Physical and emotional exhaustion

Cynicism and detachment

• Chronic fatigue with a lack of energy and feeling tired most days

• Loss of enjoyment, initially mild not wanting to go to work to avoid getting involved

• Insomnia initially on a couple of nights a week, later every night

• Pessimism presenting as negative self-talk, moving to the glass always being half-full

• Impaired concentration with a lack of focus and bouts of forgetfulness

• Isolation, starting as mild resistance and progressing to socialising to avoiding people

• Physical ailments, including chest pains, palpitations, dizziness and headaches

• Detachment feeling disconnected from and an observer of your environment

• Frequent minor illnesses due to a depleted immunity with infections

Lack of accomplishment

• Loss of appetite progressing from skipping a few meals to losing a good deal of weight

• Apathy and hopelessness with a general sense of ‘What’s the point?’

• Anxiety progressing from feeling tense, edgy and worried to becoming immobilised

• Increased irritability that interferes with personal and professional relationships

• Depression progressing from mildly sad to feeling hopeless and trapped

• Lack of productivity, resulting in work not being completed and a growing to-do list

• Anger initially presenting as tension and progressing to outbursts and arguments

• Becoming ineffectiveness at home and work by stop-start and giving up too easily