SRNA anxiety

Nurses Stress 101

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Hi,

I'm a SRNA in the last year of my anesthesia program. I've completed nearly all of my course work and have nothing but clinical and practice boards left before graduation. You'd think this would be a happy time for me, but I've been dealing with severe anxiety for the last few months as well as being extremely tired, to the point where I can't even focus. I find anything over an 8 hour shift in the OR completely burns me out and on my days off it's hard to even get up off the couch. I know it's a result of school, but I'm really worried that I'll feel like this in my job and become a danger to my patients. I can't see myself working a 40 hour week in this job and not feeling burned out. I'm really not sure I even enjoy it anymore. Does anyone have any insight about this? I'm seeing a therapist and working through my anxiety but I don't hear much about this from CRNAs, and I'm wondering if I'm just not a good fit for this career after all or if I need to choose something more low stress.

Specializes in Behavioral Health.

Has your therapist screened you for depression? Have you gained or lost weight recently? Any changes in your appetite? Are you still tired when you wake up? Any trouble falling asleep or staying asleep? Nightmares?

What have you found relieves your anxiety even a little bit? How's your social life? Are you doing anything fun, do things you used to do still sound like fun? Are you exercising? How's your diet (healthy, mediocre, crap)?

Anxiety is terrible, it requires so much energy to cope with that it can leave you exhausted, and it can send people into a depression. Especially if the fear of anxiety leads to your world getting smaller - going out less, seeing people less, etc. If your therapist is working you through CBT, that's the most efficacious single therapy you can do. If you want dual therapy, which has been shown to increase efficacy, you can try talking to a psychiatrist or psych NP (your therapist can probably refer you) and see if an SSRI is appropriate. If you find that the CBT helps you, an SSRI can help increase clarity for you to function and make better use of what you learn in therapy, with the intention of taking you off of it later when you've completed a round of CBT (typically a full course of CBT is ~20 sessions).

Good luck.

Thanks for the reply. I'm not taking any meds and have not had trouble with anxiety prior to anesthesia school. My days consist of waking up at 3:30am and going to clinical in the OR until around 5:00pm. My days off are spent studying. It's an intense program where we are constantly reminded that being a CRNA is the ultimate responsibility and we must work, work, work to be competent and safe providers. My body is not tolerating the schedule any more and I have thus been extremely anxious about my future in anesthesia and ability to do the job/care for my patients, especially on such an autonomous level. A career as a CRNA carries a heavy stress load and I am wondering if anyone else has experienced this, and whether it's just school or if I'm not fit for this profession. I am very worried about burnout and that I am too easily fatigued/anxious to carry the responsibility of a CRNA. I've done well in my program so far but I'm really starting to break down. It sucks that I'm questioning things when I'm almost finished with school, but I don't want to be a liability or dangerous to my patients if I'm too anxious to handle it. I'm just wondering if any other CRNAs/SRNAs have felt this way, and if it's just school or if I'm not cut out for the career.

Specializes in ICU.

I know this post is a few months old but I was wondering how you are doing? Did you finish school? Are you feeling less anxious? What did you find helped ease your fears?

im especially interested because I'm in the interview process for CRNA school and I have anxiety. I've had it for years. It's been a hellish battle to get it somewhat under control and I am absolutely terrified that CRNA school will be way too much for me to handle. I don't want to give up because I've been working toward this since I was in high school, but I also don't want to be an anxious mess and completely miserable. I feel like you and wonder if this is really the right career for me... I'm worried I just can't handle the stress.

So im interested in hearing your story.

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