This transcript explores a deeply personal and emotionally charged therapy session from Esther Perel’s podcast *Housework*, where a married couple confronts the intertwined nature of their professional lives and personal identities. One partner, a physician, reflects on how years of being a "sponge" absorbing patient suffering have left him emotionally depleted, with little energy to give to his family. He expresses a painful desire to leave medicine, not because he lacks skills, but because the work has become unsustainable and soul-deadening. His partner, meanwhile, is trapped in a cycle of empathy and frustration, where her work demands constant engagement with global crises, leaving her emotionally raw and unable to disconnect. The couple reveals how both have internalized cultural expectations—particularly from their families—that success is measured by endurance and sacrifice, making it difficult to acknowledge vulnerability or consider change. The session highlights how professional burnout has spilled into their relationship, creating a cycle of blame, self-criticism, and empathic distress. Both feel the weight of societal and familial pressure to "stay strong," which has blocked honest dialogue and mutual support. Ultimately, the conversation underscores a profound truth: when work defines identity, leaving it becomes not just a career decision, but a deeply personal and emotionally painful act of redefinition. The session ends with a recognition that healing begins not with a decision to quit, but with the courage to rebuild a relationship rooted in vulnerability, care, and mutual understanding. The mention of Starbucks' Pumpkin Spice Latte serves as a symbolic backdrop—representing seasonal change, comfort, and the quiet hope of new beginnings.
Hello, Where Should We Begin listeners. This is Esther Perel. I'll be back with Season 5 later this year.
But in the meantime, I wanted to share with you some of my favorite episodes from my other podcast, Housework.
Housework tackles the essential questions and conversations that pertain to our professional lives at this moment, to our work lives.
The conflicts, the conversations, the connections, the partisanship, the secrets, the identity questions that we grapple with.
All through a one-time therapy session with peers, co-founders, colleagues, co-workers.
And I curated a few episodes for you that I think touch to the heart of the matter because the session seemed so timely.
I hope you enjoyed these episodes from Season 2 of Housework.
And if you want to find out more, you head to Spotify where you can listen to the entire season for free.
See you there.
Esther.
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I had an eight-year affair with my career.
It took a crisis for him to find out.
You've said before that sometimes the solution to our problems should be just to lie better.
I'm not saying that anymore.
I knew that I would slip and the truth would come out, so it was better that it came out from me.
It was better that I not continue the lie.
And I just tell him.
In Where Should We Begin, I often explore secrets.
But they often are romantic secrets.
Family history secrets.
But this is how it works.
They came to talk about the day.
Deep conflicts and the secrets that they both carry surrounding their work.
The work I do is not nearly as sexy as people think it is.
There's a perception of what it is.
And it is not that.
One person can't talk about what she does.
And one person can't talk about the fact that he no longer wants to do what he does.
Being a physician is like being a sponge.
Every patient.
Every patient that you see, you take something from them and keep it with you.
And I think my sponge is full.
During the height of the coronavirus pandemic, he was at home.
And he described it as a very emasculating experience.
Crisis came.
Some people were drawn to the fire.
And some people were pushed away.
He didn't go to the hospital setting.
And I'm not sorry.
I know how dangerous COVID is.
I've watched enough people die.
I'm glad he wasn't one of them.
Is that selfish of me?
Yes.
Did you know I was secretly happy that you were safe here?
I guess it would be nice to get my hands a little dirty.
She has that opportunity.
She has that opportunity too much.
I can help him get his hands dirty.
Jodi, I don't think he'd like it much.
I think that both of us have lost sense of who we were before we started down this long road.
And the journey that we took both professionally and personally ran and continues to run concurrently.
And while our marriage has issues, you know, we have issues in our own individual lives that we need to deal with.
And we also need to deal with how they intertwine with our marriage and our relationship.
First degree.
I'm sure that every time we will go a layer deeper, but as a first layer, what are we talking about?
When you say,
you know,
we've lost ourselves,
I think,
where did they begin?
Where did they land?
When you say we have our own individual issues,
I say,
what are his?
When you say it also involves work,
I say,
what's just happened?
