Nervous exhaustion. How to avoid professional burnout Deviation II - Double bottom

By various reasons, which cause a shortage of income required quantity nutrients, exhaustion of the body may develop. At the same time his life suffers important functions. There can be many reasons for this condition. In particular, exhaustion can develop due to excessive physical and mental stress, as well as other factors causing imbalance useful substances.

There are primary and secondary forms of pathology. The first occurs due to disruption of normal nutrition (starvation). The second develops against the background of certain diseases, or as a result of serious disorders metabolic processes in organism.

If you have this pathology, you should consult a doctor and follow his recommendations. Along with this, you can benefit from experience traditional medicine and use it effective recipes.

What is dangerous about depletion of the body, symptoms and treatment of this condition, what are the causes? Let's talk about it:

Why does exhaustion of the body occur, what are the reasons leading to this?

The main reasons are: systematic malnutrition, certain diseases digestive system, neuropsychic and endocrine-hormonal pathologies. The reason may be chronic alcoholism(binge period), and also severe burns, injuries. Exhaustion can occur in a person who is in long-term unconscious, in cancer patients. The cause is often long-term use of certain medications.

Symptoms of body exhaustion

Main characteristic feature depletion of the body is weight loss. Let's consider the main stages of this pathological condition:

First stage: Externally, exhaustion is still poorly expressed. However, the body is already experiencing a lack of essential nutrients, which negatively affects a person’s vital activity. Weakness appears fast fatiguability, daytime sleepiness. Patients complain of stool upset, frequent colds, cracks appear in the corners of the mouth - jams.

Second stage: At this stage, the previously listed symptoms are accompanied by swelling of the abdomen and legs, which are difficult to get rid of. Patients complain about severe weakness, a sharp decline activity, performance. The exhaustion is obvious. Severe hypovitaminosis is diagnosed. The functioning of the central nervous system is disrupted, resulting in frequent protracted depressions, mental disorders. The patient's character deteriorates and suicidal thoughts appear.

Third degree (cachexia): The patient experiences a sharp decrease in all mental processes. There is immobility, convulsions appear, and involuntary loss of urine is possible. The face becomes sallow gray or acquires a yellowish tint. The features become sharper, the eyes become sunken.

Treatment of body exhaustion

As we have already said, therapy for body depletion should begin as early as possible, without bringing the condition to a severe stage that is difficult to treat.

The first thing you should do is start eating properly and nutritiously. You need to eat little by little, but often: up to eight times a day. Nutrition should be high in calories, balanced, and include foods rich in proteins and vitamins.

Usually the patient is prescribed medications aimed at improving digestion and restoring normal processes metabolism.

If necessary, treatment with anabolic hormones is carried out. Methandrostenolone, Methandienone or Methandiol are prescribed.

Adaptogen drugs are used: Ginsana, Ginseng tincture, Nooclerin, or Deanol aceglumate. Elcar, Levocarnitine, Cropanol, as well as Stimol, or Citrulline malate or Mildronate are prescribed.

When carrying out treatment, combined vitamin preparations are used: Centrum, Alvitil, Oligovit, Complivit, etc.

Exhaustion of the body - treatment with folk remedies

Peel and grind 50 g of castor bean seeds. Place in a ceramic bowl and pour half a liter of fresh milk into it. Add wheat flour, knead a moderately stiff dough. Make flat cakes and dry them in the oven. Eat two of these flatbreads daily for several months.

Grind the dried bark of the Aralia Manchurian plant. Pour 1 tsp into a jar. Pour in 100 ml. vodka. Close tightly and store in a kitchen cabinet for 10 days. The finished tincture should be taken 30-40 drops before meals.

Pour fresh or dried Schisandra chinensis berries into a mug. In total you will need 20 g. Fill them with 200 ml. boiling water Wrap with a towel. After half an hour, strain. This home remedy drink warm, 1 tbsp. l. three times a day.

Treatment of exhaustion also involves other, equally important measures. In particular, the patient needs good rest. You should get a good night's sleep, healthy image life, reduce coffee consumption to a minimum, eliminate alcohol.

It is recommended to watch less TV and reduce work on the computer. It is useful to regularly visit the bathhouse and have a massage course. The main thing is to eat small, but nutritiously, and have a good rest in order to restore impaired body functions.

