Nervous breakdown
Last reviewed: 07.06.2024
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A nervous breakdown (or nervous exhaustion) is a condition characterized by severe psycho-emotional and physical exhaustion caused by prolonged and intense stress, overwhelm, or severe emotional distress. This condition is often accompanied by a number of symptoms including:
- Severe Anxiety: The patient may experience persistent anxiety, restlessness, and worry, which may be continuous or intermittent.
- Physical fatigue: A person may feel physically exhausted, weak and tired even after minor physical exertion.
- Mental fatigue: Concentration, memory and decision-making may be difficult. The patient often feels broken and mentally exhausted.
- Sleep and appetite: A nervous breakdown can affect sleep, causing insomnia or, on the contrary, heavy sleepiness. Appetite may also change.
- Mood Changes: Possible frequent mood changes, irritability, crying, or apathy.
- Physical symptoms: Physical symptoms such as headaches, migraines, stomach aches, hypertension, palpitations, etc. Can be added to nervous breakdowns.
A nervous breakdown can be the result of long-term stress at work, family problems, personal crises or other difficult life situations. It requires attention and care because, if left untreated, it can lead to more serious mental and physical illnesses such as depression, anxiety disorders or a lowered immune system.
Treatment for a nervous breakdown may include psychotherapy, medication (in the case of depression or anxiety disorders), and lifestyle changes that emphasize stress management, relaxation, and maintaining healthy sleep and eating habits. If you think you are experiencing symptoms of a nervous breakdown, it is important to see a qualified mental health professional for help and support.
Causes of the nervous breakdown
A nervous breakdown can be caused by many different factors and causes, and it is often the result of a combination of these factors. Some of the main causes of nervous breakdowns include:
- Long-term stress: Constant or prolonged exposure of the body to stressful situations can deplete physical and emotional resources.
- Work Overload: Jobs with high workloads, deadlines and demands can lead to excessive physical and mental stress.
- Family and Personal Problems: Family, relationship problems or personal crises can be a source of emotional stress and nervous tension.
- Financial Difficulties: Financial problems and uncertainty about the financial future can cause worry and anxiety.
- Physical exhaustion: Lack of sleep, poor nutrition and lack of exercise can contribute to physical exhaustion and increased stress levels.
- Long-term illnesses: Illnesses that require long-term treatment and rehabilitation can cause physical and emotional exhaustion.
- Loss of loved ones: The death or passing of loved ones can cause grief and long-term emotional strain.
- Toxic Environment: Working or living in a toxic environment, including psychological toxicity at work or in relationships, can have a negative impact on mental health.
- Trauma and Crises: Physical or emotional trauma, including childhood trauma, can leave lasting effects and contribute to nervous breakdowns.
- Genetic predisposition: Some people may be more prone to nervous breakdowns due to hereditary factors.
In addition to these reasons, it is important to realize that every person is unique, and what may cause a nervous breakdown in one person may not affect another. It is important to take care of your mental and physical health, and to seek support and help if you feel you are under stress or facing a nervous breakdown.
Pathogenesis
The pathogenesis of a nervous breakdown is complex and can involve a variety of factors. The following are some of them:
- Psychological stress: One of the main factors contributing to a nervous breakdown is prolonged and intense psychological stress. This can include high demands at work, conflicts in personal life, financial problems, loss of loved ones, and other events that put pressure on mental health.
- Biological factors: Physiological aspects also play a role in the pathogenesis of a nervous breakdown. Prolonged stress can cause changes in brain neurochemistry, including levels of neurotransmitters such as serotonin and norepinephrine, which can contribute to lower mood and feelings of fatigue.
- Social factors: Sociocultural aspects can also influence the development of a nervous breakdown. High societal expectations, social pressure, isolation, lack of support from loved ones and other factors can contribute to the development of this condition.
- Psychological factors: Personal characteristics and personality traits can also influence the likelihood of having a nervous breakdown. For example, perfectionism, low self-esteem, a tendency to self-criticize and inadequate coping mechanisms can increase the risk.
- EnvironmentalFactors: External conditions such as lack of sleep, poor diet, lack of exercise and exposure to toxic substances such as alcohol and drugs can also worsen mental health and contribute to a nervous breakdown.
- Chronic stress: Prolonged and prolonged stress can exhaust physical and emotional resources, increasing the risk of a nervous breakdown.
The pathogenesis of a nervous breakdown is often multidimensional and depends on a combination of the above factors.