And I would probably start with the more recent and then move backward because I think that there's a lot of changes happening in our work lives.
So you can pick whichever one of those three to start.
And I will just keep my foot on the pedal.
I've been a physician now for about 15 years, more than that.
Actually, the decision to become a physician was made before I knew what being a physician was all about.
The decision to become a physician put me on a train that I didn't have to get off of until the very end of the journey.
I didn't have to get off.
I didn't need to get off.
I didn't want to get off and look at anything else along the way.
We continued to work and sacrifice and look forward to arriving at an ultimate goal.
Now that I've been there for a while,
I'm not sure if I want to stay at that station.
And it is hard for me to imagine myself doing anything else but what I have worked at for so long.
And yet I know I need to change.
But that is very scary.
And it brings out a lot of insecurity.
Because I've never had to prove that I can do anything else other than what I'm doing now.
And I do it well.
Very well.
Can I ask you to hold one moment?
Tell me if I heard that accurately.
I have always known.
And wanted to be a physician.
I have never known to be anything else.
And yet I no longer have the fire.
And I'm wondering if I am to be, not just to do something different, but to be someone different.
This is not just a change of what I do.
This is almost an identity shift.
It's a fundamental identity shift.
It will be an identity shift that many people will not understand.
And whatever necessary risks I have to take to search for whatever it is I want,
which I'm not exactly sure what that is, but I know it's not this.
Sometimes just a very uttering of, "I don't want to do this anymore."
It's such an ominous statement that feels almost like a taboo.
Because your whole identity is wrapped up in this.
You spent so many years investing in this, studying it.
How can you suddenly say, "I'm done.
I don't want to be at this station."
But he said, "I don't want to be at this station."
But his dilemma is not unique, and it is actually a statement
that many people find themselves making at some point in their life.
Some people or many people may not understand it,
but is it accurate if I say,
if I understand it and if my wife understands it,
those are the main protagonists of this transition?
Those are the main protagonists of this transition?
Of this loss, of this redefinition,
and of this probably new life that this will create for us?
Yes, we will be the ones who hopefully will expect the benefit.
We will be the ones who potentially will pay the price for failure.
But the embarrassment of failure will spread beyond
just the walls of the house and the marriage.
And that's real.
Who are we talking about?
But who's the Greek chorus?
Certainly my parents.
As a middle-aged man, still searching for an understanding
that I probably am not the person that they thought I would be.
And the fundamental break in the relationship between my wife
and my parents has to do with that.
Marrying her took me in a much different direction, I think,
than they envisioned.
And therefore, they were not prepared to see me go off
in a different direction.
What religion did you grow up in?
Episcopal.
And was her being Jewish an issue?
That sent them to therapy themselves.
Because if my son marries a Jewish woman,
then she's nodding, so I'm just going to continue to ask.
What, that we had children that are Jewish?
His mother was, I think, delighted that we never had children
because they would have been Jewish.
They would have had, in their own words, mixed blood.
They used those terms.
Those sting.
I come from a family that had Holocaust survivors as grandparents who escaped.
And that stung, to say the least.
That stung.
It still stings.
It burns.
It burns every day.
I see it.
I feel it as you say it.
And did, but he pursued you anyway.
He took the bravest leap of all.
And to say it, it's been 19 years.
That's insane.
That's insane.
If you knew me,
you'd know how insane that was.
I'm hoping to get to meet you in a minute.
That is a little insane.
But basically, I didn't marry who you wanted,
but at least I have the profession that you wanted.
And I've done you proud by my profession.
And if I give that up now,
then I basically have nothing left for you to actually look to me for.
I have not put it in those concise words,
but that's probably,
you know,
we don't live there.
Not a doctor anymore.
Didn't give him any grandkids.
Not there when they get older.
Pretty much, I guess,
the things one would expect from a child.
Are you an only child?
I have a brother.
And where is he?
Much closer to my parents' heart than I am.
And he's a doctor too?
No, he's not.
What was the other profession that was expected?
He works,
uh,
he works with my father in the business and he,
he is single and gay in the closet.
It is our belief that one of the reasons he cannot come out of the closet is for
fear of the reaction.
He would be kicked out of the business.
