Rethinking Burnout: Moral Injury & Sustainable Care for Birth Workers

Dr. Hillary Melchiors sits down with clinical psychologist Dr. Kerry Makin-Byrd for a grounded, experience-led conversation about burnout, moral injury, and the emotional weight of long-term birth and mental health work. Dr. Makin-Byrd reflects on moving from Colorado to New Zealand and how that shift reshaped her clinical practice and her own recovery. Taking apart the myth that burnout is a personal failing, they make the case that systemic factors, not individual shortcomings, drive the exhaustion so many birth workers carry. Covering boundary-setting in a field that rarely rewards it, they directly and practically confront the value of professional support for providers, and what "good enough" care actually looks like when perfection stays just out of reach. This one episode won't define burnout for you, but speaks honestly about what to do when you're in it, why it is not your fault, and what might actually help.