It was 7:43 on a Sunday morning when I realized I was a fraud.
Not the kind who lies on a resume or fakes credentials. The quieter kind. The occupational therapist who spent forty hours a week teaching stroke survivors about energy conservation and pacing—while running herself into the ground on Diet Coke and four hours of sleep.
I’d just finished my third twelve-hour hospital shift in a row. My lower back felt like someone had taken a mallet to it. I hadn’t returned my sister’s texts in five days. And I was about to skip the one morning I’d promised myself I’d rest, because a colleague had texted asking if I could cover her Monday clinic.
That’s when it hit me. Every single thing I was doing—every boundary I was ignoring, every warning sign I was dismissing—was exactly what I’d counsel a patient never to do.
The Private Hypocrisy We Don’t Talk About
If you work in allied health, you know this dance. You’re a physical therapist who hasn’t stretched in six months. A respiratory therapist who smokes in the parking lot. A speech pathologist who hasn’t had a real conversation with a friend in weeks because you’re too drained to form sentences after work.
We teach self-care like it’s scripture. Then we go home and violate every principle.
The term is clinician wellness, and we treat it like optional enrichment—something for people with spare time and trust funds. But allied health burnout isn’t just about long shifts or difficult patients. It’s about the cognitive dissonance of spending your days helping people heal while quietly falling apart yourself.
I’d been doing it for seven years. Preaching rest to people in rehab while answering work emails at 11 p.m. Explaining the importance of boundaries to families while saying yes to every extra shift, every last-minute coverage request, every ‘quick favor’ that ate my lunch break.
And that Sunday morning, staring at my phone with my thumb hovering over ‘Yes, I can cover Monday’—I just stopped.
What Changed on That One Sunday
I wish I could say it was dramatic. A breakdown. A revelation. Some kind of rock-bottom moment that makes for good storytelling.
It wasn’t.
I just looked at my reflection in the black screen of my phone and thought: I wouldn’t let a patient live like this.
So I typed four words I’d never sent before: “I’m not available, sorry.”
Then I turned my phone off. Not on silent. Off.
I made coffee—real coffee, not the sludge from the unit break room. I sat on my back porch in sweatpants and did absolutely nothing for an hour. No scrolling. No planning. No mental inventory of next week’s caseload. Just... sat there.
And here’s the thing nobody tells you about therapist self care: the first time you actually do it, it feels wrong. Selfish. Indulgent. Like you’re letting people down.
But I stayed there anyway. Because I’d spent years telling patients that rest isn’t earned—it’s required. That you can’t pour from an empty cup. That sustainable recovery means honoring your limits, not bulldozing through them.
I just had never believed those things applied to me.
The Practical Stuff I Actually Started Doing
That Sunday didn’t fix everything. I didn’t wake up Monday as some zen wellness influencer with perfect work-life balance. But it cracked something open.
Over the next few months, I made changes. Small ones. The kind I’d been recommending to patients for years but never implementing myself:
- I started saying no without apologizing. Not to every request, but to the ones that came at the cost of my baseline functioning. No elaborate excuses. Just ‘I’m not available.’
- I blocked off one morning a week as non-negotiable. No shifts, no coverage, no ‘quick’ meetings. I called it my maintenance window, like I was a piece of medical equipment that needed servicing.
- I stopped checking work messages after 7 p.m. The hospital did not collapse. Patients did not suffer. The world kept turning.
- I found one thing that felt restorative and protected it. For me, it was Sunday morning coffee on the porch. For you, it might be a yoga class, a long drive, a standing dinner with friends. Doesn’t matter what it is—just that it’s yours.
- I started talking about it. Not in a performative ‘self-care Sunday’ social media way, but honestly. With colleagues. With friends. Turns out I wasn’t the only one running on fumes and pretending it was fine.
What OT PT Self Care Actually Looks Like
Here’s what it’s not: spa days, vision boards, and bubble baths. Those things are fine, but they’re not the infrastructure.
Real OT PT self care—the kind that actually protects you from allied health burnout—is boring. It’s going to bed at a reasonable hour even when you’re wired. It’s eating lunch away from your desk. It’s not volunteering for the extra shift when you’re already stretched thin.
It’s treating yourself with the same baseline respect you’d show a patient in week two of recovery. You wouldn’t tell them to push through pain, skip meals, and ignore warning signs. So why is that your daily operating system?
For surgical techs standing through eight-hour procedures, it’s the compression socks and the stretch breaks you actually take. For respiratory therapists, it’s not picking up the phone on your day off unless it’s a true emergency. For SLPs drowning in documentation, it’s setting a timer and stopping when it goes off, even if the notes aren’t perfect.
It’s practicing what we preach. Not because we’re heroes or martyrs, but because we’re human.
The Part Where I Tell You It’s Okay
If you’re reading this and thinking, ‘I can’t do any of that right now—I’m barely holding it together,’ I get it. Some seasons are survival mode, and that’s not failure.
But if you’re in a place where you could make one small change and you’re just not sure you’re allowed to—you are. You’re allowed to take your own advice. You’re allowed to rest without earning it. You’re allowed to protect your energy the same way you’d protect a patient’s.
That Sunday morning didn’t make me a different person. But it reminded me that I’m allowed to be my own patient sometimes. To extend to myself the same grace, the same patience, the same insistence on sustainable practices that I offer everyone else.
You are, too. 🤍
We See You
At Intuites Healthcare Staffing, we work with allied health professionals every day who are navigating these exact tensions—trying to show up for patients while also showing up for themselves. If you’re looking for a placement that actually respects your boundaries, or if you just want to talk through what a healthier work situation might look like, our recruiting team is here. Reach out anytime at contact@intuites.healthcare or visit intuites.healthcare. No pressure. Just people who get it.
Because you deserve to take your own advice, too.
#TherapistSelfCare #AlliedHealthBurnout #ClinicianWellness #OTPT #PhysicalTherapist #OccupationalTherapist #SpeechPathologist #RespiratoryTherapist #SurgicalTech #HealthcareBurnout #SelfCareForClinicians #TherapistLife #AlliedHealthProfessionals #TakeYourOwnAdvice #HealthcareStaffing
Looking for a healthcare team that truly sees your value?
The Intuites Recruiting Team is here to listen, support your career, and connect you with roles across the USA — when you're ready.
