Exhaustion and burnout: when feeling tired becomes too much

Written by: Dr Catherine Sykes
Published: | Updated: 11/04/2019
Edited by: Bronwen Griffiths

If you are feeling overwhelmed by your workload or responsibilities, and constantly feel tired, you could be heading for a burnout, and it is important to be aware of the signs, before it reaches that point. Dr Catherine Sykes is an experienced London-based psychologist who is very familiar in seeing patients suffering from exhaustion and burnout. Here, she explains how we can differentiate between just feeling tired, exhaustion, and finally burnout.

What do we mean by exhaustion? Is it the same as burnout?

Exhaustion is one of the symptoms of burnout. It usually starts with a sense of being overwhelmed and mentally drained. This can lead to a physical sense of exhaustion that leaves your body feeling really tired. With all the worries, pressures, long hours at work and the responsibilities of modern life, exhaustion has become a common state of being. It has become acceptable to reply “I’m exhausted” when asked, “How are you?”. However, it is not a healthy state as it can lead to chronic fatigue and other physical problems, for example, with immunity and digestion.

Other symptoms of burnout include feeling like you are unable to do your job. You may start to hate your job and, because you are exhausted, you think that you don’t have the energy to do anything about it. This can cause feelings of hopelessness which then exacerbates the feeling of exhaustion. Personality traits and thought patterns can contribute to burnout, in particular, a maladaptive perfectionist thinking style.

Read: Promoting your own mental health

How does it differ from a condition such as “chronic fatigue”?

Exhaustion is one of the symptoms of chronic fatigue syndrome (CFS). CFS often includes other symptoms such as headaches, sleep disturbance, muscle and joint pain. To confirm a diagnosis of CFS, you must have had symptoms that have lasted longer than six months and are not alleviated by rest. From my experience of working privately with hundreds of exhausted clients, always feeling exhausted can be part of a trajectory to CFS. It is a sign that changes are needed in your life. It is a state that takes you further away from your life’s purpose and sense of fulfilment, which can lead to more serious mental health issues further ahead.

Can it be “treated”?

Dealing with exhaustion involves reviewing your life and understanding all your stressors that are contributing to your exhaustion. The hardest part of dealing with exhaustion is making the changes once you know all your stressors and energy drainers. Understanding how your thought patterns are contributing to your stressors is an important part of dealing with exhaustion as well.

Read more: Work stress

What are the pros/cons of treating exhaustion/burnout as a medical condition?

Recognising and treating exhaustion as a medical condition would give sufferers the permission to take time off work and slow down, rest, re-evaluate and reduce the stress in their life. However, it is such a common state that, potentially, a lot of people would be off work at the same time. Nonetheless, having too many exhausted people in a workforce slows down productivity, so it may not be too bad. It could also prevent a lowered immunity to illness, which in the long-term would reduce sick days and the cost of treating more serious illnesses.


If you frequently feel tired, stressed and overwhelmed by your day-to-day responsibilities, it might be helpful to speak with an expert.

Dr Sykes writes extensively on the subject of combatting exhaustion in her book Exhausted! Discover how to feel energized to lead a life with purpose.

By Dr Catherine Sykes

Dr Catherine Sykes is a highly-regarded chartered psychologist based in central London. Specialising in the psychology of high achievers, Dr Sykes offers therapy and coaching for professionals in high pressurised careers. She provides in-person appointments but also sees clients across the globe via e-Consultation. Dr Sykes developed a solid reputation in the law and finance sectors due to her thorough understanding of how a demanding career comes with its own unique challenges to mental health, physical health, relationships, and performance.

When guiding her patients, she individually assesses each case and uses a range of approaches such as Acceptance and Commitment Therapy (ACT), Cognitive Behavioural Therapy (CBT), hypnosis, neuropsychology and somatic psychology to provide patients with optimal therapy solutions. With these strategies, Dr Sykes helps patients discover the core reasons for their issues and provides the necessary psychological tools to overcome them. Dr Sykes prides herself on her ability to help clients make positive changes so they can be happy, healthy and enjoy and maintain their success. She uses an online brain health assessment service developed by Cambridge Brain Sciences that accurately measure core elements of cognitive function and mood, including memory, attention, focus, reasoning and verbal abilities. This brain health assessment helps to monitor and manage core areas of brain function that are key to mental health and wellness.

Much of her training was at the King's College Hospital. She has sat on NHS boards, worked as a trustee for the charity Pregnancy Sickness Support and lectured at City University, London for 11 years. She is a member of the Health and Care Professionals Council (HCPC) register and she's an Associate Fellow of the British Psychological Society (BPS). She is a recognised provider with WPA, Cigna, Aviva and Healix.

View Profile

Overall assessment of their patients

  • Related procedures
  • Psychological treatments
    Relationship counselling
    Paediatric psychology
    Mental health assessment
    Toxic Addiction (alcoholism)
    Psychotic disorders
    Eating disorders
    Obsessive compulsive disorder (OCD)
    This website uses our own and third-party Cookies to compile information with the aim of improving our services, to show you advertising related to your preferences as well analysing your browsing habits. You can change your settings HERE.