To the driving,  striving, perfectionist highly frenetic work patterns can be challenging and stimulating.

Though the human system is  remarkably strong and adaptable - excessive striving or excessive demands over a long period take their toll.

For the  workaholic and perfectionist overachiever - for whom overwork is the norm - sleeping problems,  sleep deprivation are just accepted as par for the course.

Wired’ and hooked on stress - they often use artificial stimulants to maintain alertness and drive. In their ' leisure ' time they tend toward excess and indulgence substituting one kind of high for another. Once conditioned this way the system cannot slow down.  It just oscillates between ‘flat-out’ and ‘wiped out’.

Self inflicted or not - such stress generates  fatigue.  Many report feeling tired all the time and intermittent exhaustion.

The end state may be physical  burnout - where the system is out of energy - or nervous exhaustion and mental burnout or even nervous breakdown.

In cases of  chronic fatigue  the system may fall into a state recognised as chronic fatigue syndrome  - or M. E. - where the system is unable to get energy with which to recover.  Like a car with an emptied tank - a mere refill will not allow it to run again. The fuel system has to be cleansed of ' sludge' before it can begin to function properly. The longer it is ' off the road ' the more maintenance issues will need attention.

These end stages are frequently accompanied by depression, making recovery more difficult.

On the way there are usually plenty of warning symptoms. Headaches and various other local or non-specific physical aches increase with rising levels of stress.

Type-A drivers and strivers -  proud of their toughness and ability to survive - are generally in denial of all this.

This sense of feeling wired  may extend into states where sufferers  feel agitated and  can t stop thinking.  

Now at an elevated level of stress, they are in constant need of an energy boost and feel they are losing their edge. With diminishing motivation and morale they beat up on themselves and try to flog themselves harder to get back on the pace.

They begin to make mistakes and their capacity to make a decision is eroded. The process of  making decisions may become unduly disorientating because they can't think clearly any more. By this stage  - most people realise that something is going badly wrong.

Excessive sweating  and dizziness may begin - together with other anxiety symptoms.

Fairly advanced degradation may be characterised by  fibromyalgia - not a widely recognised medical condition  ( see footnote )  - or  adrenal exhaustion - a diagnostic category which is heavily disputed.

People may feel detached or  out of touch  - even quite unreal - maybe hovering on the edge of  panic or  experiencing full blown panic attacks. A sense of hopelessness  and impending collapse may finally force them to seek help


Treatment of theses cases is complex.  In the earlier phases very effective work can be done to relieve symptoms and to set the stage for modifying behaviour patterns.

The further advanced the collapse, the more powerfully entrenched the underlying programs are - and the more separated the individual is from feedbacks needed to manage themselves.

Their systems have become chaotic. They have been responding to extreme signals generated beyond safe limits - excluding important awareness which would have kept them within a tolerable behaviour envelope.

Sufferers are unable to relax in any proper sense - nor can they assess what are normal and sustainable levels of activity.  Habituated to artificially high tempos - the options often seem seem dull and under-stimulating.

They often find it difficult to accept a proper recuperative regime. Even those with Chronic Fatigue Syndrome ( ME )  often try to use the recovery phase to get back on the pace before energy reserves have been restored properly.

Such conditions usually require determined cognitive, hypnotic and psychotherapeutic work and a powerful process of re-education.  

These re-connect the individual with true feedback from his own system and re-install a properly connected  sense of self.

Released from the old damaging patterns individuals can then recuperate and follow effective behaviour programs correctly attuned to their needs, capabilities and safe limits.

This is not necessarily a lengthy process. Five to ten sessions is normal. The time to full recovery is determined by the severity of the condition and  willingness to co-operate in the development of a well-structured program.

Copyright ©Keith Bibby - Clapham January 2011                                Contact Keith Bibby

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See -


excessive striving

excessive demands





sleeping problems

sleep deprivation


tired all the time



physical aches


adrenal exhaustion

anxiety symptoms

   excessive sweating


   can't make decisions



   can t stop thinking  


   out of touch


panic attacks

nervous exhaustion

nervous breakdown


chronic fatigue

chronic fatigue                 syndrome

M. E.



get energy

energy boost

    Hypnosis & Hypnotherapy - Exhaustion Burnout Chronic Fatigue

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             Keith Bibby - 35 yrs Behavioural Science Experience


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Ericksonian Hypnosis Psychotherapy  for Fatigue,Exhaustion,Burnout,Chronic Fatigue

Clapham Common, London SW4 9HG,Balham,Lambeth, Wandsworth, South London SW1,SW3,SW4,SW8,SW9,SW11, SW17,SW12,SW18, SW19,SW20,SW16

Keith Bibby 0208 673 6311 - - 35yrs Full-time Experience