What threatens the exhaustion of the body, what are the consequences of this condition?

I actually talked about the dangers of this condition already when we were talking about the symptoms that accompany the development of the disease. The consequences of the fact that the first phase of the disease was not stopped is the second phase that began, etc. As a result, the following final consequences are observed:

No appetite;
the body is weakened;
Hardly ever muscle tissue;
constantly nauseous;
anemia;
swelling;
mental disorders.

The consequences of exhaustion can be very sad. If you don't start on time adequate treatment at the first and second stages, the third stage - cachexia leads the patient to death.

Has this ever happened to you? Come after a hard day of work, full difficult decisions, and the other half is planning a vacation. And suddenly you find yourself saying: “Do what you want - everything suits me.”

Or this: you wake up later than usual, you are late - and tell yourself that you will do exercises in the evening. Only in the evening I have no energy for anything.

And also: you return home exhausted - there are three beautiful hours left summer evening. You can take a walk, meet friends, cook a delicious dinner, or finish reading a book. But instead, you grab a bag of salty cookies, turn on the TV, collapse on the sofa and mindlessly watch “The Shawshank Redemption” for the thirty-fifth time.

What's happening? This chronic fatigue. Marshall Goldsmith, author of the book Triggers, is sure that it is not that we are weak-willed, but that we are exhausted. This article contains a recipe that will help you not get so tired and maintain vital energy.

The phenomenon of exhaustion

In the 1990s, social psychologist Roy Baumeister coined the term “ego depletion.” He argued that we have limited cognitive resources, which he called "ego power." During the day, they spend time on self-regulation: resisting temptations, working, suppressing desires, controlling thoughts and beliefs, following established rules. According to Baumeister, while
the ego is depleted.

Scientists have studied wasting in different situations. They first examined self-control. Most often they seduced people with chocolate. It turned out that trying to avoid the offer of a treat weakened people's ability to resist other temptations in the future.

Our self-control, like the amount of fuel in a gas tank, has its limit and runs out with continuous use. By the end of the day we are completely exhausted and can do ridiculous things.

Fatigue of decisions, or Why “the head doesn’t think well”

Exhaustion attacks more than just our ability to self-control. It extends to many forms of self-regulation. Most of all, it influences decision making. How more solutions we have to accept - from purchasing new car before compiling a list of conference participants, the more difficult it is for us to continue to act in the same spirit.

Researchers call it “decision fatigue,” a condition that causes us to do one of two things:

1. make frivolous choices;
2. To do nothing.

Due to decision fatigue on Wednesday, we return the ridiculous purchases we made on Tuesday, because the next day, when the fatigue passes, our heads are clearer. This is why we put off making decisions when we are too tired to do it now.

But exhaustion affects more than just decisions. Under attack interpersonal relationships and the ability to change. If purchases, decisions, and resistance to temptation are depleted, then complex behaviors are also subject to depletion (scientists confirm this).

Our main enemy

Work that requires us to be extremely focused causes fatigue. While putting on a good face while working alongside leaders, you should not show weakness. Multitasking is also draining. Trying to convince people to agree to your terms is also exhausting. It is extremely tiring trying to win over people who are prejudiced against you. Containing your worries - any occasion that requires you to control your thoughts and feelings - is difficult, which also leads to exhaustion.

However, unlike physical fatigue, we are not aware of this kind of exhaustion. When we make a serious physical effort, we know in advance that we will feel weak in our muscles and will need to rest. Exhaustion of another kind, like stress, is our invisible enemy.

A measuring device has not yet been invented that will tell us that our emotions are close to zero.

When exhausted, we are more likely to engage in inappropriate behavior, such as excessive talkativeness, divulging personal information, or arrogance. We are also more likely to violate social norms, for example, we engage in fraud. We become impolite. We can be more aggressive; under the influence of such impulses it is difficult for us to restrain ourselves. But we can also become more passive when our intellectual resources diminish.

How to deal with exhaustion and fatigue

Structure it! Structure will help solve this problem. It slows down the process of exhaustion and weakening of self-control. When we have structure, we don't have to make as many decisions - we follow the plan. And as a result, we do not deplete our psyche at such a rate. Of course, we cannot structure everything: no space is as malleable as, for example, a daily plan. But we all rely on structure in one way or another, at least from time to time.

