Skip to content
  • About
  • Contact
  • Contribute
  • My Book
  • Careers
  • Podcast
  • Transcripts
  • Speaking
KevinMD
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • My Book
    • Careers
    • Podcast
    • Transcripts
    • Speaking
KevinMD
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • My Book
    • Careers
    • Podcast
    • Transcripts
    • Speaking
  • About Kevin Pho, MD, Founder of KevinMD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Custom enhanced author page pricing
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • 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
  • Upgrade to the KevinMD enhanced author page

Coping with survivor guilt: wisdom from Saadi Shirazi and Viktor Frankl

Farid Sabet-Sharghi, MD
Physician
March 3, 2026
Share
Tweet
Share

When someone you love is in a different location and suffering while you are safe, a heavy silence begins to fill the room. This survivor guilt is one of the most difficult burdens to carry because it turns even the smallest joys, a hot cup of tea, a peaceful morning, or a moment of laughter, into something that feels like a betrayal. The heart constantly asks: Why them and not me?

I believe this happens because we are not truly separate. When we love someone, we exist in a unified field with them. Their pain becomes our pain because our spirits are joined.

The unified essence of humanity

The 13th-century Persian poet Saadi Shirazi captured this perfectly in his poem Bani Adam, which I often return to when the weight feels too much. He wrote that the sons of Adam are limbs of each other, having been created of one essence. When the calamity of time affects one limb, the other limbs cannot remain at rest. He concludes that if you have no sympathy for the troubles of others, you are unworthy of the name of human.

To me, these words mean that my restlessness is actually a sign of my humanity. If I didn’t feel this, I would be disconnected from the one essence we all share. Feeling this guilt isn’t a mistake; it is proof of a deep, living attachment.

Dealing with this process isn’t about fixing the feeling, but rather moving through it with purpose.

Moving from guilt to meaning

The first step is acknowledging that this is a normal human experience. It is natural to feel unsettled when a limb of your own body is hurting. I am often reminded of Viktor Frankl’s wisdom, where he noted that suffering stops being just suffering the moment we give it a meaning. I try to view my guilt not as a wall, but as a vector: a force that points me toward what I need to do next.

Guilt is loudest when we feel helpless, so I find it essential to look closely at what I can actually do. We must examine the areas of action available to us. Can I send resources? Can I advocate? Even if I can only offer a steady voice from a distance, taking action reduces the suffering of my loved ones and, in turn, quietens my own guilt.

The healthy limb supports the injured

Finally, I try to shine a philosophical and spiritual light on the situation. Suffering is a hard process, but it is also a crucible for transformation. It forces us to examine our nature and what it truly means to be a human being connected to others.

I have realized that I do not honor those who are suffering by refusing to live my own life. If we are all limbs of one body, the injured limb needs the healthy limb to stay strong. By allowing myself to function, to find meaning, and to act where I can, I am not abandoning them. I am becoming a stronger part of the field we share.

In the end, we move from a guilt that freezes us to a compassion that moves us, proving ourselves, as Saadi said, worthy of the name human.

Farid Sabet-Sharghi is a psychiatrist.

Prev

Medical ethics and AI: Why losing oversight endangers patients

March 3, 2026 Kevin 0
…
Next

Navigating the international dentist U.S. pathway

March 3, 2026 Kevin 0
…

Tagged as: Physician Burnout and Mental Health

< Previous Post
Medical ethics and AI: Why losing oversight endangers patients
Next Post >
Navigating the international dentist U.S. pathway

ADVERTISEMENT

More by Farid Sabet-Sharghi, MD

  • Psychedelics in psychiatry are not a neural reset

    Farid Sabet-Sharghi, MD
  • 35 years after choosing psychiatry as a specialty

    Farid Sabet-Sharghi, MD
  • Physician retirement is a myth for the ripening doctor

    Farid Sabet-Sharghi, MD

More in Physician

  • The one question that measures physician integrity

    Dr. Saad S. Alshohaib
  • 3 Air Force leadership lessons from three commanders

    Ronald L. Lindsay, MD
  • Narrative medicine is what AI in medicine cannot replace

