All of the above are great ideas. In addition, your Doc needs some serious help with time management. I have been solo practice Int Med - Self Employed, for 22 years. There is no way that she should be awake at 3 -5 AM doing her charts. I use Dragon, Templates, Macros, and free type, and like Bert, I am finished with the chart when I exit the room. Perfectionistic tendencies is just a nice way of saying that you're (or your Doc) is somewhat neurotic. I'd suggest a good vacation and re-kindling some passions(diversions) outside of medicine. This could be almost anything. Music, painting, gardening, long walks or an exercise program. The list goes on. Check out the music under the stars at Levitt Pavilion/Summer concert series. This Doctor needs a break away from medicine (time off, not resignation). Good luck. If she has the opportunity to attend a user's conference the socal support networking is great. I made the first one, but not the last two. Good luck.
Tom Young, DO Internal Medicine Consultants, PC Creston, Iowa