It may not be, but I was diagnosed with burnout 3 times and the cause was physical and mental exhaustion. Either all my doctors (including GPs, pshychiatris and neurologists) were wrong, or something is being missed. Maybe in translation? I was not diagnosed with any of the 3 things on the list, even if, of course, emotional exhaustion was present because if physical and mental exhaustion is present, so is emotional one.
It end ups being very similar/the same thing as stress and/or depression and/or exhaustion. It looks a bit different in the 3 points list, but very much the same in the 12 points list. All those 3 things are present in depression, they can be present in stress, and at least two can, and often are, present in exhaustion. Many times the 3 are present in exhaustion.
I don't thing those items allow to a very good way of differentiate, since those items also show in depression.
I did not went to hospital, stayed home, but was under medical supervision, so was Mr J the times before BD.
Depression and exhaustion are also on a scale. Everything is. But for me the problem is that I really see no difference between the burnout items and the depression ones. They are the same thing.
Essentially, and osb has also been talking a lot about it, high energy MLCers are like addicts. They need their fix, they will run for more and more and more. They are depressed, but all those amazing chemicals/hormones they have become addicted to are masking it. For the most part, at least. Because when they have downs, they go to a very dark place.
An easy way of understanding it is to think about bipolar, with its manic highs and its deep lows (bipolar, of course, also is on a scale). Or to think what happens when we have a small, lets say, ache in a knee of hip, when we start walking (or running) we become warmer, adrenaline kicks in and the pain disappears. When we stop walking (or running) and cool down, the adrenaline lowers and we fell the pain again.
Yes, we can gain energy from changing our context. The excitement will raise a series of hormones and other things, the person will feel energy. Well, we know high energy MLCers need to keep doing things to be able to function, otherwise they go into overt depression. The problem is, those levels of energy are not sustainable. They will cause serious damage. It does not take long for a high energy MLCer to look old, tired and plain awful.
I can be energised both by being with people or on my own. It depends, of the people/type of situation. I can pretty much feel the energy level rise and I will be all happy and invigorated. However, then, I will need time on my own. The energy level will not last for the next day. The next day I need alone time. Either that, or do what I did after BD, going out and about non stop. Of course now I can no longer do that, I do not have that initial energy rush to go with, and I do end up feeling tired.
Introvert and extrovert to me have more to do on how people process things that with being, or not being, social. I am social, but I am also someone who loves to be alone. The real Mr J is similar to me. We had no lack of social life, always attending concerts, film festivals, exhibitions, going out to dance, dinners at friends houses, etc. But we need to keep our house for ourselves, we need it to be our space. We both liked the level of social life we had.
As you have seen on the link Kikki posted about depression, depression has to do with the hippocampus (among other things in the brain, it is not just that). It is not related to personality. Memory, in case anyone is wondering, also pertains to the brain domain. There are many different types of memory, and different typed of brain areas used.
http://www.human-memory.net/brain_parts.html If the marriage/spouse was the problem, once they leave and have OW/OM they should had become happy. They don't. So, being unhappy in the marriage is not the reason. When MLCers say they are unhappy in the marriage it is the depression talking.
Many of us, including myself, have faced severe stress and depression, and not engaged in escapist behaviors
As you have said, there are levels, and people aren't all affected the same way by the same thing. Stress and depression are enough to explain what we see. It is all very simple to explain with neurobiology/neuroscience/biology. X affects Z, that in turns has reaction R, which will lead to T. The effects of stress and/or depression are clearly explained in neurobiology/neuroscience. Also in endocrinology.
And you do not know how you will react if stress and depression hit you on a level that leads you into crisis, do you? No one knows. Not even those who have previously suffered depression and/or stress.
Escapist behaviors are clearly a defense mechanism, meaning that they cannot face dealing with their lives by discussion/negotiation or minor changes.
Many of us had spouses who were totally able to to face life dealing with discussion/negotiating or minor (or huge) issues. The other thing is some of us here have had our own MLC. I think we know how we are, were before crisis, and during crisis. As a general rule, we will say that we were super stressed and there was also depression (often covert).
Personality disorders do not show all of a sudden when people are in their 30s, 40s, 50s or 60s. They show in adolescence, often earlier, the latter until very early adulthood. A person with a personality disorder is easy to spot and is not capable of hiding it. Let alone for decades and from their spouse.
Hormonal changes could be a good reason for MLC or any sort of crisis. Crisis are not uncommon in adolescence and for peri-menopausal women, people with thyroid issues, etc. But that would also but, stress in the hormone cortisol, so, stress is in itself an hormonal change.
Depression also affects several chemicals and hormones (hormones, by the way, are chemicals, but to make it easy, one usually says hormones when referring to certain chemicals).
I don't give much relevance to the FOO issues. Those alone would not lead anyone into crisis. In fact, they hadn't for decades, have they? The crisis mode only arises if there is a certain degree of stress and depression (the degree would be different for each person, but it is above a normal level), that becomes out of hand.
there is a coping style, which is inevitably learnt,...
Then, how does one explain that many were perfectly capable of coping, often with extremely difficult things, without any problem? I think the thing is, every human has a breaking/burnout/stress limit point. It is different for every human, but we all have it. And our limit at 20 may be higher than our limit at 30, 40, 50, or the other way round. When that point is reached, a crisis will follow. Either that or a total crash.
Anyway, stress, depression, burnout, hormonal issues, all those can be treated. My view is that we are all (LBS & MLCs) enduring something that has treatment/solution. Much I think of it, I cannot see the point of MLC, not even of my own. I just think mine happened because, at BD, I was not treated and advised the way I should had been.