Is Burnout Real?

Richmondchironeu • August 5, 2019

Hello again everyone:

Most of us at some point in our lives, have felt burnt out. This is usually from chronic stress that is usually a combination of different types of stresses. These may include work and/or emotional and mental stress, biochemical stress and physical stress. Examples might be: working 50 to 70 hours per week; stressful work situations including how well we get along with our boss or co-workers; poor eating habits; recurrent illnesses; nutrient depletion and imbalances; poor sleep; lack of appropriate exercise; frustration in not achieving our purpose; relationship issues; substance abuse such as sugar and/or alcohol or food; medications; etc.

Burn out is real, and now the medical profession has even given the condition it’s own diagnostic code:

Z73.0 – Burn-out state of vital exhaustion

Symptoms include: extreme fatigue; anxiety; insomnia; weariness; loss of motivation and/or passion for work or other responsibilities, ambitions or goals; negativity; cynicism; loss of hope; feeling profoundly emotionally exhausted; feeling less of a sense of worth or competency; not feeling recognized or rewarded appropriately and more.

For more detailed info, please check out this really informative link:

What is it that I find in burnout patients?? Typically, it is some type of dysfunction in the HPA axis. This is the Hypothalamus-Pituitary-Adrenal axis. And what is that?

Our brain has many ways of recognizing stress and generating a pro-survival response, and a primary one is the HPA axis.  Any  type of stress sends signals to the brain so that we can respond appropriately and survive and thrive. This information comes into the brain, and gets sent to the  hypothalamus  to generate a survival response. Once the  hypothalamus gets the information, it sends a signal to the pituitary  to actually carry out the response by sending signals to our body on how to respond to the stress, and the usual target is the  adrenal glands.

For example: Let’s say we are having a very stressful day at work. This emotional, chemical or physical stress sends a signal to the hypothalamus, then sends a signal to the pituitary that sends a signal to the adrenal glands. The adrenal glands respond by putting out increased levels of adrenalin and cortisol, which give us the energy and lift we need to see our way through the stress and to recover from it. This is great and has allowed humans to conquer their environment and do great things.

Bottom Line:  The problems arise when this mechanism becomes  chronically turned on , and this persistent elevation of stress hormones has MANY NEGATIVE downstream effects. Over the next couple of newsletters, we will explore how stress and the continual over-stimulation of the HPA results in poor health and degeneration of multiple bodily systems. From exhaustion to digestive problems, to depression, to frequent illnesses or infections, increased allergies, poor sleep, loss of cognitive function, increased anxiety, poor memory and more, stress is usually part of the gang that is tearing us down. In the next issues, we will go over this and describe self-care things you can do now to off-set the negative effects of stress.

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Health News Update: Happy New Year 2026! 1.5.26 Hey there everyone: Here is some news you can use to help you age optimally. I have written before about circadian rhythms and meal timing where it has been shown that eTRF (early time restricted feeding) has many benefits. But what happens as we age and shift our mealtimes away from our natural circadian clocks? Here are some snippets from this paper: “Chrononutrition, the study of the timing of eating, has emerged as a modifiable risk factor for adverse health outcomes The role of eating schedules is biologically relevant as dietary intake acts as an environmental cue influencing the circadian clocks of peripheral metabolic tissues and therefore can contribute to circadian misalignment and internal desynchrony 2 , 10 . The emerging evidence largely suggests that later mealtimes, particularly eating during the biological evening, is detrimental to health, Physical and psychological illnesses, including fatigue, oral health problems, depression, anxiety, and multimorbidity, are primarily associated with later breakfast. Later breakfast timing is also associated with increased mortality Importantly, eating breakfast later with aging was linked to a higher risk of death” https://www.nature.com/articles/s43856-025-01035-x meal timing important for health Bottom Line: While this paper focuses on the elderly, it is certainly applicable to all of us. I have seen significant health benefits when people adopt eTRF patters…from better digestion to weight loss, to better sleep, to more energy! Here are two links to my earlier blogs for the info on when to eat for optimal health: https://www.richmondchironeuro.com/health-news-update-when-you-eat-is-critical-to-long-term-health https://www.richmondchironeuro.com/health-news-update-when-we-eat-is-as-critical-as-what-we-eat
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