- Work Hard
- 5th Aug 2026
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- 0 minute
What is high functioning burnout, and why won’t wellness fix it?
High functioning burnout is what happens when a nervous system that has been overloaded for years can no longer produce anything else, in a woman who still looks to everybody else like she is coping. Nicole Brûlé-Walker, somatic and bodywork clinician and founder of Still Body Studio in Yarm, explains why rest, magnesium and cold water can’t reach it.
You know the feeling already. It’s ten past four in the morning, you’re wide awake, and your jaw or your hands are clenched.
Your body has decided, without consulting you, that something is about to go badly, or that you have forgotten something vital.
You have already tried the obvious things. Magnesium spray. The meditation app. Noise cancelling earbuds. Possibly the cold water plunge, because half the North East seems to be in the sea by seven in the morning now.
None of it has touched the four o’clock wake up call.
I have spent twenty five years working with bodies.
Elite athletes, chief executives, women running businesses, households and everything in between. Almost every woman who lies down on my table apologises within the first two minutes. For being late, even when she isn’t. For her shoulder tension. For needing to be there at all.
Then she finally breathes, and the breath goes nowhere. It sits high in the chest, a small tight movement just beneath the collarbones. Her diaphragm has not been properly involved in years, and so the tension holds, the digestion slows and the fatigue never quite lifts.
She thinks her job caused this.
It didn’t. It was caused by something she has never once questioned, because it doesn’t feel like a belief. It feels like her personality.
The woman who could not be still
She is a Performer. Not by temperament, but by training.
Somewhere early on, she learned that love, or approval, or simple safety was conditional on delivering. Nobody sat her down and told her. She worked it out the way children do, by watching what happened in the room when she did well, and what happened when she didn’t.
She has been the one who gets things done ever since.
When she came to me, she was managing four projects and could not sleep. What she could not explain was why the thought of handing two of them to her team made her chest tighten more than juggling all four ever had.
Rest was not restful. Delegating felt like exposure.
Her body understood this perfectly. She had been performing through that filter for thirty years.
Your body isn’t reacting, it’s forecasting
We are taught that stress happens to us. Something goes wrong, the body responds, cortisol floods in, and afterwards we try whichever breathwork technique is trending to bring it back down. Cause, then effect.
That isn’t how it works.
The physiological term is allostasis, and it means your body does not wait for events. It forecasts them. It reads your circumstances, calculates what will be demanded of you, and prepares the tissue in advance. Muscle tone, heart rate, gut motility, breath. All configured before anything has happened.
Think of a household that runs entirely on anticipation. The kettle goes on before anyone asks. The coats are by the door before the rain starts. Nobody in that house is reacting to anything. They are permanently ready.
Here is the part that matters. The forecast is not neutral. It is made through a filter, and the filter decides what counts as a threat.
For my client, a request to rest was recorded as dangerous. Not metaphorically, but physiologically. Her shoulders, her posture, her four o’clock waking, these were never separate symptoms to be treated one by one.
They were a single forecast, running correctly, all night.

Why burnout comes for the most capable women first
Your body builds its forecast the way any sensible system would. From your track record, and from how you felt while you were living it.
So what happens when your track record is thirty years of getting through it?
Every time you pushed through, ignored the hunger, worked past the headache, took the call while your chest was tight, told the room you were fine, you filed another piece of evidence.
Demand arrived. She met it. No collapse.
The forecast updates accordingly. Capacity proven, load increased. Your body is not sentimental and it is not interested in your feelings. It simply prepares you for next time.
This is why burnout arrives so suddenly in the women everyone relies on, and why nobody sees it coming, including them. The forecast has quietly settled on a level of demand that no nervous system was built to sustain indefinitely.
Burnout is not what happens when you finally feel it all. It is what happens when a nervous system that has been overloaded for years can no longer produce anything else.
Six signs of high functioning burnout
This isn’t something you read about in a book. You see it in a typical week.
You might recognise it if:
- You go quiet on a Sunday afternoon and nobody can say why, including you.
- You get ill on the second day of every holiday.
- You cannot lie through a massage without composing tomorrow’s emails.
- Your first thought on waking is a task that can’t wait.
- Somebody asks how you are and you answer ‘fine’ before you have even checked.
- You cry at something small and slightly embarrassing. A song, an advert, somebody being kind to you in a shop.
That last one is worth pausing on, because it isn’t a sign of fragility. It is a system with no bandwidth left for small things, spending its last available response on the first safe target it finds.