Maybe not kicked out of the business,
but he would certainly be looked at if they couldn't handle marrying a Jew.
I think that being gay takes it to another level.
Which is the parent that you fret about most when you think about leaving medicine?
I think that my father is likely to be more proud of the fact that I'm a physician,
but leaving the profession would probably sting harder with my mother.
The more I listened to him,
the more his kind of affect less tone stirs intensity inside of me.
My producer thought that it was a kind of a doctor's cadence.
I began to question to what extent am I in the presence of repressed anger and that this anger is the consequence of a conflicted sense of loyalty that he has towards his partner.
So I started to question to what extent am I in the presence of repressed anger and that this anger is the consequence of a conflicted sense of loyalty that he has towards his partner.
Rage at himself for what he did and didn't do.
Rage at the family for squeezing him,
for making it impossible for him to make certain choices freely,
for all the losses that he had to live with.
Certainly what we've said thus far has painted a pretty bleak picture of him.
Are my parents perfect? They are not.
No, no, no. This is not about bleak.
This is about a son who is acutely aware when he disappoints his parents,
who is deeply attached to them, doesn't want to upset them,
and has done all kinds of things to try to lessen the volume of their voices,
their voices.
inside of him.
It's a love story. It's not a bleak story.
His father is wonderful.
His father is lovable.
I feel like I have to speak there because he is.
He's amazing.
He's a polio survivor.
He built a life from nothing.
I wouldn't want to disappoint him if he were my father.
I don't have children, so it's difficult for me to imagine how a parent feels about a child
and the expectations, the vision, the dreams that you would have for them.
I think that my parents want only the best for me.
I think that they want me to be happy.
They sense that I am unhappy.
Can I ask you why you don't want to stay at the station?
I think as hard as you might try, being a physician is like being a sponge.
It needs to be wrung out so that it can absorb more things.
I know that.
I know that.
When I come home, there's nothing much left for the people and the person that I love and care for the most.
It has been spent elsewhere on other people in a much more superficial way.
The longer I stay a physician, the more I dislike people.
And that's not healthy.
It prevents me from doing my job well.
Eventually, my patients will pay the price.
They haven't yet.
But I can absolutely envision a scenario in which they would.
And they haven't paid a price yet because I still have energy enough to project a facade.
But that facade is certainly much more thin than it used to be.
I do primary care.
Primary care is centered on the management of problems over time.
Which sometimes is a euphemism for not fine.
Not fixing them, but indeed just managing them.
So if you can't sell a fix, then you have to sell yourself to encourage people to get on the train with you.
And that costs something.
So when I envision doing something else, helping people is still a part of that.
But helping people in a different way.
That doesn't require as much and something.
You know, my mother was a schoolteacher.
My father worked in a shipyard for 40 years.
I'm sure that there were times when they didn't want to go to work.
They got frustrated, angry, maybe hopeless.
But they didn't quit.
And certainly part of me definitely thinks that after having. Grown up under their care, having had much, if not all provided for me.
If there's anyone who doesn't have a reason to quit, it's me.
And yet I'm the one who wants to.
His choice of the word quit is very telling.
He could say, I would like to change.
He could say, I would like to try something else that I've been meaning to do for a long time.
He could say, I would like to take some of the skills and begin practicing medicine in a different context.
It is very clear that the word quit puts an entire meaning to this transition that he's contemplating.
And a meaning that is anything but positive.
It is self-loading.
It's Max, of contempt for himself,
of course he can't move
and he's stuck
and angry
about being stuck
and angry
at the people
who remind him
how stuck he is
and that makes me angry
why does that make you angry?
