HeARTful Living
The Burnout Trap: How to Break Free
Feeling the exhaustion from working too much? Here is an ultimate guide to understanding burnout, its causes and more!
Burnout is more than just stress or exhaustion. Coined by psychologist Herbert Freudenberger in the 1970s, it refers to a state of emotional, physical and mental exhaustion caused by prolonged and excessive stress. While the term originated in work-related contexts, it now encompasses a broader range of experiences, from caregiver fatigue to academic burnout. In this article, we will explore the psychology behind burnout, how it manifests and how to effectively address it. A case study will illuminate how these principles work in practice.
Understanding Burnout Through a Psychological Lens
Burnout is characterised by three primary dimensions:
- Emotional Exhaustion: Feeling drained and overwhelmed, leading to reduced energy and motivation.
- Depersonalisation: Developing a cynical or detached attitude toward work or other responsibilities.
- Reduced personal accomplishment: Feeling ineffective, inadequate or lacking in fulfilment.
Psychologically, burnout disrupts the brain’s ability to manage stress. Chronic stress triggers the hypothalamic-pituitary-adrenal axis (HPA) axis, which releases cortisol. While cortisol is essential for short-term stress responses, prolonged elevation leads to structural changes in the brain, such as reduced volume in the prefrontal cortex (responsible for decision-making) and the hippocampus (critical for memory). This explains why individuals with burnout often experience forgetfulness, difficulty concentrating and poor decision-making.
What Causes Burnout?
Burnout often stems from a mismatch between an individual’s psychological needs and their environment. According to Christina Maslach’s Burnout Inventory, key factors include:
Excessive workload
Persistent demands without sufficient recovery time can deplete an individual‘s energy and capacity to cope. Over time, the body’s stress response becomes chronically activated, leading to physical and mental exhaustion. Tasks that once felt manageable may begin to feel overwhelming, further compounding the sense of fatigue.
Lack of Control
Limited autonomy or decision-making power can make individuals feel powerless and trapped in their roles. This lack of agency creates frustration and disengagement, as they struggle to find meaning or satisfaction in their work. Psychological research suggests that autonomy is a critical factor in motivation, and its absence can erode an individual’s sense of purpose.
Insufficient rewards
Feeling undervalued or unacknowledged not only diminishes motivation but also breeds resentment. When hard work goes unrecognised, individuals may question the worth of their efforts and develop a sense of futility. Emotional rewards such as appreciation or acknowledgement are just as vital as financial incentives in maintaining morale.
Conflict in values
A disconnect between personal beliefs and organizational goals can create a profound sense of internal conflict. For example, someone working in a company with questionable ethics may feel torn between their duties and their integrity. This misalignment often leads to moral distress, where individuals feel they are compromising their values for the sake of their job.
Poor social support
The absence of meaningful relationships at work or in life deprives individuals of essential emotional resources. Social connections provide a buffer against stress and promote resilience, but isolation exacerbates feelings of loneliness and despair. Without a support network, people are more likely to internalise their struggles, leading to emotional exhaustion.
A psychological concept that amplifies burnout is learned helplessness, a condition where individuals cannot change or escape stressful situations. This mindset exacerbates feelings of defeat, making recovery more challenging.
Case Study: Ravi’s Struggle with Burnout
Ravi, a 34-year-old software engineer, had always been a high performer at work. Over time, his responsibilities grew and tight deadlines and late-night shifts came with them. Initially, Ravi prided himself on his resilience, brushing off signs of exhaustion. However, after a year of relentless pressure, Ravi found himself disengaged, irritable and unable to focus.
At work, Ravi began avoiding meetings, often zoning out during discussions. At home, his relationships suffered; he snapped at his partner over minor issues and stopped participating in family dinners. Despite his hard work, Ravi felt invisible, as if nothing he did mattered.
Eventually, Ravi sought therapy after experiencing a panic attack. Through counselling, he realised he was experiencing severe burnout. His therapist, Dr Meera, identified the root causes: Ravi’s perfectionism and inability to set boundaries made him take on too much. Additionally, the lack of recognition at work left him undervalued.
Overcoming Burnout: A Step-by-Step Guide
- Recognise the Signs
Acknowledging burnout is the first step toward recovery. In Ravi’s case, therapy helped him see that his constant fatigue and lack of motivation were not signs of weakness but symptoms of an overburdened mind and body.
