Reviewed by: Pavel Kornilov, MD, psychiatrist · updated 6 Nov 2026
Key facts
- ICD-10 code
- Z73.0
- Who provides care
- A psychotherapist and a psychiatrist; a general practitioner if needed to rule out physical causes
- Format
- Video consultations and an online course of psychotherapy; only lab tests and examination in person when indicated
- Duration
- Initial appointment 50–60 minutes; a recovery course usually takes 8 to 20 sessions
- Confidentiality
- Medical confidentiality under the laws of the Republic of Kazakhstan; information about your visit is not shared with your employer
- When it is urgent
- Thoughts of death, complete loss of strength, using substances to “take the edge off” — call 103 or 112
- Outcome
- Restored energy, less tension, and skills for managing workload and preventing relapse
What you should know
In ICD-10, the term “burnout” corresponds to code Z73.0 “Burnout” (state of vital exhaustion) under problems related to life-management difficulty, and in ICD-11 burn-out syndrome (QD85) is described in the chapter on factors influencing health status and is linked specifically to the occupational context. The World Health Organization identifies three dimensions of the syndrome: feelings of energy depletion or exhaustion, increased mental distance from one’s job or cynicism toward it, and reduced professional efficacy.
Burnout itself is not considered a mental disorder, but its symptoms often overlap with those of depression, anxiety disorder or insomnia, and a prolonged course raises the risk of developing them. That is why at Psychiatry Online consultations are conducted by a psychiatrist and a psychotherapist, who assess whether a clinically significant condition lies behind the fatigue. Online appointments in Turkistan suit people with busy schedules, and video sessions can be held outside working hours.
Signs and Symptoms of Burnout
- constant tiredness that does not go away after weekends or a vacation
- irritation, cynicism or indifference toward your work and colleagues
- a feeling that your efforts are pointless and the results of your work do not matter
- poorer concentration, more mistakes and difficulty making decisions
- sleep problems: trouble falling asleep, early waking, light and unrefreshing sleep
- physical complaints — headaches, muscle tension, frequent colds
- a wish to avoid work tasks, procrastination and guilt about it
If at least two points apply and the state lasts longer than two weeks, it is worth seeing a specialist. Phone consultation is free. If life is at risk, call 112 or 103.
What Causes Burnout
According to the WHO definition, burnout arises in response to chronic workplace stress. The main organizational factors are an excessive workload, lack of control over your work, lack of recognition and fair reward, conflicting values, and weak support within the team. Professions that involve constant contact with people and responsibility for others — healthcare, education, social work and customer service — are especially vulnerable.
Individual factors include perfectionism, difficulty saying no and delegating, a habit of working without recovery, and lack of sleep. The situation is made worse by combining work with caring for relatives, financial strain, and blurred boundaries between work and personal time, including when working remotely. Drinking alcohol to relieve tension often accompanies burnout, and this in itself deserves attention.
How Online Help for Burnout Works
The first video consultation includes a conversation about your workload, daily routine, sleep, mood and the ways you recover, as well as questionnaires to assess burnout, depression and anxiety. The doctor checks whether there are physical causes of fatigue. Based on the results, a plan is drawn up: a course of psychotherapy, recommendations on workload and sleep and, if necessary, medical tests. Any device with a camera will do for the session, along with a place where colleagues or family members will not interrupt you.
Lab tests and an examination, which help rule out anemia, thyroid dysfunction and other physical causes of fatigue, cannot be done online — they are carried out in person. If burnout has turned into severe depression with thoughts of death, or is accompanied by alcohol misuse, in-person care may be needed. In an emergency, call 103 or 112.
How we help
Assessment
The doctor distinguishes between burnout, a depressive episode, an anxiety disorder and insomnia, since the approaches to treating them differ. A clinical interview and validated questionnaires are used. If a mental disorder is identified, treatment follows the relevant clinical guidelines, and work on burnout becomes one part of it.
Cognitive Behavioral Therapy
CBT helps identify beliefs that keep you overloaded — such as “I must get everything done” or “saying no is a sign of weakness” — and develop more flexible strategies. Patients learn to plan tasks, set boundaries and recognize early signs of exhaustion. The work is done online following a structured program with homework between sessions.
Restoring Your Resources
This includes normalizing sleep, regular physical activity, and planning rest and activities unrelated to work. Stress-reduction techniques are used: breathing exercises, progressive muscle relaxation and mindfulness practices. These measures do not replace psychotherapy, but they speed up recovery and reduce the risk of symptoms returning.
Medication Support
There is no specific medication for burnout. Medications are considered only if there is a co-occurring disorder — depression, an anxiety disorder or severe insomnia — and are prescribed by a doctor after an assessment. Whether they can be prescribed remotely depends on the legislation of the Republic of Kazakhstan and the requirement for an initial examination.