Symptoms of the nervous breakdown
Symptoms of a nervous breakdown can be varied and can include the following:
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Strong emotional reactions:
- Sudden and intense displays of emotion, such as vivid anger, irritability, anger, sadness, or despair.
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Severe anxiety and restlessness:
- Excessive anxiety, nervousness and worry about the future or specific events.
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Physical symptoms:
- Physical manifestations of stress such as headaches, dizziness, tremors (shaking), insomnia, palpitations, sweating, ringing in the ears, or even vomiting and diarrhea.
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Decreased concentration and memory:
- Difficulty concentrating, forgetfulness and cognitive decline.
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Alienation and alienation:
- Feeling alienated from the world around you, yourself and others.
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Social isolation:
- Avoidance of social contacts and withdrawal from social activities.
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Physical and emotional fatigue:
- Excessive fatigue, both physical and emotional, feeling exhausted of resources.
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Decreased interest in mundane matters:
- Loss of interest in hobbies and activities that used to bring pleasure.
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Hypersensitivity:
- Increased sensitivity to external stimuli, noise, light and other stimuli.
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Muscle tension and pain:
- Muscle tension, pain in different parts of the body, especially in the neck, back or abdomen.
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Decreased self-esteem and self-worth:
- Decreased self-confidence and assessment of self worth.
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Changes in appetite:
- Changes in appetite, both loss of appetite and increased food intake.
Symptoms of a nervous breakdown can vary depending on individual factors, stress levels, and personal characteristics. If you suspect a nervous breakdown or notice these symptoms in yourself or someone else, it is important to seek help from a psychologist, psychiatrist, or other qualified mental health professional.
Stages
A nervous breakdown (or nervous exhaustion) can develop gradually and have different stages depending on the severity and duration of the stress and exhaustion. The following are common stages of a nervous breakdown:
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Preliminary Stage:
- Increased stress levels.
- Initial symptoms such as sleep deterioration, nervousness and anxiety occur.
- There may be a deterioration in performance and a decreased interest in daily activities.
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Initial stage:
- Worsening of symptoms, including more severe anxiety, irritability, and physical fatigue.
- Sleep problems can become chronic.
- Decreased concentration and memory.
- Physical symptoms such as headaches and stomach pain may occur.
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Middle stage:
- Emotional and physical exhaustion is increasing.
- Sleep and appetite may be impaired.
- The appearance of severe symptoms such as depression, panic attacks, apathy and feelings of despair.
- Problems in relationships with others and at work.
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Severe stage (crisis):
- Emotional and physical exhaustion reaches a critical point.
- Serious psychological and physical illnesses such as hypertension, ulcers, and heart problems can occur.
- Self-esteem and self-confidence are declining.
- Possibly developing suicidal thoughts or attempts.
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Post-crisis stage (recovery):
- After the crisis, the recovery process can begin.
- It can take a person an extended period of time to regain physical and emotional health.
- Psychotherapy and supervised treatment are necessary.
Complications and consequences
A nervous breakdown can leave serious consequences on both a person's physical and mental health. Here are some of the possible consequences:
- Mental Disorders: A nervous breakdown can increase the risk of developing mental disorders such as depression, anxiety disorders, panic attacks, and post-traumatic stress disorder (PTSD).
- Physical Problems: Prolonged stress and nervous exhaustion can cause physical illnesses or aggravate existing ones, including stomach pains, headaches, migraines, insomnia, cardiovascular problems, hypertension and others.
- Occupational Loss: A person may lose the ability to work and perform the duties of a job due to physical or mental incapacity.
- Social isolation: The effects of a nervous breakdown can lead to social isolation and alienation from loved ones and social network.
- Family and Personal Problems: A nervous breakdown can have a negative impact on family relationships and personal life, causing conflicts and relationship breakdowns.
- Deterioration ofphysical health: Depletion of the nervous system can lower immunity and increase vulnerability to infections and disease.
- Deterioration of quality of life: A person may lose enjoyment of life, interest in hobbies and entertainment, which can affect the overall quality of life.
- Need for medication and therapy: In some cases, a nervous breakdown requires medication and psychotherapy for recovery.
- Risk of recurrence: If the causes of a nervous breakdown have not been addressed and resolved, there is a risk of repeated breakdowns and worsening mental health.
To prevent or reduce the effects of a nervous breakdown, it is important to seek help and support from professional mental health professionals such as psychotherapists or psychiatrists. Seeking help early and developing stress management strategies can help minimize the negative effects of a nervous breakdown.
