According to Wikipedia “burnout” is a psychological term for the experience of long term exhaustion and diminished interest. It is not included in the DSM IV (the psychiatric Bible), but it is included in the ICD-10 which is a coding of diseases and symptoms, complaints and social circumstances etc.

“Burnout” was first coined in the 1970’s and is now used more often than the older terminology “nervous breakdown” which was commonly used for some of the same kinds of symptoms. The big difference as far as I can tell is that “Burnout Syndrome” applies mostly to work related exhaustion, while “nervous breakdown” applies to symptoms caused by an abnormal amount of stress.

As a teenager in the 70’s I remember hearing the term “nervous breakdown” frequently. A few friends over those years told me they had someone in their family that had a nervous breakdown and needed time to rest. I don’t know if they ever recovered or if their nervous breakdown required more intensive treatment. Many psychiatrists today think that a nervous breakdown is sometimes a code for something more serious like an episode of severe depression or psychosis.

“Burnout syndrome” seems to be less of a psychiatric illness and more of a general feeling of being drained physically and emotionally. I know of people who have worked themselves to exhaustion. Different situations can lead to burnout including overwhelming workload, hard work and no clear goals, powerlessness to change something important to you, conflict between your personal values and the values of the company you work for, and hitting the “invisible ceiling.”

In both cases, it’s important to try and be aware that you are headed into a burnout situation so that you can make the appropriate changes before it happens. Psychiatric care may or may not be needed, but chances are that drastic changes in life style and attitude will be.

Memorial Day: Honoring the Heroes Fighting PTSD (from the National Alliance on Mental Illness)

Nine years of war in Iraq and Afghanistan have taken a great toll on soldiers who are serving repeated and longer tours of duty. USA Today this month reported that mental health disorders resulted in more American soldier hospitalizations in 2009 than any other reason—and that depression, substance abuse, anxiety and adjustment problems such as Post Traumatic Stress Disorder cost the Pentagon 488 years of lost duty in 2009.

On Memorial Day, we remember veterans and active duty service members, those who have sacrificed much in their service to our country. It is also a good time to remember those who struggle with PTSD—some of whom have never served in the military.

PTSD doesn’t just affect those who have enlisted; studies suggest that anywhere between 2–9 percent of the population has had some degree of PTSD, but the number may be higher among people diagnosed with another serious mental illness.

The consequences of untreated mental illness both within the military and in the civilian population are staggering: unnecessary disability, unemployment, substance abuse, homelessness, broken families, inappropriate incarceration and suicide. But these tragic outcomes are preventable. Treatment works and recovery is possible.

NAMI’s online Veterans Resource Center offers a variety of mental illness, policy and health care resources for veterans and active duty military members, as well as their families, friends and advocates.

Visit the website at:  www.nami.org

NOT… “just another walk”

As most of you know, we just had a very successful NAMIWalks in Tucson on March 27th. NAMIWalks Southern Arizona is the single biggest fundraising, awareness building event in this area promoting advocacy, support and education for people with mental illness and their families. A NAMI associate and friend of mine manages the Walk in San Diego that is scheduled for this weekend and was able to assist in coordinating a simultaneous walk in Iraq. Please read the following article from the NAMI website:

Army Troops in Iraq to Hold 5K Run to Promote PTSD Awareness and Ending Stigma of Mental Illness

April 14, 2010

Arlington, Va. — An Army platoon in Iraq will run five kilometers (5K) in full body armor on April 17 to raise awareness about posttraumatic stress disorder (PTSD) and the need to end stigma surrounding mental illness.

Forward Operating Base Echo in ad-Diwaniyah, Iraq will hold the event at the same time the National Alliance on Mental Illness (NAMI) affiliate in San Diego holds a NAMIWalk at a more leisurely pace.

NAMI San Diego will move out Saturday at 8:00 a.m. (PT) while 3rd Platoon, Baker Company of the 3rd Infantry Division’s 3rd Heavy Brigade Combat Team and others begin the 5K run at 19:00 hours (Iraq time).

“This is an incredible event,” said NAMI National Executive Director Mike Fitzpatrick. “NAMI is honored that Army soldiers in a war zone have synchronized their commitment to public education with our San Diego affiliate.”

“NAMIWalks across the country are about hope, recovery and community. They are fun events, but they support serious work.”

“As the U.S. Army has taught me, not all wounds are visible,” said Army specialist John Bell, who is organizing the Iraq event.

“As tough as a U.S. service member may be, many still suffer the effects of having endured life in a combat zone. The most prominent effect is PTSD. Not every combat-deployed soldier has been in a firefight, or had their vehicle struck by an IED, or even lost a friend by an enemy engagement. But the trauma they endure is nonetheless significant to them.”

* One in six veterans of Iraq and Afghanistan is affected by PTSD, depression or anxiety. Only about half seek treatment.

* One study has reported that 25 percent of Iraq veterans seen at veterans’ hospitals receive mental health diagnoses.

* Approximately 40 percent of homeless veterans have some form of mental illness.

For two years, NAMI San Diego development and events manager, Annie Dunlop told Bell, a friend, about NAMIWalks. Deployed in Iraq, he was unable to participate. This year he didn’t want to miss out. The 5K will honor NAMI San Diego’s work and NAMI efforts to help veterans nationwide through its on-line Veterans Resource Center and other programs.