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When stress and burnout persist despite appropriate support

I work with individuals and organisations that remain operational but are beginning to be affected by sustained pressure, which is affecting their capacity, judgement, wellbeing, or performance.

 

Burnout develops when ongoing demands consistently exceed what a person or system can realistically sustain, even with skill, commitment and effort.

 

Start Your Journey

Understanding burnout more accurately

Burnout is often approached as an individual stress or resilience issue.

In practice, it develops through patterns across workload, expectations, autonomy, pace, recovery opportunities and the pressure of ongoing decision-making. These patterns operate at both individual and organisational levels and are shaped by role design, context and responsibility.


When these factors are examined in isolation, people and organisations often try to address the wrong issue, which is why well-intentioned efforts fail to produce lasting change.

Who this work is for

Individuals

Professionals who continue to function and meet responsibilities but experience persistent exhaustion, anxiety, reduced capacity or difficulty recovering even after time off, self-management strategies or previous support.

 

Organisations

Leaders, HR and learning teams who notice early indicators of unsustainable pressure and want to understand what is driving it before implementing further responses.

Understanding before action

I offer structured burnout mapping conversations designed to examine demand, capacity, expectations and recovery within a specific context.

This work is not therapy, coaching or training.

It is a focused process for making sense of what is happening before deciding the appropriate type of response.

People usually seek this support when existing approaches have stopped producing meaningful or proportionate results.