because their choice
to be selfless
is not your burden
to carry
it seems to me
that they chose that path
they gave you something
amazing
something I am often envious of
but they gave it to you
in theory
I remember the worst fight
I ever had with your mother
was right before the wedding
it was about free will
they gave it to you
so you could become
something amazing
because
you are incredibly smart
and I've seen
what you are capable of
they gave you these
they gave him
these toolbox
and he can do anything with it
and
I know that people
go to work
and do horrible things
for their children
much worse than
be a school teacher
or an engineer
but
that doesn't mean
that their children
should not go
and be
fix-up dancers
or
so what if I just went
and told them
I'm going to quit
and they said okay
that might happen
it might silly
that might be it
because that may not
actually be the way
that you would approach them
what you just shared
is the inner dialogue
the soliloquy
but that's not necessarily
the way you talk to them
the way you would talk to them
may involve
first and foremost
how much you appreciate
the path they put you on
and the values
that they
have inculcated in you
including the value of
free will
and agency
and
and diligence
and
integrity
and
the wish to help
etc
and that you've decided
to find
different platforms
different spaces
in which to bring
those values
that you adhere to
no less
the way you're presenting it
I quit
anybody who has
a vocation
like you
if they stop
has only one vocabulary
it's the vocabulary
of quitting
you know
because it's
one passion
is replaced by another
it's the passion
of doing it
and the passion
of not doing it
but when you talk to them
it's about
what are the values
that are involved
in what you do
and that you are going
to translate
into other fields
you will always be a doctor
even if you don't practice
as a physician
properly
but
I'm going to put
three dots
at the end of this
for a moment
and then I'm going to ask
your spouse
here next to you
your partner
because
where are you
and what needs to happen
for you today
and where does
the personal
and the professional
connect
in our conversation
today
for you
I don't know
if I have a personal
and professional
anymore
I'm in a very
different line of work
I have a personal
I have helped people
I have been
a paramedic
I have fixed cars
I've done lots of things
some of them
not so reputable
some of them
reputable
but
what I do now
is I work for the government
I do one job
on the face of it
and then I do
another in reality
and
what I do in reality
comes with a significant
price tag
one that he did not
sign up to pay
I did not sign up
I did not tell him
when I made my decision
I had an eight year affair
with my career
it took a crisis
for him to find out
he found out
or you told him
I told him
I told him
admittedly
I think five
five
with my dying sister
in the next room
and all my family
dead
around me
just
one night
he wouldn't have told me
if you didn't
feel you had
you would have
continued on
I felt I was out of options
I
I had
I couldn't run interference
on too many fronts anymore
I had maintained one job
on the face of things
I had maintained the other
I had been in an ICU
for months
my sister
trying to keep her alive
we had gotten her back
alive miraculously
it was
tenuous
I
it had taken
millions
five states
it
it took
superhuman efforts
even by my
ridiculous standards
and I hit a wall
I knew that I would slip
and the truth would come out
so it was better that it came out
from me
it was better that I not
continue the lie
and I just tell him
so I told him
and so he found out
that he was on
a train
that he never bought
a ticket for
and it was incredibly unfair
and I will live with the guilt
for the rest of my life
every morning I wake up
there will be that
and every night
I go to bed
it's still there
and I'm also tired
like he is
I'm tired
of
all those facades
because there have been
many faces
to me
lots of faces
lots of places
the work I do
is not nearly as sexy
as the work I do
people think it is
there's a
perception
of what it is
and it is not that
it is long nights
in airports
where people
know you better
at an airport bar
than your own family
will ever know you
but like him
I was born into it
I was set on a path
I was
custom built
like a car
for a specific race
and I've driven that track
and the car is now
burning oil
and I'm not
the valves are burnt
it's probably leaking
at exhaust port number four
I'm exhausted
and he carries the burden
of my exhaustion
on top of his exhaustion
and it's ridiculous
and yet here we sit
in the middle of COVID
where we all had to come
colliding together
to do two very confidential jobs
in a very confined space
and my whole world
and network
that I had built
and worked so hard for
and that he has helped
support me
and since I told him the truth
that came crashing down around me
when you couldn't travel anymore
those connections
that interpersonal bond
where you have to meet the person
for them to trust you
you have to meet them
they have to see you in the flesh
you need to share a drink
with them
they need to know
that you can
handle your liquor
because right
you never trust someone
you can't have six beers
you can't have six beers
all those things went away
and I watched my world
dissolving now in a new way
and so here we sit
he wants out of his world
and mine's crumbling around me again
and it's really the only thing
I have left alive
everything else is dead
he is my world
yes
he is everything
if I leave my world
and my job
I leave some of the security
that comes with me
with it
it protects me
we protect our own
her dilemma
is less clear
because in some way
her dilemma
is not being played out
in the session
but is being played out
by the very fact
that she reached out
for the session
listening to her
I thought a few times
what could she be doing
and then I decided
it's none of my business
but it's probably nothing
that I imagined
or maybe even you
are imagining
she applied
she was tired
and fed up
and wanting
at least have the option
of leaving
by coming to doing
this podcast with me
she was basically
creating a path of no return
to make it impossible
to go back
to the place
and that is the dilemma
that is being played out
without my ever knowing
what she actually does
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There are two people who have reached a limit,
but only one of them will be able to leave at this moment
because at least one job needs to maintain
the stability, the economic survival of this family.
