Signs and Symptoms of Distress

Physical
Chronic feelings of fatigue
Chronic aches and pains
Gastrointestinal distress
Profound muscle tension
Teeth grinding
Poor nutrition or eating habits
No or limited exercise
Excessive weight loss or gain
Insomnia or Oversleeping
Negative body image

Emotional
High levels of depression, anxiety
High levels of anger, frustration, irritability
Emotionally numb or vacant
Lack of happiness, satisfaction
Feels overwhelmed

Mental
Unable to concentrate
Inattentive and forgetful
Disorganized.
Obsessive thinking
Pre-occupied with disturbing thoughts or images
All-or-nothing thinking
Rigid or reflexive problem solving
Unable to prioritize ·
Overwhelmed by complex problems

Relational
Angry conflicts with patients and families
Angry conflicts with other team members
Isolates, no positive interactions
Stops sharing with others and participating
In the group or team process Stops asking for what they needs or wants
Feels misunderstood, unappreciated by others
May begin to blame others or hold strong resentments toward others
Transmits negative attitude and energy to others
Either has no outside life or outside life that Is the focus even during work time

Behavioural
Chronically overworked
Loses professional standard
Hostile, irritable, defensive
Avoids work
Decreased effectiveness

Spiritual
Feels no positive meaning from work
Feels powerless to make change
Does not feel it is worth it
Despair, doubt
Negative worldview
Guilt
Surrenders ideals, hopes, vision