Diagnostics of the nervous breakdown
Tests for a nervous breakdown are usually administered and evaluated by qualified mental health professionals such as psychotherapists, psychologists or psychiatrists. They may use a variety of psychological tools and techniques to determine if a nervous breakdown is present and how severe it is. It is important to remember that self-diagnosis or the use of online tests may not be accurate enough and is not a substitute for consultation with a professional.
However, you may notice some common signs and symptoms that may indicate the possible presence of a nervous breakdown. If you suspect the presence of this condition, it is recommended that you see a professional for a more accurate assessment and diagnosis. Here are some common signs of a nervous breakdown:
- Constant anxiety and worry: You constantly feel anxious and worried, and it interferes with your ability to function in your daily life.
- Physical fatigue: You feel physically exhausted even though you have not done any physical work.
- Sleep and appetite: You may have trouble sleeping, including insomnia or too much sleepiness. Your appetite may also change.
- Mood Changes: You often experience mood changes, including irritability, apathy, crying, or aggression.
- Physical symptoms: Physical symptoms such as headaches, stomach pain, heart palpitations, high blood pressure, etc. May occur.
- Decreased productivity: you face difficulties in your work or studies and your productivity decreases.
- Social isolation: You withdraw into yourself, avoid socializing with others, and isolate yourself from social contacts.
- Difficulties in family relationships: Problems in relationships with loved ones and family.
If you notice several of these signs in yourself and they continue for a long time, it is important to see a psychologist or psychiatrist for diagnosis and to get appropriate treatment and support.
Who do I contact when I have a nervous breakdown?
If you are experiencing symptoms that you believe are related to a nervous breakdown or emotional exhaustion, it is important to seek help from a qualified mental health professional. There are several types of professionals you can see:
- Psychiatrist: A psychiatrist is a doctor who specializes in diagnosing and treating mental disorders. If you have serious emotional or psychological problems, a psychiatrist can evaluate, diagnose, and recommend treatment, including drug therapy.
- Psychologist: A psychologist is a professional who specializes in psychotherapy and counseling. Psychologists can help you understand and manage your emotions, develop strategies for coping with stress and resolving emotional problems.
- Therapist (psychotherapist): Therapists are professionals who provide psychotherapy sessions and work with clients to address emotional and psychological problems. They can provide you with support and advice on managing stress and anxiety.
- Family Therapist: If your emotional issues are affecting your relationships with loved ones, a family therapist can help you and your family resolve conflicts and improve understanding.
To start the process of getting help, you can contact your general practitioner (GP) who can refer you to a suitable specialist. You can also look for specialists on your own by contacting local health centers or psychotherapy clinics.
Treatment of the nervous breakdown
Treatment for a nervous breakdown may include the following steps:
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Appeasement:
- Try calming yourself down first. Deep breathing, meditation, or practicing relaxation can help reduce stress and anxiety levels.
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Avoiding traumatic situations:
- Try to avoid or reduce contact with situations or people who may cause a nervous breakdown.
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Conversation with loved ones:
- If you have supportive friends or family, reach out to them. Sometimes just talking to someone close to you can help.
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Psychotherapy:
- If you have frequent nervous breakdowns, it is worth seeing a therapist or psychologist. Therapy can help you learn how to effectively manage your emotions, stress and aggression.
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Medications:
- In some cases, when nervous breakdowns are accompanied by serious emotional problems, a doctor may recommend medications such as antidepressants or anxiolytics.
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Professional Handling:
- If you have symptoms of a nervous breakdown and they become excessive or interfere with your normal life, it is important to see a mental health or psychology professional for a more in-depth evaluation and treatment plan.
It is important to remember that a nervous breakdown is often associated with accumulated stress and emotional problems. Treatment should be comprehensive and individualized for each person.
Medication for a nervous breakdown
The pills or medications used to treat a nervous breakdown may include different classes of drugs depending on the symptoms and severity of the condition. However, it is important to realize that self-treating a nervous breakdown with medication can be dangerous and the decision to use medication should only be made by a doctor who will adequately assess your condition. Below are some classes of medications that can be used for a nervous breakdown:
- Anxiolytics (anti-anxiety medications): These medications help reduce anxiety and worry. Examples of anxiolytics include diazepam (Valium), lorazepam (Ativan), alprazolam (Xanax), and clonazepam (Klonopin).
- Antidepressants: Antidepressants may be prescribed if a nervous breakdown is accompanied by severe depression or panic attacks. Examples of antidepressants include sertraline (Zoloft), fluoxetine (Prozac), escitalopram (Lexapro), and others.
