Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
  • About KevinMD | Kevin Pho, MD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Discounted enhanced author page
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • Group vs. individual disability insurance for doctors: pros and cons
  • KevinMD influencer opportunities
  • Opinion and commentary by KevinMD
  • Physician burnout speakers to keynote your conference
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Primary care physician in Nashua, NH | Kevin Pho, MD
  • Privacy Policy
  • Recommended services by KevinMD
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The biggest mistake doctors make when purchasing disability insurance
  • The doctor’s guide to disability insurance: short-term vs. long-term
  • The KevinMD ToolKit
  • Upgrade to the KevinMD enhanced author page
  • Why own-occupation disability insurance is a must for doctors

Coming back from the brink of burnout

Anthony Avellino, MD, MBA
Physician
January 23, 2022
Share
Tweet
Share

I understand what it feels like to be in the depths of depression and hopelessness. I have had a lifelong battle with stuttering, obsessive-compulsive tendencies, depression, and suicide.

I continually fight these battles and have learned to heal and recover through family, friends, and ultra-running. Since attempting to take my life on September 12, 2009, I have developed wellness tactics to help me journey through life to achieve optimum performance and to have a better work-life balance to lead a more healthy, peaceful, and purposeful life.

It is important to have mental health, physical health, and relationship health so that one has a plan, enhanced energy, and stress tolerance. Having a plan is essential for developing the confidence to achieve your goals. I wish I knew 35 years ago what I have come to learn as I would have been able to live a more peaceful, happier life.

I have learned that the road to a healthier, more purposeful life requires that you listen to discover your life’s journey, learn from your failures, and then take steps to heal. My hope is to help others gain insights and skills they need to heal, find purpose and live their best life. I do not want anyone to ever be on the brink of suicide as I was.

The COVID-19 global pandemic has made many of us experience fear, anxiety, and depression, due to the isolation, lack of structure, financial uncertainty, new work from home realities, childcare pressures, and working long hours under threat of infection. These stressors have all impacted our mental health and overall well-being.

Since my suicide attempt, I have found inner peace through endurance ultra-running races, which are running events longer than a marathon: 50 kilometers, 50 miles, 100 kilometers, and 100-mile races. I find that ultra-races are just like the “Hills of Life” (see image below). You need to prepare — start–work as a team — stay focused — finish. Training and competing in ultra-running races continue to help me learn self-coping skills to overcome mental and physical challenges. When running through the mountains on rugged terrain during an ultra-race, I find that mental toughness is more important than physical endurance.

Long-distance ultra-running is what keeps me connected with helping others, both spiritually and emotionally. It has helped me cope with adversity and learn about myself in more ways than I dreamed possible. During some of the most difficult times of my life, I have found hope, healing, and purpose on the trails. I am at total peace on the trails. I still struggle with my demons, and my pain from depression is worse than a physical injury. When I cycle into a depressed state, I cannot sleep, think clearly, make decisions, or eat. I also have shoulder pain and have bad thoughts. I have realized that how one handles setbacks and failure is key to developing resiliency and well-being.

I want to share three tools with you to achieve better work-life balance and lead a healthy, peaceful, and purposeful life:

  1. Make a plan
  2. Improve efficiency
  3. Be a corporate athlete

My wife and I developed “TACTICS” to achieve a healthier, peaceful, and more purposeful life with optimum mental, body, and spirit performance. I encourage you to practice your “TACTICS” daily to be your best:

Take time for yourself and lead a peaceful life
Always eat healthily, exercise and sleep
Continually self-improve and remain coachable
Treasure family and friends
I choose the day I have
Control disappointments and respond positively
Smile and laugh

 

Anthony Avellino is a pediatric neurosurgeon.

Image credit: Shutterstock.com

Prev

Eating disorders thrive in secrecy, so let’s talk about it. Starting with BMI.

January 23, 2022 Kevin 0
…
Next

Why travel bans in response to Omicron are harmful

January 23, 2022 Kevin 1
…

Tagged as: Psychiatry

< Previous Post
Eating disorders thrive in secrecy, so let’s talk about it. Starting with BMI.
Next Post >
Why travel bans in response to Omicron are harmful

ADVERTISEMENT

More by Anthony Avellino, MD, MBA

  • A patient reached out to a doctor, and they helped each other heal

    Anthony Avellino, MD, MBA & Kim Downey, PT
  • Why would a pediatric neurosurgeon go crab fishing in the Bering Sea?

