Burnout and depression can look similar and are relatively common conditions. Photo / 123rf
Burnout and depression can look similar and are relatively common conditions. Photo / 123rf
Feeling helpless or hopeless? You might have burnout or depression. Symptoms can be similar, but the causes are very different. Academic psychiatrist Gordon Parker explains how to identify what’s up - and to cope with it.
If your summer holiday already feels like a distant memory, you’re not alone. Burnout– a state of emotional, physical and mental exhaustion following prolonged stress – has been described in workplaces since a 5th-century monastery in Egypt.
Burnout and depression can look similar and are relatively common conditions. It’s estimated that 30% of the Australian workforce is feeling some level of burnout, while almost 20% of Australians are diagnosed with depression at some point in their lives.
So what’s the difference between burnout and depression?
Depression is marked by helplessness and burnout is marked by helplessness and depression by hopelessness. They can have different causes and should be managed differently.
The World Health Organisation defines burnout as an “occupational phenomenon” resulting from excessively demanding workload pressures. While it is typically associated with the workplace, carers of children or elderly parents with demanding needs are also at risk.
Our research created a set of burnout symptoms we captured in the Sydney Burnout Measure to assist self-diagnosis and clinicians undertaking assessments. They include:
Exhaustion as the primary symptom
Brain fog (poor concentration and memory)
Difficulty finding pleasure in anything
Social withdrawal
An unsettled mood (feeling anxious and irritable)
Impaired work performance (this may be the result of other symptoms such as fatigue).
People can develop a “burning out” phase after intense work demands over only a week or two. A “burnout” stage usually follows years of unrelenting work pressure.
The study found that there were more similarities between burnout and non-melancholic depression in terms of motivation and sleeping difficulties. Photo / 123rf
What is depression?
A depressive episode involves a drop in self-worth, an increase in self-criticism and feelings of wanting to give up. Not everyone with these symptoms will have clinical depression, which requires a diagnosis and has an additional set of symptoms.
Clinically diagnosed depression can vary by mood, how long it lasts and whether it comes back. There are two types of clinical depression:
Melancholic depression has genetic causes, with episodes largely coming “out of the blue”
Non-melancholic depression is caused by environmental factors, often triggered by significant life events that cause a drop in self-worth.
When we created our burnout measure, we compared burnout symptoms with these two types of depression.
Burnout shares some features with melancholic depression, but they tend to be general symptoms, such as feeling a loss of pleasure, energy and concentration skills.
We found there were more similarities between burnout and non-melancholic (environmental) depression. This included a lack of motivation and difficulties sleeping or being cheered up, perhaps reflecting the fact that both have environmental causes.
Looking for the root cause
The differences between burnout and depression become clearer when we look at why they happen.
Personality comes into play. Our work suggests a trait such as perfectionism puts people at a much higher risk of burnout. But they may be less likely to become depressed as they tend to avoid stressful events and keep things under control.
Those with burnout generally feel overwhelmed by demands or deadlines they can’t meet, creating a sense of helplessness.
It is not uncommon for someone to experience both burnout and depression at once. Photo / 123rf
On the other hand, those with depression report lowered self-esteem. So rather than helpless, they feel that they and their future are hopeless.
However, it is not uncommon for someone to experience both burnout and depression at once. For example, a boss may place excessive work demands on an employee, putting them at risk of burnout. At the same time, the employer may also humiliate that employee and contribute to an episode of non-melancholic depression.
A principal strategy in managing burnout is identifying the contributing stressors. For many people, this is the workplace. Taking a break, even a short one, or scheduling some time off can help.
Australians now have the right to disconnect, meaning they don’t have to answer work phone calls or emails after hours. Setting boundaries can help separate home and work life.
Burnout can also be caused by compromised work roles, work insecurity or inequity. More broadly, a dictatorial organisational structure can make employees feel devalued. In the workplace, environmental factors such as excessive noise can be a contributor. Addressing these factors can help prevent burnout.
Exercise, meditation and mindfulness are effective ways to deal with everyday stress. Photo / 123rf
As for managing symptoms, the monks had the right idea. Strenuous exercise, meditation and mindfulness are effective ways to deal with everyday stress.
For non-melancholic depression, clinicians will help address and manage triggers that are the root cause. Others will benefit from antidepressants or formal psychotherapy.
While misdiagnosis between depression and burnout can occur, burnout can mimic other medical conditions such as anemia or hypothyroidism.
For the right diagnosis, it’s best to speak to your doctor or clinician, who should seek to obtain a sense of “the whole picture”. Only then, once a burnout diagnosis has been affirmed and other possible causes ruled out, should effective support strategies be put in place.
