highest ranked at 34% was too much time at work, followed by increases in technology use such as EHRs/EMRs at 32%, and lack of respect from administrators and colleagues at 30%.

Burnout’s root causes noted above are affected by organizational structure and functionality. Consider how healthcare organizations and systems affect these contributors:

1. Lack of power/control: Physicians who have historically served in leadership roles that guide clinical decisions have had to relinquish these to administrators. This power shift toward business models causes concerns that the focus is now on money, rather than on optimum patient care and physician satisfaction.
   • There is a notable increase of burnout for those who spend less than 20% of their work effort on personally meaningful endeavors.
2. QI programs: “Quality Improvement“ (QI) programs that require more paperwork,  another bureaucratic, busy-work burden for physicians. It fulfills a requirement rather than encouraging professional systems in which physicians develop their own QI strategies by listening to patients to continually enrich practice expertise. 
   • From the same report noted in item 1, there is burnout increase due to “clerical burden.”
3. Inefficient workflow: Clinical functions should be stream-lined to benefit the medical professionals providing patient care by having non-medical tasks efficiently handled by staff. This approach frees time to see more patients, increase revenue, and allow you to do the most enjoyable part of medicine – seeing patients.
4. Electronic medical records (EMR’s) were designed to increase productivity and efficiency though that has not come to fruition. Moving through numerous pages or screens to complete an encounter is neither efficient nor satisfying.  
   • These are regularly cited as a burden, including the task of physician order entry with computers.
5. Staff shortcomings: Physicians are caring individuals who believe staff are trustworthy and able to complete tasks efficiently. Regardless of cause, when an employee does not meet job expectations, it is time to document their behavior and have a personal discussion about short-comings. Inability to improve needs to result in termination.
6. The 2019 Medscape study noted lack of respect from patients as a 16% cause of physician burnout. This can cause practitioners to feel abused and powerless, especially considering the added effects of those 30% of physicians who reported burnout due to lack of respect from employers, colleagues, and staff.
7. Lack of leadership training: There has been a recent rise in physicians starting a private practice. Although taking this step can be stressful, it is very rewarding to design a clinic around your needs and those of your patients. Once the clinic is up and running, many physicians run into issues that require a firm handle on leadership, financial, legal, and marketing skills. Think too of how lack of physician leadership training limits workplace functionality without fully accessing the decision-making capacity of bright, caring professionals.

It is particularly relevant to consider all of the above in relation to reports that organizations that offer physicians control over workplace issues result in higher professional satisfaction and less stress.

Other burnout contributors are associated with workload and workplace culture. Added to these are a physician culture that would benefit from shorter shifts, heightened peer support, and reversal of blame. Until workplace factors improve, these contributors to burnout will continue:

1. Skipping lunch: Physicians may habitually skip lunch or eat a snack while charting to complete documentation and catch up due to workload and workplace inefficiencies. If the workplace culture condones this practice, physicians sacrifice their deserved breaks and mealtime.
2. 50+ hour work weeks: The 2019 Medscape survey notes that burnout reporting increases with number of hours worked. Emotional exhaustion sets in, particularly as practitioners sacrifice their personal and family needs. Towards the end of a 60-hour week, physicians wonder how many others lack the mental stamina to maintain their high level of work.  Each additional hour of work and night or weekend call increases burnout risk by 3 to 9%. Think of how quickly that adds up.
3. High Debt is common among physicians due to extended education that is expensive and not sufficiently relieved by loan forgiveness incentives. There is then the draw to accept added hours to meet financial obligations, adding to the catch-22 of burnout. 
4. Neglecting sleep at the end of a long day or week is tempting in order for physicians to spend time with family, friends, or participating in a hobby. Balancing these with household responsibilities leaves physicians stretched thin and sleep suffering. Sleep deprivation and exhaustion affect the quality of patient care and an overall drop in mood/patience.
5. Ignoring one’s own advice. It is fascinating to listen to physicians complaining about their patients not following preventive care tips and healthy habits when they themselves aren’t doing so either. If patients take the advice, so should physicians. Caring for self and monitoring one’s own health are hallmarks of wellness.
6. Vitamin D deficiency. The evidence supporting vitamin D deficiencies and depression is mixed, yet everyone should get some quality time outdoors. Enjoying the sunlight and getting outside is quite refreshing. Consider the value of workplaces that encourage all staff to get outside to enjoy and appreciate nature and soak up some vitamin D.
7. Charting on weekends is unpaid work. Apparently there are healthcare settings in which physicians save their charting for the weekends. The idea of procrastinating on documentation and then trying to remember what was done days ago is likely associated with job dissatisfaction and workplace issues. 
8. Under-utilization of other professionals such as attorneys and accountants. Physicians have invested over a decade achieving an education to be excellent physicians. They know patient care, yet have not learned about tax laws, investing, home repair, and the basics of contracts. Unless physicians outsource these tasks to improve work/life balance by enjoying off-time, burnout concerns will continue.

