Emotional Exhaustion: What Is It & What Can You Do About It?

First, what is emotional exhaustion?

Emotional exhaustion is pretty much just what it sounds like. It happens often in periods of prolonged or intense stress, and in general makes you feel an inescapable sense of fatigue. Because it’s an emotional or mental exhaustion, it’s not the kind of tiredness that will go away with a nap. And it’s tricky because it’s the kind of thing that can sneak up on you–you might not realize you’ve been in the midst of a long period of intense stress until you’re already overwhelmed. 

When you hit that point of emotional exhaustion, it doesn’t just impact your energy level or mood. It also can impact things like your relationships, your ability to engage in your hobbies, your professional performance, your patience level, your self esteem, and even your problem solving skills. 

When you’re emotionally exhausted, pretty much every area of your life is impacted. Some mental symptoms you may experience can include: 

• Cognitive difficulties: You’re not able to think as quickly, problem solve as effectively, and your imagination, concentration and memory all suffer. 

• Mood unpredictability: Emotional exhaustion means you’re not able to regulate your own emotions or self soothe as well as when you have rest and balance in your life. That means small things which normally might not upset you may now send you over the edge, causing big changes in mood or a sense that you can’t control your feelings. 

• Relational problems: Emotional exhaustion can also impact your ability to have patience, to be an active listener, your enthusiasm for your social life and relationships, and your strength in connecting with others. Overall, your social energy is extremely depleted. 

But that’s not the only way we can recognize emotional exhaustion! It also shows up in our bodies. Some physical symptoms of emotional exhaustion you may experience can be: 

• Trouble sleeping: periods of intense stress often cause sleeping difficulties. Emotional exhaustion also frequently is felt alongside a feeling of “brain fog” which can make getting out of bed in the morning difficult, which helps create an irregular sleeping pattern, and still often leaves you feeling unrested.

• Trouble eating: Emotional exhaustion can cause digestive issues, as well as big changes in appetite. The two combined and the impact they have on your body can also lead to weight loss, another physical symptom of emotional exhaustion. 

• Frequent aches: Whether by headaches, stomach pains, muscle aches, etc. frequent aches and pains can be a sign that you are not getting the physical or emotional rest you need. 

Can you prevent emotional exhaustion?

Preventing emotional exhaustion is all about balance and boundaries. Some common things that can lead to the intense stress that sets off emotional exhaustion are things like: 

• A demanding work environment

• Poor work/life balance

• Lack of self care

• Lack of personal resources (money, food, support) 

• Perfectionism 

• An unexpected life event

• Living with a chronic illness

While some things that cause emotional exhaustion are out of our control–like our access to resources, living with a chronic illness, unexpected life events or the demands of our workplace–there are some ways we can work to prevent emotional exhaustion before it happens. 

Finding where you can enforce firmer boundaries is the first step.

What is it that’s getting you exhausted? What’s overwhelming you? When are you noticing these symptoms come up? Are there people you could turn to for support? 

The next step would be finding things that help to rejuvenate you.

You need both relaxation as well as revitalizing rest. That means take time to do nothing so you can get a break from the pressure, and find ways to fill your time with things that bring you joy to help balance out any emotional drain you may be feeling from other areas of your life. 

Establishing routines that help you keep your time balanced, and seeking the support of a mental health professional can also help you to find ways to cope with emotional exhaustion when it happens, as well as to take proactive steps to avoid it. 

If you need support coping with emotional exhaustion, we can help. Our clinicians are trained in evidence-based treatments that can help change the way you treat yourself. Get in touch today to book a session!

Gentle Movement Tips for A Healthier Relationship with Exercise

Having a regular source of happy, gente movement within our daily or weekly routines is important for many reasons! There are many connections between our mental and physical health, so we know that when we nurture both of them, it creates a positive cycle, wherein our positive physical health can help us maintain positive mental health, and so on. 

However, if you’ve had a history of disordered eating or disordered exercise habits, or just a difficult relationship with your body in general, the idea of establishing a new routine might feel a little scary. If that’s the case for you, here are 5 tips for working gentle movement into your routine in a way that works for you! 

Remember the purpose of your gentle movement: 

Gentle movement or moving our bodies in some way that feels good is important for our health–not for the reasons we often hear about in intense fitness environments, where fitness is more of a sport focused on pushing your body to extremes–but because our body and our brain feel better when we find ways to incorporate movement into our routines. Keep the purpose of feeling good at the center of your search for a gentle movement routine: if it starts to feel like drudergy or punishment, it’s time to find something new.  

Also remember, it’s not something you need every day. Some days are more active than others, and fitting in a movement routine on your active days is unnecessarily redundant–and restrictive because it’s making you stick to a rule without a reason, which is more like a punishment. If you spend the day at the park with your niece, you can skip the exercise routine, whatever it is, because your body has been attended to already.  

Keep a list of phrases to look out for: 

If you’ve had a problem with unhealthy exercise habits before (pushing your body past its limits, neglecting or opting out of hobbies or social events in order to stick to an intense, and regimentent workout routine, etc.) getting started with a new routine might seem daunting. Especially if a strict routine was part of what made your habits so imbalanced, establishing a new one might make you feel like you’re doing the opposite of what you should be doing. 

If you’re nervous about your goal of establishing a healthy routine of gentle movement leading you back to unhealthy patterns, it can be helpful to be aware of what phrases or thoughts you may need to look out for in order to be aware of how your mindset around your movement routine is doing. This is something you can work with your therapist on, so you can identify previous warning signs, negative thought patterns that have come up before, and what you can do in the moment if you do see those old negative thoughts reappearing.