Myths and facts
MythBurnout is just tiredness — you need a vacation
FactRest helps with short-term exhaustion. With burnout, symptoms quickly return once you go back to work unless your workload, routine and ways of responding to stress change. That is why recovery requires systematic work, not just a break.
MythOnly weak people burn out
FactBurnout more often develops in responsible, engaged and highly motivated employees working under prolonged overload. It is the result of a combination of organizational and personal factors, not a sign of a weak character.
MythBurnout and depression are the same thing
FactThe conditions overlap but are not identical. Burnout is related to work, whereas depression affects all areas of life. Prolonged burnout raises the risk of depression, so the assessment is carried out by a doctor who can tell them apart.
How an online appointment works
- Message or callWrite on WhatsApp or call — our coordinator replies within minutes, day or night. You don't have to give your surname.
- Doctor and timeWe match you with a psychiatrist, addiction specialist or psychotherapist and agree on a time — often the same day.
- Video consultationA secure 50–60 minute video call: the doctor takes a detailed history and uses standardised scales if needed.
- Treatment planYou receive a clear summary, recommendations and a plan: what we do online and what needs an in-person visit or home call.
- Follow-upOnline follow-up sessions, messenger contact with your doctor, and treatment adjustments until you get a stable result.
Prices in Turkistan
| Online psychiatrist consultation (50–60 min) | 15 000 ₸ |
| Follow-up online consultation | 12 000 ₸ |
| One month of online psychiatric care | 60 000 ₸ |
The final cost is agreed before treatment starts. Prices are in tenge and do not constitute a public offer.
Where to get help
You can book in Turkistan online or at one of two branches: 37 Tauke khana St., Turkistan, 27 Zhibek zholy St., office 28, Turkistan. Our coordinator replies on WhatsApp within minutes at any time, and a doctor usually connects by video the same day; home visits are available too — all city districts and nearby settlements.
Confidential and private
An online appointment in Turkistan is first of all about privacy: no clinic visit, no waiting room. A private room and headphones are enough. Data is stored in a secure system with restricted access and does not enter any state registry without legal grounds.
Questions and answers
How can I tell whether it is burnout or depression?
With burnout, symptoms are related primarily to work and ease outside of it, whereas with depression low mood and loss of interest extend to all areas of life. However, the two conditions often occur together. A psychiatrist consultation using questionnaires helps distinguish them reliably.
How long does recovery from burnout take?
It depends on how severe and long-lasting the symptoms are, whether your workload can be changed, and whether there are co-occurring disorders. For moderate burnout, a course of psychotherapy usually takes a few months. A longer recovery is needed if burnout has been complicated by depression or anxiety.
Do I need to quit my job to recover?
Not necessarily. It is often possible to reduce the workload, redistribute tasks, and establish boundaries and a rest routine. A psychotherapist helps you assess which changes are possible in your current job and make a balanced decision, without impulsive steps taken in a state of exhaustion.
Can I have psychotherapy sessions during working hours?
Video sessions at Psychiatry Online are available around the clock, so you can choose early morning, evening or weekends. You will need a private place for the session: a meeting room, a parked car or a room at home. Having a session on the go or in a public place is not recommended.
Will my employer find out that I sought help?
No. Information about the patient is protected by medical confidentiality under the Code of the Republic of Kazakhstan “On Public Health and the Healthcare System” and is disclosed only in cases expressly provided for by law. An online psychotherapist consultation in Turkistan does not require any documents from your employer.
Does alcohol help relieve tension when you are burned out?
Short-term relief is followed by worse sleep, anxiety and fatigue, and regular drinking raises the risk of dependence. If you find it hard to relax without alcohol, it is worth discussing at the consultation; if necessary, you can get an online consultation with an addiction specialist (narcologist) at Psychiatry Online.
Where can I be seen in Turkistan?
Online — from anywhere in the city or region. In person — at two branches: 37 Tauke khana St., Turkistan and 27 Zhibek zholy St., office 28, Turkistan. Both are open 24/7; home visits cover all city districts and nearby settlements.
Sources and methodology
This page was prepared by the Psychiatry Online medical editorial team based on:
- International Classification of Diseases ICD-10 and ICD-11, World Health Organization
- Clinical diagnosis and treatment protocols of the Ministry of Health of the Republic of Kazakhstan
- Code of the Republic of Kazakhstan “On Public Health and the Healthcare System”
- NICE (UK) and APA (US) guidelines on the treatment of mental disorders
- WHO recommendations on telemedicine and digital health
This information is for reference only and does not replace a consultation with a specialist. Editorial policy
