“Why do I feel so bad if nothing is technically wrong?”
Many women arrive saying:
“My life is objectively fine… so why do I feel so exhausted?”
They’re functioning. Working. Caring for others. Showing up.
But inside, they feel:
emotionally drained
irritable or numb
disconnected from joy
overwhelmed by small things
unable to recover
They wonder: Is this burnout? Or is this depression?
Understanding the difference matters — because burnout and depression need different kinds of support.
What burnout really is
Burnout is a state of chronic stress and depletion.
It happens when your output has exceeded your capacity for restoration for too long.
It’s not just “being tired.” It’s being overdrawn.
Burnout often looks like:
emotional exhaustion
irritability
decreased tolerance for stress
feeling “maxed out”
brain fog
resentment or detachment
Burnout says: My system doesn’t have enough resources.
What depression really is
Depression is a shift in mood, motivation, and internal experience.
It affects how you feel pleasure, hope, energy, and self-worth.
Depression often looks like:
persistent sadness or emptiness
loss of interest or pleasure
sleep and appetite changes
feelings of worthlessness or guilt
hopelessness
slowed thinking or movement
Depression says: My internal emotional system has changed.
Why they overlap
Burnout can lead to depression.
Depression can make burnout worse.
Both can involve:
low energy
low motivation
irritability
withdrawal
The difference is in what’s driving it.
Burnout is primarily about load and depletion.
Depression is primarily about mood and neurochemistry.
Why high-functioning women are especially vulnerable
High-functioning women often:
carry emotional labor
suppress their own needs
perform competence even when struggling
minimize distress
So burnout and depression often go unnoticed or unaddressed for a long time.
Why the distinction matters
Burnout needs:
rest
boundaries
reduction of load
nervous system support
Depression often needs:
psychotherapy
medication
addressing biological contributors (sleep, hormones, nutrition)
If you treat burnout like depression, you may feel over-medicalized.
If you treat depression like burnout, you may feel blamed.
Getting it right matters.
When to seek help
If you feel:
persistently unlike yourself
emotionally flat or hopeless
unable to recover even with rest
more irritable or reactive than before
disconnected from meaning or joy
Those are not signs of weakness.
They are signs of a system that needs care.
Brianna Dawson PMHNP-BC
If you’re unsure what you’re experiencing, a free 15-minute phone consultation can help clarify what’s happening and what type of support might help.