Tess Howells

We talk a lot about burnout, but not about what happens when carers know what good care looks like and are stopped from providing it. That is moral injury, and it is different.

We admire the carer who keeps going. But resilience can slip into endurance without us noticing, and the person who burns out is often the one who coped for too long.

We know that caring under sustained pressure over time impacts not only our emotional health, but also our physical health. One less known and understood bio-marker of chronic stress is homocysteine.