Emotional exhaustion

Depersonalization

Reduced sense of self-efficacy

– Fatigue

– Dread

– Disrupted sleep

– Impaired focus

– Somatic symptoms (eg, headache, gastrointestinal upset, muscle tension, increased illness)

– Negativity

– Cynicism

– Anger or irritability

– Detachment or apathy

– Isolation

– Self-doubt

– Reduced self-esteem

– Feelings of failure

– Reduced productivity and engagement at work

– Lost value, satisfaction, and meaning in work