Trusted by professionals and organisations across various industries

Maxillofacial surgeon, North-East England
The complex interface between the Healthcare setting and its resources to support mental health issues in its workforce has long been a void needing to be filled. As someone who found counselling, mentoring, NHS coaching services, self-help learning programmes and peer review lacking the deeper understanding of strategies to treat the broad cognitive and neurobiological harm seen in burnout and stress, finding Elena Eleftheriadou through an online seminar series was an epiphany. The combination of healthcare-specific therapy through coaching delivered in a tailored weekly programme of learning, therapy, coaching and reflection filled in all the cracks and somehow rebuilt me more resilient and prepared than ever before. Her professionalism, patience, skill and approach are second to none, and in my opinion, provide a truly priceless resource for all healthcare staff in these difficult times. Therapy is undervalued and yet a much-needed resource for NHS mental health support. I hope that her skills will be shared widely.
Social Worker / School educator, West Kent
I am a social worker and educator specialising in children with special education needs. Elena has done an amazing job explaining stress and burnout from a neurodivergent background and I am keen to work with her in future sessions explaining what burnout really is. Well done Elena!
GP and CCG Educator, Midlands
Elena stepped in the last minute to run a session on severe stress, burnout and sleep management and how to control it to 47 medical attendees. It was insightful and helped us understand it better.
Musculoskeletal Surgeon, Midlands
Great job explaining in a scientific way what stress, depression and burnout is and what causes it. Most trainers ask you to rest more, eat healthy and exercise. Elena delivered a talk on how to alter neuronal pathways in the brain to treat burnout and stress starting from your brain.
Nurse Practitioner, Surrey
Refreshing session on how to overcome burnout and Elena has done a tremendous job explaining how the brain works in simple terms.
Director, CRO company
Elena supported our recruitment team with receiving and reviewing applications, managing interviews and creating a shortlist of candidates for various medical roles. Her support helped us find candidates better suited to our workplace needs. We can’t thank her enough!
GP ST2, Torbay Hospital
Elena’s session on severe stress and burnout was brilliant. I learned about burnout and how to tackle it – I would have liked the webinar to be longer. It was so informative.
Dental Business Owner, Sussex
A massive thank you to Elena for training dentists, hygienists and practice managers on managing patients’ behaviour; communication; colour characteristics, building rapport, emotional intelligence, body language and presentation skills. Our practices were able to hire more nurses by increasing their revenue and were more comfortable with delivering presentations to senior staff.
Company on mental health and resilience, London
Elena helped us conduct a survey and carry out a study to find out how organisations evaluate their current use of digital learning, exploring the impact digital learning has on employees’ performance at work and if it influences their behaviours. The study also examined how mental health affects learners and their engagement with digital learning. She identified issues and challenges with digital learning and provided future recommendations for further research. We changed our online learning modules based on her findings, which helped us create awareness and increase engagement on social media for mental health.
Training Manager, CRO, Midlands
Elena made me question my own training techniques when she presented communication skills using colours to evaluate stress and recognising different personality types based on our values and beliefs. Her approach helped us understand how stress manifest in different individuals and how colours can represent emotional states and stress levels. Her training has had a transformative impact and it should be delivered everywhere, no exceptions!
Nurse Practitioner, John Radcliffe Hospital, Oxford
Elena co-delivered an 8-day training on Neurolinguistic Programming and Stress Management in Manchester and she completely changed my thought process. She helped me set professional and personal goals and to achieve more from my life. Her training techniques are different to other coaches and she will challenge you in ways you never thought were possible.
Dentist, West Midlands
During our sessions, I told Elena I needed to change jobs and she helped me transition from Pharmacist to Dentist. She understood why I needed the career change and effectively transferred my skills from my existing job to the new role. Elena rewrote my CV to suit the company's profile and I was able to secure a job as a trainee dentist. I had been applying for jobs for 2 years without success until I met Elena. Her guidance and support were invaluable. I highly recommend her.
Medical Educator, Scotland
I approached Elena as a last resort when other therapists “failed” to help me. I had to resign from my previous GP practice position for speaking up when a patient was ill-managed. I fell into depression for over a year. Elena helped me spot my distorted thoughts and to not lose focus. Now I successfully secured a job as a medical educator. I really appreciate all her help and support she has given me. A simple thank you is not enough for what she has done for me.
Clinical Pharmacist, East of England
Elena had brilliant understanding of the healthcare system and the moral dilemmas and injury long-term bullying and pressure/stress involved when expected to break rules, safety protocols, your personal beliefs, values & ethics. Understanding of how my mind works and explanations for my trauma symptoms presenting. I obtained useful tools to address anxiety, recurrent depression, insomnia, flashbacks and great advice on changing my thought processes and perspective plus the reassurance that I was making progress on a long and complex mental health journey. Thank you!
Clinical Hypnotherapist, Surrey
Elena, I am so pleased to have met you; your work fascinates me too. I'd like to say that as I result of attending the Neurodivergent Day Awareness event that you and Heike presented, we are now fairly sure that my daughter has ADHD. We are on the journey to a diagnosis. Since I suggested this to my daughter she has been so much happier; she feels understood and it's like half the stress has been taken off her. She still needs lots of help, especially with school, but our relationship is now better than it has been for 3 years and this means so much to me. Thank you for your huge part in this!
Retired teacher, Kent
I’m 80 years young and just this year I started feeling anxious for the first time ever. It was tough; I used to be always on the go with my wife but suddenly I was worried about every little thing, even simple jobs around the house. It got so bad I couldn’t sleep at night. After 7-8 months with anxiety, my son suggested I see Elena. After just four sessions with her, I felt a whole lot better. She helped me figure out why I was feeling anxious and now I’m back to my old self. I’m enjoying time outside with my wife again and I’m sleeping well at night. I’m so grateful for Elena’s help.
GP, New Jersey, RCGP
Elena gave a talk at the RCGP’s Clinical Health Inequalities conference about mental health in different communities like ethnic minorities, migrants and LGBTQIA+ communities. She did an amazing job explaining how we can make mental health better for people who face unfair treatment and discrimination. Her presentation was clear, informative and really opened my eyes to important issues. A huge thank you to Elena for sharing her knowledge and ideas!
Cosmetics Entrepreneur, USA
Our family member, who has been having a hard time lately, has been helped enormously by the amazing therapist Elena, whom we found through a health platform. Nothing but positive things to say about how much Elena has supported our family. Her guidance and care have made a significant difference and we’re truly grateful. Thank you from the bottom of our hearts.

Considering next steps

If you are unsure what kind of support or response is needed, gaining a clearer understanding of the situation is often the most appropriate first step.


Each page outlines the process in more detail so you can decide whether it is relevant to your context.

For individuals experiencing burnout
For organisations concerned about burnout risk

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