Boundary and workload work
Careful, honest examination of what your role is asking of you, and what you can plausibly change — in hours, in scope, in what you agree to.
Burnout
When work has quietly taken everything.
Burnout is not a bad week, and it is not a lack of resilience. It is what happens when demand outpaces recovery for too long, in a role that will not adjust.
How it tends to appear.
Burnout has a texture of its own. It is different from tiredness, and different from depression, though it can lead to both.
Exhaustion that a weekend, or even a holiday, does not truly repair.
A growing cynicism about work you once cared about.
Difficulty caring — about tasks, colleagues, sometimes yourself.
Sunday evenings that feel physically heavy.
A sense that your work has become who you are, and there is not much else left.
Small things — email, meetings, decisions — that used to be routine and now feel disproportionate.
Burnout, in plain language.
Burnout is a syndrome that emerges from prolonged, unresolvable stress at work. The World Health Organization now defines it in three parts: exhaustion, mental distance from one's job, and reduced professional efficacy. It is a response to conditions, not a personal defect.
It is especially common in people who care about doing things well — clinicians, founders, senior leaders, teachers, high-performing expatriates. The very qualities that make you good at what you do are often what makes burnout possible.
Recovery is not a matter of trying harder to rest. It requires understanding what has been drained, what needs to change structurally, and what internal patterns keep you overextending. Therapy holds all three.
Evidence-based approaches.
Effective work with burnout usually combines several strands. It is rarely a single intervention.
Cognitive and self-compassion work
Working with the internal rules — the perfectionism, the belief you must always deliver — that keep you overextending long after your body has asked you to stop.
Physiological recovery
Sleep, movement, and nervous-system regulation are not optional. Where these have been eroded, we attend to them directly.
Values and meaning work
Burnout often signals a mismatch between what you spend your days on and what actually matters to you. This is not a small conversation — but it is often the most important one.
What the work tends to look like.
Early sessions are for slowing down. Many people come to therapy for burnout already running on empty, and the first task is to stop running.
From there, we look at what has been carrying you and what has been costing you. Some work is practical (renegotiating a role, protecting hours). Some is deeper (why saying no has been so difficult; what you have been trying to prove). Both matter.
What to expect
A realistic sense of time.
Burnout responds to therapy, but not overnight. Most people begin to feel steadier within eight to twelve sessions. Lasting change — the kind that survives the next demanding project — usually takes longer, and often includes structural changes outside the room.
It is time when
You have been running on reserves for months.
Rest no longer restores you the way it used to.
You have begun to resent work you once loved.
You are managing your work by shrinking your life around it.
You suspect this is not sustainable, and you cannot see the way out.
What people ask.
Is burnout the same as depression?
They overlap but are not identical. Burnout is tied to a specific context (usually work) and often lifts when that context shifts. Depression is more pervasive. Distinguishing them shapes the work.
I cannot leave my job. Is therapy still useful?
Yes. Much of the work is about what you can change now — internally, relationally, and around the edges of a role you may not be able to walk away from.
Do I need to take time off?
Sometimes, but not always. We can think about it together. Time off without deeper change often just resets the clock.
Can we work quickly? I do not have much time.
That sentence is often part of what brought you here. Sessions are 50 minutes; the work fits inside a demanding schedule. But therapy that is only efficient rarely goes deep enough to hold.
Is executive coaching a better fit?
Coaching and therapy are different tools. If what you need is strategic, coaching may help. If exhaustion and meaning are involved, therapy usually goes further.
How this work is usually delivered
A first conversation
You are allowed to stop running.
A brief consultation is enough to see whether this is the room for that.