- Reevaluate Core Beliefs
Burnout often stems from internal pressures, such as perfectionism or fear of failure. Ravi learned to challenge his belief that asking for help was a sign of incompetence. Cognitive-behavioural therapy (CBT) later played a crucial role in helping him reframe these thoughts.
- Set Boundaries
One of Ravi’s biggest challenges was saying “no”. His therapist introduced him to assertiveness training, enabling him to communicate his limits effectively. For instance, Ravi negotiated a reduced workload with his manager, ensuring he had time for rest and personal pursuits.
- Build a Support System
Social support is vital for resilience. Ravi reconnected with friends and joined a local hiking group, which provided both physical activity and emotional camaraderie.
- Practise Mindfulness
Mindfulness-Based Stress Reduction (MBSR) techniques, such as deep breathing and meditation, helped Ravi manage his stress levels. Over time, these practices improved his emotional regulation and overall well-being.
- Focus on Physical Health
Burnout takes a toll on the body as well as the mind. Ravi began prioritising sleep, maintaining a balanced diet and incorporating regular exercise into his routine. These changes boosted his energy levels and moods.
Preventing Burnout: A Psychological Toolkit
- Time management: Break tasks into smaller, manageable steps to reduce overwhelm.
- Self-Compassion: Treat yourself with the kindness you would offer a friend. Acknowledge that it’s okay to take breaks and prioritise self-care.
- Journaling: Writing down thoughts and feelings can help process emotions and identify stressors.
- Purpose and Meaning: Reflect on what brings fulfilment. Align your goals and daily activities with these values.
- Professional Support: When burnout persists, seeking therapy can provide a safe space to explore solutions.
The Broader Impact of Burnout
Unchecked burnout doesn’t affect individuals, it also has societal consequences. Studies show that workplace burnout leads to decreased productivity, higher absenteeism and increased healthcare costs. From an organisational perspective, creating supportive environments is crucial. This includes offering mental health resources, promoting work-life balance and recognising employee contributions.
Burnout is a complex interplay of psychological, emotional and physical factors. While the journey to recovery may seem daunting, it is entirely possible with the right strategies and support. Ravi’s case demonstrates the transformative power of self-awareness, therapy and proactive changes. By addressing the root causes and adopting healthy coping mechanisms, anyone can regain a sense of balance and fulfilment.
Remember, burnout is not a personal failure but a signal that something needs to change. Taking that first step, whether it’s seeking help or simply slowing down, can make all the difference.
HeARTful Living
The Chemical Brain: Postpartum Depression in Indian Mothers
Postpartum Depression and cultural expectations rewire the maternal brain, and why Indian mothers need science-backed support to heal.
For most Indian families, welcoming a new baby means a house full of sweets, rituals, and relatives dropping by to celebrate. But honestly, for about 22% of Indian mothers, this so-called happy time feels heavy full of worry, sadness, and exhaustion that just won’t let up. This isn’t just some mild “baby blues” or a sign of weakness. It’s Postpartum Depression (PPD), and it’s tied directly to the brain’s chemistry.
Here in India, we love the idea of the “supermom” the mother who manages everything with a smile. But that myth makes it even harder to talk about what’s really happening. If we want to break the stigma, we’ve got to start by understanding the science behind PPD.
Let’s talk about hormones.
During pregnancy, a woman’s body is flooded with more estrogen and progesterone than at any other point in her life. These hormones keep the pregnancy going and help the baby grow. But right after birth sometimes within just a day those levels crash back down. It’s not a slow decline; it’s more like falling off a cliff. For some women, this sudden change throws the brain’s chemistry out of balance, especially in the limbic system the part that keeps our emotions in check. When hormone levels drop, the brain struggles to steady mood, and that’s when irritability and deep sadness creep in.
But hormones aren’t the only players here. PPD messes with neurotransmitters too the chemicals that carry messages in our brains.
• Serotonin: This is your mood’s best friend. When serotonin drops, sadness and sleep problems show up.
• Dopamine: This one’s about pleasure and reward. If dopamine isn’t working right, a new mom can feel numb or disconnected from her baby, which often leads to guilt.
Add the stress of living in a joint family, and things can get even tougher. Sure, there’s plenty of support, but privacy disappears, opinions fly from every direction, and moms feel pressure to jump back into household work right away. All this can keep stress hormones (like cortisol) high, which just makes the brain’s chemical struggles worse.
