Burnout can leave you running on empty. Let's make room for you.
Dr. McDade looks at your work, your home, and your health to understand what is wearing you down. Then you build the plan together, by secure video in Texas.
Opens the booking page. A brief screening confirms fit before your first visit.
- Every visit with Dr. McDade
- 60 to 90 minute first visit
- No referral needed
The answer
The World Health Organization (WHO) links burnout to long-term stress at work that has not been managed well. The WHO names three features, feeling drained of energy, feeling distant or cynical about your job, and feeling less effective at work. The WHO does not classify burnout as a medical condition. Fatigue and a lack of energy can also be signs of depression, the National Institute of Mental Health (NIMH) notes. You deserve to know what is behind your exhaustion.
If you need help now
If you are in crisis or thinking about suicide, call or text 988 or chat at 988lifeline.org to reach the 988 Suicide and Crisis Lifeline. If you are Deaf or hard of hearing, use your preferred relay service or dial 711, then 988. In an emergency, call 911 or go to the nearest emergency room. This practice does not provide emergency services.
Who will you see?
Dr. McDade, at every visit. Health & Harmony Psychiatry is a physician-only practice, so every follow-up is with the physician who already knows your story.
She has extensive experience treating ADHD, depression, anxiety, and burnout. She is a mother and an entrepreneur who built her own practice, so she knows how much one week can hold.
The practice provides psychiatric evaluation, medication management, follow-up, and coordination with the patient's other clinicians. Full recovery is the goal, even if the best path is a referral.
Why can strain be hard to see?
In Dr. McDade's experience, success can look very different from the outside. Some women do well at work, where the day has built-in structure, and struggle once they are home and the structure falls away.
She asks about both, because a strong showing at work can hide real strain. The WHO uses the word burnout for work alone. Stress at home deserves the same careful look.
Is it burnout, or something more?
Burnout and depression can both drain your energy. Depression can affect how you feel, think, and handle daily activities, the NIMH explains. A diagnosis needs symptoms most of the day, nearly every day, for at least 2 weeks, the NIMH adds.
Some signs of depression the NIMH lists
- A sad, anxious, or empty mood that persists
- Loss of interest or pleasure in hobbies and activities
- Fatigue, lack of energy, or feeling slowed down
- Trouble sleeping, waking too early, or oversleeping
- Feelings of guilt, worthlessness, or helplessness
- Thoughts of death or suicide
If you need help now
If you are in crisis or thinking about suicide, call or text 988 or chat at 988lifeline.org to reach the 988 Suicide and Crisis Lifeline. If you are Deaf or hard of hearing, use your preferred relay service or dial 711, then 988. In an emergency, call 911 or go to the nearest emergency room. This practice does not provide emergency services.
If some of this sounds familiar, a careful evaluation can sort out what is behind it.
Dr. McDade starts with what is happening in your life, at work and at home. If a significant stressor is going on, she considers adjustment disorder before a diagnosis of anxiety or depression.
Some medicines and medical conditions, such as thyroid disorders, can cause the same symptoms as depression, the NIMH notes. Dr. McDade considers medical possibilities as well as psychiatric ones. In her practice, a detailed history has uncovered high blood pressure, thyroid problems, and anemia.
How does Dr. McDade help with burnout?
You deserve the time to be understood.
- 01
Context first
Your life, at work and at home
Your first evaluation looks at your medical history and current stressors as well as your symptoms.
- 02
Your timeline
When it began
You and Dr. McDade piece together a timeline of your symptoms and what sets them off.
- 03
Medical and psychiatric
Your health
Dr. McDade reviews current medical diagnoses and recent labs with every new patient, and she orders additional labs when something needs to be ruled out.
- 04
Explained
What she finds
Dr. McDade explains what she finds and asks whether it fits. If something feels off, you say so, and she listens again.
- 05
Collaborative
A plan you choose together
Medication decisions start with context. Dr. McDade explains why one option might be considered over another, and you decide together. When therapy is the better starting point, she refers to therapists she knows well.
- 06
Steady
Steady follow-up
Follow-up visits run 15 to 30 minutes by secure video.
Questions about burnout care
Is burnout a medical diagnosis?
No. The WHO calls burnout an occupational phenomenon and does not classify it as a medical condition. Dr. McDade looks at what may be behind your symptoms, including depression, anxiety, and medical causes.
Can burnout lead to depression or anxiety?
When anxiety from stress does not go away and gets in the way of your life, you may be at higher risk of an anxiety disorder or depression, the NIMH notes. If your symptoms will not go away, it may be time to talk to a professional.
Do I have to take medication?
No. Whether to start a medication, and where, is a decision you and Dr. McDade make together, after she explains what she recommends and why. If you already take one, talk with the clinician who prescribes it before you stop, as the NIMH advises.
How much does care cost?
Care is cash pay. A new evaluation with Dr. McDade is $465, and follow-up visits with Dr. McDade are $275. You receive a good faith estimate before your first visit.
Does Dr. McDade take insurance?
No. Care is cash pay, with rates set in advance and shared up front. You have the right to receive a Good Faith Estimate explaining how much your medical care will cost. Under the law, health care providers need to give patients who do not have insurance or who are not using insurance an estimate of the bill for medical items and services.
Is this an emergency service?
No. Health & Harmony Psychiatry does not provide emergency care. If you are in crisis or thinking about harming yourself, call or text 988, or call 911.
Sources for the facts on this page.
- Burn-out an "occupational phenomenon", World Health Organization, May 28, 2019
- Depression, National Institute of Mental Health, NIH Publication No. 24-MH-8079, 2024
- I'm So Stressed Out! Fact Sheet, National Institute of Mental Health, NIH Publication No. 20-MH-8125
The information on this website is for general education and does not constitute medical advice or create a physician-patient relationship. For care, please schedule an appointment.
Care Through Connection
Room for your whole story, and a plan built around the life you carry.
Book the first visit online, or call 832.387.6088 with questions. A parent or guardian books for anyone under 18, and a brief screening confirms fit before your first visit.
Health & Harmony Psychiatry does not provide emergency care. If you are in crisis or thinking about harming yourself, call or text 988, or call 911. Ages 6 to 70. Health & Harmony Psychiatry provides care by secure video to patients physically located in Texas at the time of their appointment.