What grows from the ashes of your old life?
The data does not support the assumption that all burned out people can ârecover.â And when we fully appreciate what burnout signals in the body, and where it comes from on a social, economic, and psychological level, it should become clear to us that thereâs nothing beneficial in returning to an unsustainable status quo.Â
The term âburned outâ is sometimes used to simply mean âstressedâ or âtired,â and many organizations benefit from framing the condition in such light terms. Short-term, casual burnout (like you might get after one particularly stressful work deadline, or following final exams) has a positive prognosis: within three months of enjoying a reduced workload and increased time for rest and leisure, 80% of mildly burned-out workers are able to make a full return to their jobs.Â
But thereâs a lot of unanswered questions lurking behind this happy statistic. For instance, how many workers in this economy actually have the ability to take three months off work to focus on burnout recovery? What happens if a mildly burnt-out person does not get that rest, and has to keep toiling away as more deadlines pile up? And what is the point of returning to work if the job is going to remain as grueling and uncontrollable as it was when it first burned the worker out?Â
Burnout that is not treated swiftly can become far more severe. Clinical psychologist and burnout expert Arno van Dam writes that when left unattended (or forcibly pushed through), mild burnout can metastasize into clinical burnout, which the International Classification of Diseases defines as feelings of energy depletion, increased mental distance, and a reduced sense of personal agency. Clinically burned-out people are not only tired, they also feel detached from other people and no longer in control of their lives, in other words.
Unfortunately, clinical burnout has quite a dismal trajectory. Multiple studies by van Dam and others have found that clinical burnout sufferers may require a year or more of rest following treatment before they can feel better, and that some of burnoutâs lingering effects donât go away easily, if at all.Â
In one study conducted by Anita Eskildsen, for example, burnout sufferers continued to show memory and processing speed declines one year after burnout. Their cognitive processing skills improved slightly since seeking treatment, but the experience of having been burnt out had still left them operating significantly below their non-burned-out peers or their prior self, with no signs of bouncing back.Â
It took two years for subjects in one of van Damâs studies to return to ânormalâ levels of involvement and competence at work. following an incident of clinical burnout. However, even after a multi-year recovery period they still performed worse than the non-burned-out control group on a cognitive task designed to test their planning and preparation abilities. Though they no longer qualified as clinically burned out, former burnout sufferers still reported greater exhaustion, fatigue, depression, and distress than controls.
In his review of the scientific literature, van Dam reports that anywhere from 25% to 50% of clinical burnout sufferers do not make a full recovery even four years after their illness. Studies generally find that burnout sufferers make most of their mental and physical health gains in the first year after treatment, but continue to underperform on neuropsychological tests for many years afterward, compared to control subjects who were never burned out.Â
People who have experienced burnout report worse memories, slower reaction times, less attentiveness, lower motivation, greater exhaustion, reduced work capability, and more negative health symptoms, long after their period of overwork has stopped. Itâs as if burnout sufferers have fallen off their previous life trajectory, and cannot ever climb fully back up.Â
And thatâs just among the people who receive some kind of treatment for their burnout and have the opportunity to rest. I found one study that followed burned-out teachers for seven years and reported over 14% of them remained highly burnt-out the entire time. These teachers continued feeling depersonalized, emotionally drained, ineffective, dizzy, sick to their stomachs, and desperate to leave their jobs for the better part of a decade. But they kept working in spite of it (or more likely, from a lack of other options), lowering their odds of ever healing all the while.Â
Van Dam observes that clinical burnout patients tend to suffer from an excess of perseverance, rather than the opposite: âPatients with clinical burnoutâŚreport that they ignored stress symptoms for several years,â he writes. âLiving a stressful life was a normal condition for them. Some were not even aware of the stressfulness of their lives, until they collapsed.â
Instead of seeking help for workplace problems or reducing their workload, as most people do, clinical burnout sufferers typically push themselves through unpleasant circumstances and avoid asking for help. Theyâre also less likely to give up when placed under frustrating circumstances, instead throttling the gas in hopes that their problems can be fixed with extra effort. They become hyperactive, unable to rest or enjoy holidays, their bodies wired to treat work as the solution to every problem. It is only after living at this unrelenting pace for years that they tumble into severe burnout.Â
Among both masked Autistics and overworked employees, the people most likely to reach catastrophic, body-breaking levels of burnout are the people most primed to ignore their own physical boundaries for as long as possible. Clinical burnout sufferers work far past the point that virtually anyone else would ask for help, take a break, or stop caring about their work.
And when viewed from this perspective, we can see burnout as the saving grace of the compulsive workaholicâââand the path to liberation for the masked disabled person who has nearly killed themselves trying to pass as a diligent worker bee.Â
I wrote about the latest data on burnout "recovery," and the similarities and differences between Autistic burnout and conventional clinical burnout. The full piece is free to read or have narrated to you in the Substack app at drdevonprice.substack.com
#I can sense I'm not at full capacity and I don't think I ever will be again#when things start to get even a bit too stressful these days I start getting insane psychosomatic symptoms#I get migraines my nose bleeds my ears ring I can't eat I can't sleep I get dizzy and asthmatic and depressed#my therapist and I like to talk about it as if I was poisoned by stress and now my body has an out of control instinctive reaction to it#but also I just accept that the good part of burning out was that I can just never push myself that hard anymore#I will never again what I was but also being that sucked ass. so. these days I'm just taking it easy but taking it
#i clinically burned out in high school#i lost the ability for adrenaline/stress to motivate me to do anything#i had to relearn how to do EVERYTHING#i do sort of have a stress response back now#but it definitely does not work as well as pre-burnout#not that iâm testing that. lol#but the few years after burnout were actually very peaceful. i simply could not be stressed out i was incapable of it#iâm forever greatful i hit this point in high school because otherwise i would have inevitably hit it in college#where it would have had way worse consequences
Two sets of responses on this post that I think are so illuminating of what happens behind the scenes during a burnout. The body becomes so stress reactive that the cocktail of urgency/overwhelm/guilt/etc that you were running on previously no longer works, and strikes you as threatening, which means you become a lot more sensitive to smaller signs of stress in your life, which forces you to take things easier for a very long time. which given adequate supports can be great.





















