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Burnout is often a symptom of deeper patterns formed in childhood, not just work stress.

Early roles like parentification can shape career choices and drive adult self-sacrifice.

The same patterns appear across work, parenting, and friendships, so treat the pattern, not just the problem.

I first started seeing Mira* for burnout management at work. She was a psychologist herself and had found herself becoming increasingly tired and apathetic about her client work, and she was worried about what this meant.

She was visibly tearful in our first session. “This is all I’ve ever wanted to do. I don’t know why I feel this way,” she said.

As we unpacked her experience, we spoke about the structural forces affecting her work. Her daughter was a toddler, and she had also started taking on some caring responsibilities for her aging parents.

“I feel squished by everyone’s needs,” she said, poetically. We spoke about the difficulties of being a psychologist while also being in a caring role in her personal life: the exhausted empathy from sitting with intense distress daily, the profound fatigue after heavy sessions, the heavy........

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