The Anxious Overachiever’s Burnout: Understanding Chronic Fatigue Through a Trauma Lens
You might be the one everyone depends on. The friend who remembers birthdays, the person who volunteers when you’re already tired, the family member who anticipates everyone’s needs before they even ask. On the outside, it looks like you have it all together, hiding behind capability, reliability, and productivity.
But inside, you might feel something different: bone-deep exhaustion that no amount of sleep or caffeine seems to touch. You might tell yourself to push through, to do a little more, to be a little better. And yet, your body keeps whispering the same message: I can’t keep this up.
At the same time, resting or doing less doesn’t feel safe. In fact, it feels even worse: like you're falling behind, letting other’s down, or losing control.
That exhaustion might not be just tiredness — it could bechronic fatigue rooted in anxiety and overfunctioning.
The Hidden Side of Anxiety: Doing More to Feel Safe
Anxiety doesn’t always look like panic attacks or racing thoughts. Sometimes, it shows up as overfunctioning — doing, fixing, helping, and achieving to manage the unease underneath.
When we’ve lived in environments where love, safety, or approval felt tied to performance, it makes sense that our bodies learned: to stay safe, I need to keep doing.
Overfunctioning can look like:
Taking responsibility for everyone else’s emotions.
Saying “yes” even when you’re running on empty.
Feeling guilty for resting or asking for help.
Equating worth with productivity.
At first, these patterns might even feel helpful. They give a sense of control in a world that can feel unpredictable. But over time, this constant state of “doing” pushes the nervous system into overdrive, leading to exhaustion that’s emotional, mental, and physical.
How Chronic Fatigue Develops in an Anxious System
When the body is in a prolonged state of stress, it runs on adrenaline and cortisol. These are the hormones that prepare us to respond to threat.
The problem with this is that those systems were never designed to stay activated indefinitely. Over months or years, the body begins to wear down. You might notice:
Brain fog or difficulty focusing.
Feeling tired even after a full night’s sleep.
Muscle tension, headaches, or gut issues.
Emotional numbness or irritability.
It’s not weakness or laziness. It’s a survival system that’s been working too hard for too long.
Keep in mind, your body is trying to protect you. Chronic fatigue can be the body’s way of saying: you’ve done enough; now it’s time to rest.
Why Rest Feels Unsafe
For many people with anxiety, especially those with histories of trauma or instability, rest can feel like danger.
Stillness can stir up old fears or self-judgments:
“If I stop, everything will fall apart.”
“If I rest, people will think I don’t care.”
“If I slow down, I’ll have to feel what I’ve been avoiding.”
So instead, we keep moving and overfunctioning: not because we want to, but because it feels like the only way to stay safe.
Healing begins when we start to understand this not as a flaw, but as a learned pattern of protection. By responding with self-compassion, we can gently shift our relationship with ourselves. The goal isn’t to force yourself to stop doing, but to gently teach your nervous system that rest can be safe again.
How to Begin Reclaiming Energy and Ease
1. Notice the Patterns Without Judgment
Start by observing your own signs of overfunctioning. Do you say “yes” reflexively? Do you feel an urgency to fix things or help others when you’re already depleted?
Awareness is the first act of compassion — not a reason for shame.
2. Regulate Before You Rest
If your nervous system is used to running on high alert, going straight into rest can feel unbearable.
Instead, try small moments of regulation first: grounding through your senses, taking a few deeper breaths, stretching, or even gentle artmaking.
3. Experiment with Micro-Rest
If resting for hours feels impossible, start smaller. Take five minutes to pause between tasks. Step outside and notice sunlight. Sit with your coffee without multitasking. These tiny pauses begin to rewire the nervous system toward safety.
4. Reconnect with Your Body’s Cues
The body often whispers before it screams. Pay attention to sensations like heaviness, tension, or restlessness. Over time, your body can become a trusted partner rather than an obstacle.
5. Consider Support
Sometimes, these patterns run deep and are hard to shift alone. Therapies that integrate the body — like art therapy, EMDR, and somatic work, can help uncover the roots of overfunctioning and create new pathways toward rest and self-compassion.
If you notice that even the idea of slowing down feels threatening, that’s a sign your nervous system might need guided support, not more self-discipline.
A New Way of Being
Healing from chronic fatigue and anxiety isn’t about doing less out of punishment — it’s aboutlearning to live in a body that finally feels safe enough to rest.
It’s about remembering that you are worthy of care even when you’re not producing, helping, or holding everything together.
Your body has carried you through so much. It’s okay to let it exhale now. If it helps, remind yourself that rest is productive.
If you’re ready to explore what rest could feel like when your body truly believes it’s safe, I’d love to support you. I offer online therapy in Montgomery County, Maryland for individuals navigating anxiety, burnout, and the patterns of overfunctioning that often accompany trauma.
Together, we can help you move from surviving to truly resting — not because you’ve earned it, but because you deserve it.