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How Do I Know If I’m Burned Out — Or Just Going Through a Hard Season?

Annie Wright therapy related image
Annie Wright therapy related image

How Do I Know If I’m Burned Out — Or Just Going Through a Hard Season?

Driven woman sitting at her desk late at night, staring out the window — Annie Wright trauma therapy

How Do I Know If I’m Burned Out — Or Just Going Through a Hard Season?

LAST UPDATED: APRIL 2026

SUMMARY

Burnout and a hard season feel eerily similar from the inside — especially if you’re a driven woman who learned early to push through almost anything. This post offers a clinical framework for telling them apart: the three diagnostic markers of burnout, the nervous system signatures of each state, why ambitious women chronically misread their own exhaustion, and concrete self-assessment questions to determine which one you’re actually in right now.

The Question You’ve Been Afraid to Answer

It’s 11:14 on a Tuesday night. Priya is still at her desk. The house is quiet, the kids are asleep, and her laptop screen is the only light in the room. She has a board presentation in the morning and three unread texts from her sister she hasn’t answered in nine days. She’s not panicking. She’s not crying. She’s just… flat. She clicks through the slides with the mechanical precision of someone doing something for the hundredth time, and somewhere in the back of her mind, a question surfaces: Is this just what this season looks like — or is something actually wrong with me?

She sets the thought aside. She always does.

That question — “Am I burned out, or is this just a hard stretch?” — is one I hear more than almost any other in my work with driven, ambitious women. And the fact that it’s hard to answer isn’t a sign of weakness or self-ignorance. It’s actually a very predictable consequence of who these women are, what they’ve been trained to tolerate, and what the nervous system does when it’s been running hot for too long.

The distinction matters clinically. Burnout isn’t just a lot of hard seasons stacked on top of each other. It’s a distinct physiological and psychological state with its own markers, its own trajectory, and its own recovery requirements. Treating burnout like a hard season — resting for a weekend and going back in — doesn’t work. And treating a hard season like burnout — stepping back, taking significant time, restructuring your life — may create unnecessary disruption when what you actually needed was better support and a shorter runway.

So let’s get precise. Here’s how to tell the difference.

What Is Burnout — Really?

Burnout gets used loosely — to mean exhaustion, overwhelm, needing a vacation, hating your job on a Monday. But clinically, it’s something more specific, and that specificity matters if you’re trying to figure out which state you’re actually in.

The most widely used clinical framework comes from Christina Maslach, PhD, organizational psychologist and professor emerita at UC Berkeley, who developed the Maslach Burnout Inventory in 1981 — still the gold standard measure in burnout research worldwide. Maslach identified three core dimensions that together constitute burnout as a syndrome:


BURNOUT (Clinical Definition)

A syndrome conceptualized as resulting from chronic workplace stress that has not been successfully managed, characterized by three dimensions: (1) emotional exhaustion — feelings of energy depletion so profound that normal recovery periods don’t restore you; (2) depersonalization or cynicism — psychological distancing from your work, the people in it, and your own sense of purpose; and (3) reduced personal efficacy — a diminished sense of your own competence and meaning. (Maslach & Jackson, 1981; WHO ICD-11, code QD85)

In plain terms: Burnout isn’t just tiredness. It’s a state where sleep doesn’t actually help, where you’ve gone emotionally numb toward work you used to care about, and where you’ve started to question whether anything you do actually matters — or whether you’re even good at it anymore. It’s depletion at a structural level, not just surface-level fatigue.

The World Health Organization formally recognized burnout in the ICD-11 (the International Classification of Diseases) in 2019, defining it specifically as an occupational phenomenon — not a medical condition, but a syndrome arising from chronic, unmanaged workplace stress. That distinction is important: burnout is contextual. It’s not who you are. It’s what happens to your nervous system when the demands placed on it consistently outpace its capacity to recover.