- Neuroleptics: In some cases where a nervous breakdown is accompanied by aggression, disorderly behavior, or hallucinations, neuroleptics such as risperidone (Risperdal), olanzapine (Zyprexa), and others may be used.
- Sleeping pills and sedatives: Temporary use of sleeping pills or sedatives can help improve sleep and relieve the tension associated with a nervous breakdown. However, their use should be limited and under a doctor's supervision, as problems with dependence and drowsiness can occur.
- Vitamins and minerals: A nervous breakdown can lead to deficiencies in certain vitamins and minerals, such as vitamin B-complex, magnesium, and zinc. Your doctor may recommend taking additional vitamins or minerals if needed.
It is important to emphasize that treatment for a nervous breakdown should be comprehensive and include not only medication, but also psychotherapy, psychological support and lifestyle changes. It is recommended that patients with a nervous breakdown see a psychiatrist or psychotherapist for evaluation and development of an individualized treatment plan. Self-medication with medications without a doctor's consultation can be dangerous and unacceptable.
Help for a nervous breakdown
Helping can be an important step to help someone who is in an emotional crisis. Here are some suggestions on how to help in this situation:
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Serenity:
- Stay calm and maintain control of yourself. It is important not to panic and to maintain a calm environment.
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Space:
- Give the person space if possible. Some people may need time to regain emotional stability and may prefer to be alone.
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Listening:
- Listen to the person if they want to talk. Sometimes just being able to express emotions and talk about problems can help reduce tension.
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Don't judge:
- Refrain from judgment and criticism. Remember that a nervous breakdown can be the result of accumulated stress and emotional difficulties.
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Offer of assistance:
- Ask the person what kind of help they need. For example, he or she may ask you for help in finding a professional or just to stay around for support.
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Offering care for physical health:
- Take care of the person's physical condition. Offer him water, tea or food if necessary. Make sure the person is safe and not a threat to themselves or others.
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Seek professional help:
- If a person is in crisis and their condition is worsening or causing anxiety, do not hesitate to seek medical or psychological help. Call an ambulance or contact a professional mental health counselor.
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Support after a breakdown:
- After a nervous breakdown, provide the person with support and help in finding long-term strategies to manage stress and emotions, such as through counseling with a therapist.
Treating a nervous breakdown at home
Treatment can be complex and depends on the severity of the condition. It is important to remember that if symptoms are severe or the condition worsens, you should see a doctor or therapist immediately. Below are some general strategies and tips that can help treat a nervous breakdown at home:
- Create a supportive environment: Provide a calm and supportive environment in your home. Avoid stressful situations and conflict. Support from loved ones and understanding from others is important.
- Rest and sleep: Make sure you get plenty of sleep and rest. Lack of sleep can make the symptoms of a nervous breakdown worse. Try to go to bed and wake up at the same time.
- Physical activity: Regular exercise can help relieve stress and improve your mood. Even short walks in the fresh air can be beneficial.
- Good nutrition: Forget junk food and avoid excessive consumption of caffeine and alcohol. Eat a balanced diet, increasing your intake of fruits, vegetables, grains and proteins.
- Relaxationand meditation: Practicing relaxation and meditation can help reduce stress and anxiety levels. There are many meditation and relaxation audios and apps that you can use.
- Support from a psychologist: If you are able, see a psychologist or psychotherapist for counseling and support. They can help you develop strategies to cope with stress and anxiety.
- Avoid excessive workload: Try to reduce the number of responsibilities and commitments you take on. Limit deadlines and the amount of work to reduce your workload.
- Support from loved ones: Talking to loved ones, friends and family can have a beneficial effect on your emotional well-being. Talk to them about your feelings and problems.
- Avoiding alcohol and drugs: Al cohol and drug use can worsen the symptoms of a nervous breakdown and lead to addiction.
- Self-help: Explore self-help techniques such as cognitive behavioral therapy or stress management techniques that can help you cope with negative thoughts and emotions.
But again, I emphasize that it is important to seek medical attention if you have serious symptoms, if your condition worsens, or if a nervous breakdown interferes with your normal life. Only a qualified physician or psychotherapist can provide the necessary help and guidance to treat a nervous breakdown.
Recovering from a nervous breakdown
Recovery takes time, patience and effort. Effective recovery depends on the severity of the breakdown and each person's personal characteristics. Here are some steps that can help you recover from a nervous breakdown:
- Seek professional help: If you have experienced a nervous breakdown, it is important to see a therapist, psychiatrist, or other qualified mental health professional. Professional help can help you understand the causes of the breakdown, develop strategies to manage stress and anxiety, and return to mental wellbeing.
