Therapy

Burnout…

What It Is and How to Recover

Burnout Defined

Burnout is a word we hear often, but many people don’t recognize it until they’re already deep in it. It’s not just feeling tired after a long week or unmotivated for a day or two. Burnout is a state of emotional, mental, and often physical exhaustion caused by prolonged stress—especially when that stress feels relentless, unavoidable, or disconnected from meaning or reward. It can creep in quietly, disguising itself as “just pushing through,” until even simple tasks feel overwhelming.

At its core, burnout happens when demand consistently exceeds capacity. You give more than you can sustainably replenish. Over time, your system doesn’t just get tired—it starts to shut down as a form of self-protection.

What Burnout Feels Like

Burnout often shows up as chronic fatigue, cynicism, irritability, brain fog, or a sense of emotional numbness. You might feel detached from your work or relationships, find it harder to care about things that once mattered, or feel trapped in a loop of obligation without relief. Many people also experience physical symptoms: headaches, muscle tension, sleep problems, or increased illness.

One reason burnout is so common is that our culture rewards overcommitment. We glorify productivity, hustle, and resilience while quietly discouraging rest and limits. Many people treat life like a series of sprints—constantly rushing, pushing, and accelerating—when in reality, a sustainable life is more like a marathon. Sprinting occasionally is fine. Sprinting all the time is not.

Spoon Theory and the Cost of Overcommitting

A helpful framework for understanding burnout is spoon theory. Originally developed to describe chronic illness, spoon theory uses “spoons” as a metaphor for energy units. Each task—getting dressed, going to work, having a conversation—costs a certain number of spoons. When you’re out of spoons, you’re done for the day.

Burnout often develops when we repeatedly plan our lives as if we have unlimited spoons. We say yes to too much, underestimate the energy cost of obligations, and assume tomorrow we’ll magically have more capacity. Overcommitting—whether at work, in family roles, or socially—drains spoons faster than they can be replenished. Recovery requires learning to budget energy realistically, not optimistically.

Recovery Is Not a Vacation—It’s a Recalibration

Recovering from burnout isn’t just about taking a break, though breaks help. Many people take time off only to return to the same patterns, expectations, and internal pressures that caused burnout in the first place. True recovery requires both rest and structural change.

Here are five strategies that can support healing and help prevent burnout from returning.


1. Shift from Sprinting to Pacing

Burnout recovery begins with changing how you move through life. If you’ve been living in constant urgency, your nervous system is likely stuck in overdrive. Pacing means intentionally slowing down, building in margins, and leaving some energy unused.

This may feel uncomfortable at first, especially if your identity is tied to productivity. But pacing doesn’t mean doing nothing—it means doing what’s sustainable. Ask yourself: Could I keep living this way for years? If the answer is no, something needs to change.


2. Reassess Commitments and Say Fewer Yeses

Burnout thrives on unexamined obligation. Recovery requires a hard look at where your energy is going. Which commitments are essential, and which are inherited, habitual, or guilt-driven?

Start by reducing, not optimizing. You don’t need a more efficient schedule—you need a lighter one. Practice saying no, postponing decisions, or offering partial participation. Protecting your energy is not selfish; it’s necessary.


3. Restore Rest (Without Earning It)

Many burned-out people only rest when they feel they’ve “earned” it. Recovery asks you to flip that belief. Rest is not a reward—it’s a biological requirement.

This includes sleep, but also mental rest (less stimulation), emotional rest (fewer draining interactions), and sensory rest (quiet, nature, reduced screen time). Rest may feel unproductive, but it is the soil where recovery grows.


4. Reconnect with Meaning, Not Just Output

Burnout often strips life of meaning, leaving only tasks and expectations. Part of healing involves reconnecting with why you do what you do—or discovering new sources of meaning altogether.

This might involve creativity, values-based work, relationships, spirituality, or small moments of pleasure and curiosity. Meaning doesn’t have to be grand. It just has to be yours.


5. Seek Support and Normalize Needing Help

Burnout is not a personal failure; it’s a human response to chronic strain. Talking with a therapist, counselor, or trusted person can help you untangle unrealistic expectations, perfectionism, or people-pleasing patterns that fuel burnout.

Support also reminds you that you don’t have to carry everything alone. Recovery is faster—and gentler—when it’s shared.


Moving Forward

Burnout recovery is not linear. There will be days when energy returns, and days when it doesn’t. The goal is not to get back to who you were before burnout, but to build a life that doesn’t require burning yourself down to function.

When you stop treating life like an endless sprint, honor your limited spoons, and allow rest to be part of the plan, something important happens: energy slowly comes back—not as adrenaline, but as steadiness. And that kind of energy lasts.

Therapy

Cognitive Defusion: A Key to Psychological Flexibility

Part Two of a Six Part Series on the Core Principles of ACT Therapy

Changing Your Relationship with Thoughts

This post is the second in our series exploring the core principles of Acceptance and Commitment Therapy (ACT), an evidence-based approach designed to enhance psychological flexibility and promote a values-driven life. Following our discussion of Acceptance, we now turn to another foundational principle of the ACT hexaflex: Cognitive Defusion.