A hard season, by contrast, is something different. It’s a period of acute or compounding difficulty — a health crisis, a relationship rupture, a professional transition, a loss, a major project with a defined end date — where the demands are genuinely elevated, but where your core orientation toward your life and work remains intact. Hard seasons are hard. They can be brutal. But they have a quality of forward motion. There’s still hope. Still belief that this will eventually look different. Still a recognizable version of yourself inside the difficulty.


A HARD SEASON

A time-limited period of elevated stress, loss, or demand characterized by acute emotional distress and reduced capacity — but without the three core hallmarks of burnout. Hard seasons typically maintain some degree of hope, purpose, and connection to self. Recovery is possible with appropriate support, rest, and time. Unlike burnout, hard seasons don’t require a fundamental restructuring of how you work and live — they require better scaffolding for the duration.

In plain terms: A hard season feels like you’re carrying more than usual, but you can still see the path. Burnout feels like the path disappeared and you’re not sure you ever had a good reason to be walking it in the first place.

The key clinical differentiator isn’t the intensity of suffering — it’s the quality of it. Both states can feel terrible. But burnout has a particular texture: a flatness, a cynicism, a disconnection from meaning that persists even when the acute stressor temporarily lifts. If you take a week off from a hard season and come back feeling more like yourself, that’s a hard season. If you take a week off and come back feeling exactly the same — or worse — that’s a signal worth paying serious attention to. If you want to explore this distinction more in the context of your professional life, read this piece on burning out even when you love your work.

The Neurobiology of Each State

One of the most useful reframes I offer clients is this: burnout and a hard season aren’t just different in their emotional quality — they’re different in the body. Your nervous system actually tells a different story depending on which state you’re in, and learning to read those signals is one of the most important skills you can develop.

Stephen Porges, PhD, neuroscientist and professor of psychiatry at the University of North Carolina at Chapel Hill and originator of Polyvagal Theory, has given us a framework that’s genuinely helpful here. Polyvagal Theory describes three primary states of the autonomic nervous system: the ventral vagal state (calm, connected, socially engaged), the sympathetic state (mobilized for fight or flight), and the dorsal vagal state (shutdown, freeze, collapse). Understanding which state you’re spending most of your time in is a crucial piece of the burnout-versus-hard-season puzzle. (PMID: 7652107)

In a hard season, your nervous system is typically running in an elevated sympathetic state. You’re activated — anxious, stressed, perhaps cycling through some version of fight-or-flight on a daily basis. It’s exhausting, but there’s still mobilization energy in it. You’re still trying. Still striving. Still doing. The exhaustion of a hard season has a kinetic quality — it’s the tiredness of someone who hasn’t stopped moving.

Burnout often involves a shift into what Porges’ framework would recognize as the dorsal vagal state: the nervous system’s ancient shutdown response. When the body has been in sympathetic overdrive for too long without recovery, it eventually collapses into a kind of functional freeze. This is why burnout doesn’t feel like exhaustion so much as numbness. It’s not that you can’t sleep — it’s that you sleep and wake up feeling no different. It’s not that you’re anxious — it’s that you’ve gone strangely flat. The aliveness that stress carries has been replaced by something more like absence.

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The hypothalamic-pituitary-adrenal (HPA) axis — the central system governing the body’s stress hormone response — behaves differently in each state as well. In a hard season, cortisol levels may be elevated but the system is still responsive: you still feel the relief when a stressor passes. In burnout, the HPA axis has often become dysregulated from prolonged activation, sometimes showing flattened cortisol rhythms, reduced morning cortisol spikes, and impaired recovery after stressors. The system that’s supposed to manage your stress response has itself become compromised. This is part of why burnout doesn’t resolve with a weekend of rest — the regulatory machinery is impaired, not just taxed.

