Avoiding Burnout in Funeral Service Preventative Strategies and Mental Health Support By Sam Ore, Trauma Therapist, Redtail Mental Health In the decade since I started my career as a trauma therapist, I’ve worked with many first responders. These are the folks doing more than their share of emotional labor, whose daily experiences include participating in the worst moments in the lives of strangers: police officers, nurses, firefighters, paramedics and social workers — people with long hours and weird schedules, endless paperwork and frustrated spouses, low wages and the occasional life-threatening situation. They tend to show up in my office in various presentations of burnout. Burnout is “a response to occupational stress characterized by exhaustion, cynicism, aloofness and reduced performance capacity among workers.” It can be expressed psychologically in symptoms like depression, overuse of numbing behaviors and withdrawal from relationships, but it is rooted in the nervous system, and often shows as fatigue, disinterest or a suppressed immune system. In advanced stages, it compromises a person’s ability to perform their job, attend to their relationships and literally feel happy. Burnout is not uncommon. Recent data estimates that it affects up to a third of healthcare workers and results in at least $500 billion in lost revenue to the U.S. economy. That’s between $4,000 and $20,000 in lost productivity per worker, according to a 2025 study in the American Journal of Preventive Medicine. It’s fair to rank burnout among the biggest occupational hazards of the helping professions. The factors that precipitate burnout tend to be complex and the result of cumulative stress at both an individual and organizational level. Individuals with pre-existing mental or physical health concerns, trauma histories and stressors outside of work, such as parenting, are more likely to experience burnout symptoms. Organizations that rely on shift work, offer limited financial compensation, or where employees are faced with moral injury or a diminished sense of control have seen much higher rates of burnout. Perhaps this is starting to sound familiar? This article sprang a friendship with a mortician who let me into her world as a deathcare worker and even shared some research on the toll that this job can take. These studies confirmed my hunch that deathcare workers are challenged with the same stressors as other first responders. For example, the rates of Post-Traumatic Stress Disorder (PTSD) are three times higher in funeral directors than the general population. Striking to me was that many funeral directors, much like police officers, report an element of stigma to their jobs that can represent a barrier to care. And, as you might guess, stigma is a risk factor for burnout. So how should funeral directors think about burnout? Because the factors associated with burnout are unique to each individual experience, a wide range of interventions may be appropriate. That said, I get a lot of mileage from the work of Andrew Laue, another Montana-based clinician and creator of the STAR-T resiliency model, who points out that resilience in the face of chronic stress is predicted by awareness and connection. This means that when you really boil it down, the most resilient individuals are those with the habit of noticing their emotional and physiological state (us therapists like to call this emotional intelligence) and connecting with other humans (and animals) in ways that help regulate their nervous systems. Likewise, the most resilient organizations tend to have teams that are mutually supportive and responsive to the needs and abilities of the individual workers. DIRECTORS DIGEST | 17
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