What Is Cognitive Defusion in ACT?

Cognitive defusion is the process of changing how we relate to our thoughts. In ACT, thoughts are not viewed as inherently good or bad, true or false. Instead, the focus is on how much power we give to these thoughts and whether they help us live according to our values. Cognitive defusion involves stepping back from thoughts, seeing them for what they are—simply words or images in our minds—rather than as literal truths that must dictate our actions or emotions.

When we become fused with our thoughts, we treat them as absolute facts and allow them to dominate our decisions and behaviors. Defusion helps us break free from this grip, enabling us to observe our thoughts with curiosity and perspective. By doing so, we can reduce their impact and influence, allowing us to act in alignment with our values rather than being controlled by unhelpful mental content.

Why Is Cognitive Defusion Important?

Cognitive defusion is crucial because it helps us disentangle from thought patterns that contribute to emotional distress and behavioral avoidance. Many psychological struggles, such as anxiety, depression, and low self-esteem, are fueled by unhelpful thinking. When we take our thoughts too seriously or treat them as ultimate truths, we can become stuck in patterns of rumination, worry, or self-criticism.

Defusion allows us to create distance from these thoughts, diminishing their power and influence. It helps us see that thoughts are not commands we must obey or obstacles we must eliminate. Instead, they are transient experiences that we can observe and let pass without getting caught up in their content. This shift empowers us to make choices based on our values rather than being driven by automatic thought patterns.

Cognitive Defusion in Action: A Metaphor

One of the most well-known metaphors for cognitive defusion is the “Passengers on the Bus” metaphor. Imagine you are driving a bus, and the passengers represent your thoughts. Some passengers are loud, critical, or demanding, while others are quiet or supportive. If you stop the bus every time a passenger yells at you, you won’t make much progress toward your destination. Cognitive defusion teaches you to keep driving the bus, acknowledging the passengers’ presence but not letting them dictate your journey.

Practical Strategies to Cultivate Cognitive Defusion

In ACT, cognitive defusion is a skill that can be practiced and developed. Here are some techniques to help you foster this skill:

  1. Labeling Thoughts: Practice noticing your thoughts and labeling them as they arise. For example, instead of thinking, “I’m a failure,” you might say, “I’m having the thought that I’m a failure.” This simple shift creates distance and reminds you that thoughts are not facts.
  2. Silly Voices Exercise: Repeat a troubling thought in a silly voice or imagine it being said by a cartoon character. This exercise highlights the arbitrary nature of thoughts and reduces their emotional impact.
  3. Thought Clouds: Visualize your thoughts as clouds drifting across the sky. Notice them come and go without trying to hold onto or push them away. This imagery reinforces the idea that thoughts are temporary and not inherently powerful.
  4. Leaves on a Stream: Imagine placing each thought on a leaf and letting it float down a stream. Watch as the leaf drifts away, carrying the thought with it. This technique helps you practice letting go of unhelpful thoughts.
  5. Thank Your Mind: When your mind produces a particularly challenging thought, try saying, “Thank you, mind,” with a touch of humor or kindness. This response acknowledges the thought’s presence without becoming entangled in it.

Common Misconceptions About Cognitive Defusion

It is important to clarify what cognitive defusion is and what it is not:

  • Defusion Is Not Suppression: Defusion does not involve pushing thoughts away or trying to eliminate them. Instead, it involves changing your relationship with them.
  • Defusion Is Not Distraction: While defusion techniques may reduce the immediate impact of a thought, their primary goal is to foster awareness and perspective, not to avoid or distract from the thought.
  • Defusion Is Not About Truth: The goal is not to determine whether a thought is true or false but to assess whether it is helpful and aligned with your values.

The Role of Cognitive Defusion in the ACT Hexaflex

Cognitive defusion is closely connected to other principles of the ACT hexaflex, such as mindfulness and acceptance. Together, these principles create a flexible approach to managing difficult thoughts and emotions while pursuing a meaningful life. By practicing defusion, you can increase your ability to stay present, act intentionally, and focus on what matters most.

Final Thoughts

Cognitive defusion is a transformative skill that allows us to step back from our thoughts and see them for what they are: fleeting mental events rather than absolute truths. By cultivating this skill, we can reduce the power of unhelpful thinking and make choices that align with our values and goals.

In the next post in this series, we will explore the principle of Present Moment Awareness, which builds on the concepts of acceptance and defusion to help us engage more fully with life. For now, consider how cognitive defusion might apply to your own experiences. How might your life change if you could view your thoughts with greater curiosity and detachment? The journey to greater psychological flexibility starts with small steps like these.

If you live in Washington State, and you would like to make an appointment, please feel free to contact me here. I’m looking forward to hearing from you.

:), Susan Reimers, JD/LICSW