This article’s broad discussion of physician burnout prompts a number of questions about workplace factors, the effects of burnout on patient outcomes, and how to transform healthcare systems. Each contributor to physician burnout holds answers on how to improve systems, from education to documentation, on behalf of physicians, those they care for, and those who care for these noble practitioners. As noted on one of the Mind Garden physician burnout solutions pages, “In order to fully remedy and prevent burnout, solutions must focus on organization change—not personal change.”  
 
Request Dr. Jared Heathman for speaking engagements on physician burnout.  Contact our office at 281-849-4080 with your information for further details.
 
References 
Dyrbye, L. N., Shanafelt, T. D., Sinsky, C. A., Cipriano, P. F., Bhatt, J., Ommaya, A.,…Meyers, D. (2017). Burnout among healthcare professionals: A call to explore and address this unrecognized threat to safe, high-quality care. Retrieved from https://medschool.ucsd.edu/som/hear/resources/Documents/Burnout-Among-Health-Care-Professionals-A-Call-to-Explore-and-Address-This-Underrecognized-Threat.pdf
 
Kane, L. (2019). Medscape national physician burnout, depression & suicide report, 2019.
 
Mind Garden. (2018). Maslach burnout tool for medical personnel. Retrieved from https://www.mindgarden.com/documents/Maslach-Burnout-Toolkit-for-Medical-Personnel-Intro-Sheet.pdf
 
Mind Garden. (2019). Physician burnout solutions. Retrieved from https://www.mindgarden.com/content/34-physician-burnout-solutions#horizontalTab1
 
National Academy of Medicine. (2020). Action collaborative on clinician well-being and resilience. Retrieved from https://nam.edu/initiatives/clinician-resilience-and-well-being/
 
Ostrov, B. F. (2018). Stanford’s chief wellness officer aims to end physician burnout. Retrieved from https://californiahealthline.org/news/stanfords-chief-wellness-officer-aims-to-prevent-physician-burnout/
 
Stehman, C. R., Testo, Z., Gershaw, R. S., & Kellogg, A. R. (2019). Burnout, dropout, suicide: Physician loss in emergency medicine, Part I. Western Journal of Emergency Medicine, 20(3): 485-494. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6526882/
 
West, C. P., Dyrbye, L. N., & Shanafelt, T. D. (2018). Physician burnout: Contributors, consequences, & solutions. Journal of Internal Medicine, 283(6): 516-529. Retrieved from https://onlinelibrary.wiley.com/doi/full/10.1111/joim.12752
 
World Health Organization. (2019). Burn-out an “occupational phenomenon”: International Classification of Diseases. Retrieved from https://www.who.int/mental_health/evidence/burn-out/en/

If you’re an athlete or just love sports, you probably spend a lot of time training your body. You stretch. You lift weights. You practice your swing or your shot. You push yourself to get stronger and faster. How often do you focus on the most important part of your game, your mind?

That’s where a sports therapist can impact a huge impact.