What this means practically: if you used to notice a clear shift in your body when a project ended, a deadline passed, or a vacation started — and you no longer feel that shift — that absence is information. Your nervous system is telling you something about how far past the threshold of a hard season you may have drifted. For deeper context on how trauma shapes the nervous system’s stress response, the complete guide to betrayal trauma covers this territory thoroughly.

RESEARCH EVIDENCE

Peer-reviewed findings that inform this clinical framework:

  • Pooled prevalence high emotional exhaustion in physical education teachers 28.6% (95% CI 21.9–35.8%), n=2153 (PMID: 34955783)
  • Pooled burnout effect size in ophthalmologists ES=0.41 (95% CI 0.26-0.56) (PMID: 32865483)
  • Pooled prevalence clinical/severe burnout in Swiss workers 4% (95% CI 2-6%) (PMID: 36201232)
  • Pooled prevalence high emotional exhaustion in musculoskeletal allied health 40% (95% CI 29–51%) (PMID: 38624629)
  • Pooled prevalence burnout symptoms in nurses globally 11.23% (PMID: 31981482)

How Driven Women Misread Their Own Exhaustion

Here’s something I see consistently in my clinical work: driven, ambitious women are genuinely worse at identifying burnout in themselves than the general population. Not because they’re less intelligent — they’re often extraordinarily self-aware in other domains. But because their early training specifically calibrated their nervous system to minimize, push through, and reframe distress.

Many of the women I work with grew up in homes where emotional needs were minimized — where the message, spoken or unspoken, was that needing rest was weakness, that struggling was something to be solved privately, that your job was to perform at full capacity regardless of what was happening internally. This is a form of childhood emotional neglect — and one of its most consequential legacies is a dramatically altered relationship with your own internal signals.

When you grow up learning to override your body’s signals, you get very good at it. You build an extraordinary tolerance for discomfort. You learn to read your exhaustion as laziness, your depletion as weakness, your emptiness as ingratitude. You’ve trained yourself to interpret “I can’t keep going like this” as “I need to try harder.” And so when burnout sets in — when your nervous system is genuinely signaling collapse — you misread it as a hard season that just needs more of the same willpower that has always gotten you through before.

This is compounded by something I think of as the success paradox. Many driven women in burnout are, by external measures, at their most successful. The accolades are coming in. The title is right. The income has never been higher. And so how could this possibly be burnout? The implicit logic goes: burnout is for people who’ve failed at something. I haven’t failed. Therefore I can’t be burned out. If this resonates, this piece on success not being enough names what’s happening underneath that contradiction.

Meet Camille. She’s a 41-year-old healthcare executive, the youngest chief medical officer in her hospital system’s history. She runs her department with precision and warmth, is known for her calm under pressure, and gets called for every high-stakes situation. From the outside, she’s flourishing. From the inside, she’s been operating on a strange kind of autopilot for almost two years — going through motions, hitting every mark, but feeling like she’s watching her own life from a slight remove. She mentions it to her husband one night and he says, “You’re just tired. Take a vacation.” She schedules one. She comes back and feels the same. She doesn’t tell him that.

What Camille is experiencing isn’t a hard season. It’s burnout’s depersonalization at work — the way the psyche, exhausted from years of performance without sufficient replenishment, creates distance as a protective strategy. The flatness isn’t ingratitude or depression (though it can co-occur with depression). It’s the nervous system’s version of a power-saving mode: reduce emotional engagement to conserve whatever resources remain.

The fawn response in the workplace often intersects with this: women who’ve learned to manage their environment by being competent, agreeable, and relentlessly productive have few internal alarm systems that actually sound the alert. Their distress gets channeled into more doing, not less — until the doing itself becomes impossible.

“Tell me, what is it you plan to do / with your one wild and precious life?”

MARY OLIVER, Poet, “The Summer Day”

The Diagnostic Framework: How to Tell Them Apart

I want to give you something concrete — a set of questions you can actually use right now to begin assessing which state you’re in. These aren’t a clinical substitute for professional evaluation, but they’re the kinds of distinctions I draw in initial sessions with clients who come in wondering exactly what you’re wondering.