And then there’s the social pressure what some call the “nanad-saas” (sister-in-law and mother-in-law) factor. Studies in India show that these social dynamics actually trigger biological responses. The old preference for a male child, while fading in some cities, still hangs over many families. If a mom feels unsupported or less valued, her brain stays on high alert. The amygdala the fear center gets stuck in overdrive. So for Indian mothers, PPD often comes from this mix of biological vulnerability and intense cultural expectations.
A lot of people think PPD is “just in your head,” but that’s not true. Brain chemistry affects your whole body. Indian mothers often don’t say “I’m depressed.” Instead, they talk about stubborn backaches, headaches, exhaustion that never lifts, or a sudden loss of appetite. These are real, physical signals that something’s off.
So, how do we help?
First, we need to see PPD as a medical condition like gestational diabetes not a character flaw. Healing usually takes a few steps:
1. Nutrition: Indian food is delicious, but it’s often heavy on carbs and light on Omega-3s and B12—both fuel for a healthy brain. Supplements can really help.
2. Japa, reimagined: The traditional 40-day rest period after birth (Japa) is great—if it actually focuses on the mother’s recovery and bonding time, rather than just what the baby needs.
3. Professional help: If the chemical imbalance gets intense, treatments like SSRIs or therapy (CBT) can help reset the brain.
Here’s the bottom line
a mother’s brain changes completely to protect and care for her baby. If that process goes off track, she deserves real medical support, just like anyone with a physical injury. If we can stop blaming mothers and start talking about brain chemistry, Indian moms can move beyond just surviving those early months they can actually thrive.
HeARTful Living
Arranged Marriage Anxieties: The Fear Behind the Process
In India, arranged marriages are as tradition, a duty or a milestone – but rarely as an emotional experience. Behind the exchanges of biodata, the families’ discussions and compatibility checks, there is a quieter reality: anxiety.
For many individuals, the arranged marriage is not only the meeting with the life partner, but also it is about navigating uncertainty, expectations, pressure, judgment and life-altering decisions – all at once.
Feeling anxious in the process doesn’t mean the individual is ungrateful, immature or resistant to tradition. It means that the individual is a human being with the emotions.
Why Arranged Marriage Creates Anxiety
Arranged marriages involve high-stakes decision-making under the huge emotional pressures. Unlike dating, where relationships evolve gradually with time, the arranged marriage often demands clarity and commitment within short span of time.
Common emotional stressors include:
- Fear of choosing the wrong life partner;
- Pressure to meet family expectations;
- Anxiety about compatibility;
- Worry about adjusting to a new family environment;
- Concerns about emotional and physical safety; and
- Fear of losing independence.
This combination may be overwhelming even for the emotionally secure individuals.
The Psychological Conflict: Choice vs Obligation
Many people feel themselves trapped between personal desires and familial duty. Even when families are supportive, the emotional weight of tradition may make the individuals feel responsible for the happiness of everyone in both the families.
The inner conflict often creates:
- Decision paralysis;
- Guilt;
- Self-doubt; and
- Emotional exhaustion.
The individuals may question their inner instincts, ignore red flags or rush decisions to avoid disappointing others.
Common Emotional Experiences During the Process
Arranged marriage anxiety does not always look dramatic, rather it appears quietly:
Restless thoughts before meetings;
Constant overthinking after conversations;
Difficulty in sleeping;
Mood swings; and
Loss of appetite or emotional numbness.
These are the signs the processing of uncertainty and pressure by the individuals, who are involved in the match making.
What Actually Helps
Slowing the Process Emotionally
Even if timelines move quickly, the emotional processing by the concerned individual should not be required to respond to instantly. The individuals are required to be allowed to pause, reflect, feel and then respond to situation after due consideration.
Asking Real Questions
The individuals should be allowed to move beyond surface-level discussions. They should be allowed to ask about the values, conflict resolutions, expectations, finances, family roles, emotional needs and future plans.
Not Ignoring Discomfort
Anxiety is not always fear, rather sometimes it is the intuition. If something constantly strikes the minds and hearts of the individuals, they be allowed to explore it and find solutions instead of suppressing it.
Setting Emotional Boundaries
The concerned individuals may be allowed to say:
“I need time.”
“I am not comfortable yet.”
“I want to understand this better.”
