Burnout describes a state of pronounced emotional, physical, and mental exhaustion resulting from chronic overload — most commonly in a professional context, but increasingly also in private life.

It is typically characterized by the feeling of being “burned out”: persistent exhaustion, emotional detachment from work, and a perceived decline in performance are central features.

Exhaustion syndromes can gradually develop into depressive disorders or be accompanied by anxiety and sleep disturbances. Early diagnostic assessment is therefore particularly important.

Symptoms

Symptoms often develop gradually:

Emotional symptoms:

  • Persistent exhaustion

  • Inner emptiness

  • Irritability

  • Cynicism or emotional detachment

Cognitive symptoms:

  • Concentration and memory problems

  • Indecisiveness

  • Rumination

Physical symptoms:

  • Sleep disturbances

  • Headaches or muscle tension

  • Gastrointestinal complaints

  • Increased susceptibility to infections

Those affected often report feeling unable to recover adequately, even after periods of rest.

Types

Burnout is not an independent psychiatric diagnosis in the strict sense, but rather a clinical picture with different manifestations:

  • Work-related burnout

  • Caregiver burnout (e.g., among caregiving relatives)

  • Stress-related exhaustion syndromes

It is important to differentiate burnout from:

  • Depressive episodes

  • Anxiety disorders

  • Somatic symptom disorders

  • Physical illnesses (e.g., thyroid dysfunction)

Causes

The development is multifactorial:

  • Chronic professional overload

  • High levels of perfectionism and sense of responsibility

  • Lack of recovery phases

  • Persistent emotional strain

  • Imbalance between demands and available resources

Structural factors such as working conditions and lack of social support also play a central role.