Therapy for Burnout: What High-Functioning Burnout Feels Like (And Why It’s So Often Missed)

Esther Dietrichsen-Farley
4 days ago
3 min read

Updated: 15 hours ago

You’re still getting things done. Still showing up. Still functioning. But inside, it feels like something essential is missing. You might describe it as feeling flat, emotionally disconnected, or not quite yourself. There may be no obvious signs to others - no tears, no visible collapse - just a quiet depletion that follows you through the day.

This is what high-functioning burnout often looks like. It’s the kind that hides in plain sight, especially in people who are seen as capable. The kind that gets dismissed or mislabelled as just stress. And because it’s so hard to spot, many people don’t realise they’re burning out until they’re already deep in it.

What is High-Functioning Burnout?

Burnout is typically defined as a state of physical, emotional, and mental exhaustion caused by prolonged stress. But high-functioning burnout is harder to name. It shows up in people who are doing well on the surface - delivering at work, taking care of others, keeping up appearances - but inside, they feel exhausted, detached, and emotionally numb.

You might not be calling it burnout. You might just think you’re tired or overdoing it. But if you find yourself feeling chronically flat or emotionally unreachable, it may be more than just being run-down.

How It Feels

For many people, high-functioning burnout doesn’t begin with a visible collapse. It begins with a slow dimming. The things you used to care about feel distant. You’re more irritable. You might struggle to concentrate, and even rest doesn’t feel restorative. Small tasks feel heavier. You may withdraw from relationships, or start to feel like a ghost in your own life.

The physical signs can include:

Sleep disturbances
Muscle tension or chronic headaches
Low immunity or recurring illnesses
Brain fog and forgetfulness

Emotionally, it might look like:

Blunted or flattened feelings
Increased self-criticism
Feelings of helplessness, guilt, or shame

These signs often go unnoticed because they’re not loud. They don’t shake your life - they wear it down quietly, day by day.

Why It Gets Missed

High-functioning burnout is often praised rather than spotted. You’re seen as dependable. Capable. Someone who can cope. This can make it hard, even for you, to acknowledge what’s happening beneath the surface.

In one study published in Frontiers in Psychiatry (2022), researchers noted that cognitive impairments such as memory loss and attention issues were common in those with chronic burnout - but these symptoms often don’t get reported because people push through them or think they’re just signs of ageing or tiredness.

Public figures like Ed Sheeran have spoken out about overworking to avoid emotional pain, leading to intense burnout that was only visible when things stopped.

Dr Claire Ashley, a UK GP, publicly described her experience of high-functioning burnout leading to panic attacks and eventually stepping away from practice.

These stories matter because they highlight that burnout doesn’t discriminate - and it doesn’t always show up how you expect.

How Therapy Can Help

Therapy for burnout isn’t about pushing you to be productive again. It’s about giving you space to slow down. To notice what you’ve been carrying. To begin to reconnect with your own needs, feelings, and limits.

At The Farley, therapy isn’t rigid or clinical. There is no performance. Whether in-person in Southampton or online across the UK, it’s a space where you don’t have to have the right words. I meet you where you are - even if where you are is barely hanging on.

You don’t need to reach a crisis to explore therapy for burnout. You just need to notice that something isn’t sitting right. That you don’t feel like yourself anymore. That you want to come back to a life that feels more connected.

Please feel free to book a free initial consultation or reach out for a conversation.

A note on language

In the UK, people often use the terms counselling and therapy interchangeably. I do too. While some see counselling as short-term and therapy as deeper work, in my practice the two overlap. I use the terms interchangeably, because what matters most is that the space feels human, safe, and attuned to you. Whether you’re searching for counselling Southampton, private therapy in Southampton, exploring private therapy online UK, The Farley offers a consistent, grounded space to come back to yourself - whatever you call it.

The Farley