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Burnout Isn’t Bravery: What Rest Really Means for Queer Survival and Support

  • Mark Muse
  • Oct 27
  • 3 min read
queer and trans support beyond therapy

We’ve made burnout look noble. It’s baked into our culture and gets misread as commitment, grit, leadership, even when it’s hollowing us out. Especially in queer communities, where visibility often demands excellence, burnout becomes the cost of belonging and “success.”


But exhaustion isn’t a badge of honor. It's a signal you’ve carried too much for too long without being held. 


Why queer folks are especially at risk


Burnout doesn’t show up in isolation. It’s shaped by systems. And when those systems target your identity—your gender, your sexuality, your right to exist safely—you are already navigating more than most.


In a national study of medical students, those identifying as lesbian, gay, or bisexual were 1.6 times more likely to report burnout than their heterosexual peers (Dyrbye et al., 2020).

This pattern holds in other high-demand professions as well. LGBTQ+ clinicians in a recent multi-institutional study reported higher levels of emotional exhaustion and lower professional fulfillment compared to their straight and cisgender peers (BU School of Public Health, 2025).


It’s not just the workload. It’s the burden of vigilance, code-switching, and constant self-regulation. Psychologists call this “minority stress.” This chronic tension taxes the nervous system over time. It builds slowly and punishes deeply.


What burnout can look like for high-functioning queer adults


You’re doing the work. You’ve unpacked your patterns in therapy. You’ve gotten clear on your values. But the exhaustion lingers. It shows up in smaller ways:


  • You stop finding joy in the things that once gave you life.

  • You cancel plans not because you’re overwhelmed, but because you’re numb.

  • You feel like you have to keep being impressive just to stay safe.


Sometimes it’s not about what’s “wrong,” instead, it’s about what’s gone silent.


Rest is not a reward


In systems pushing us to prove our value through productivity, rest becomes conditional. It’s a trap. You don’t earn rest by collapsing. You claim it as a practice for resistance and repair.

Rest, in this context, isn’t about bubble baths or naps. It’s about a way of living where your nervous system isn’t constantly on call. It’s the quiet knowing you don’t have to perform to be worthy of care. This is about boundaries, being assertive, and developing clarity on your life outside of others’ expectations.


It’s also not something most of us can reclaim alone.


Why support matters to queer and trans survival


This isn’t about advice or accountability. It’s about having someone in your corner, someone who can say: “You’re not imagining this. You’re not failing. You’re just done.” Support like this doesn’t try to fix you. It helps you come back to yourself with clarity and compassion.


This is where the difference between therapy and coaching becomes important.


  • Therapy helps us understand the why. It maps the past, explores the wound, and names the survival strategy.

  • Coaching meets us in the now. It helps us decide how we want to move forward, what boundaries we need, and what rhythm makes sense for the life we’re actually living.


Both are powerful. Neither is superior. But sometimes, what we need isn’t another diagnosis or deep dive into the past. Sometimes we need someone to walk beside us while we rebuild the parts of life stolen by burnout.


Where to begin


What if you didn’t have to justify being tired, getting rest, or seeking support?


This week, give yourself one hour without focusing on being  productive. Let it be quiet. Let it be yours. Not as a reward. Not as a trade. Just because you’ve already earned it by existing. If an hour is too much, try five minutes, 10 minutes, whatever you can.


If you’re craving a different kind of support, one rooted in compassion, clarity, and zero performance pressure, there are spaces where it’s possible. Where you don’t have to explain your identity, over-explain your needs, or defend your rest.


You deserve the support. Not later. Now.


References

Dyrbye, L. N., West, C. P., Houtjes, W., Sinsky, C. A., Trockel, M., Tutty, M., & Shanafelt, T. D. (2020). Burnout among U.S. medical students, residents, and early career physicians relative to the general U.S. population. JAMA Network Open, 3(2), e1920597. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2775738


Boston University School of Public Health. (2025, January 16). BU study finds increased rates of burnout in LGBTQ+ physicians. https://www.bu.edu/articles/2025/bu-study-finds-increased-rates-of-burnout-in-lgbtq-physicians



 
 
 

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