For example, a box of weekly pills has become a blessing for millions of people who have to take medications every day. We wake up on Thursday, swallow the contents of the “Thu” cell without effort. And we consider a box of medicines convenient, but in essence it is a structural surrogate for self-organization. We don't have to remember to take medications. The box does it for us.

We don't even realize how many of these protective structures we use in life. When we write a meeting agenda in advance or clear the table before opening our laptop, we maintain self-discipline. Routine actions protect us.

The more structure you have in your life, the less you need to worry about it. Yes, not everyone is ready for such control over their life. Some people are extreme individualists. They are irritated by any rules or routine, as if their self-discipline has moral superiority over external circumstances. But if you are constantly tired, it makes sense to try to unload your brain. Why reject such a possibility?

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It’s not for nothing that scientists talk about « syndrome professional burnout» . This medical problem with numerous symptoms that manifest differently in each person. Men « burn out » not like women doctors - not like media consultants, but Russians - not like the Chinese.

Professional burnout is common. According to the survey « Alfa Insurance » , every second employee faces professional burnout: 57% of employees of Russian companies are familiar with this problem. Moreover, every year there are more and more burnt-out people - not only in Russia, but throughout the world.

Let's try to figure out why your boss looks so tortured, why your office neighbor has been postponing an urgent matter for the third week, accountants spend the night at work and still don't get anything done, and the designer last week I simply didn’t show up for work.

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Professional burnout: history of the issue

Professional burnout syndrome was first described by American psychologist Herbert Freudenberger in 1974. While studying workers in psychiatric institutions, a psychologist noticed that these people are demoralized, mentally exhausted, disappointed in their work and feel tired.

Trying to understand why people no longer enjoy what they once loved, the psychologist came up with the idea of ​​professional burnout. According to the classic definition, professional burnout - This is a syndrome that develops against the background of chronic stress and leads to depletion of the emotional, energetic and personal resources of a working person.

Laziness or illness: how to distinguish burnout from procrastination

American scientists Christina Maslach and Susan Jackson continued Freudenberger's research. Researchers have identified three main characteristics of burnout and created a questionnaire that measures these characteristics and understands the severity of the problem.

Three signs of professional burnout:

1. Emotional exhaustion - there are not enough emotional resources for work, the person gets tired quickly, problems with self-control begin
2. Depersonalization - indifference to clients, patients and colleagues develops, the person becomes cynical
3. Reduction of personal achievements - a person suffering from emotional burnout feels that his efforts are in vain, and his achievements - insignificant.

Over time, it became clear that not only employees are susceptible to professional burnout psychiatric clinics. The problem occurs much more often, prevents people from working and enjoying it, and brings big losses to companies.

Who's at risk « earn money » professional burnout

Let's sketch a portrait of a person who risks being burned alive at work. Experts believe that he is a responsible perfectionist who works a lot with people in an unbearable work environment.

Responsible perfectionist

Some people have a personality that is more prone to burnout. They are characterized by:

• high expectations from oneself, ambition, perfectionism, which lead to exhaustion and trigger the process of burnout;
• strong need for recognition;
• the desire to please other people at the expense of one’s own desires;
• feeling of indispensability and inability to delegate;
• workaholism, a tendency to overestimate one’s own strengths and take on too much work;
• work addiction.

Both men and women suffer from burnout, but this syndrome manifests itself differently in people of different genders. Women are more likely to experience intense emotional exhaustion, and men exhibit cynical and distant behavior.

Works with people

Professional burnout often develops in those who regularly communicate with other people at work. This:

• specialists « helping » professions: doctors, nurses, educators, teachers, social workers, psychologists;
• service or sales workers - from waiters to commercial directors;
• managers and specialists - experts who manage, coordinate, or advise other people.

All these professions have two common features:

1. Representatives of all these professions are responsible for other people, and the result of their work is very important. The doctor or nurse is responsible for the patient’s health, and the manager - for the team.
2. The amount of remuneration and effectiveness of employees at risk directly depends on the ability to communicate, negotiate and restrain negative emotions.

« Mess » At work

In addition to personality traits, burnout is provoked by difficult conditions work. This is especially true for companies " juicers « with high staff turnover.

