Executive Stress & Burnout

The Lieberman Center treats occupational stress and burnout as a private psychiatric practice built specifically for demanding professionals. Care is delivered directly by Brad Lieberman, PMHNP-BC. The person you consult with is the person who treats you, with no intake coordinator and no rotating provider.

What burnout looks like at this level

• Exhaustion that sleep no longer resolves, and difficulty switching off after work
• Cynicism, detachment, or a shortening fuse with colleagues, clients, or family
• Focus and follow-through slipping in ways that feel unlike you
• Dread before the workday, or a sense of going through the motions
• Physical signs such as disrupted sleep, appetite changes, tension, or low energy

Left unaddressed, burnout frequently overlaps with anxiety and depression, which is part of why a careful evaluation matters rather than simply pushing through.

How evaluation works here

The first task is to understand what is actually happening. Burnout, generalized anxiety, and depression can look similar from the outside but call for different approaches, and stress can also unmask or worsen an underlying condition. Evaluation begins with a thorough clinical conversation about your history, your work, how symptoms show up across your life, and what you want to change. The result is an honest assessment and a plan built around your circumstances, not a rushed conclusion.

Treatment approach

Treatment is individualized and, by design, conservative. For many professionals, the most valuable work is structural and psychological: understanding the drivers, rebuilding recovery and boundaries, and addressing the patterns that led here, which is why psychotherapy is often central. Where a co-occurring condition such as anxiety or depression is present, carefully monitored medication may be one part of the plan; whether it has any role at all is decided together and reviewed over time. The emphasis is on doing less, more precisely, rather than more.

Privacy that stays private

Many of the professionals the practice works with care about where their information goes. Because care is private-pay, no insurance claim is filed, so your diagnosis is not coded into a payer’s claims database or the data-broker networks that draw from it. Your care stays a direct relationship between you and your provider, not a data trail moving through third parties you never chose.

Common questions

Is burnout a medical diagnosis?

Burnout is best understood as a syndrome of chronic, unmanaged stress rather than a formal psychiatric diagnosis on its own. What matters clinically is that it often overlaps with, or masks, conditions such as anxiety or depression that are diagnosable and treatable. A careful evaluation sorts out what is actually happening, so you are addressing the real problem rather than a label.

Will I have to take medication?

Not necessarily. For many people, the most useful work is psychological and structural: understanding the drivers and rebuilding recovery, boundaries, and workload. Medication is considered only where a co-occurring condition warrants it, and whether it has any role at all is a decision made together and revisited over time. The approach here is deliberately conservative.