What burnout is
The World Health Organization describes burnout as an occupational phenomenon resulting from chronic workplace stress, with three dimensions: exhaustion, detachment or cynicism about work, and reduced professional efficacy.
Dr. Petrus Raulino holds a Master of Science from the University of São Paulo (USP), at its School of Economics, Business and Accounting (FEA), with research on career attitudes and the mental health of managers, and has presented work on careers and mental health at international conferences. This background supports his care of business owners, executives, managers and professionals.
Signs and symptoms
- Fatigue that rest does not relieve
- Irritability, impatience, cynicism about work and colleagues
- Lower performance and concentration, feeling unable to cope
- Insomnia, aches, digestive problems
- More alcohol, caffeine or medication to get through the routine
- Wanting to quit everything, a sense of emptiness
How it is diagnosed
The psychiatrist assesses symptoms, their relationship with work and the rest of life, and screens for depression, anxiety disorders, insomnia, substance use and medical causes of fatigue. Many people with burnout meet criteria for depression or anxiety, which need specific treatment.
Treatment
- Reorganizing routine and work boundaries, with time off when medically necessary
- Psychotherapy
- Treating associated conditions, such as depression, anxiety and insomnia, with medication when indicated
- Planning the return to work and preventing relapse, considering career and company context
When to see a psychiatrist
When exhaustion persists even after vacations or time off, affects sleep, mood and relationships, or comes with hopeless thoughts.
Follow-up at the practice
At the practice in Campinas, Dr. Petrus Raulino offers private, discreet care, in person or by video when appropriate, with follow-up visits through recovery and return to work.

Staging: text awaiting medical review by Dr. Petrus before publishing.
This content is for information only and does not replace a medical consultation. Diagnosis and treatment depend on an individual assessment. In crisis or having thoughts of suicide? In Brazil call 188 (CVV, 24 hours, free) or go to the nearest emergency room. In an emergency, call 192 (SAMU).