Sports therapists aren’t just for professional athletes. Whether you’re a high school athlete, a weekend warrior, or a college player, a sports therapist can help you perform better, recover faster, and enjoy your sport more.

Did you know that the reigning MLB champions, the Houston Astros, have a full-time sports therapist on staff. Why? It turns out that even the best athletes in the world need help staying mentally strong, focused, and free of mental turmoil. If therapy can help them reach the top of their game, just imagine what it could do for you.

Let’s explore all the ways a sports therapist could maximize your life!

1. Mental Skills Training: Strengthening the Mind Behind the Muscles
​Playing sports isn’t just about physical ability. Mental strength can make or break your performance. Think about the pressure of taking the final shot in a basketball game, standing on the pitcher’s mound with the bases loaded, or needing a perfect routine in gymnastics to qualify for the finals. In those moments, your thoughts matter just as much as your skills.  If you question your performance, you are much more likely to make a mistake.

A sports therapist can teach you important mental skills like:

• Goal-setting: Learning how to set clear, realistic, and motivating goals can provide more direction and purpose.
• Visualization: This technique helps you mentally rehearse your performance, which can build confidence and reduce anxiety.
• Relaxation and stress management: Deep breathing and mindfulness can help calm your nerves before and during a competition.
• Focus and concentration: Blocking out distractions that can throw you off.
• Positive self-talk: How you speak to yourself matters.

Example: Have you ever watched a Texas Christian University (TCU) baseball game? Their hitters all seem calm and confident when they step up to the plate. That’s no accident. Most of them work with the same sports therapist to develop a consistent mental approach to each pitch. They’ve trained their minds to stay focused, no matter the pressure.

2. Performance Enhancement: Unlocking Your Full Potential
Have you ever felt like something is holding you back even when you’re training hard and doing everything right? Maybe you freeze up during games, lose motivation, or struggle with confidence. These invisible barriers can stop you from reaching your full potential.

A sports therapist can help you identify what’s going on mentally that could be getting in your way. Maybe it’s fear of failure, pressure from adults, or comparing yourself too much to teammates. Whatever it is, your therapist can work with you to:

• Recognize and manage performance anxiety
• Understand how your thoughts affect your results
• Build confidence in high-pressure moments
• Learn new ways to stay motivated, even during tough seasons

Example: Have you ever heard of the "yips"? It’s a real thing. The yips are a sudden and mysterious loss of ability in athletes.  It is more commonly discussed in golf and baseball. A pitcher who suddenly can’t find the strike zone or a golfer who can’t make a short putt might be experiencing the yips. It’s a mental problem. A sports therapist can help athletes work through the fear, anxiety, and self-doubt that lead to these moments.

3. Injury Rehabilitation: Healing Your Mind as You Heal Your Body
Injuries are part of almost every athlete’s journey. Whether it’s a torn ACL, a broken wrist, or chronic pain that won’t go away, being sidelined can be incredibly frustrating. You might feel angry, depressed, or even question whether you’ll ever play again.

A sports therapist helps you manage these emotions. They don’t treat your physical injury.  That is your doctor or physical therapist’s job. Sports therapists can help you:

• Cope with the sadness, stress, or anxiety that often comes with injury
• Stay mentally strong during rehab to engage in the physical therapy
• Maintain a positive outlook even when progress is slow
• Rebuild confidence when returning to play

Example: Let’s say you’ve just injured your knee and can’t play for six months. You’re watching your teammates continue without you. You feel left out, unmotivated, and afraid you’ll fall behind. A sports therapist can help you process these feelings, stay connected to your team, and stay mentally ready for your comeback.

4. Team Building: Helping You and Your Teammates Work Better Together
​Sports are rarely a solo activity. Whether you play baseball, basketball, football, soccer, or volleyball, your team’s success depends on how well you work together. That means communication, trust, and shared goals are just as important as talent.

Sports therapists can work with entire teams to:

• Improve communication on and off the field
• Build mutual respect and trust among teammates
• Help resolve conflicts before they turn into bigger problems
• Strengthen team identity and culture

Example: Think about a football team where the players don’t trust each other, argue on the sidelines, or ignore the coach. That team isn’t going to win many games, no matter how talented they are. A sports therapist can step in and lead workshops or group sessions to improve team dynamics and help everyone get on the same page.