And mine is making very poor money at the moment
with no ability to go out into the world.
But is that accurate, what I just said?
That one of you at this moment, it's about in part deciding
which one of you could go?
Could go.
And what are the family repercussions?
The economic repercussions and the safety repercussions?
Yes.
I can make money doing anything.
Probably enough.
So for me, the economics don't matter so much.
I know he worries that I will worry about the economic stability,
but that comes second to physical safety, social safety,
and not seeing him progress in something.
I called him offhand a corpse a couple of weeks ago
in the living room.
It was like watching a corpse do their job.
It was awful, which was a little harsh.
Is that exacerbated because of confinement,
because of COVID-19?
Probably.
Has that pushed everything more exacerbated things?
I would say it's like a frost heave.
It's pushed it up to the surface more so
because we've been in close quarters.
I think as we have become more frustrated in our jobs
and as we have recognized that our frustration shows to each other
and as we have learned my frustration,
with my job, makes her angry for me.
Her frustration with her job makes me angry for her,
but there's no one else to direct that anger at
except the other person.
So oftentimes she gets angry at me for staying at my job.
And she sometimes seems to set out to make my job appear miserable
as if to give me more motivation to leave.
But because I can't leave tomorrow,
it really makes it much harder to actually go into work.
I've tried to turn it down.
Right.
Well, what happens is that you both are so taking over
the experience of the other person
that you enter into a situation that we call empathic distress.
Instead of being able to really be an empathic listener
to the distress of the other,
you take that distress in
and you are unable to be empathic to each other
and you become angry to each other.
And now each of you, on top of your miserable job situations,
you have each other that you need to fight with as well.
We have done much fighting.
Much fighting.
Much more than the last 18 years in the last six months.
Give me a snapshot.
Backyard last night.
In the house last night.
What's the scene?
Just so I have a sense.
A very good example.
My wife obviously needs to stay in touch and connected all the time
with many different people all over the world.
And most of the time,
it seems that the types of things they deal with,
are bad.
So we might be having dinner
or watching a TV show
or going into bed
and my wife, by virtue of her job,
is still way tuned in
to the badness of the world.
And there is no real opportunity
to shut that off
and to kind of break that connection.
So she and I may have dinner
with many more people who are invisible to me.
She used to be able to do things like
just detach and sit and read a book.
That girl is not able to exist anymore.
- Yeah.
The definition of my job is to
care for a million different people
and a million different situations.
A million different cities by virtue of its nature.
- And today, instead of the books, you drink?
- Drink.
Sit in the backyard, scroll through email.
Email, text, messages, signal.
- So he says, "When I come home,
"I've given the best of me to my patients
"and I bring the leftovers home
"and I have nothing left to give to myself or to my wife.
"But you say, at the end of the day,
"there is no end to the day
"because I have to give everything of myself
"to these people.
"And since they're all over the world,
"there is no time zones
"and therefore there is no day and night.
"And I have nothing left to give to myself and to him."
- Yes.
- And you are both depleted
and then you end up taking it out on each other.
- And it starts over again the next day.
- Right.
So the first thing we need to find a way to insert here
is the ability to not make each other
continuously feel worse
about that which you need no help feeling bad about.
- That's true.
- I would say we've both done the self-flagellation exercise
very well.
- Yeah, but then you go back and forth
between blame and self-blame
and you need food.
You need to nurture each other
as you are contemplating major life transitions.