Signs of a “juicer”:

1. Demanding management, pressure from superiors.
2. Problems of interaction with managers and within the team.
3. Instructions and orders that contradict each other.
4. Hypercontrol, lack of freedom to make decisions, no chance to influence the work process.
5. Feeling of lack of time, constant rush.
6. Unfavorable environment, bullying of individual employees, denunciations.
7. Lack of opportunity to prove yourself and grow professionally.
8. Administrative restrictions, bureaucracy.
9. Constantly increasing responsibility.
10. Unclear distribution of responsibilities.
11. Lack of support from the team.

This kind of work requires you to give your best, but at the same time it does not provide enough resources to satisfy these demands. If, in addition to this, the employee himself - a workaholic and a perfectionist, it becomes even more difficult for him to complete his work and remain satisfied.

How to understand that a person is burning out

The main cause of burnout - stress at work and the need to restrain emotions so as not to lash out at an annoying client or a picky manager. It turns out that every victim of work stress can burn out emotionally at some point.

Burnout: a typical scenario

1. How more stress, the less moral and physical strength remains with the person. Health is deteriorating. Gradually, a person stops communicating with friends and colleagues, because he has to waste energy on other people. Loneliness is added to moral decline.
2. A person has neither time nor energy left to satisfy needs not related to work. Fatigue prevents you from thinking flexibly and adapting to new situations.
3. Motivation falls, and indifference to work, on the contrary, grows. At the same time, both the quality of work and productivity deteriorate.

As a result, burnout leads to more severe conditions: physical exhaustion, exacerbation psychosomatic diseases And .

The fewer opportunities a person has for self-realization outside of work, the more prone he is to workaholism. And since we all need a reason to respect ourselves, a person works more and more, eventually getting exhausted and, as a result, burnout.

Unfortunately, biological markers that clearly indicate burnout have not yet been discovered. This makes the syndrome difficult to prevent and even more difficult to treat. - After all, you can’t go on sick leave without tests.

How to avoid burnout at work

Modern researchers believe that we have two options:

1. Increase the number of personal resources that can be used in work and life.
2. Make sure you have a comfortable work environment.

Unfortunately, we rarely have enough power to change our workload or get rid of a demanding boss. However, we can change our lifestyle, protect ourselves from excess stress and increase our personal energy.

How to increase your personal energy

1. Get enough sleep

Try to get at least 7 hours a night. Sleepy man has difficulty thinking and adapts poorly to new situations.

2. Eat well and properly

A lack of protein, fat or carbohydrates equals a lack of energy. Include fruits and vegetables in your diet, limit fatty foods and try to drink less alcohol. Drink sufficient quantity water.

3. Play sports

Exercise helps increase the body's energy capacity. Spending an hour exercising even after a hard day can help prevent fatigue.

4.Alternate the load

Let periods of concentration be combined with periods when attention is unfocused. Meditate, paint, tend to plants, dance, do crafts, or just take a walk. fresh air. Constant concentration leads to depletion of attention and will.

5. Find a hobby that is not related to your main job.

6. Breathe deeply

Ventilate workplace three times a day. If this is not possible, at least go outside to breathe three times a day for 10 minutes. Out for lunch? Try to walk at least a little*.

7. Breathe deeply and try « ground yourself »

This is especially useful if you are in Once again pissed off. Feel your feet pressing on the floor, feel your own weight. Feelings from own body- the best sedative.

8. Learn to manage stress

Stress itself is neither bad nor good, because its biological task is to teach us to better navigate new situations. Therefore, if you are facing several months of work without sleep and rest that you cannot avoid, focus on how this emergency will benefit you, what it will teach you and how much stronger you will become by going through this test.

9. Take care of yourself

If you feel discomfort in the workplace, try to understand where it comes from. Sometimes the cause of discomfort is things or circumstances that we can change. Headphones will save you from noise. For the lack of light - a table lamp, and for the cold - a blanket that you keep at your workplace, and warm comfortable socks.

*Most office centers have exceeded CO2 levels in the air. Building codes allow CO2 levels of up to 1400 ppm, but health codes say that 1000 ppm is already too much. With such a quantity carbon dioxide It’s hard to concentrate in the air, so a person feels lethargic and tired ahead of time.

