

CBT for stress and burnout
Stress is a normal response to challenging or demanding situations. But when the demands in your life continue for a long period of time, you may find that you are struggling to recover and beginning to feel overwhelmed, exhausted or unable to switch off.
You might feel as though you are constantly "on", even when you are not working. You may find it difficult to say no, take breaks or prioritise your own needs. Over time, this can leave you feeling physically and emotionally drained.
CBT can help you understand the patterns that are contributing to your stress and burnout and develop more sustainable ways of managing demands, expectations and your own needs.
I offer face-to-face CBT for stress and burnout in Guildford, Godalming and Farnham, as well as online therapy for adults throughout the UK.
What are stress and burnout?
Stress can occur when you feel that the demands placed on you are difficult to manage or exceed the resources you have available.
Burnout can develop in the context of prolonged or poorly managed stress, particularly when there is limited opportunity to recover. It can affect your energy, motivation, mood, concentration and ability to cope with everyday demands.
You might notice:
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Feeling constantly overwhelmed or under pressure
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Feeling exhausted even after resting
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Difficulty switching off or relaxing
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Irritability or becoming more easily frustrated
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Difficulty concentrating or making decisions
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Feeling that you have too much to do and not enough time
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Losing motivation or enjoyment
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Feeling detached or emotionally drained
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Working longer hours or finding it difficult to take breaks
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Difficulty saying no or setting boundaries
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Feeling guilty when you are not being productive
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Becoming increasingly self-critical
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Feeling that you are struggling to keep up with your usual responsibilities
Stress and burnout can affect many areas of life, including work, relationships, family life and your ability to look after yourself.
Why do stress and burnout keep going?
When you are under pressure, it can be difficult to step back and notice the patterns that are keeping the cycle going.
You may respond to feeling overwhelmed by working harder, taking on more responsibility or pushing yourself to keep going. You might find yourself thinking that you should be able to cope, that you cannot let other people down, or that things will only feel manageable once everything is finished.
At the same time, you may stop doing things that help you recover because you feel that you do not have the time or energy for them.
This can create a cycle in which high demands, pressure, self-criticism and reduced recovery reinforce one another.
How can CBT help?
CBT can help you understand the factors contributing to your stress and identify patterns that may be keeping you stuck.
Together, we will look at the relationship between your thoughts, emotions, physical responses and behaviours, as well as the demands and circumstances you are dealing with.
Therapy may involve:
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Understanding your individual stress and burnout cycle
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Identifying the demands and pressures contributing to your difficulties
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Exploring unhelpful beliefs and expectations around work, responsibility and productivity
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Recognising patterns such as perfectionism or putting other people's needs before your own
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Looking at difficulty saying no or setting boundaries
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Identifying behaviours that may be maintaining stress, such as overworking or avoiding tasks until they become overwhelming
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Developing more sustainable approaches to managing your responsibilities
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Increasing opportunities for rest, recovery and activities that matter to you
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Learning strategies for managing difficult thoughts and emotions
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Developing ways to recognise and respond to early signs of stress before they escalate
The aim is not simply to help you become better at coping with an unsustainable level of pressure.
Instead, therapy focuses on helping you understand what needs to change and develop more sustainable ways of managing demands while looking after your own wellbeing.
CBT can help to identify patterns and consider alternative ways of responding. Depending on your circumstances, this might involve setting boundaries, changing unhelpful expectations, tackling avoidance, making space for recovery or learning to respond differently to feelings of guilt when you prioritise your own needs.
Therapy will be collaborative and focused on changes that are realistic and sustainable within your circumstances.
What if my stress is caused by my work?
Work can be a significant source of stress, particularly when there are high demands, limited control, difficult relationships or ongoing pressure.
CBT cannot remove external circumstances that are genuinely stressful. However, it can help you identify what is within your control and consider how you respond to the demands you are facing.
This may include looking at boundaries, workload, perfectionism, people-pleasing, difficulty delegating or beliefs about what you "should" be able to manage.
Where appropriate, therapy can also help you consider whether changes outside of therapy are needed to support your recovery.
What if I feel guilty when I rest?
For some people, rest can feel unproductive or undeserved. You may find yourself thinking that you should be working, completing tasks or doing something useful instead.
This can make it difficult to properly recover, even when you have time available.
CBT can help you explore these beliefs and understand the role that rest and recovery play in maintaining your ability to function effectively over the longer term.
What can I expect from therapy with you?
We'll start by developing an understanding of what is contributing to your stress or burnout and how it is affecting your life. Together, we'll identify the patterns that may be keeping the cycle going and consider what needs to change.
Depending on your circumstances, this might involve working with perfectionism, difficulty setting boundaries, people-pleasing, overworking, guilt about resting or difficulty switching off.
We'll focus on changes that are realistic and sustainable within your circumstances, rather than expecting you to change everything at once.

Frequently Asked Questions
Is burnout the same as depression?
Burnout and depression can involve some similar experiences including exhaustion, low motivation and loss of enjoyment. However, they are not the same thing.
Burnout is generally associated with prolonged stress and feeling unable to cope with ongoing demands, often in a particular area of life such as work or caring responsibilities.
It is possible to experience both. We can explore what you are experiencing and consider what type of support would be most appropriate.
Can CBT help if I am still in a stressful situation?
Yes. Sometimes it is not possible to immediately remove the source of stress. CBT can help you identify what is within your control, make sustainable changes where possible and develop ways of responding to ongoing demands.
What if I have reached the point where I feel completely exhausted?
If you are feeling overwhelmed or exhausted, therapy does not need to begin with making lots of changes at once. We can start by understanding what is happening and identifying the changes that are most important and manageable for you.
The pace of therapy will be adapted to your circumstances, particularly if your current energy and concentration are limited.
Do I need to take time off work before starting therapy?
Not necessarily. Whether time away from work is appropriate depends on your individual circumstances. Therapy can focus on understanding what is contributing to your difficulties and identifying changes that may help, whether or not you remain at work.
Can CBT help with work-life balance?
Yes. CBT can help you explore the beliefs and behaviours that make it difficult to "switch off", set boundaries or prioritise activities outside of work.
Can CBT help with perfectionism and burnout?
Yes. Perfectionistic expectations can contribute to overworking, difficulty delegating, fear of making mistakes and feeling that your efforts are never enough. These patterns can be explored as part of CBT.
Take the first step
If stress or burnout is affecting your wellbeing, relationships or ability to enjoy your life, therapy can help you understand what is keeping the cycle going and identify more sustainable ways of managing the demands you face.
If you'd like to find out whether therapy with me could be helpful, you can book a free 15-minute initial consultation.