    Anthony Avellino, MD, MBA
  • Destigmatize burnout and let those facing pain in silence know they are not alone

    Anthony Avellino, MD, MBA

Related Posts

  • Chasing numbers contributes to physician burnout

    DrizzleMD
  • We are on the brink of a crisis-level physician shortage in the United States

    Jamie Katuna
  • Physician burnout is as much a legal problem as it is a medical one

    Sharona Hoffman, JD
  • Despite physician burnout, medical schools are still hard to get into. Why is that?

    Suneel Dhand, MD
  • A medical student’s reflection on burnout

    Sarah B. El Iskandarani
  • What are your health goals for the coming year? [PODCAST]

    The Podcast by KevinMD

More in Physician

  • The 9 laws of health care quality: Why metrics miss the point

    Constantine Ioannou, MD
  • Night shift health tips: How to protect your circadian rhythm

    Chinyelu E. Oraedu, MD
  • Health care market distortion: How government intrusion hurts medicine

    Allan Dobzyniak, MD
  • Securing physician autonomy with employer-sponsored direct primary care

    Dana Y. Lujan, MBA
  • The mathematics of merit: Quantifying bias in medical malpractice

    Howard Smith, MD
  • Medical relevance and evolution: Why physicians must reinvent themselves

    Adam Bitterman, DO
  • Most Popular

  • Past Week

    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy
    • Why does sex work seem like a more viable path than medicine in 2026?

      Corina Fratila, MD | Physician
    • The future of U.S. medicine: 10 health care trends in 2026

      Richard E. Anderson, MD & The Doctors Company | Physician
    • The passion vine: a lesson on restraint in medicine and life

      Rao M. Uppu, PhD | Conditions
    • Navigating the patchwork of CME requirements by state

      Vladislav Tchatalbachev, MD | Physician
    • The Platinum Rule in health care: Moving beyond the Golden Rule

      Harvey Max Chochinov, MD, PhD | Conditions
  • Past 6 Months

    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy
    • Menstrual health in medicine: Addressing the gender gap in care

      Cynthia Kumaran | Conditions
    • Why does sex work seem like a more viable path than medicine in 2026?

      Corina Fratila, MD | Physician
    • From Singapore to Canada: a blueprint for primary care transformation

      Ivy Oandasan, MD | Policy
    • How board certification fuels the physician shortage crisis

      Brian Hudes, MD | Physician
  • Recent Posts

    • Heat therapy activates proteins that repair cells and protect the heart [PODCAST]

      The Podcast by KevinMD | Podcast
    • The 9 laws of health care quality: Why metrics miss the point

      Constantine Ioannou, MD | Physician
    • The evolutionary intelligence of human milk: HMOs and lactose

      Rao M. Uppu, PhD | Conditions
    • The hidden risks of AI-generated progress notes in psychotherapy

      Arthur Lazarus, MD, MBA | Tech
    • How AI in dentistry is changing your next checkup

      Sowjanya Gunukula, DDS | Tech
    • Grief and healing: Learning to live with absence

      Michele Luckenbaugh | Conditions

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy
    • Why does sex work seem like a more viable path than medicine in 2026?

      Corina Fratila, MD | Physician
    • The future of U.S. medicine: 10 health care trends in 2026

      Richard E. Anderson, MD & The Doctors Company | Physician
    • The passion vine: a lesson on restraint in medicine and life

      Rao M. Uppu, PhD | Conditions
    • Navigating the patchwork of CME requirements by state

      Vladislav Tchatalbachev, MD | Physician
    • The Platinum Rule in health care: Moving beyond the Golden Rule

      Harvey Max Chochinov, MD, PhD | Conditions
  • Past 6 Months

    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy
    • Menstrual health in medicine: Addressing the gender gap in care

      Cynthia Kumaran | Conditions
    • Why does sex work seem like a more viable path than medicine in 2026?

      Corina Fratila, MD | Physician
    • From Singapore to Canada: a blueprint for primary care transformation

      Ivy Oandasan, MD | Policy
    • How board certification fuels the physician shortage crisis

      Brian Hudes, MD | Physician
  • Recent Posts

    • Heat therapy activates proteins that repair cells and protect the heart [PODCAST]

      The Podcast by KevinMD | Podcast
    • The 9 laws of health care quality: Why metrics miss the point

      Constantine Ioannou, MD | Physician
    • The evolutionary intelligence of human milk: HMOs and lactose

      Rao M. Uppu, PhD | Conditions
    • The hidden risks of AI-generated progress notes in psychotherapy

      Arthur Lazarus, MD, MBA | Tech
    • How AI in dentistry is changing your next checkup

      Sowjanya Gunukula, DDS | Tech
    • Grief and healing: Learning to live with absence

      Michele Luckenbaugh | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...