It should be remembered that the individuals is choosing a life and not just a person.
The marriage is not only about daily living together by the two individuals but also about emotional safety, communication, respect and shared growth of both the individuals along with their families.
How Families Can Reduce Anxiety
The families may play a powerful and enabling role in shaping emotional safety during the process of settlement of the marriage of their wards by providing them with appropriate environment and resources for evaluation of each other as the suitable life partner.
What may hel:
- Allowing time and space;
- Encouraging honest conversations;
- Avoiding emotional pressure;
- Respecting hesitation; and
- Prioritising mental well-being over timelines.
The timely support reduces anxiety of the individuals far more than the reassurance.
When to Seek Emotional Support
If anxiety becomes overwhelming, causing panic, emotional numbness, constant fear or physical symptoms – speaking to any therapist or counsellor may help create emotional clarity in the decision making.
The support does not mean weakness. It means self-respect for the individuals.
Arranged marriage is not only a cultural process, but also it is a deeply personal emotional journey for both the individuals. Feeling anxious does not mean the individual is unsure about the relationship in the marriage. It means the individual understand the importance and seriousness of choosing the life partner.
The goal of this article is not to eliminate the fear and anxiety in the arranged marriages completely but to create awareness among the families, brides and grooms about the importance of moving forward with awareness, clarity and emotional safety for a stable and better society.
All the individuals deserve the partnership for life, which is built on comfort, trust and mutual respect, not just compatibility on the paper only.
Sources: https://pmc.ncbi.nlm.nih.gov/articles/PMC8550576/
HeARTful Living
A Child in the Shadow of Depression
Understand the experience of a child and the support they would need when the parent is going through depression.
Children are far more perceptive than adults often realise. Even when words are withheld, children sense emotional shifts— the heaviness in silence, the absence of laughter, the exhaustion in everyday routines.
When a parent experiences depression, the household environment changes. The energy slows, emotions become unpredictable and daily life begins to feel uncertain. While adults may intellectually understand mental illness, the children experience these challenges emotionally. They may not know the word depression but they know something is wrong.
For a child, a parent’s depression may feel confusing frightening and deeply personal. Without explanation, children often assume responsibility for what they see, believing they have somehow caused the sadness around them.
This article explores what it feels like for a child to grow up with a depressed parent, how it shapes emotional development and how awareness can protect a child’s mental health.
Sana’s Story
Sana was ten years old when her mother slowly began to withdraw. She stopped joining family meals, avoided phone calls, and spent long hours lying in bed. The house felt quieter, heavier.
At first Sana tried to cheer her up— drawing pictures, telling jokes, offering hugs. When that didn’t work, she grew silent. She began helping more around the house, speaking less and staying alert to her mother’s moods.
“If I don’t trouble her, maybe she’ll feel better.”Sana thought.
One evening, when Sana accidentally spilled some milk on the floor, her immediate instinct wasn’t to clean it, it was fear. She froze, worried that she added to her mother’s burden.
In therapy, Sana later said, “I feel like I must be very careful all the time.”
Sana had learned emotional vigilance as a way to survive uncertainty.
How Children Understand Depression
Children naturally view the world through a self-referential lens. This means they tend to interpret events in relation to themselves. When a parent becomes withdrawn, irritable or emotionally unavailable, children rarely think, “My parent is struggling mentally.”
Instead they think:
“Did I do something wrong?”
“Am I not good enough?”
“If I behave better, will things improve?”
This tendency can lead children to carry unspoken guilt and responsibility for their parent’s emotional state, even when they are not told so directly.
The Emotional Environment of a Depressed Household
Depression often alters daily rhythms. Energy levels drop, routines become inconsistent, and emotional responses grow unpredictable. For children, this can create a sense of instability.
They may experience:
- Emotional uncertainty
- Reduced parental responsiveness.
- Limited emotional reassurance
- Increased household tension
- Inconsistent caregiving.
Without emotional explanation, children remain alert, constantly monitoring the emotional temperature of the home.
The Child’s Inner World
Children living with a depressed parent often develop heightened emotional sensitivity. They become observant, cautious, and deeply attuned to others’ moods.
This emotional hyper-awareness may lead to excessive worry, suppression of personal needs, fear of conflict, people-pleasing behaviours and emotional silencing.
Many children learn to minimise themselves to protect their parents— becoming quieter, more compliant, and less demanding.
