Feeling drained, stressed, or like you’re running on empty? Many of us hit that wall where everything feels like too much. But when that heavy feeling starts to seep into your everyday life making it hard to show up at work, connect with others, or even enjoy things you used to, it’s worth asking: Is this just burnout, or could it be depression?. Are you just burned out, or is it something more serious like depression?
At Montana Psychiatry, we know that mental health is not one-size-fits-all. It can be tough to understand the difference between burnout and depression because they share some similar symptoms. In this post, we’ll break down the signs of both so you can understand what you might be experiencing and feel more confident reaching out for help.
What is Burnout?
Burnout is a state of emotional, physical, and mental exhaustion caused by long-term stress, often related to work or caregiving responsibilities.
People who are burned out often feel drained, frustrated, and disconnected from their work or the people they care for.
Common signs of burnout include:
- Feeling exhausted even after a full night of sleep
- Losing motivation or interest in your job
- Becoming easily irritated or impatient
- Trouble focusing or feeling foggy
- Feeling like your efforts don’t matter
Burnout can also show up physically. You might have headaches, stomachaches, or changes in appetite. Burnout usually comes on slowly and gets worse over time, especially if you keep pushing through without rest.
What is Depression?
Depression is a mental health condition that affects how you feel, think, and function. Unlike burnout, depression can affect every part of your life, not just work. It can show up even when things in your life seem to be going well.
Common signs of depression include:
- Feeling sad or hopeless most of the day
- Losing interest in things you used to enjoy
- Sleeping too much or not being able to sleep
- Changes in appetite or weight
- Feeling worthless or guilty
- Having thoughts of death or suicide
Depression is not something you can just push through. It often needs treatment, whether that’s therapy, medication, lifestyle changes, or a combination of approaches. The earlier you get help, the better the outcomes can be.
How Are They Different?
Burnout is usually tied to a specific area of life, like your job, school, or caregiving. If you take a break or change your environment, you might start to feel better. People with burnout often still find joy in other parts of life outside of the stressful situation.
Depression, on the other hand, doesn’t go away with time off or a vacation. It can linger and affect every part of your life, even when you try to rest. Depression can feel like a dark cloud that doesn’t lift, no matter what you do.
Here’s a quick way to think about it:
- If you feel better when you take a break or get support, it might be burnout.
- If your low mood continues no matter what changes you make, it could be depression.
Can You Have Both?
Yes, it is possible to have burnout and depression at the same time. In fact, burnout that goes on for too long can lead to depression. This is why it’s important to listen to your body and your mind. If you’ve been running on empty for a while, your mental health might need more care than just a good night’s sleep or a weekend off.
What Can You Do?
If you think you might be experiencing burnout:
- Try to set clear boundaries between work and home life
- Take regular breaks, even short ones
- Make time for things that bring you joy
- Talk to someone you trust about how you’re feeling
If you think it might be depression:
- Reach out to a mental health professional
- Keep track of your symptoms so you can talk about them clearly
- Be gentle with yourself, even when things feel hard
- Know that help is available and healing is possible
How Montana Psychiatry Can Help
Whether you are struggling with burnout, depression, or a mix of both, you are not alone. Our team at Montana Psychiatry is here to listen and help you find the right path forward. We offer therapy, medication management, and support tailored to your unique needs.
You don’t have to wait until things get worse. Reaching out for help is a strong and brave first step. If you’re feeling overwhelmed, tired all the time, or just not yourself, we’re here to walk with you toward feeling better.
Your mental health matters. Let’s take care of it together.
TMS
by Deb (age 64)
Category: generalThe hoops I jumped through in order to be evaluated were straightforward and efficient. I met with PA Kaitlin for about an hour to discuss my history and previous medications. Then Dr. Amato joined us to further discuss my history, the TMS treatment, and answer any questions. Myrna gathered all of the information and submitted it to my health insurance company to request coverage for TMS. Fortunately, insurance approved the treatment and I was able to begin the next week. I’m sure most people have anxiety about starting a treatment like TMS. No matter how many times it’s described to you, there are many unknowns. How will I feel during treatment? Is it painful? What if this doesn’t work? What if it works for a while but then stops? In all honesty, I was very uncomfortable during the first couple of weeks of treatment. The alternating two seconds of tapping sensation caused some pain during treatment, and at the end of the first week I thought about quitting. But I had sworn to myself that TMS was a last resort and I HAD TO complete the treatment and give it a chance to work. My technician, Heather, told me that some people don’t feel the tapping at all, they only hear it. Guess I wasn’t one of those people! But as the days went by, it became easier to tolerate the treatments. During this time I also saw Lauren weekly for CBT (cognitive behavioral therapy). This is highly recommended for people undergoing TMS treatment, and it was a positive complement to my total of 100 minutes each week “under the helmet”. The weekend between weeks three and four, I started to notice subtle improvements in my mood, increased belief in my self-worth, and enthusiasm for simple things like going for walks, meeting friends for lunch, and taking on volunteer work in the community. I hesitated at first to believe that TMS was helping me. I was afraid that I was convincing myself it was working because I so desperately wanted it to! But now that I am past the treatment I can say with cert
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by Barbie (age 68)
Category: generalI feel so blessed to participate in the TMS protocol at MT Psychiatry. After struggling so many years with depression and not getting significant results from medication, particularly of late, I noticed positive results in the first two weeks of treatment. TMS can literally give you back the beauty & joy in living as well as the courage to make positive life changes and improvements in your daily living situation. I heartily encourage anyone to put yourself into the hands of the amazing TMS team who so gently and graciously make this journey with you out of the black hole that is depression. It is my honor and privilege to give the TMS treatment the highest recommendation.
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by Shayne (age 66)
Category: generalI am grateful for the support and caring I have received from Dr. Amato (and Heidi, Heather and Myrna) in my quest for mental health and a fuller more productive life. While the TMS results have been subtle, I feel more positive about my future and I would recommend this team absolutely. Thank you!
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by Carrie (age 65)
Category: generalNot realizing how fuzzy my head was, I thought I was only going through severe anxiety and depression. Through the insight of Pat, I was able to go through TMS treatments which brought down the anxiety and depression immensely and has cleared up the fuzzy, far off substantially. All the personnel treated me with kindness and I’m sure their attitudes helped in my recovery.
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by Bridget (age 47)
Category: generalThe first outcome of TMS I noted happened early in my treatment, at about the beginning of week two. I felt as though my “brain fog” had been chipped away. I wish I could report that I feel my mental health issues are in “remission”, but I can’t do so yet. My hope is that I will see improvement in the weeks to come, now that my TMS cycle has ended. I can say that my brain feels – in some way – different; I can’t explain exactly how. I continue to struggle at this point in time but sill have hope for more improvement.
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