You may have landed on this post after Googling something like “unhappy with my occupational therapy job” or “burned out being an OT” or maybe even “sick of my OT job.”
If so, I’m sorry to hear that you’re feeling this way! But I know that everyone has rough days in this field, and I hope this post can give you some comfort and clarity of why you might be feeling like this.
Burnout is a tough topic to address since we all want to believe that every position as an occupational therapist or COTA will be a great one.
We learn in school how meaningful our profession is (which it is!) and come out thinking every job will be fantastic. But in reality, this isn’t always the case.
I’ve learned through my own personal fieldwork and job experiences along with my occupational therapist friends’ experiences that not all occupational therapy jobs are created equal. Some can leave you feeling frustrated and even downright miserable.
This post covers the most common reasons I hear of why OTs are frustrated or unhappy with their jobs. I also will offer some solutions to these common problems so you can get back to (or start!) doing what you love.
1. You’re In What Feels Like an Unethical Setting
More and more therapy companies are hiring new grads to unknowingly commit ethical violations in order to make the companies more money. This can include treating inappropriate patients who do not need skilled therapy, keeping patients on for far longer than what is beneficial, and more.
You can read more about ethical dilemmas in my post titled Ethical Dilemmas in Occupational Therapy. The post covers the most prevalent situations that OTs may find themselves in, especially as new grads.
Needless to say, working in a setting like this is sure to cause extreme burnout, and you should definitely get out of it as soon as you can. You’ll be glad you did.
2. Productivity Demands Are Too High
While it may not seem blatantly unethical, many companies have productivity targets that are way too high to be able to ensure proper care and documentation of patients.
Therapy should be treated as the helping profession that it is, and not a factory with demands so high many therapists don’t even have time to use the bathroom.
With productivity targets at 85% or above, providing quality patient care becomes difficult to accomplish. I’ve learned that point of service is really hard when I’m trying to do either a hands on treatment or quality ADL retraining.
I’ve found that hospital OT positions generally have better, more realistic productivity requirements. While it can still be stressful to get done documenting in time, I love that I can actually pay attention to my patients.
3. You Don’t Have Proper Mentorship
Many new grads get into positions where they are the only OT, or even the only therapist at times. This is SUPER stressful since you don’t have anyone to guide you or answer questions, and you really are “thrown to the wolves.”
If you’re a new grad in this situation, I recommend taking the time to find a new position where there are other OTs around to help guide you. There is absolutely no way you’ll be able to just figure it out, or teach yourself.
It’s a lot of work finding a new job, especially after finally landing your first one, but mentorship is so important your first one to three years.
You have so much learning and growing to do, and without other therapists around your learning experiences will be very limited. I’ve found that the hospital settings are the best for learning and for being around other therapists to help show you the ropes.
4. You Haven’t Found Your Setting
It seems many new grads jump into the first job they can get, since it can be really hard to get your first job. It is definitely easiest to get a job in a SNF versus landing your dream job in pediatrics, rehab, hands (or insert your ideal setting here).
While geriatrics positions might pay well, if your heart isn’t into it you definitely won’t be happy.
If this is the case, don’t stop looking for a position in your favorite setting. Keep applying, and don’t give up!
I applied three times to my current inpatient rehab job after I already started working at another position that wasn’t a good fit for me. I’m so glad I did, because I finally got that call back and am so grateful to be an OT in the hospital-setting.
5. You’re Getting Bored With Your Interventions
This is super common. You have your toolbox, and know what interventions work for you. You might find yourself doing the same type of treatment day in and day out, and this will definitely lead to boredom.
I’ve certainly been in this situation. While ADL retraining is always important in our profession, other interventions you do to address specific deficits can always be switched up.
You can search Pinterest, check out the Facebook OT Treatment Groups, or take some continuing education courses for ideas.
I personally use MedBridge Continuing Education for ideas since it’s all online and provides unlimited courses for the year. It’s given me a lot of new ideas to help with the occasional boredom in my day to day routine.
6. You’re Feeling Bored in Your Setting
If you’ve tried switching up your interventions but still feel bored in your setting, you could try switching to PRN and get a second PRN job in a different setting. This way you get the variety of two different settings part time instead of only one setting full time.
This is what I’ve done for the last year, and really like it. I’m always on my toes switching back and forth from inpatient rehab to very different diagnoses and treatments in acute care.
While juggling multiple PRN jobs might seem difficult, if your hospital has multiple areas, you can usually cross-train and stay within the same system.
7. You Are Always Thinking The Grass Is Greener Somewhere Else
And you wonder if you’re missing out by working in a setting that isn’t everything you’ve imagined. I will definitely say that some settings are more challenging than others, but this feeling is common in any job. Every job has its ups and downs, whether it’s OT or a completely unrelated field.
While this is a normal feeling, before you jump into another setting that may make you feel just as stressed, take some time to reflect before you make a major change. If you’re in an an unethical environment, that may be reason enough to make a big change.
When interviewing for a new position, be sure to ask about productivity requirements, expected caseload, hours you will actually get, mentorship (if needed), etc. before jumping in to a job situation that might be worse than your current job.
7. Your Workload Is Way Too Much
This one might be a little controversial, since we’ve been programmed since we were young to think we have to work as much as possible at least 5 days a week job from graduation until we retire.
But honestly, being an occupational therapist is hard. It’s physically demanding, mentally demanding (so much documenting!), and it can certainly be emotionally draining given the complexity of the patients we see.
Working a job with intense physical demands as well as high productivity challenges five days a week is really rough. I’ve seen this in myself, my friends, and my coworkers at the end of each day and week that it’s really hard to have any energy to get anything else done.
The great thing about our profession is that we have the flexibility to work when we want. I personally love working PRN four days a week at times, while earning more hourly than the full time rate. That way my total compensation isn’t lower as a result of working a few less hours.
Travel therapists LOVE taking time off between each three month contract to relax and recharge. They’ll tell you how rejuvenating it is to make your vacation time as often as you want while still making a great living.
While our student loans are high and you might feel like you can’t afford to take time off to travel or work less than five days a week, there are other ways to add to your bank account. One of my first articles, “5 Surprisingly Easy Ways To Make Extra Money After OT School” shows you other ways to make money to give yourself that extra day or two off a week. With the additional income, you’ll have more time to rest or get other things done which can really help with that burned out feeling!
I hope this post helps give you some clarity of why you might be feeling unhappy and what solutions you can take to increase your satisfaction as an occupational therapist.
Remember that every job will have its ups and down. If it’s really weighing on you to try something else or get into a different setting, think it through and make sure that the next setting will have what your current setting is lacking.