There's a fine line between feeling stressed out while still being able to function effectively and the debilitating, even paralyzing phenomenon we think of as burnout. The difference is between handling your stress on your own, and being unable to figure out what to do because the pressures of life have become so overwhelming. It's time to seek professional help if you:

Feel that stress is affecting your health. 
Feel that it will never end. 
Feel so desperate that you think about quitting your job, running away, taking a drug overdose or injuring yourself. 
Feel depressed, sad, tearful or that life is not worth living. 
Lose your appetite and find it difficult to sleep.
Are managing your stress level by eating, sleeping, drinking alcoholic beverages, smoking or using drugs.
Have worries, feeling and thoughts that are difficult to talk about.
Hear voices telling you what to do.

If stressed out...

Look at your lifestyle and see what can be changed — in your work situation, your family situation, or your schedule
Use relaxation techniques - yoga, meditation or deep breathing
Exercise - Physical activity is one of the most effective stress remedies around!
Time management - Do essential tasks and prioritize the others. Consider those who may be affected by your decisions, such as family and friends. Use a check list so you will receive satisfaction as you check off each job as it is done
Watch your diet - Alcohol, caffeine, sugar, fats and tobacco all put a strain on your body's ability to cope with stress. A diet with a balance of fruits, vegetables, whole grains and foods high in protein but low in fat will help create optimum health.
Help others - Volunteer work can be an effective and satisfying stress reducer
Get away for awhile - Read a book, watch a movie, play a game, listen to music or go on vacation. Leave yourself some time that's just for you

Dr Kumaresh Krishnamoorthy
The author is a senior consultant, Apollo Hospitals and can be contacted at drkumaresh@drkumaresh.com