Burnout isn't tiredness — it's autonomic nervous system exhaustion. The sympathetic system has been activated for so long without adequate parasympathetic recovery that the stress response system itself is depleted. Cortisol levels, paradoxically, often drop in advanced burnout (the adrenals can't keep up), while the body remains in a state of wired-but-tired dysregulation. Recovery requires sustained, gentle parasympathetic activation — not more stimulation.
The burnout recovery protocol is different from standard breathing practice. Avoid power breathing, Wim Hof, or any activating technique — the sympathetic system is exhausted and doesn't need more stimulation. Instead: (1) Morning: 10 minutes of coherence breathing (inhale 5, exhale 5) in bed before rising. (2) Afternoon: 5 minutes of extended exhale breathing (inhale 4, exhale 8) lying down. (3) Evening: 10 minutes of coherence breathing before sleep. The total is 25 minutes of exclusively parasympathetic breathing.
Recovery timeline: most people begin feeling some improvement within 1-2 weeks of consistent practice. Significant recovery from clinical burnout typically takes 3-6 months. Breathing exercises accelerate recovery by providing sustained parasympathetic input that the depleted system needs to rebuild. But breathing alone isn't sufficient for severe burnout — reduce workload, restore sleep, and consider professional support. The breathing creates the physiological foundation that makes other recovery strategies effective.