The Psychology Behind Emotional Vigilance
When emotional safety feels uncertain, a child’s nervous system shifts into constant alert mode. Instead of feeling secure, the child remains prepared for emotional unpredictability.
This creates patterns of anxiety, over-responsibility, emotional maturity beyond age, difficulty relaxing and trouble expressing distress.
While these behaviours may appear as emotional strength, they often mask deep vulnerability.
Long-Term Impact on Mental Health
Children raised in emotionally unstable environments often carry emotional habits in adulthood.
Without intervention, they may struggle with low self-worth, fear of burdening others, emotional suppression, relationship anxiety, difficulty asking for help, over-functioning in relationships
These patterns don’t emerge from weakness— they develop from adaptation.
What Children of Depression Parents Need Most
Children do not need detailed clinical explanations. They need emotional honesty and reassurance.
Simple, age-appropriate communication can make a profound difference:
- “This sadness is not because of you.”
- “Sometimes adults struggle, but we are getting help.”
- “You are safe and loved.”
Children need to know they are not responsible for adult emotions.
The Role of Safe Adults
When one parent is struggling, the emotional presence of another stable adult— a caregiver, teacher, grandparent or counsellor, becomes important. This emotional anchoring helps children feel heard, express worries, and experience stability, reclaim emotional security. One emotional adult can significantly buffer the psychological impact.
Healing the Child’s Emotional World
With reassurance, emotional expression and consistent care, children can regain a sense of safety. When their fears are acknowledged rather than dismissed, their nervous system begins to relax. Healing occurs when children realise:
- They are not the cause
- Their feelings matter
- They don’t need to fix adult pain
- They deserve emotional care
Sana didn’t need to become quieter or more careful. She needed reassurance that her mother’s sadness was not her responsibility.
Children living with a depressed parent often grow up carrying invisible emotional weight. When adults acknowledge this experience with honesty, warmth and support, children learn that emotional struggle is not their fault and that they don’t need to disappear to keep others okay.
Sometimes the most healing words a child can hear are:
“This is not because of you. And you are deeply lov
HeARTful Living
Rest Is Not Laziness: An Indian Relearning
Stop apologizing for your stillness: In a world that demands a hustle, choosing to rest is your ultimate power move.
Every afternoon, when naps should bring rest, a shadow lingers – not just fatigue but something heavier. In Mumbai’s crowded lanes, among Bengaluru’s coding clusters, even in distant household rooms, one presence echoes through stillness. It appears during soft Sundays, uninvited. The weight isn’t always loud; often it hums beneath meals, beneath laughter. Parents feel it while their children play. Workers sense it after long days of output. This isn’t worry about bills or sickness. It’s the knowing look across the room – the one that says “enough.” Not regret, exactly. More like standing near broken glass, careful not to shift it.
In India, standing still feels like failing at something deeper. A life without motion gets labeled weak, even if it rests on purpose. Think back – to exam halls packed with young stress, or office blocks where time never slows. Action matters more than silence, shaped early by pressure to perform. What you show others comes down to what you produce, always assumed, never questioned.
Now that exhaustion climbs higher each year, while the grind mentality slowly unravels, one truth must take center – stillness does not equal sloth; it feeds both body and mind.
The Cultural Context of the “Busy” Trap
Start by digging into where the problem began. Long before now, India learned how to survive through endless demand. Over 1.4 billion lives packed into one space – shaped a mindset: move fast or get left behind. Resting felt like falling behind.
That Log Kya Kahenge moment? It hits hard.
Performing isn’t about personal goals alone – family, neighbors watch too. Spot someone relaxing outside at eleven in the morning? That quiet scene speaks volumes. Suddenly, a question echoes: Could they believe I lost my way? The gaze of others becomes a mirror reflecting doubt.
Late nights earn respect in Indian workplaces – being there longer marks dedication, regardless of actual work done. Gazing empty-minded through extended hours still counts as effort. Being seen matters more than results when checking off as busy.
Starting out, people often see downtime as something you get once you’ve worked hard enough – like an earned prize – instead of allowing yourself regular breaks to keep going. This idea sticks around without being questioned.
Reframing the Narrative
Peace isn’t learned by treating minds like broken tools. Machines pause – repair follows. With people, quiet moments hide their deepest labor.
