Individuals

High Stress & Burnout

When the exposure is not chemical. Psychosocial hazard is one of the five recognised classes of occupational hazard — and the least often measured.

A person at an office window

The picture

The nervous system understands a lion. It does not understand an inbox that never empties.

Threat, survive, recover. That is the sequence the human stress response was built for, and it works well when there is a recovery phase at the end of it. Modern work removes the recovery phase. The email, then the meeting, then the commute, then the family, then the phone at eleven at night — each one small, none of them a lion, and no point at which the body is given permission to stand down.

The consequence has a name in the literature: allostatic load. The cumulative physiological cost of adapting, over and over, without full recovery. It is measurable through composite biomarkers, it is well documented in occupational cohorts, and it is almost never assessed in an ordinary health check.

This is not a conversation about resilience or mindset. It is a conversation about physiology, and about a workplace that is producing it.

What this looks like

What burnout actually looks like in a body.

Long before anyone uses the word, the physiology has usually started shifting.

How I work

Measured, not described.

The point of this consultation is to turn something that gets treated as a mood into something with numbers attached.

First

The psychosocial exposure history

Hours, autonomy, recovery time, shift pattern, availability expectations, caregiving load, and what changed before the symptoms did.

Then

Physiological assessment

Circadian pattern, metabolic and cardiovascular markers, and where appropriate the composite indicators of cumulative load — with an honest account of what each can and cannot show.

After

Change the exposure, then support the physiology

In that order. Interventions that only support the physiology while the exposure continues are treating a symptom.

If nothing has ever measured this, it has been invisible by default.

Tell me what your week actually looks like and how long it has looked like that.

Get in touch

Start with the history.

Message me on WhatsApp with what's been happening and how long it's been going on. Writing on behalf of an organisation? Send your sector, headcount and sites.

Email instead

Practice
Goa · Alibaug · Mumbai · Worldwide
By prior appointment only
Email
dr@therootcausephysician.com
Please note
This site is for information only. Nothing here is a diagnosis or a substitute for clinical examination. WhatsApp is for enquiries and scheduling, not for medical advice or emergencies. If your symptoms are severe or worsening, seek urgent care.