Each of you in your own right are making a,
very important decision.
Even if you only have one of them put into action right now.
If you spend all your energies on fighting each other off,
you will not be able to make any decision about work
because you both are massively isolated
and you are each other's biggest support.
If you don't have that available,
you will not be able to make any decision.
You are each other's most important partner.
You are each other's most important conciliaris here.
But if you experience the other as on the attack,
then you can't ask them to help you,
to sit with you, to ruminate, to think it through,
to calculate the consequences,
the cost and benefits of every inch of the decision.
He has no one to talk to about this,
or at least not in the important cast of characters.
And you have nobody to talk about this.
In your cast of characters.
- We're very isolated, and it has grown worse in COVID.
We're very alone.
- Probably for many people,
the work environment is a lonely one.
I have many acquaintances at work,
people that I work with quite well all day long.
We're pleasant and laugh
and do all of the superficial things that
you do as you are at work.
Am I going to go have a drink with any of them?
Sit down and talk about how I really feel?
feel with any of them no they're not those types of relationships we are employed by an
administration which is oftentimes distant and that's probably characteristic of many
workplace environments no but tell her that you came from something better explain that you have
a point of comparison i think just like i do that you came from something that worked your prior
practice and so you know how isolated you are now i think that is a point of pain here for him he
knows it can be better and if you know there is better out there what you're experiencing is 10
times worse yes that is true i came from somewhere that's different i came from somewhere where i
was an owner
and when i first started working where i am now i was frustrated because of the differences
and i was frustrated that we were unable to accomplish things and be the type of doctor that
i was but you never think do you do you think sometimes i need a different place to practice
rather than i need a different profession so sure
simply doing primary care in a different environment or returning to my former place
of employment and i have thought of that say more my gut tells me that my
dissatisfaction runs somewhat deeper than that
it occurs to me that while he's talking about his gut
he keeps speaking from his head one should actually listen to the dog and not to him
the dog seems to be reacting with the kind of intensity to the matter that he is repressing
do you know how to put your head on his shoulders on occasion
regardless of if you are talking about how you feel but just simply to rest is he good at putting
his head on your shoulder do you know how to support each other just with your hands and body
without having to talk to lean on each other only once one of us is sobbing or angry it has to get
bad before we reach that point it's not a habit we would perceive each other as weak as we did
correct doctors they can never be weak and in my line of work you can never be i think it's more
just our family who showed signs of breaking down you would look weak in my eyes yes forget everybody
else and if i just came in and sobbed sobbed and broke down or i would look weak if i asked you for
help i would seem to be a burden and you would think less of me so it's easier just not to ask and
we also aren't necessarily the best teachers and supporters of each other no no he sounds like
the voice in my head right now if i come home and i tell him i need a hug i failed at picking
myself up off the ground and dusting myself off you've said before that sometimes the solution to
our problems should be just to lie better i'm not saying that anymore if i come home and i've had a
day at the office and i show that it's my fault because i wasn't i haven't suppressed it before i
walked in the door if you have a bad day at work and you show it it's because you haven't hit it
well enough and that is just so fundamentally wrong but it's built into the cultures of our jobs
and here we are talking to her yes
yes because we've replicated it in our home life so it doesn't seem like it's worked no i'd say it's
pretty monumental failure other than the fact that we're still sitting here
this is what happens when two type a analysts survive for 19 years together
until the last sentence you were doing really well
and i broke us down yes you went and
then deflected the whole thing you actually you know you're very cognizant of what goes on
you agree i think quite a lot about the state of affairs you share the insight you don't know what
to do with it yet but for a moment you actually each were able to say this is what happened to us
this is what we have done to each other and with each other and i think that's what's happened to
each other some of it is our professions and some of it is our families that we come from and what we
have internalized and how we each basically live with the same monologue in our heads of button up
be strong be stoic be fearless play through the pain toughen it up don't complain and even if you
do there won't be anyone there for you and i think that's what's happening to us and i think that's
what's happening to us and i think that's what's happening to us and i think that's what's happening to us
