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?????Burnout often starts as a feeling of fatigue - physical, mental or emotional - which lasts increasingly longer. Weekends, holidays, vacations and customary diversions just don't give us a sense of renewal any longer. We start to withdraw from coworkers and supervisors. We aren't as attentive to our responsibilities. We may see increased substance abuse (alcohol, drugs, tobacco), changes in our appetite, sleep disruptions, or the onset of physical or emotional health problems. We "arrive late and leave early." We may become increasingly angry, hostile and depressed. In severe burnout we may experience a feeling of disconnection and complete loss of interest in our job. Our self-esteem suffers. As our feelings about work become totally negative, chronic absenteeism can become a problem for both the individual and the organization.

?????Many are only partially aware, however, of the erosive impact that job burnout has on our lives since we tend to ignore chronic and progressive stress. We often feel that we can and must continue to persevere in overload mode, especially considering our cumulative heroic efforts through the present to keep up with our work demands. We drive ourselves to go on and on, as tired and pessimistic as we may be. Others may see the symptoms earlier than we can. Coworkers may notice a change in work habits or the quantity and quality of our work accomplishments. Our primary relationships may suffer. Our friends may complain about our lack of availability.

?????T here are many stressors on the job which may contribute to burnout. Here are some of the more common sources of job-related stress:

• work overload
• work with high emotional intensity
• conflicting job demands
• lack of sufficient acknowledgment, support and reward
• no clear endpoint to one's efforts
• high interpersonal conflict
• excessive bureaucracy - too much paperwork from higher-ups
• value clashes between the individual and the organization

?????Unfortunately, it is often those who show the most promise at the beginning of their careers who later succumb to burnout. They are idealists, perfectionists and workaholics. They are high achievers who have high energy levels and positive attitudes initially. They are dedicated to their work and committed to doing well continuously. Needless to say, more work gets shunted their way. Over time, however, the relentless stress and the inability to cope with the demands of the job lead to burnout.

?????Interpersonal Problems - When we feel drained emotionally at work, it becomes more difficult to deal with other people. When expected conflicts occur, we may overreact with an emotional outburst or increased hostility. We may also start to isolate ourselves from other people. We send out messages in our behavior that we are not as present or as available to others as we have been in the past. We might experience a decreased desire to socialize or to pursue our usual activities outside of work.

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