About burnout
Burnout is exhaustion linked to work: emotional fatigue, distance or cynicism towards the job and a feeling of not being effective. Psychological support focuses on recovery, workload and boundaries, values and, when needed, decisions about the work situation.
Psychotherapists are professionals trained in one or more models of psychotherapy (psychodynamic, systemic, humanistic, cognitive-behavioural…). The protected title and requirements vary by country; profiles show each professional’s training and registration.
Getting mental health care in the United States
Public health system · No single public system (Medicaid, Medicare, community mental health centers)
There is no universal public mental health service. People with low incomes may be covered by Medicaid, older adults by Medicare, and publicly funded community mental health centers and treatment facilities can be located through the federal SAMHSA locator. More information
How to check that a professional is licensed
- State boards of psychology (umbrella body: ASPPB). Psychologists are licensed by each state board; check the board of the state where you live. Use of the title psychologist generally requires a state license.
- State medical boards (umbrella body: Federation of State Medical Boards). Psychiatrists are physicians licensed by each state medical board. The FSMB DocInfo service lets you look up a physician's license and disciplinary history. Search the official register
- State licensing boards. Clinical social workers, counselors and marriage and family therapists are licensed state by state; check the relevant board in your state.
Insurance and coverage
Federal parity law (MHPAEA) requires most group health plans that cover mental health to do so on terms no more restrictive than for physical health; deductibles, copays and in-network rules still apply.
Online therapy in the United States
The clinician must normally be licensed in the state where the patient is located. Psychologists in PSYPACT member states may practice telepsychology across those states.
Urgent help in the United States
If your life or someone else's is in danger, call the emergency number now. These services can help at any time:
- 911 · Emergency (911)
- 988 · 988 Suicide & Crisis Lifeline
Information reviewed in November 2026 · Sources: findtreatment.gov, docinfo.org
Signs to look out for
Burnout develops gradually under prolonged work pressure. Common signs include exhaustion that rest does not fix, feeling detached, cynical or numb about your job, a sense that nothing you do makes a difference, and difficulty concentrating. You may dread Monday, feel irritable with colleagues or family, get ill more often, or find that weekends and holidays no longer help you recover.
What helps: treatments and professionals
Psychologists, clinical psychologists and occupational psychologists can help with burnout. Cognitive-behavioural approaches, acceptance and commitment therapy (ACT) and stress-management programmes help with recovery, boundaries and values. Support often includes looking at workload, job demands and possible changes at work. A doctor should assess exhaustion and rule out physical causes or depression, and may advise on time off.
When to seek urgent help
Burnout can overlap with depression. If you feel hopeless, cannot function at all, or have thoughts of harming yourself or ending your life, contact your local emergency services or go to the nearest emergency department immediately. Seek prompt medical care for physical symptoms such as chest pain, palpitations or fainting.
What you can do in the meantime
Try to protect clear boundaries between work and rest, such as switching off notifications after hours. Prioritise sleep, regular meals and gentle exercise. Talk to someone you trust about how you feel, and, if possible, discuss workload with your manager or occupational health service. Reconnecting with activities and people outside work helps. Avoid relying on alcohol or stimulants to keep going.
What does a psychotherapist do?
A psychotherapist helps people understand and change emotional, relational and behavioural patterns through a structured therapeutic relationship. Their work is shaped by one or more models, such as cognitive-behavioural, psychodynamic, systemic, humanistic or integrative therapy. They meet individuals, couples, families or groups, usually in regular sessions, and spend time outside sessions on notes, preparation and their own supervision.
When to see a psychotherapist
Psychotherapy suits people who want to work in depth on recurring difficulties: anxiety, low mood, relationship patterns, self-esteem, the effects of past experiences or major life transitions. It can also help when you feel stuck without a clear diagnosis. If you need a formal diagnosis, a specific psychological assessment or medication, a clinical psychologist or psychiatrist may need to be involved.
How to choose
When choosing, check the licence and training, the approach they use and whether they have experience with what you need. Consider practical aspects too: language, price, location or online sessions and availability. The relationship with the professional matters a great deal; if after a few sessions it does not feel right, it is fine to change.
Frequently asked questions
Does the public health system in the United States cover psychological care?
There is no universal public mental health service. People with low incomes may be covered by Medicaid, older adults by Medicare, and publicly funded community mental health centers and treatment facilities can be located through the federal SAMHSA locator.
How do I check that a psychotherapist is licensed in the United States?
State boards of psychology (umbrella body: ASPPB): Psychologists are licensed by each state board; check the board of the state where you live. Use of the title psychologist generally requires a state license.
Can I have online therapy in the United States?
The clinician must normally be licensed in the state where the patient is located. Psychologists in PSYPACT member states may practice telepsychology across those states.