true so you share actually you may have very different work lines but you actually share a
certain psychology that has been part of your work and part of and that you have then brought
into your relationship you need to find a way first and foremost to establish a base of support
together because i think part of why you don't resolve
the professional dilemmas is because on some level you're afraid that if you do it's going
to separate you so we will look weak for having given up for being what he calls quitters and
neither of you are quitters and you come from families where nobody quits and you've been given
all the privileges of people who shouldn't quit i've fought very hard to not quit i've fought too
hard to quit now that's what my brain tells me
it's taken too much and yet i know this doesn't work she defines herself to a very great degree
by what she has overcome and the struggles that she faces and if things were to get easy
quote-unquote because she wouldn't have a struggle to define her why were you asked to go home
uh the idea was to
help with uh social isolation um to physically remove yourself from the environment but why did
they not you're a primary care doctor why did they not want you in the hospital because we
don't do hospital-based working outpatient as an outpatient only primary care doctor with
a hospitalist team that supports you and takes care of your patients when they're sick we can
talk about a lot of stuff over the phone a lot of stuff over video but you don't have to necessarily
be there in order to get that work done why are you emasculated
i think when you're a doctor you have a perception of yourself as a doctor that
i'm going to wear a white coat and stroll around the hospital and treat sick people and
fix problems make people well we do some of that in primary care we also manage people
chronically over time and that is less dramatic when a crisis came some people were drawn to the
fire and some people were pushed away does it give you a crisis of conscience
i should have been on the front lines and i chose the comfort of home instead
and i feel that if i was in quote the real doctor that i've always thought i was i would have
made sure to be on the front lines see your experience is different from hers
she says i have paid my dues in the suffering and loss department
i don't feel guilty about asking you to stay home but you seem to be at odds with yourself about it
on some level
i guess it would be nice
to get my hands a little dirty doing office-based primary care is a pretty clean
existence you know i think sometimes that leads to a
false experience a bland experience and certainly during covid when one day runs
together into another without much definition of time
space you know you're looking for something else something to break the
monotony something to break the mold and when you asked earlier what it is that
I'm looking for or where or why now that's certainly part of it is to try to
find something new to challenge myself and to have an experience of something I
think you're right and that it was easier to be stuck and unhappy and bland
because at least she knew where he were you resent her for it or do you I am
somewhat envious until I really think about what it is that she does and I
wonder would I really be up for that it's easy to
think that you can do things it's harder to actually do them I guess what I'm
searching for is the chance to prove whether I can or I can't she has that
opportunity she has that opportunity too much so she's on the front line she's
definitely on the front line and you struggle with a feeling of cowardice and
he is not but I can't convince him
quickly to the defense I know I can't convince him and it brings it hurts it
physically hurts that I can't tell you that you're not a coward I haven't
really been given that many opportunities to prove that I'm not one
you've stayed with me for 19 years that does no I you have proven time and time
again you are another coward and it's so so upsetting to see you sit in this
chair and rot and think so little of yourself when I know differently and I
can't convince him this this is one pitch for the Angels I can't make I
can't sell this one I can't convince this one I can't translate it I can't do
it
because what he says to you is I need to go get my hands dirty - yoga hands get
dirty a lot different hands different dirt but he needs to go and test
himself and the fact that he is there for you is partly helpful but he's left
with a bit of a moral injury
between what he does and his values which are strong his values are very
strong right but then there is a gap between those values and his actions we
call it in my line of work ideological chasms they're very dangerous because
when people step up to the edge of them and they know where they should be they
can fall in so quickly and just be lost you will do anything not to lose him of
course understandably so so what are you gonna do he has some idea of how he
needs to start his course of action I can help him get his hands dirty I don't
have to keep like it much no but you have some of your own questions to answer
I'm tired very tired he needs to go do the thing that I can't do anymore that
hurts or maybe it's time to reverse roles you'll be there by the end of the
day
I'm tired very tired he needs to go do the thing that I can't do anymore that hurts or maybe it's time to reverse roles you'll be there by the end of the day
