1. Anger or irritability which is affecting my satisfaction with life
2. Sense of reduction or loss of control in aspects of my work or life
3. Singled out, isolation or tendency towards distancing from my peers
4.
Over- or under-activity
relative to my usual pattern
5. Anxiety or depressive symptoms
6. Changes in appetite or eating habits
7. Insomnia or poor quality sleep
8. Changes in libido (particularly reduction)
9. Emotional distancing from patients or office staff
10. Tendency towards withdrawal from family, friends, group activities
11. Concerns about my competence or ability to make decisions
12. Hesitation to take on difficult problems or demanding patients
13. Compulsion to order more testing of patients
14. Less willingness to take on administrative decisions or activities
15. Thoughts about changing careers or limiting practice
16. Physical symptoms which are different or worse from normal
17. Fatigue, or reduced energy levels
18. Loss of enjoyment in practice
19. Loss of interest in recreation
20. Drawn towards mindless pursuits, e.g. television, internet
21. Frustration that no end is in sight
22. Stymied by the system from dealing directly with the problem
23. Questions about value of persisting in medicine
24. Intrusive thoughts or compulsions
25. Alone in efforts to vindicate myself from an unfair accusation
26. Helpless or hopeless to change the course of events
27. Impulse to do something drastic or dangerous
28. Thoughts about benefit of ending it all