In the specialized field of equine veterinary medicine, practitioners frequently encounter a specific form of stress known as moral distress. This particular type of stress emerges when veterinarians find themselves in situations where their actions are constrained, preventing them from following their ethical beliefs and judgments. This critical issue was at the heart of an insightful presentation given by Liz Arbittier, VMD, CVA, and Page Buck, PhD, LCSW, during the 2023 American Association of Equine Practitioners Convention. Arbittier and Buck shed light on the fact that moral distress in this field often springs from a variety of complex and challenging situations. These include the management of laminitis, cases where financial constraints lead to euthanasia, concerns about the well-being of clients, the ethical dilemmas associated with the over-treatment of performance horses, and issues surrounding rider safety.

The presentation also highlighted that students, veterinary technicians, and administrative personnel within veterinary practices are particularly susceptible to experiencing moral distress. This heightened vulnerability is largely due to their limited capacity to make impactful decisions within their roles. Arbittier and Buck placed significant emphasis on the necessity of recognizing and distinguishing moral distress from the broader spectrum of occupational stress. They pointed out that common manifestations of moral distress include feelings of anger, bouts of depression, and episodes of anxiety.

To address and manage moral distress effectively, Arbittier and Buck recommended the development and implementation of individualized coping strategies. These strategies could encompass a range of activities, from engaging in physical exercise to seeking solace in the company of loved ones or obtaining professional support. They also warned against resorting to unhealthy coping mechanisms, such as overeating, excessive drinking, or indiscriminate use of social media, as these can exacerbate the problem.

Furthermore, they underscored the critical importance of fostering a supportive and empathetic workplace environment. This involves cultivating an atmosphere of open communication and mutual understanding among all members of the veterinary practice. Such an environment would enable the collective confrontation and management of the challenges posed by moral distress. By acknowledging and proactively addressing moral distress, veterinary practices can significantly improve the well-being of their staff. This, in turn, leads to enhanced patient care and contributes to a healthier and more productive work environment.

The approach outlined by Arbittier and Buck calls for a comprehensive and holistic understanding of the veterinary profession. It recognizes the emotional and mental demands placed on veterinary professionals and underscores the importance of equipping them with the necessary tools and support systems to effectively navigate these complex challenges. This holistic view is essential for the sustainable growth and development of the veterinary field, particularly in the realm of equine medicine.