Question 1: What happens when the acute stressor temporarily lifts?

When a deadline passes, a difficult meeting ends, a project ships — does your body register the relief? Is there even a brief window of feeling lighter, more like yourself? In a hard season, there usually is. The nervous system still knows how to return toward baseline when pressure eases. In burnout, the stressor ending barely registers. The flatness is underneath the stressors, not caused by them.

Question 2: Do you still care?

Not “do you care enough to perform well” — you may be performing flawlessly. But in some deeper, more personal sense: do you still feel connected to why you’re doing this? Is there still a version of meaning underneath the exhaustion? In a hard season, most women can answer yes — it’s hard, but they still care. In burnout, the honest answer is often: “I used to. I’m not sure I do anymore.” The cynicism and detachment that characterize burnout aren’t about your values changing — they’re about the psyche protecting a depleted system by disengaging from what was demanding too much for too long.

Question 3: Does rest actually help?

This is the clearest single marker. A weekend, a week, a genuine vacation — does it move the needle? In a hard season, rest is genuinely restorative. You come back with something replenished. In burnout — as Christian Dormann, PhD, organizational psychologist and burnout researcher at Johannes Gutenberg University Mainz, has documented — “the most important burnout symptom is the feeling of total exhaustion to the extent that it cannot be remedied by normal recovery phases of an evening, a weekend, or even a vacation.” If your recovery periods have stopped being restorative, that’s a critical data point.

Question 4: How long has this been going on?

Hard seasons are, by definition, time-limited. They have a shape, a beginning, some sense that there’s an other side. Burnout tends to be diffuse — you can’t quite identify when it started, and you can’t see a clear end. If you’ve been saying “I’ll feel better once [X] is over” and X keeps getting replaced by a new X, and the relief never quite arrives — the problem may not be the specific stressor. The problem may be the accumulation.

Question 5: Have you noticed changes in your identity or self-concept?

One of the more insidious markers of burnout is what it does to your sense of self. In a hard season, you still feel like you — a stressed, stretched, depleted version, but recognizably yourself. In burnout, something more fundamental shifts. The reduced efficacy dimension of burnout often surfaces as a creeping doubt about your competence, your purpose, your choices. If you’ve started to question not just whether you’re tired, but who you are and whether any of this was ever the right path — that’s worth taking seriously. This piece on feeling like a fraud explores the identity dimension of this experience in more depth.

Now consider Elena. She’s a 38-year-old partner at a consulting firm who came to me describing a “really hard stretch” of about 18 months. She’d been through a difficult acquisition, managed a team through layoffs, and was simultaneously supporting her aging mother through a serious illness. When I asked her whether rest helped, she paused for a long time. “I took a week off in January,” she said. “I came home and cried for three days. Not because anything specific happened. I just… cried. And then it was over and I felt the same.” The tears, I explained to her, were actually the nervous system beginning to discharge something it had been holding for a long time. And the fact that they didn’t restore her — that she went back in exactly the same state — told us something important about how long she’d actually been in this.

The answers to these five questions won’t give you a definitive clinical diagnosis. But they can begin to orient you. And if you’re answering most of them in the burnout direction, the next step is to stop treating this like a problem that more willpower can solve — and start treating it like a physiological state that requires a different kind of intervention. If performance anxiety is part of what’s keeping you pushing through, that’s worth examining as part of the same picture.

Both/And: You Can Be Burned Out and in a Hard Season Simultaneously

I want to name something directly because I’ve seen the either/or framing create unnecessary confusion for clients: burnout and a hard season aren’t mutually exclusive categories. You can be genuinely going through an objectively hard period of your life and be burned out. In fact, this combination is more common than either state appearing in isolation.