- Take care of yourphysical health: Proper nutrition, physical activity and healthy sleep play an important role in recovery. Pay attention to your body and meet its needs.
- Relaxationand meditation: Practicing relaxation techniques such as meditation, deep breathing and yoga can help relieve stress, improve mental well-being and reduce anxiety.
- Stress management: Learn how to manage stress and respond to it effectively. This may include using time management techniques such as creating plans and task lists.
- Support from loved ones: Discuss your feelings and needs with loved ones. Getting emotional support from friends and family can make a big difference in recovery.
- Gradual return to everyday life: Start by gradually returning to your daily activities and responsibilities. Do not be overwhelmed by a large number of activities and responsibilities at once.
- Self-care and self-care: Take time for yourself and your interests. This may include reading, hobbies, traveling, or other activities that are enjoyable.
- Following specialist recommendations: If you have been prescribed medication or therapy sessions, follow the recommendations of your doctor or therapist.
- Gradually discuss problems: In recovery,gradually discuss and resolve problems and anxiety-provoking situations. This will help you overcome them and avoid relapse.
- Group support: Participating in support groups or therapy groups with people who have been through similar situations can be helpful in sharing experiences and getting support from those who have gone through similar experiences.
Recovering from a nervous breakdown can be a long process, and it is important to be patient and take care of your own mental health. If necessary, do not hesitate to seek the help of a professional to guide you through the process.
Sick leave
If you are facing a nervous breakdown and believe you need a sick leave (medical certificate of temporary disability), it is important to follow these steps:
- Medical consultation: See a doctor or psychiatrist to evaluate your condition. The doctor will examine you, talk to you and make a medical diagnosis. Based on this evaluation, a decision will be made about whether to issue a sick leave.
- Talking about symptoms: It is important to be honest with your doctor about your symptoms, pain, anxiety, and ailments that may require temporary disability.
- Diagnosis: The doctor will diagnose you and determine how much you should be suspended from work or activities. This may be, for example, "nervous breakdown", "mental exhaustion" or another appropriate name for the diagnosis.
- Issuance of sick leave: If the doctor concludes that you really need rest and treatment, he or she will issue you a sick leave. This document will contain information about the period of incapacity for work and recommendations for treatment.
- Filing: Depending on the country and place of work, you may need to submit your sick leave to the appropriate authorities (e.g. Your company's medical or human resources department) and notify your employer of your temporary absence.
- Following recommendations: It is important to follow your doctor's recommendations and follow your treatment plan. Your recovery may take time, and it is your job to give yourself the opportunity to rest and recover.
- Timely return to work: When your condition improves and you are ready to return to work, contact your employer and clarify the procedure for returning to work after sick leave.
Prevention
Preventing a nervous breakdown involves a number of strategies and lifestyle changes that help manage stress and emotional strain. Here are some helpful guidelines:
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Take care of your physical health:
- Regular exercise can help reduce stress and improve physical health. Try to be active, playing sports or engaging in physical activity at least a few times a week.
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Healthy Eating:
- Eating a balanced and nutritious diet can have a positive impact on your physical and emotional well-being. Avoid excessive consumption of caffeine and sugar.
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Regular sleep:
- Try to follow a regular sleep schedule and get enough quality sleep. A good night's sleep helps restore physical and emotional energy.
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Time Management:
- Develop effective time management strategies. Plan your responsibilities, prioritize and avoid task overload.
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Relaxation and meditation:
- Practicing relaxation and meditation can help relieve stress and improve emotional well-being. Regular sessions of meditation, yoga or deep relaxation can be helpful.
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Communication:
- Support from loved ones and social contacts are important to prevent a nervous breakdown. Talk to friends and family about your emotions and feelings.
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Stress management strategies:
- Master stress management strategies such as breathing exercises, practicing mental relaxation, and setting boundaries.
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Vacation Planning:
- Incorporate regular periods of rest and relaxation into your life. Taking vacations and time to yourself helps restore your energy.
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Avoiding excessive workload:
- Avoid being overloaded with work or responsibilities. Learn to say "no" and delegate tasks.
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Seeking professional help:
- If you feel unable to cope with stress and emotional pressure on your own, seek help from a psychologist or psychiatrist. Professional counseling can be very effective.
Remember that every person is unique, and what may help one person may not always work for another. Experiment with different strategies and find the ones that work best for you. If you are experiencing serious emotional or mental health problems, do not hesitate to seek medical help.