Team therapy can also include things like leadership training for captains, strategies for improving morale, and goal-setting sessions that involve the whole squad. Team chemistry matters which is why many professional teams hire veterans that understand and know the process.  Some veterans may be past their prime, but they contribute more to the team than just physical ability.

5. Career Transitions: Navigating Big Changes in Your Sports Journey
What happens when your sports career changes, or even ends? This can be one of the hardest challenges an athlete faces. Maybe you’re graduating high school and not going on to play in college. Maybe you’re leaving college sports behind and aren’t going pro. What is next?

Sports therapists help athletes navigate these big life changes by:

• Exploring new roles in sports (coaching, mentoring, officiating)
• Finding new sources of purpose and identity
• Dealing with the sadness that comes with letting go of a big part of your life
• Planning for the future while honoring your athletic past

Example: Imagine you’ve played basketball since you were six years old. It’s been part of your identity for most of your life. Now, at 22, you’re finishing college and know you won’t be continuing professionally. That transition can be emotional and scary. A sports therapist can help.

Sports Therapy Isn’t Just for Pros
You don’t have to be a professional athlete to benefit from sports therapy. Whether you’re on your school team, local league, or just enjoy staying active, your mind plays a huge role in how you perform and how much you enjoy your sport.

Here’s a quick summary of how a sports therapist can help:

• Teach you mental strategies to perform under pressure
• Help you break through slumps
• Support your emotional recovery from injuries
• Improve your team’s communication and chemistry
• Guide you through tough transitions

You train your body to get better. Why not train your mind, too?


If you’re serious about taking your game to the next level, consider reaching out to a sports therapist. It might be the smartest play you've ever made.

​Attention Deficit Hyperactivity Disorder, or ADHD, is a neurological disorder that affects millions of people worldwide. This disorder can be characterized by inattention, impulsivity, and hyperactivity, which can make it difficult for individuals to function in their daily lives. Although ADHD is typically diagnosed in childhood, it can also be diagnosed in adulthood. If you or a loved one may have ADHD, seeking treatment can be life-changing.  Give us a call for a thorough evaluation.  In this article, we will discuss the top 10 reasons why you should get treatment for ADHD.

1. Improve academic or work performance 

One of the most common reasons people seek treatment for ADHD is to improve their academic or work performance. The symptoms of ADHD can make it difficult for individuals to focus and concentrate, leading to poor performance in school or at work. However, with proper treatment, individuals with ADHD can learn coping mechanisms and strategies to help them stay focused and productive.

2. Enhance interpersonal relationships 

ADHD can also impact interpersonal relationships, particularly in romantic relationships and friendships. People with ADHD may struggle to communicate effectively, remember important dates or events, or prioritize tasks. This can lead to frustration and misunderstandings between individuals. Treatment for ADHD can help improve communication skills, increase the ability to remember important details, and prioritize tasks, leading to stronger and healthier relationships.

3. Reduce impulsivity 

Impulsivity is a common symptom of ADHD, which can lead to impulsive decisions and behaviors. This can include anything from impulsive spending to engaging in risky behaviors, such as substance abuse or unsafe sexual practices. Seeking treatment for ADHD can help individuals learn to manage their impulses and make more thoughtful decisions.

4. Decrease anxiety and depression 

Individuals with ADHD are at a higher risk for developing anxiety and depression. This is partly due to the challenges of managing the symptoms of ADHD, as well as the potential for negative feedback from others. Seeking treatment for ADHD can help individuals manage their symptoms, which can lead to a decrease in anxiety and depression.

5. Improve sleep 

ADHD can also impact sleep, with individuals often struggling to fall asleep or stay asleep. This can lead to fatigue and other negative consequences, such as poor academic or work performance. Treatment for ADHD can help individuals learn coping mechanisms to improve sleep habits, leading to better overall health and wellness.