him while he goes out on the train the trenches scary I chopped protect I was
scary they both sit on the edge of a precipice that their careers have been
so central to who they are as individuals and how they have
structured their relationship to each other and especially to the world around them we may be at
to the world around them we may be at the end of the session but we have just
the end of the session but we have just begun this conversation
Esther Perel is a therapist best-selling author speaker and host of the podcasts where should we begin and how's work to apply with
Esther Perel is a therapist best-selling author speaker and host of the podcasts where should we begin and how's work to apply with a colleague or partner to do a session for the
a colleague or partner to do a session for the podcast or to follow along with each
podcast or to follow along with each episode show notes go to how's work Esther
episode show notes go to how's work Esther Perel calm how's work is produced by
Perel calm how's work is produced by magnificent noise for Gimlet and Esther
magnificent noise for Gimlet and Esther Perel productions our production staff
Perel productions our production staff includes Eric Newsome Eva Walsh over
includes Eric Newsome Eva Walsh over he would take a Tana and Kristen Muller
he would take a Tana and Kristen Muller original music and additional production
original music and additional production by Paul Schneider and the executive producers
by Paul Schneider and the executive producers of housework
of housework our Esther Perel and Jesse Baker we would also like to thank Lydia
our Esther Perel and Jesse Baker we would also like to thank Lydia pole green Colin Campbell Courtney
pole green Colin Campbell Courtney Hamilton Nick oxen horn Sarah Kramer Jack
Hamilton Nick oxen horn Sarah Kramer Jack
Hamilton Nick oxen horn Sarah Kramer Jack Saul and the entire Esther Perel global
Saul and the entire Esther Perel global
Saul and the entire Esther Perel global media team ball is here and that means the pumpkin spice
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Podcast Summary
Key Points:
A physician in the session reflects on a long-standing career identity, describing how years of dedication have left him emotionally drained and questioning whether he can or should leave his profession.
The couple grapples with deep personal and professional conflicts, where each person’s work life has shaped their sense of self and relationship dynamics, leading to emotional exhaustion and mutual resentment.
The conversation reveals how both partners carry repressed anger, guilt, and familial expectations—particularly from parents—around the idea of “quitting,” which frames career change as a personal failure rather than a legitimate life transition.
Summary:
This transcript explores a deeply personal and emotionally charged therapy session from Esther Perel’s podcast *Housework*, where a married couple confronts the intertwined nature of their professional lives and personal identities. One partner, a physician, reflects on how years of being a "sponge" absorbing patient suffering have left him emotionally depleted, with little energy to give to his family. He expresses a painful desire to leave medicine, not because he lacks skills, but because the work has become unsustainable and soul-deadening.
His partner, meanwhile, is trapped in a cycle of empathy and frustration, where her work demands constant engagement with global crises, leaving her emotionally raw and unable to disconnect. The couple reveals how both have internalized cultural expectations—particularly from their families—that success is measured by endurance and sacrifice, making it difficult to acknowledge vulnerability or consider change. The session highlights how professional burnout has spilled into their relationship, creating a cycle of blame, self-criticism, and empathic distress.
Both feel the weight of societal and familial pressure to "stay strong," which has blocked honest dialogue and mutual support. Ultimately, the conversation underscores a profound truth: when work defines identity, leaving it becomes not just a career decision, but a deeply personal and emotionally painful act of redefinition. The session ends with a recognition that healing begins not with a decision to quit, but with the courage to rebuild a relationship rooted in vulnerability, care, and mutual understanding.
The mention of Starbucks' Pumpkin Spice Latte serves as a symbolic backdrop—representing seasonal change, comfort, and the quiet hope of new beginnings.
FAQs
The podcast explores professional conflicts, secrets, identity, and how work lives intersect with personal relationships and marriages through intimate therapy sessions.
It symbolizes a deep, long-term emotional and professional commitment that has become exhausting and unsustainable, leading to a desire for change and self-examination.
Work stress leads to emotional depletion, empathy fatigue, and frustration that spills over into the home, creating conflict and undermining mutual support.
It carries strong emotional weight, representing a personal failure or loss of identity, rather than a simple change, due to deep-rooted values and family expectations.
Family backgrounds often shape career choices, with individuals feeling pressure to maintain certain roles or professions, even when they no longer feel fulfilled.
The entire season is available for free on Spotify.
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