What typically happens is this: a woman enters a genuinely difficult season — a major career transition, a health crisis, a relationship breakdown, a significant loss. She does what she’s always done: she braces, she manages, she performs. She doesn’t rest adequately because the demands don’t allow it and because her internal wiring doesn’t permit it. The hard season stretches on. The recovery never fully arrives. And burnout develops on top of an already-strained system, the way a stress fracture develops in an athlete who keeps training on an injury.

By the time she comes to see me, she’s often dealing with both the acute difficulty of the hard season and the structural depletion of burnout. And the treatment for each is different. The hard season calls for support, scaffolding, and better resource allocation. The burnout calls for something more fundamental: a genuine renegotiation with the pace and demands of her life, a rebuilding of the physiological and psychological infrastructure that’s been depleted, and often some therapy to address the underlying patterns — the people-pleasing, the inability to ask for help, the internal drivers that made her vulnerable to this accumulation in the first place.

Both/And also applies to the recovery itself. You don’t have to choose between taking your circumstances seriously and taking your depletion seriously. The hard season is real. And your nervous system’s collapse is real. These aren’t competing claims. They’re two layers of the same picture, each deserving its own response.

What I see in ambitious women, again and again, is a tendency to use the reality of hard circumstances as evidence against the validity of burnout. “Of course I’m exhausted — look at what I’m dealing with.” Yes. And. You’re also potentially burnout in a way that requires more than the hard season resolving. Both things can be true at once, and in my experience, the willingness to hold that Both/And is often the first step toward genuine recovery.

The Systemic Lens: Why Burnout Isn’t a Personal Failure

I want to be very direct about something that often gets lost in the burnout conversation — especially when that conversation is directed at driven, ambitious women who already carry enough self-blame: burnout is not a character flaw. It is not a productivity problem. It is not what happens when you don’t manage your time well enough, practice enough self-care, or push yourself too hard.

Burnout is what happens when the structural demands placed on a person consistently exceed what any sustainable human system can provide — and when the conditions that would allow for adequate recovery are systematically unavailable. This is a structural problem masquerading as an individual one. And the solutions being sold — the meditation apps, the sleep hygiene protocols, the productivity frameworks — are, at best, harm reduction within a broken system. They don’t address the architecture.

For many driven women, especially those in demanding professional environments, the conditions that create burnout are features of those environments, not bugs: the 24/7 availability norm, the glorification of overwork, the implicit message that your worth is your output, the dearth of genuine structural support for caregiving responsibilities that disproportionately fall on women. Add to this the additional labor of navigating workplaces that weren’t designed for the complexity of women’s lives, and you have a context that accelerates burnout at a systemic level.

The childhood dimension of this systemic picture matters too. Women who grew up in homes where emotional attunement was insufficient, where they were praised for performance and not for being — where the implicit curriculum was “your value is contingent on what you produce” — enter the professional world with an already-primed burnout vulnerability. They’re not constitutionally weak. They were shaped, by forces outside their control, to have insufficient internal alarm systems for depletion. The legacy of childhood emotional neglect shows up here in profound ways: if no one ever reflected back to you that your exhaustion was real and worth responding to, you may genuinely not know how to recognize it in yourself as an adult.

And the professional cultures that select for and reward these women — often because their extraordinary capacity to override their own needs makes them extraordinarily productive — have a vested interest in not examining this dynamic too closely. The woman who “never complains,” who “always delivers,” who “handles everything” is the product of a deeply formative system. And burnout is, often, the system’s bill coming due.

None of this means you’re without agency. The executive coaching work I do with clients is fundamentally about reclaiming that agency — but from a place of accurate assessment, not self-blame. You can work differently. You can build better internal warning systems. You can renegotiate the terms of your professional life. But you can only do that from a foundation of understanding that the burnout was not your fault. It was a rational response to a system that demanded too much for too long.