Which is usually a stranger. Almost never your boss.
Four filters, four ways to disappear
The Performer is one of four inherited filters I work with. Here are the other three.
The Protector looks after everybody and gradually loses the thread of what she needs herself. Ask her what she wants for dinner and watch her hesitate.
The Adapter bends to fit the room. She is agreeable, well-liked, and quietly furious in a way she would never name.
The Achiever cannot stop at one summit. She is looking at the next one before she has taken her boots off. Success never lands.
Each one is intelligent. Each one kept somebody safe, at one time. And each one depletes a woman through a completely different pathway, none of which has anything to do with how full her calendar is.
You will know which one is yours. Most women do, immediately, and then spend a moment resisting it.
Why wellness won’t fix high functioning burnout
There is a second piece of science here, and it’s the one that ought to give you pause.
Interoception is the ability to accurately read what is happening inside your own body. Hunger. Heart rate. Breath. The precise moment tiredness begins, rather than the moment it becomes a collapse. It varies enormously between people, and it can be measured.
The finding that changed my practice is this. High performers are all too frequently disconnected from their own bodies.
Not because they feel too much.
Because they have spent decades training those signals to stop reporting. There was never time for them.
The signal didn’t fail. It was disconnected, deliberately, by a woman who had things to do.
Now look at what surface level wellness actually asks of you.
It asks you to relax. But relaxation isn’t a decision. It’s a conclusion your body reaches on its own, once the filter changes. You can no more decide to relax than you can decide to be persuaded.
It asks you to rest. Which is why you get ill on the second day of a holiday, begin to feel human on the fifth, and return to an identical pattern the week after. The rest was real, but it changed nothing at the root.
It asks you to feel into the body. In a body you have spent thirty years learning to override.
And then, quietly, it hands you one more thing to do well. The fitness routine. The quiet morning practice. It becomes another arena in which a capable woman can succeed, and therefore one more place her body learns never to let up.
Let me be clear that none of this is bad. Cold water is good for you. So are magnesium, and yoga, and eight hours of sleep. They are simply downstream of the nervous system. They correct a symptom while the filter
What actually changes
When the filter is seen, and I mean seen in the body rather than agreed with in the mind, it softens. What happens next tends to surprise people.
The drive does not vanish. The high standards do not drop. My client is still the one who delivers.
What changed is that she now chooses the projects because they matter to her, rather than because delivering makes her feel safe. Rest became physically possible, not because she scheduled it, but because her body stopped classifying it as danger. The tight shoulders and the clenched jaw let go without ever being asked to.
She didn’t add a new programme or routine. She saw something that was true, and stopped being ruled by a filter that no longer applied to her.
So where does that leave you?
Not with another technique.
If the body prepares according to its filter, then perception sits above everything. What you see determines what your body braces for, and what your body braces for determines what you are able to choose. You cannot decide your way out of a state your tissue entered an hour before the meeting began.
This is why the usual advice fails clever, capable women. It arrives downstream of the nervous system, and asks you to release tension that was created as an intelligent adaptation.
The work is not to regulate harder. It’s to see the filter.
To recognise, with compassion, that it was correct once. It kept somebody safe. But it was never who you are.
And then to notice that being able to carry something is not the same as being required to.
When the filter is seen, the body follows. It doesn’t take force. It takes awareness.
Before you finish your morning coffee
Put a hand flat on your lower ribs, at the side, where they flare out.
Don’t change your breathing. Don’t deepen it, or slow it, or try to fix it. There’s no need to turn this into a practice. Just find out whether anything moves under your hand.
Then, later today, when somebody asks how you are, notice the exact moment you answer. Was there a hesitation while you checked, or did you simply say ‘fine’?
If you didn’t notice movement in the ribcage, or feel for what the true answer was, you haven’t failed. You have read something accurate about yourself, possibly for the first time in a long while.
That’s where it starts. Not with how to correct it. Just with awareness.
And that opens up far more possibility than burnout ever allowed.
Nicole Brûlé-Walker, in brief
Practitioner: Nicole Brûlé-Walker, somatic and bodywork clinician with 25 years of experience across elite sport and senior leadership
Studio: Still Body Studio, Yarm, a private members-only practice [full address to confirm]
Also founder of: The Core Truths System
Works with: Women and senior leaders experiencing burnout, decision fatigue and chronic overload
Website: https://www.stillbodystudioyarm.com
Website: https://www.coretruthssystem.com
Email: [email protected]
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