Stress and Burnout Counselling in Milton Keynes
In practice since 2013 + Not all of it is you
A lot of stress advice quietly assumes the problem is how you are handling things. Sometimes it is. Often there is simply too much, it has been too much for months, and no amount of breathing exercises is going to change your workload.
So this page starts with the situation rather than with you.
Do Something About the Situation First
This is the part almost no counselling page will tell you, and it is the first thing I say to people who are stressed about work.
Go to your manager. Say plainly that you are struggling with the workload, and be specific: this I can cope with, this I cannot.
Then follow it up in writing. An email, the same day, setting out what you said. If you have a good manager they will act on it and the email costs you nothing. If you have a poor one who is dismissive, you now have an audit trail, and that matters far more than people realise at the point where it starts to matter.
I am aware that is closer to employment advice than therapy. I say it anyway, because someone who is drowning at work and has told nobody in writing is carrying a risk on top of the stress, and no session with me removes that.
If it is not work, the same principle holds. Tell someone who can actually affect it, not only someone who will sympathise.
Why It Makes You So Tired
Stress is about now. Too much at once, all the plates spinning and wobbling, and you cannot work out which one to catch first.
What that does to you physically is the bit people underestimate. You are running with your foot flat on the accelerator and the handbrake on, which burns the engine. You are working hard and getting nowhere, and then you wonder why you are exhausted by the middle of the afternoon.
Eventually the system stops asking. The mind and the body decide enough, and they do not consult you about the timing.
Two things sit either side of this page and are covered properly elsewhere. If what you actually have is the fear of something that has not happened yet rather than too much happening now, that is anxiety and the difference matters. And if you have gone past stressed into shut down, flat and hiding, the five stages are a better map of where you are than anything on this page.
What Stress Costs Before You Notice
It rarely announces itself. What people report, usually months in, is that they have stopped doing anything that was only for them, they are short with people they like, they are sleeping badly and drinking a bit more than they used to, and they cannot remember the last time they enjoyed a weekend without a background hum of things undone.
Then it starts showing up in the body. Sustained long enough, stress does not stay psychological. It works through into physical health, and the body eventually presents the bill.
Which is the honest argument for dealing with it earlier than feels justified. Not because you are fragile, but because the compound interest on this is real.
Three Things That Actually Reduce the Load
These are not relaxation techniques. They are about the input, because the input is usually the problem.
Cut Your Exposure to the Background Noise
The news is built to hold you, because we are far more attuned to threat than to anything else, and that attention is being farmed. It leaves you with a low, constant sense that things are bad, on top of whatever is actually happening in your own week.
You are not obliged to be continuously informed about every catastrophe on earth. Reducing that is not burying your head, and most people notice the difference within days.
Treat Your Energy as Finite, Because It Is
There is a limit on this and it does not renew just because you need it to. Once you accept that, the question stops being how to fit everything in and becomes what you are going to stop doing, and who you are going to stop giving it to.
Some of what is draining you is people claiming your space, and some of it is you handing it over to avoid a difficult conversation.
Get the Basics Back Before You Optimise Anything
Sleep, food, some movement, some daylight. Not a wellness programme. None of it treats the cause and I am not going to pretend it does. What it does is stop the physical side quietly making everything else worse, which it will if you leave it long enough.
And if you are drinking more to take the edge off, that is worth being honest with yourself about early rather than late. It disrupts your sleep, which increases the tiredness, which increases the stress. Alcohol is also a depressant, which is an awkward fact about the thing most people reach for.
What Counselling Does and Does Not Change
It does not reduce your workload. It will not make your manager reasonable, or your finances less tight, or the person you care for less ill.
What it does is take the thing apart with someone who is not in it. Which of these pressures are actually yours, which have you picked up, and which are you holding because putting them down would mean a conversation you do not want to have. Then what changes, in what order, and what you are going to say.
People arrive with one enormous undifferentiated problem. Most of the useful work is turning it back into a list of separate things, some of which are fixable this month.
What Working With Me Is Like
No reception, no team, nobody else in the building. You send a message, I am the person who replies, and I am the person you sit down with.
Early on I would want to look at all three levels rather than only mine. The biological, which is your GP's end and worth ruling out when someone is this tired. The sociological, meaning the actual pressures on you, your work, your money, the people around you. And the psychological, which is where I come in. They are linked, and looking at one alone tends to miss what is driving it.
I have been in practice since 2013 and I am an integrative therapist, which means I trained across several approaches rather than one.
In person in Wolverton, or online wherever you are.
If You Need Someone Right Now
Please do not wait for an appointment.
- If you or someone else is in immediate danger: 999
- NHS mental health crisis line for Milton Keynes, free, day or night: 0800 0234 650
- Urgent NHS help, choose the mental health option: 111
- Samaritans, free, at any hour: 116 123
- MK Crisis Cafe, run by Mind BLMK, open 5pm to 11pm every day: 01525 722 225
Common Questions
Is This Stress or Burnout?
Roughly: stress is too much happening and you are still running at it. Burnout is what comes after, when you stop, shut down and hide, and it looks a lot like not caring any more. If you recognise the second one, the shape of it is set out on the coaching page.
Should I Be Signed Off Work?
That is a conversation with your GP, not with me, and I would not want to influence it either way. What I would say is that being signed off with nothing else changing tends to postpone the problem rather than solve it. The time only helps if something about the situation is different when you go back.
My Employer Offers Counselling. Should I Use That?
If it is there and it is free, try it. It is usually a short course of sessions and for a lot of people that is enough. Come to me if you would rather it was not arranged through work, if you have used it up, or if you want to keep going past the number they cover.
I Do Not Have Time for Weekly Sessions
That is worth saying out loud, because it is often the clearest evidence of the problem. In practice we can work at a spacing that fits, and it does not have to be weekly forever. If an hour a fortnight is genuinely impossible, that is information rather than an obstacle.
Can You Fix My Job?
No. I can help you work out what to ask for, how to say it, and what you will do if the answer is no. Quite often the useful outcome is that somebody finally has the conversation they have been avoiding for a year.
Send me a message. Tell me as much or as little as you want, and getting in touch commits you to nothing.
Send me a messageIf you decide to go ahead, the first full session is half price.
Before that, send the email to your manager. It is the smallest thing on this page and it is usually the one that changes something.
David LloydCounsellor, psychotherapist and coach, Wolverton, Milton Keynes