1. Rest as “Productive” Maintenance
When your mind isn’t busy, science shows a network called DMN turns on. That is the time memories get sorted, tough thoughts solve themselves, ideas start flowing. Maybe you once had that sudden light-in-your-head moment That quiet second – say, during a shower, or just gazing blankly – held the weight of pause.
2. The Difference Between Rest and Numbing
A stumbling block shows up when people mix pause for diversion.
Numbing: Staring at a screen for hours, eyes just moving without thinking. After that stretch, energy feels flat, like time slipped away without reason.
A quiet cup of chai in hand, no phone nearby. Instead of rushing, try a twenty-minute break that leaves you feeling fresher. Walk slowly through the garden while listening to sounds around you, not music. Recharge happens when the mind slows down too.
The Indian “Middle Path” to Relearning
What if stopping feels impossible in a world that pushes nonstop? Not by fleeing to distant mountains, but by finding quiet corners amid chaos. Rest shows up where least expected.
| The Old Mindset | The Relearned Mindset |
| “I’ll rest when the work is finished.” | “I rest so I have the energy to do the work well.” |
| Naps are for the “lazy” or the elderly. | Naps are a tool for cognitive clarity. |
| Being busy means I am important. | Being rested means I am in control of my life. |
| Saying ‘No’ is disrespectful. | Saying ‘No’ is setting a boundary for my health. |
Practical Steps for the Modern Indian
Reclaim the afternoon nap The old Indian habit of siesta – also called bhat-ghoom in Bengal – held real value. Taking just twenty minutes to rest after dinner lifts spirits and sharpens focus. It is time to stop saying you are sorry for doing that.
Digital Dinners: Gather round without the glow of a screen lighting the room. Let meals become moments where flavor and face time hold space. Each shared bite, small as it seems, acts like a quiet pause for nerves stretched too thin by constant input.
Try something that doesn’t have to be perfect. Paint when your lines keep drifting off target. Sing even if your pitch wavers every syllable. Join a team sport just to show up each week. Do it all without expecting praise or a viral moment. Joy often hides where skill is weakest.
Language Matters: Instead of saying “I’m being lazy today,” try saying “I am recovering today.”
The Collective Shift
Moving ahead, what counts as success in India must change too. Living well isn’t only about earning more or holding a respected job – it’s shaped by how you feel and whether your spirit rests calm.
Resting isn’t only good for you – it lets everyone else breathe easier too. By slowing down, you show those coming after that they matter beyond productivity numbers.
Quiet defiance lives in rest. That moment when you see clearly – you’re flesh and blood, standing tall just as you are, worthy of air without proof or punishment.
Next time rest calls, go along. No reaching for devices. No shame. Simply be. Slowing down isn’t failure – it’s healing.
Here’s a thought. Maybe we craft a 30-day “Rest Challenge” checklist made for someone living an active Indian routine. This could ease stepping into these concepts without big changes at once. Just thirty days, one idea after another, built around your daily pace. Let me check what fits best.
HeARTful Living
The Chemical Brain: Migraines Are Not “ Just Another Headache ”
More than pain—migraines are a full-body neurological storm shaped by chemistry, sensitivity, and mental health.
People typically believe that they understand what a migraine entails. This is until they actually have experienced one themselves.
While Headaches pmay cause physical discomfort, a Migraine will not only affect you physically but also rob you of all your other senses, such as taste and smell, your thought process, your overall emotional state, and your ability to function as a person. For most individuals suffering from Migraines, these occur on a frequent (recurring) basis and can dictate how an individual lives their daily life, plans for future activities, and interacts with their own bodies.
A Migraine does not occur as a result of failing to show emotional strength or willpower. Instead, a Migraine will occur due to the over-sensitivity and chemical imbalance of your brain in response to external stimuli or environmental factors.
Why Do We Get Migraines?
An abnormality of the nervous system primarily causes migraine headaches. The way a migraine affects a person’s experience with light, sound, and stress is very different compared to someone who doesn’t suffer from migraine. Several things lead to migraines, including:
1. Changes in Brain Chemistry
When serotonin (one of the chemicals that help regulate mood, pain, sleep, and digestion) levels decline, the brain’s pain pathways become more active, and blood vessels in the brain change size, resulting in increased pain.
2. A Hyperactive Nervous System
The brain that experiences migraine can be easily overstimulated (e.g. bright sunlight can be neutral to one person, but an overstimulated person may have a migraine).