6. Increase self-esteem 

The challenges of managing ADHD can take a toll on an individual's self-esteem. Seeking treatment for ADHD can help individuals learn to manage their symptoms and develop coping mechanisms, which can increase self-esteem and confidence.

7. Improve physical health 

Untreated ADHD can have negative impacts on overall physical health, with individuals often struggling with higher blood pressure, obesity, and sleep issues. Poor time management leads to more frequent use of fast food, neglecting gym time, and getting stuck longer at the office.  Seeking treatment for ADHD can help individuals manage these symptoms, leading to better overall health and wellness.

8. Learn coping mechanisms 

Individuals with ADHD can learn valuable coping mechanisms through treatment, which can be useful throughout their lives. Coping mechanisms can include anything from meditation and mindfulness to cognitive-behavioral therapy. Learning coping mechanisms can help individuals manage their symptoms and lead a more fulfilling life.

9. Decrease risk of substance abuse 

Individuals with ADHD are at a higher risk for substance abuse, as they may turn to drugs or alcohol as a way to manage their symptoms. Seeking treatment for ADHD can help individuals learn alternative coping mechanisms, which can decrease the risk of substance abuse.

10. Improve overall quality of life 

Finally, seeking treatment for ADHD can improve overall quality of life. By learning to manage symptoms and developing coping mechanisms, individuals with ADHD can lead a more fulfilling life, with better academic or work performance, stronger relationships, and better overall health and wellness.

In conclusion, seeking treatment for ADHD can be life-changing. It can improve academic or work performance, enhance interpersonal relationships, reduce impulsivity, and decrease the odds of other mental health conditions.  Call us today at 281-849-4080.

A few years ago, I sat across from a patient named Marcus (name anonymized). He was a 32-year-old veteran who had returned home from deployment overseas. Though the war was behind him, something inside him didn't adjust well. He had trouble sleeping, flinched at loud sounds, and avoided crowds. “I feel like I left part of myself over there,” he told me. “And I don’t know how to get it back.”

Marcus wasn’t alone. In fact, patients like Marcus walk into my office every week.  While some are from military backgrounds, other patients have never held a weapon. Many are survivors of accidents, childhood abuse, sexual assault, natural disasters, or even toxic workplaces. The one thing they all have in common? The lingering effects of trauma.

Post-Traumatic Stress Disorder, or PTSD, is a condition where your brain keeps reacting like danger is still present but long after the threat is gone. And while PTSD has existed for generations, it’s clear that we’re seeing more of it today than ever before. Why?

Let me walk you through what I’ve seen in my work, and what the research shows. It’s not just about wars or violence. PTSD is becoming more common because of a perfect storm of social, medical, and cultural changes. Let’s explore why.

1. We Finally Know What to Look For
Decades ago, people with PTSD were often misdiagnosed or not diagnosed at all. Soldiers returning from war were told they had “shell shock” or “battle fatigue.” Survivors of abuse were told to “just move on.” But today, we know that trauma can leave deep scars on the mind, just as real as any broken bone.


Healthcare providers are now trained to recognize symptoms like nightmares, flashbacks, emotional numbness, and constant alertness. We know PTSD can affect children and adults, men and women, survivors of combat and survivors of neglect. Because we know more, we see more and we’re finally calling it what it is.

2. Less Time to Heal
Imagine two soldiers: one returns home in the 1940s on a ship that takes weeks to cross the ocean. He’s surrounded by fellow soldiers, sharing stories and decompressing.  The other returns today on a five-hour flight, is home by dinner,  and is expected to pick up right where he left off.  No time to process. No time to grieve.


That’s not just happening in the military. All around us, people are expected to bounce back fast. Someone is assaulted on a Friday night, and by Monday morning they’re back at work. A child witnesses a car accident, and by the next day, they’re expected to perform well in school. Our fast-paced world gives little room for emotional recovery.


In the past, communities rallied around each other after hardship. Today, we’re often left to suffer silently, buried under expectations and deadlines.

