I feel for you, Rehab is a hard way of life in this business and if it is not in your blood then it will drive you nuts. I have managed an Acute IP unit for the past 14 years in a town just north of New Orleans. The shortest tenured staff member I have on my unit is 8 years. We are a family, we live and die for each other, but we don't do it alone! How is your relationship between your nurses and the therapist? If you have an us against them relationship with your therapist then life is HELL. Our therapist give as much nursing care as they do therapy and that's what makes it work. They answer call light , toliet patients, ect. It's not always been that way, but we worked it out. It takes time, but I feel you have to look to them for your solution if you want to make it work. Give it a try! I hope things get better for you.