I think the scariest thing about burn-out, is that not everyone is financially able to take the recommended time off to recover - what then? I've certainly been close to being in this boat, had to take a job before I fully recovered, so took one I felt might be a bit lighter on the load and still give me some chance of recovery. Pleased to report it has been mostly successful.
what if the 'recommended time off to recover' is wrong? I believe that burnout comes from a missing a reward that is expected after protracted and intense labor, thereby training your brain that labor = bad. Maybe the right thing to do is to retrain your brain that labor = good, with primary stimuli. Making green dots appear is definitely one very effective way to get over burnout. I haven't had a major burnout incid…
I personally think the problem is we don't really see much of a reward. Weeks of living in flight or fight mode and then a "good job" from the boss isn't a reward. Knowledge workers don't get real tangible rewards. And even if I had $100,000 dropped in my lap today, that wouldn't even be tangible, it'd just disappear in to the mortgage. I'd never actually enjoy it, no part of my monkey brain would think it did a good job.
It's hard for our profession to provide obvious, immediate rewards.