Stressed, overwhelmed and depressed by job

Dear Nurse Beth Advice Column - The following letter submitted anonymously in search for answers. Join the conversation!

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I have always been a high anxiety person, who was never confident in my skills. I have some disabilities and it takes me a bit to process what I am being asked which makes me worry that I will miss something. When a position opened up for care coordinator at work I thought it was something that I would enjoy over doing my infusion nurse job which I enjoyed but we were always overstaffed and not able to take vacation etc due to no coverage. In the beginning I liked the change and was able to work remotely. However now I am growing to dislike the job and my place of work. I am getting bombarded with too much at once. I am becoming stressed, overwhelmed and depressed. I recieved my degree in informatics and was not able to get into a position, and am contemplating returning to school. I feel desperate to get away from the stress of this. I don't even want to be a nurse anymore. I don't want to deal with all the complaints and messages phne calls and feel a bit trapped.

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Specializes in Tele, ICU, Staff Development.

It sounds like you're going through a really tough time, and given your circumstances, it's completely understandable to feel overwhelmed.

Managing anxiety, especially when coupled with disabilities and high-pressure work environments, can be incredibly challenging. Acknowledging your feelings and recognizing that seeking change is okay when a situation is no longer working for you is essential.

It's also important to seek medical treatment and counseling for anxiety, depression, and stress. You may be just a provider's visit away from feeling and functioning better.

Transitioning from an infusion nursing role to a care coordinator position seemed like a promising opportunity at first, especially since it allowed you to work remotely. However, it's not uncommon for initial excitement to fade when the reality of the job becomes more demanding than anticipated. The added responsibilities, constant communication, and the pressure to handle complaints can be draining, especially if you're already anxious.

Your feelings of stress, overwhelm, and depression are valid, and it's crucial to address them. Here are some thoughts and strategies that might help you navigate this situation:

  • Reflect on your needs and gain clarity. Take some time to assess what you truly want from your career. Talk to a loved one who knows you well to help clarify your situation. It's okay to feel like you don't want to be a nurse anymore, especially if the role is causing you distress. What aspects of nursing did you enjoy, and are there other areas within healthcare that might align better with your interests and abilities?
  • Explore other opportunities: Since you have a degree in informatics, consider looking for roles that leverage that education. Nursing informatics combines your skills. While you didn't secure a position initially, the field of healthcare informatics is growing, and there may be new opportunities that could suit your skills better. These roles might allow for a more manageable workload and less direct patient interaction, which could alleviate some of your stress.
  • Consider further education. If you're contemplating returning to school, consider what you want to study. You mentioned feeling desperate to escape your current stress, and further education could provide a fresh start. Look for programs that excite you and align with your long-term goals. Additionally, ensure that any program you consider provides support for students with disabilities, as this can make a significant difference in your learning experience.
  • Practice self-compassion. It's important to be kind to yourself during this period. Acknowledge that it's okay to feel trapped and overwhelmed. Allow yourself to experience these feelings without judgment. Sometimes, simply identifying and recognizing your emotions can be the first step toward finding a solution.
  • Seek support. Consider reaching out to a mental health professional. Therapy can provide you with coping strategies to manage anxiety and stress, especially in a demanding job. Support groups, whether in-person or online, can also be beneficial, as they connect you with others who may be experiencing similar feelings.

Set boundaries. Establishing boundaries may help you manage your workload in your current role. If possible, communicate your concerns with your supervisor. They may be able to help you prioritize tasks or redistribute some of your responsibilities. Advocating for yourself is crucial in preventing burnout.

Explore mindfulness and relaxation techniques. Incorporating mindfulness practices, such as meditation, yoga, or deep-breathing exercises, can help reduce anxiety and improve your overall well-being. Even small practices can create a positive shift in your mindset.

Consider a career change. If nursing feels overwhelming, consider other career paths that might utilize your healthcare background but provide a different work environment. Positions in administration, education, or public health might offer a more fulfilling experience without the high-stress elements of clinical roles.

Feeling trapped in your job and uncertain about your future can be incredibly difficult, but remember that you have options. It's okay to seek change and to prioritize your mental health.

Take small steps toward exploring what might bring you joy and fulfillment again, whether through a new role, further education, or a complete career change. You're not alone in this, and there are paths forward that can lead to a healthier, more satisfying professional life.

Very best wishes,

Nurse Beth