If prevention doesn't help

Burnout - this is a serious problem.

If you find symptoms of burnout and want to change this situation, it is better to seek advice from a psychotherapist. The service in the Medical Note application will help you make an appointment with the right specialist.

I just love trading turning points when a Forex pair goes from an uptrend to a downtrend or a downtrend to an uptrend. These turning points are very difficult to trade, but at the same time, once you understand how to read them, you will move on to the next level and understand almost any price chart.

Two very important principles in this trading context are “exhaustion” and “deviation”, and these price action concepts can always be found at turning points. In my trading, and the area I work in (teaching students), I talk about turning points all day long because once you can identify turning points, your trading will transform. And whether you are a trend following, change, or range trader, knowing about transition points will improve your trading.

Types of attrition

After strong trend phases, it is quite easy to observe steps of exhaustion. Exhaustion patterns show a gradual change in trend sentiment and a slow transition.

Exhaustion I - Loss of Momentum

First, let's start with a bare price chart. On the left we see a strong bullish trend with long green candles and momentum. Then suddenly we have one long wick and then the candles get smaller and smaller and finally we start seeing red candles. It's like throwing a ball into the air: it starts out fast and then slowly loses momentum until it stops moving upward. Tendencies often behave the same way as a ball.

Exhaustion II - Head and Shoulders

Head and Shoulders is by far my favorite model and it shows exhaustion beautifully. At the top we have the head and then when we see the right shoulder we know the trend is over because price is unable to move as high and then makes lower highs. This means that buyers have lost interest and sellers have intervened early. When the neckline is finally broken, the pattern is confirmed and the market reverses.

Exhaustion III - Momentum Divergence

Lastly, we can also use RSI divergence to find tired Forex pairs. Divergence means that the trend waves become shorter and less strong, which means the market is depleted. Although the move may still look like a downtrend (lower lows), price action loses momentum when we compare trend waves and the size and number of bearish candles.

Types of Deviation

Rejection patterns, or trap patterns, are common at the end of a trend and are more volatile and impulsive than exhausted moves. While exhaustion shows a gradual transition from one trend direction to another, deviation can only occur in one or a few candles.

Deviation I - hitting resistance/support

The figure below shows a classic deviation at a support/resistance level. At the time the candle formed, it probably looked like a breakout and continuation down, but once the candle was completed, all the premature sellers were trapped and the price began to trade higher. Rejection bars generally tend to have long wicks piercing the previous low or high. But engulfing candles can also occur in general rejection patterns.

Deviation II - Double bottom

The screenshot below shows the deviation in a double day. The price pierced it and then immediately reversed and moved up. Many traders use previous swing points as a benchmark in their disruption and deviation trading, and thus have good trades.

A FOMO trader who missed a downtrend is eager to get into a downtrend, and he believes that breaking support is a good signal. He enters prematurely and then hits a Deviation. If this happens to you, be sure to read one of my latest articles, in which I share very important trading principles that I use in all my trades: .

Deviation III - Bollinger Bands ® volatility spikes

Finally, Bollinger Bands ® volatility spike can also be a rejection pattern. Bollinger Bands measure the strength of a trend and provide us with information about the likely price movement within a range, and breaking the bands shows extreme behavior after a long trend.

In the screenshot below we can see that after a long trend, the price makes one last attempt to move down, but the smart money unloads the shorts and then brings the price back up.

Tip: I set the Bollinger Bands to 2.5 degree deviations to only catch absolute extremes and avoid a lot of false signals. Without going into detail, a 2.5 degree deviation means that 99% of all price movements will occur between the two bands. Thus, the spike is a rare and important signal.

The Attrition and Deviation models are useful for everyone. Trend traders can use this information to follow the trend or exit a trade when a reversal is likely; And as a reversal trader, I use them when opening new orders and getting into the trend early.

Neuro-emotional fatigue. Many people still don't even consider this a fact worthy of attention. They say about such a person “just tired,” and all health problems are attributed to fatigue. Meanwhile, this is a rather serious condition that can lead to very unpleasant consequences.