Make enjoyment a priority: 

If you’re forcing yourself to exercise in a way that you don’t enjoy, it’s only going to feel like a punishment. And all that will teach you is that you deserve to feel unhappy or uncomfortable in your body–or that being “healthy” means feeling unhappy or uncomfortable in your body. Your movement doesn’t have to be exercise the way we usually think of it. You don’t have to go for a run around the block or sign up for a gym membership. 

Think of things that take you away from your desk or your couch that you enjoy. What sort of things are they? Do you have pets you like to play with? Do you have music you like to dance to? Are there things you could do in your community? If being involved in your community is a value of yours, there are probably many clubs or organizations in your community that need volunteers, and many of them probably have need for things that don’t involve sitting behind a desk! Do you have a friend you rarely have time to catch up with? Can you schedule a regular call with them (or in person if they’re local) where you can spend that time on a walk while you catch up with your friend? Remember to get creative! 

Tap into your inner child:

This is another way you can get creative with how you meet this need for yourself. Before there were unfair expectations or standards you felt you could never meet that dictated your relationship with your body, what was something you did as a child that made you feel good? Did you like to explore the woods or ride your bike or roller-skates? Think of things you did to “play” and what you got the most enjoyment from. Does any of it still sound fun? Could you find a way to incorporate it into your adult life, both to help feed that inner child and to give yourself a happy method of adding movement into your life?

Set limits with yourself: 

This is one you should discuss with your therapist, but it’s important to know when your behaviors have tipped from a healthy routine to a compulsion that may actually be detrimental to your health. Work with your therapist or a professional they recommend to identify what your warning signs and behaviors are, how you can manage them, and what preventative measures you can take or limits you can put on yourself as you establish a new routine to help you steer yourself away from those harmful habits. 

If you’re looking for support as you heal your relationship to your body, therapy can be a great place to start. Contact us today and our expert clinicians can help. 

How to Cope With Losing Relationships as a Result of Your Chronic Illness

Many people don’t understand what it’s like to be seriously ill. People often also don’t know what to do when someone is sick. If you’ve ever dealt with a loss in your life you might be familiar with this. Some people don’t know what to say or do, so instead of saying the ‘wrong’ thing, they disappear until the crisis is over. It’s not a nice thing to do, certainly, but it is a human reaction to discomfort. Unfortunately, for folks living with chronic illness, this experience is all too familiar. With chronic illness however, there is no end in sight, and because of that some relationships just don’t survive. 

What is chronic illness in the first place? 

According to the Centers for Disease Control & Prevention (CDC), “Chronic diseases are defined broadly as conditions that last 1 year or more and require ongoing medical attention or limit activities of daily living or both. Chronic diseases such as heart disease, cancer, and diabetes are the leading causes of death and disability in the United States.”

What’s important to remember is that this is NOT your fault. Your illness doesn’t make you any less worthy of friendship and support in your life. A chronic illness diagnosis can bring up a lot of different feelings at once: worry, shame, relief, fear, exhaustion, and confusion are just a few. It’s hard enough to wrap your head around your diagnosis and how that will change your life without blaming yourself for your illness. 

The sad truth is, most people don’t know what it’s like to live with a chronic illness. Even though it shouldn’t fall on the ill person to explain things, you may find yourself going over the details over your illness repeatedly to clear up the confusion. That alone can be exhausting. Some people also don’t understand how isolating illness can be. Even though it’s not okay to treat people differently after their diagnosis, it’s a common response. However, there are ways to deal with changing relationships as a result of your chronic illness. 

Set boundaries

Boundaries are basically when you tell people what you expect from them. When you talk to someone about your illness and their response to it, go into the conversation with a few boundaries in mind. Let them know what you expect of them in this situation since as we mentioned above, most people have no idea what to do when someone is seriously ill. You can make it clear that you expect them to visit you regularly, that you’d like regular time to spend together, that you are available or unavailable to talk about your illness and anything else that will help you feel supported. Sometimes people just need direction and they can adjust their behavior accordingly. 

Speak up

When someone hurts you, tell them. Most people don’t understand how their actions look or feel to others. Maybe your friend didn’t know what to say, so instead of saying the wrong thing, they figured they’d get out of your way until they knew. If this (or something like it) happens in your life, call it out! Sometimes being reminded of the way our actions impact others can be enough of a wake-up call to act differently. If you bring up your concerns and feelings

Write them a letter

Even if you never send it, it can be really cathartic to write a letter to someone who has hurt you. You can process your feelings, go over what you’d like to say, and set the record straight to the best of your ability. You can send it or not, but sometimes just the act of writing down your feelings can be eye-opening. 

Learn about grief

Grief isn’t just for death. You can grieve any type of loss - including the loss of the life you had before your diagnosis. When you lose friendships as a result of your illness, you also experience grief. Grief is universal - at some point, everyone will feel it. Do some reading about grief to familiarize yourself with the grieving process so you know what to expect. Remember to be gentle with yourself and that there’s no wrong way to grieve. 

A chronic illness diagnosis can be totally life changing, and not just from a medical perspective. Since chronic illness is longer term than acute illness, it tends to ripple out and effect even more of people’s everyday lives, including their relationships. If you find your relationships changing as a result of your chronic illness, remember to be gentle with yourself - none of this is your fault. If you need more support in coping with these changing relationships, our therapists at Hope+Wellness can help.  

---

therapist in falls church, mclean, tysons corner, merrifield, arlington and vienna, va

Hope+Wellness is a psychotherapy practice serving the Falls Church, McLean, Great Falls, Vienna, Arlington, Alexandria, and the greater Washington DC region. We provide compassionatecare to children, teens, and adults with stress, anxiety, and depression. Our practice is in-network with BCBS and provides Cognitive Behavioral Therapy (CBT), mindfulness and acceptance based therapies, and other top, premier evidence-based treatments. Call, email, or schedule an appointment with us online today. We’re happy to help!