What Healing Actually Looks Like From Here

Whether you’re in a hard season, in burnout, or in the complicated overlap of both — the first thing I’d offer is this: the fact that you’re asking the question matters. Most driven women I work with spent years not asking it — years of telling themselves they were fine, years of reclassifying the signals their bodies were sending as something to push through rather than something to listen to. The question itself is a form of honesty, and honesty is where recovery begins.

If you’ve landed on “hard season”: what you need most is scaffolding, not restructuring. Better support systems. More honest conversations about your capacity with the people who need to know. A defined end point, even if it’s approximate. And genuine rest — not a modified version of rest where you’re still on your phone, still mentally solving problems, still running scenarios. Rest that your nervous system can actually register as restoration. This is harder than it sounds for women wired to be always productive, and it often benefits from the kind of therapeutic support that helps you tolerate the discomfort of stopping.

If you’ve landed on “burnout”: the path is longer and more fundamental. Recovery from burnout isn’t a two-week vacation. Research consistently shows it can take six months to two years of intentional restructuring — not just of how much you work, but of the relationship you have with work, with rest, with your own worth. This is the terrain that the Fixing the Foundations course was built for: addressing the foundational patterns — the overgiving, the performance-as-safety, the difficulty receiving — that made you vulnerable to this accumulation in the first place.

Some specific markers of burnout recovery, in my clinical experience:

First, you’ll need to rebuild your capacity to feel the shift between stress and rest — to re-sensitize the nervous system’s registration of relief, which often goes offline in burnout. This typically requires a genuine reduction in demands, not just better coping strategies within the same level of demand.

Second, you’ll need to address what I think of as the meaning layer. Burnout depletes more than energy — it depletes the felt sense that what you’re doing matters. Recovery often requires not just rest but re-encounter: spending time with the parts of your work or life that remind you why any of this was worth doing. This is different from toxic positivity about burnout. It’s about carefully, slowly rebuilding the connection to purpose that cynicism severed.

Third — and this is the piece most often skipped — you’ll need to look at the underlying patterns that made you this vulnerable. What made it hard to say no? What made rest feel unsafe? What made the accumulation possible? These are almost always rooted in early experiences, in the relational architecture built in childhood, and they’re the work that therapy — specifically, trauma-informed therapy — is best positioned to address. The Strong & Stable newsletter goes deeper into these patterns every Sunday if you want a lower-stakes starting point.

Wherever you are: you don’t have to diagnose this alone, and you don’t have to treat it alone. The clarity you’re seeking about your own state is exactly the kind of thing that’s worth bringing to a professional relationship. What you’ve been carrying deserves more than a self-help framework. It deserves someone sitting across from you and taking seriously what it actually cost to get here.


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FREQUENTLY ASKED QUESTIONS

Q: I’ve been exhausted for over a year. Does that automatically mean I’m burned out?

A: Duration matters, but it’s not the only factor. What distinguishes burnout clinically isn’t just how long you’ve felt exhausted — it’s whether rest actually restores you, whether you’ve developed cynicism or emotional detachment toward work you used to care about, and whether your sense of your own effectiveness has eroded. A year of exhaustion during a genuinely brutal set of circumstances (a major illness, a grief process, a business crisis) may still be a hard season. A year of low-grade flatness that doesn’t shift even when external conditions ease — that’s a stronger signal of burnout.

Q: I still perform well at work. Can I really be burned out if I’m still delivering?

A: Yes — and this is one of the most common confusions I encounter with driven women. Burnout doesn’t necessarily show up first in your performance metrics. Ambitious women often maintain their output long past the point where burnout has taken hold internally — through sheer will, professional identity, and deeply ingrained performance patterns. The burnout shows up in how it feels to produce that output: the flatness, the sense of going through motions, the emotional cost of something that used to feel meaningful. By the time performance declines, the burnout is usually advanced.

Q: How long does recovery from burnout actually take?

