When Leaders Burn Out

The hidden cost of sustained pressure on managers and teams

This one hit me hard.

Recently, someone I deeply respect and one of the best managers I have worked with reached a breaking point. He was leading a high-pressure team for a top financial firm in New York City. The demands kept increasing. The pace never eased.

Over time, signs and symptoms began to appear, though they weren’t recognized as burnout at first. He felt increasingly unwell, struggled to keep up with the escalating demands of the role, and ultimately experienced two serious cardiac events.

Like many leaders, there was a recognition lag. The body often makes what the mind has not yet named undeniable. Shortly after, this leader faced an impossible choice between his job and his health.

He chose his health.

After the second cardiovascular event, he resigned with no next role lined up. No financial parachute. He is now heading overseas for an extended period of recovery and contemplating relocating entirely in search of a better quality of life and a different relationship with work. Not for adventure or ambition, but because his nervous system needs a reset after years of sustained pressure.

I share this anonymously and with care. Not to alarm, but because this is not rare. And it should concern every organization that relies on managers to hold teams together under increasing strain.

Stress is a normal part of life. But what happens when chronic stress begins to impact us to the point where our health, and even our lives, are at stake?

Managers Are the Nervous System of the Organization

Managers are responsible for delivering results while also supporting the people doing the work. They translate strategy into action. They absorb pressure from above and try to protect the people below them. When they are well supported, teams tend to function better. When they are depleted, the effects cascade quickly.

Research consistently shows this connection. According to Gallup, managers account for up to 70 percent of the variance in employee engagement. When managers are burned out, engagement drops, absenteeism rises, and turnover accelerates.

The World Health Organization reinforces this perspective, noting that chronic workplace stress is a major contributor to both mental and physical health conditions, including cardiovascular disease.

Burnout is not a personal failure. It is a system signal.

As one manager shared with me recently:

“I didn’t realize how bad it was until my body forced me to stop. I thought stepping away meant I was weak. Now I see it was the only responsible choice I had left.”


When Burnout Doesn’t Look Like Burnout

Burnout often builds quietly, especially for high-performing leaders who continue to function under sustained pressure. Early signs may include difficulty disconnecting, decision fatigue, uncharacteristic mistakes that were normally handled with ease, and persistent physical strain.

Recognizing these signals earlier creates space to respond before health or performance are compromised.

View the full checklist in the Resource Reservoir


The Cost of Ignoring Manager Load

In another team, a high-performing leader shared how a health crisis led to an extended disability leave to address a chronic condition. The signs were present long before the crisis itself. It was nearly impossible to take time off to address health concerns, which continued to worsen until disability was the only option.

In certain industries, stress has become normalized and worn like a badge of honor. Hustle culture is rewarded, and frenetic energy is often mistaken for success. Underneath, what may not be visible are high-performing people doing everything they can to keep up. Days off become rare. Relationships suffer. Substance use increases, even during work hours, leading to performance and safety concerns.

The American Psychological Association reports that chronic work-related stress continues to rise post-COVID, with job insecurity, workload pressure, and lack of control among the top drivers of burnout in the U.S. workforce.

When organizations ignore manager capacity, the costs show up as:

  • Increased absenteeism and sick leave

  • Declining performance and decision quality

  • Burnout-related exits that disrupt teams

  • Long-term health consequences that extend far beyond the workplace

This is not sustainable.

Why Coaching Matters at This Level

Coaching plays a critical role here, especially for managers carrying sustained complexity, accountability, and expectation. It creates space for leaders to pause, reflect, and recalibrate before stress becomes crisis.

In my work with leaders navigating burnout and sustained pressure, coaching consistently supports three essential areas.

Awareness

Managers begin to recognize early signs of overload in themselves and their teams. They notice patterns of reactivity, over-functioning, and self-sacrifice that feel productive but quietly drain capacity.

As one leader put it:

“I didn’t realize how much I was holding until someone finally asked me how I was holding it.”

Choice and Boundary Setting

Coaching helps leaders make conscious decisions about pace, priorities, and limits. This is not about doing less. It is about doing what matters without sacrificing health.

Ripple Effects on Teams

When managers regulate their own energy and stress, teams often experience improved clarity, trust, and psychological safety. Performance improves because people are not operating in survival mode.

Leadership Resilience Is Not Optional Anymore

Organizations often talk about resilience as an individual trait. In reality, resilience is a capacity that can be built or depleted, especially at the leadership level.

This is why my leadership resilience and workplace wellness workshops focus on more than general stress-reduction tips.

They address:

  • Sustained pressure and nervous system awareness

  • Leadership energy management and capacity

  • Early burnout signals at the team level

  • Practical tools for leading with clarity during ongoing change

These workshops create shared language and permission for leaders to speak honestly about strain before it becomes damage.

As one participant reflected after a session:

“I realized I wasn’t failing as a leader. The system was asking for more than any one person could carry alone.”

A Call to Leaders and Organizations

This story made me sad not only because a remarkable human is facing a serious health crisis, but because it represents a loss for the organization as well. This was preventable. The employees who worked for him lost a leader they respected and trusted.

People are not interchangeable parts. Managers are not bottomless resources. Performance and empathy are not opposing forces. If organizations want sustainable results, they must invest in the well-being of those holding the most responsibility.

If this reflects what you’re noticing in your work or leadership, there are ways to engage this thoughtfully. Leadership resilience workshops, workplace burnout support, and confidential coaching are designed to help leaders and organizations address sustained pressure before it turns into a crisis.

When and if it makes sense, I invite you to connect. These conversations matter, and they can change outcomes.

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