Persistent exhaustion following prolonged stress is more than just tiredness: it manifests as inner emptiness, lack of drive, and the feeling of being 'burnt out'. Such states of exhaustion usually develop gradually and should be taken seriously. The good news is that with appropriate support, ways out of this overload can be found. This is especially true here: the earlier you pause and seek help, the better.
Possible causes
Chronic overload
Long periods without adequate recovery, high pressure at work, or caring for relatives can gradually deplete your strength.
Lack of boundaries and breaks
Those who struggle to set boundaries or consistently put their own needs last are more likely to enter a spiral of exhaustion.
Psychological contributing factors
Exhaustion often goes hand in hand with depressive moods, anxiety, or sleep disturbances, which can reinforce each other.
Physical causes
Thyroid problems, anaemia, infections, or deficiency of certain nutrients can trigger similar exhaustion and are therefore considered.

Typical steps at the doctor's office
- 1In a supportive conversation, we assess how the exhaustion developed and what stresses in daily life play a role.
- 2To rule out physical causes such as thyroid issues or anaemia, a simple examination with blood tests is usually advisable.
- 3Together, appropriate support is discussed, such as counselling or psychotherapy and, where necessary, relief in your professional or private environment.
What you can do yourself
- Consciously build small breaks and genuine recovery into your day, rather than continuing until you are completely depleted.
- Set realistic priorities and learn to delegate or postpone tasks where possible.
- Gentle movement, daylight, and reasonably regular sleep help the body rebuild energy.
- Maintain contact with trusted people and talk openly about the overload, rather than withdrawing.
Please get in touch if the exhaustion persists for weeks, if you do not recover despite rest, or if everyday life and work become increasingly difficult. Even if you notice that joy and drive are being lost, an early conversation is an important and strengthening step. Your family doctor as well as specialists in psychiatry and psychotherapy are responsible for this. If you have thoughts of taking your own life, get help immediately: Die Dargebotene Hand is available around the clock at 143; in case of acute danger, call 144.

Frequently asked questions
- Is burnout the same as depression?
- Burnout describes a state of deep exhaustion following persistent overload and can gradually develop into depression. Where the boundary lies can be assessed in conversation, so that you receive the appropriate support.
- Do I have to quit my job to recover?
- Not necessarily. Often temporary relief, changed routines, and accompanying counselling are already helpful. Which steps are suitable for your situation will be discussed together and without pressure.
- How long does recovery from exhaustion take?
- This varies greatly and depends on how long the overload has existed and what support is available. It is important to give yourself time; small, reliable steps contribute more than quick fixes.
Not sure whether you should go or whom to see? Describe your symptoms — we'll find the right practice in your area.