A: Honestly? Longer than most people want to hear. Research and clinical experience consistently suggest that significant burnout recovery takes six months to two years, and that’s when people are actively working on it — not just taking time off. The reason is that burnout involves physiological changes (HPA axis dysregulation, nervous system shifts toward chronic low-activation states) that don’t reverse quickly. The recovery also requires addressing the underlying patterns — overgiving, difficulty receiving, performance as self-worth — which is psychological work. What I can say is that meaningful shifts begin much sooner than full recovery, often within weeks of beginning real intervention.

Q: Can I be burned out if I love my job?

A: Absolutely. This is a persistent myth that causes people to dismiss the possibility of burnout precisely when they most need to pay attention to it. Burnout doesn’t require hating your work — it can happen in service of work you’re deeply passionate about, often more so, because passion-driven people tend to override their own limits more aggressively. The cynicism of burnout isn’t about your relationship with the work before burnout — it’s a symptom that develops as a result of depletion. You can love your work and be burned out from it simultaneously.

Q: What’s the most important first step if I think I’m burned out?

A: Stop trying to solve it with more willpower. That’s the impulse that got most driven women into burnout in the first place — the belief that if you just try harder, manage better, optimize more effectively, you can push through. Burnout is a signal that the system is at or beyond its limits, and the solution isn’t to demand more from a depleted system. The most important first step is getting an honest assessment — ideally with a therapist or clinician who can help you see your state accurately, without the distortions your own training has created. The second step is a genuine, structural reduction in demand. Not “I’ll try to leave work by 8.” An actual decrease in what’s being asked of the system.

Q: How do I know if I need therapy or just better self-care practices?

A: If what you’re experiencing is a hard season — elevated stress during a defined period of difficulty — better self-care, stronger support systems, and increased intentionality about rest may be genuinely sufficient. If you’re experiencing burnout — particularly if the burnout has roots in early patterns around performance, worth, and approval — self-care alone won’t be enough. The patterns that made you vulnerable to burnout are usually psychological in origin, and they respond to psychological intervention. Therapy isn’t for people who’ve failed at managing themselves. It’s for people who want to understand why the same patterns keep showing up, and who want to change them at the level where change is actually possible.

Related Reading

Maslach, Christina, and Michael P. Leiter. “Understanding the Burnout Experience: Recent Research and Its Implications for Psychiatry.” World Psychiatry 15, no. 2 (2016): 103–111. https://doi.org/10.1002/wps.20311

World Health Organization. “Burn-out an ‘Occupational Phenomenon’: International Classification of Diseases.” WHO, May 28, 2019. https://www.who.int/news/item/28-05-2019-burn-out-an-occupational-phenomenon-international-classification-of-diseases

Porges, Stephen W. The Polyvagal Theory: Neurophysiological Foundations of Emotions, Attachment, Communication, and Self-Regulation. New York: W.W. Norton, 2011.

van der Kolk, Bessel, MD, psychiatrist and trauma researcher, author of The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma. New York: Viking, 2014. (PMID: 9384857)

Nagoski, Emily, and Amelia Nagoski. Burnout: The Secret to Unlocking the Stress Cycle. New York: Ballantine Books, 2019.

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Annie Wright, LMFT — trauma therapist and executive coach

About the Author

Annie Wright, LMFT

LMFT · Relational Trauma Specialist · W.W. Norton Author

Helping ambitious women finally feel as good as their résumé looks.

Annie Wright is a licensed psychotherapist (LMFT #95719) and trauma-informed executive coach with over 15,000 clinical hours. She works with driven, ambitious women — including Silicon Valley leaders, physicians, and entrepreneurs — in repairing the psychological foundations beneath their impressive lives. Annie is the founder and former CEO of Evergreen Counseling, a multimillion-dollar trauma-informed therapy center she built, scaled, and successfully exited. A regular contributor to Psychology Today, her expert commentary has appeared in Forbes, Business Insider, Inc., NBC, and The Information. She is currently writing her first book with W.W. Norton.

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