    Muhammad Mohsin Fareed, MD
  • The attention economy is starving public health

    Paul Dranichnikov, MD, PhD
  • Physician burnout is not the whole diagnosis

    Gus W. Krucke, MD
  • Physician advocacy can close the gap between appointments

    Samantha Jackson Dilts, MD
  • Most Popular

  • Past Week

    • The MCAT requirement persists as a norm, not as a tool

      Aniruth Ananthanarayanan | Medical Education
    • Leaving insurance-based practice while burned out is a trap

      Suzanne Gilberg-Lenz, MD | Physician
    • The gut microbiome and mental health are interconnected

      Sidhartha Gautam Senapati, MD | Conditions and Diseases
    • Why are doctors prosecuted for prescribing opioids?

      Richard A. Lawhern, PhD | Conditions and Diseases
    • When difficulty swallowing pills looks like noncompliance

      Laurel A. Coons, PhD | Conditions and Diseases
    • Insurance consolidation is a patient safety problem

      American Society of Anesthesiologists | Health Policy
  • Past 6 Months

    • Primary care crisis requires new training and skills

      Justin Oldfield, MD | Physician
    • The MCAT requirement persists as a norm, not as a tool

      Aniruth Ananthanarayanan | Medical Education
    • Polycystic ovary syndrome is more than ovarian

      Oluyemisi Famuyiwa, MD | Conditions and Diseases
    • DEA fear is reshaping how doctors prescribe

      Ronald L. Lindsay, MD | Physician
    • Why physicians miss business owner stress in patients

      Timothy Lesaca, MD | Physician
    • Reclaiming the lost art of the physical exam

      Ann Lebeck, MD | Physician
  • Recent Posts

    • How to lead a team through uncertainty without breaking trust [PODCAST]

      The Podcast by KevinMD | Podcast
    • Clinical documentation workflow is not just an AI fix

      Sterling Garde | Health Technology
    • How patient advocacy in the hospital can prevent a stroke

      Ashley Youngdale | Conditions and Diseases
    • The hidden link between childhood trauma and addiction

      Ronke Lawal, MBA | Conditions and Diseases
    • Early Alzheimer’s detection is now a treatment decision

      Dr. Emer MacSweeney | Conditions and Diseases
    • Branding a medical practice is not vanity, it is trust

      Ashley Gay | Physician Finance

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 MCAT requirement persists as a norm, not as a tool

      Aniruth Ananthanarayanan | Medical Education
    • Leaving insurance-based practice while burned out is a trap

      Suzanne Gilberg-Lenz, MD | Physician
    • The gut microbiome and mental health are interconnected

      Sidhartha Gautam Senapati, MD | Conditions and Diseases
    • Why are doctors prosecuted for prescribing opioids?

      Richard A. Lawhern, PhD | Conditions and Diseases
    • When difficulty swallowing pills looks like noncompliance

      Laurel A. Coons, PhD | Conditions and Diseases
    • Insurance consolidation is a patient safety problem

      American Society of Anesthesiologists | Health Policy
  • Past 6 Months

    • Primary care crisis requires new training and skills

      Justin Oldfield, MD | Physician
    • The MCAT requirement persists as a norm, not as a tool

      Aniruth Ananthanarayanan | Medical Education
    • Polycystic ovary syndrome is more than ovarian

      Oluyemisi Famuyiwa, MD | Conditions and Diseases
    • DEA fear is reshaping how doctors prescribe

      Ronald L. Lindsay, MD | Physician
    • Why physicians miss business owner stress in patients

      Timothy Lesaca, MD | Physician
    • Reclaiming the lost art of the physical exam

      Ann Lebeck, MD | Physician
  • Recent Posts

    • How to lead a team through uncertainty without breaking trust [PODCAST]

      The Podcast by KevinMD | Podcast
    • Clinical documentation workflow is not just an AI fix

      Sterling Garde | Health Technology
    • How patient advocacy in the hospital can prevent a stroke

      Ashley Youngdale | Conditions and Diseases
    • The hidden link between childhood trauma and addiction

      Ronke Lawal, MBA | Conditions and Diseases
    • Early Alzheimer’s detection is now a treatment decision

      Dr. Emer MacSweeney | Conditions and Diseases
    • Branding a medical practice is not vanity, it is trust

      Ashley Gay | Physician Finance

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...