3. A World Filled with Trauma
When my parents were growing up, news came once a day. Now, we get alerts in real-time: school shootings, bombings, hurricanes, social unrest.  Each headline feels personal.  Each video hits like a punch to the chest.


Even if you weren’t there, just watching the footage can cause distress. This is called vicarious trauma. We may not have been in the disaster zone, but we feel like we were. And for people already under stress, this can tip the scales into PTSD.


Social media also plays a role. Graphic content is shared widely and quickly, often without warnings. For young people especially, this nonstop exposure can wire the brain to expect danger, even when safe.

4. Trauma Isn’t Always One Big Thing
Another shift is how trauma happens. In the past, it was often a single, shocking event. But more and more, I see patients who have endured chronic trauma.


People like Eva, who grew up in a household where yelling and fear were daily occurrences or Jordan, who endured years of being bullied at school. These aren’t “one-time” events, but they stack up over time, wearing down the brain’s ability to cope.


This kind of long-term trauma can be just as damaging as war or disaster. But because it happens slowly, it’s often harder to recognize until the symptoms explode.

5. More Survivors of Sexual Trauma Are Speaking Up
Sexual assault is one of the leading causes of PTSD, especially for women. And sadly, the number of reported cases has increased, especially on college campuses and within vulnerable communities.


Part of this rise is due to greater awareness. More people feel empowered to come forward, and that’s a good thing. But it also means we’re uncovering just how widespread this trauma is.


Behind each statistic is a real person like a young woman I treated after her assault during freshman year. She couldn’t sleep. She avoided certain streets on campus. She blamed herself. But through therapy, she began to understand.  This wasn’t her fault. Her symptoms made sense. And she could heal.

6. We’re All More Stressed Out
You don’t need a disaster to feel overwhelmed. Chronic stress alone like poverty, job loss, or family instability can weaken the brain’s defenses.


Think about the pressure young people face today: social media comparisons, cyberbullying, fear of missing out, constant pressure to succeed. Adults are juggling long hours, economic fears, and caregiving at the same time. All this builds a background level of tension.


When something traumatic happens on top of all that, the brain is already stretched thin. It’s like having a small cut then getting hit in the same spot. You hurt longer. You bleed more. And healing is harder.

7. The Health System is Changing: The Good and Bad
We’ve seen big changes in healthcare over the past few decades. Some of these changes have opened the door for more people to get help, especially with substance use or mental illness, but they’ve also left gaps.


For example, when institutions for the mentally ill were shut down (a process called deinstitutionalization), many people were left without stable care. They ended up in jails, on the streets, or in unsafe environments—where new trauma could occur.


The opioid epidemic has also brought many people into treatment who had never been diagnosed with trauma before. We’re now realizing that for many of them, addiction started as a way to cope with pain they couldn’t name like PTSD.

So What Can We Do?
The fact that PTSD is more common today doesn’t mean we’re weaker. It means we’re finally paying attention. And while the increase is concerning, there’s also reason for hope.


More than ever before, people are talking about mental health. More are seeking treatment. More are getting better. We now have therapy methods that work like EMDR (Eye Movement Desensitization and Reprocessing), cognitive processing therapy, and medications that can calm the overactive parts of the brain.


Support groups, online communities, and crisis services are more available than ever. And if you’re reading this and wondering whether you might have PTSD—you are not alone.

A Final Thought: You Deserve to Heal
I’ll never forget what Marcus said to me after six months of therapy. He looked me in the eye and said, “I still remember what happened. But now it doesn’t control me.”


That’s what healing looks like. Not forgetting, but moving forward. Not being “tough enough to ignore it,” but being brave enough to face it.


If you’ve experienced something that left a mark, whether recently or years ago, you don’t need to go through it alone. PTSD is real. Treatment is real. And recovery is possible.


At Your Family Psychiatrist, we’re here to listen without judgment. Whether it’s your first time asking for help, or you’ve been struggling for years, there is hope. Your story matters. And we’re ready to help you write the next chapter.