The International Classification of Diseases (ICD-10) identifies two kinds nervous exhaustion:

1. Exhaustion due to prolonged exposure to unfavorable conditions.
2. Exhaustion due to excessive exertion.

Causes

The “emergency reserve” of nutritional, immune, hormonal resources created by the body “in case of emergency” is not infinite. Of course, a single stress cannot destroy defense mechanism, But repeated shocks day after day or physical overwork will sooner or later lead to depletion of protective resources and exhaustion. Therefore, the name “nervous exhaustion” does not fully reflect the essence of the phenomenon. All body systems are exhausted.

Development mechanism

1. Exhaustion of the nervous system develops as a result of prolonged functioning in a stressful mode, when, in a state of stress, the central nervous system intensely sends impulses to the organs of the cardiovascular, endocrine, and immune systems (since in a state of stress, the work of these systems is a priority); as a result, other systems of the body may suffer if left without proper attention.
2. Exhaustion endocrine system occurs as a result of failure after constant excessive stimulation under stress. The result is disturbances in the functioning of the thyroid and pancreas glands, adrenal glands, and ovaries.
3. Exhaustion of cardio-vascular system manifested primarily by instability heart rate And blood pressure.
4. The immune system protects our body from infectious and inflammatory processes; prolonged stress causes depletion of the immune system, and at the same time, persistent exacerbation chronic diseases, the emergence of new ones, such as candidal lesions, dysbacteriosis, skin diseases, autoimmune lesions.
5. From the outside gastrointestinal tract the most typical occurrence of dysbacteriosis and ulcerative lesions stomach and duodenum, irritable bowel syndrome.

How to suspect and recognize nervous exhaustion?

At first it looks like normal everyday fatigue Therefore, the onset of the disease usually goes unnoticed. However, sooner or later this condition turns into a serious pathology, which can only be overcome with the help of a specialist.

Symptoms that the patient should pay attention to

The disease also has features that can Please note to the patient's relatives:

• irritability; both in relation to loved ones and the environment, and to oneself;
• pronounced impatience; the patient cannot stand being forced to wait;
• increased sensitivity to external stimuli (flashes of light, sounds, smells);
• restless sleep: a person often wakes up from nightmares, is restless in his sleep, does not get enough sleep;
• the occurrence of fatigue, weakness and headache even with slight exertion;
• changes in character: uncertainty appears, self-esteem decreases;
• disorders in the sexual sphere: decreased libido, impotence;
• absent-mindedness, inattention, decreased memory and concentration;
• a person tries to take on several things at once, but cannot complete anything;
• fluctuations in appetite and weight;
• constant, persistent bad mood.

IN clinical picture of this disease Three main stages can be distinguished:

What does nervous exhaustion lead to?

A combination of physical and nervous exhaustion often accompanies so-called workaholics.

Complications

• disruptions in the functioning of the cardiovascular system
• instability of blood pressure with a tendency to hypertension;
• chronic migraines;
• insomnia;
• immunodeficiency;
• constant pressure emotional resources of the body, which can lead to unpredictable consequences.

Diagnostics

A person who notices signs of nervous exhaustion should see a psychotherapist or psychiatrist. It is these specialists who diagnose and subsequently treat this condition. An important aspect will differential diagnosis with other diseases that have similar symptoms.

The examination will be quite extensive:

How to treat nervous exhaustion

Attempts at self-medication lead to such irreversible phenomena as depression and neurasthenia combined with irritability.

A comprehensive approach to treatment is required. For the success of treatment, it is necessary first of all to stop the impact of stress on the patient and create an environment conducive to recovery. The right approach to treatment helps reduce the severity of symptoms and promote recovery.

• the cause of the disorder should be identified and neutralized - conflicts in the family and at work will have to be eliminated, psychological trauma and stress, perhaps take a vacation, change the environment;
• organize the daily routine correctly, observe the work and rest schedule, find time for active rest, and for relaxation;
• train yourself to fall asleep and wake up at the same time;
• Minimize caffeine consumption and eliminate alcohol;
• get into the habit of walking in the fresh air;
• establish regular nutrition, monitor the adequacy of the diet;
• establish regular sex life;
• rest regularly.

Pharmaceuticals should only be used as directed by a specialist. The following means can be used:

How to avoid nervous exhaustion? Prevention

• overwork should be avoided;
• rational mode work and rest;
• healthy lifestyle;
• good sleep without application sleeping pills (correct mode sleep);
• regular physical activity.