3. Your Genetics
Many migraines are genetic in nature and, therefore, if you are suffering from migraines, it is not that you are “too sensitive” but rather that the way your brain works is different from someone who does not have migraines.
4. The Trigeminovascular System and Pain Pathways
The trigeminal nerve system plays a significant role in migraine; it transmits sensory input from the face and head to the brain, and when activated, it releases inflammatory substances that worsen and prolong pain.
The basic explanation is that the migraine process is triggered when the brain’s alarm system becomes overly activated, resulting in a migraine.
What Does a Migraine Feel Like When It Comes On?
Migraine headaches usually don’t just arrive with only pain.
For many people, there is an early warning phase (sometimes hours or even days prior), which could include:
General fatigue
Out-of-character irritability and/or unexplained sadness
Food craving/loss of appetite
Inability to concentrate
A sensation that something isn’t right
Then, the migraine hits.
The pain can be throbbing, pulsating, or like a pressure or squeeze in the head. Movement worsens the pain. Light feels sharp; sounds feel harsh; and (for whatever reason) smells are intolerable. Even a light touch on the head (e.g. hair brushing against skin) can be painful.
Some may experience aura; vision can become blurred and/or fragmented, creating flashes of light or blind spots, while others may experience dizziness, nausea, or a sense of disconnection from reality during a migraine.
During a migraine episode, everything in the world around you becomes overwhelming.
The Lived Experience: Triggers and Sensitivity
Migraines can be very frustrating because of how typical their triggers can be. Some people’s triggers are environmental (e.g., stepping out into the bright sun for too long). In contrast, others’ triggers come from things they eat (like chocolate) or hormones (especially around their monthly period). In addition, emotional or psychological stress of any sort can also trigger migraines. All of these things make the brain super sensitive to stimuli. Therefore, the number and variety of trigger possibilities lead people to monitor their environment, which can be mentally exhausting.
Mood and Emotions During a Migraine
Migraine headaches cause physical pain but can also impact your emotional state.
They can cause people to feel:
Angry or irritable
More anxious
More likely to cry
More numb to their emotions
Wanting to be alone or isolated
You’re not being “weak,” “bad,” or “problematic.” You have changes in your brain’s chemistry that influence how you process your emotions and experience pain. If the system that processes pain is disrupted, the system that processes emotions will be disrupted as well.
Many people feel guilty for needing quiet, darkness and solitude while having a migraine; however, recovering from a migraine isn’t selfish—it’s an absolute physiological requirement for recovery from a migraine.
The Recovery Period: After the Pain Fades
Migraine relief is often not permanent; you may still feel unwell after relief.
“Migraine hangover” is the opposite term to the word “headache”; therefore, when some people have experienced a post-migraine phase (lasting hours to days), there can be feelings such as:
Drained & weak
Emotionally fragile or low
Slow & foggy
Light & sound hypersensitive
You will frequently feel/tell either yourself or those sharing your experience about your sadness or “apparent flatness”, regardless of how much time has passed since the migraine.
Migraines and Mental Health: Deeply Connected
There is a feedback loop between migraines and mental health. Individuals who suffer from migraines tend to also suffer from anxiety and depression, not due to their inability to cope with the pain, but for the reason that:
– The same brain chemicals that affect mood affect pain.
– Chronic pain alters the way the brain recognises and processes threat and safety.
– Unpredictability creates continuous heightened levels of stress.
At the same time, mental health conditions can also worsen migraines. Chronic stress keeps the nervous system in a heightened state of alert. Anxiety causes hypersensitivity to stimuli in the body. Depression results in a reduced pain tolerance. Trauma can sensitise the brain’s alarm systems, further compounding the problem.
Treating migraines alone without addressing mental health is like pulling the fire alarm without actually putting out the fire.
More Than Pain
Headaches that cause migraines often go unrecognised, are not understood, and are perceived as less severe. However, they’re genuine, biological conditions that result from being human (the body speaking to the brain, saying, “I’ve had enough!”).
To understand headaches, we must first gain a basic understanding of chemicals in our brains – this includes understanding what they do on a biological level, as well as an emotional and environmental level.
Headaches that cause migraines do not exist as mere headaches, but are comprised of a full-body neurological event that requires us to treat others with empathy, understanding and compassion; our doctors and health care systems should be held to these same standards!
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