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Laurie Maddalena spent years as the "fixer" — the leader who carries her team's entire workload — before discovering the archetype shift that changed her career: becoming a facilitator instead. She and Dr. Zarya unpack why "open door policies" and multitasking quietly fuel burnout, the five-minute practice that ends workday chaos, and how Laurie holds a 40-hour workweek while running a company and raising three kids. They also share a candid conversation about parenting kids with chronic illness and the mantras that help them stay grounded when control isn't an option.
KEY TAKEAWAYS
- The fixer-to-facilitator shift is the most important transition in leadership — and most people are promoted into it with zero training.
- Task-switching (multitasking) increases the time it takes to complete a task by over 500%.
- The "open door policy," taken to the extreme, is one of the most burnout-inducing workplace practices — protected, undistracted time is essential.
- A five-minute end-of-day practice — naming your top two priorities for tomorrow — reduces mental clutter and lowers stress.
- Burnout is often a leadership and systems problem, not just a personal one — vague delegation ("drive-by delegation") sets people up to fail.
- Boundaries, like disconnecting fully on vacation, model healthy leadership for the whole team rather than restricting others.
- When facing what you can't control, the mantras "be with what is" and "invested yet detached" can help you stay engaged without burning out.
TIMESTAMPS
01:53 Laurie's two pivotal leadership moments
09:48 What the "fixer" actually looks like at work
15:00 Banishing the open door policy and multitasking
20:56 The five-minute end-of-day recalibration practice
32:01 How Laurie caps her workweek at 40 hours
41:49 Instilling accountability instead of "drive-by delegation"
48:06 Parenting through chronic illness: "be with what is"
51:29 Rapid fire round
55:04 "Be a facilitator, not a fixer"
GUEST CONTACT
Website (free Fixer to Facilitator assessment): lauriemaddalena.com
Connect on LinkedIn: Laurie Maddalena
Connect with Dr. Zarya, The Burnout Doctor:
Website: www.theburnoutdoctor.com
IG: www.instagram.com/theburnoutMD
Get your FREE Burnout to Balance Toolkit: https://drzarya.myflodesk.com/burnouttoolkit
Book a FREE Consult with The Burnout Doctor: https://calendly.com/drzarya/free-burnout-consult
Reach out with questions or to book The Burnout Doctor for your next event: [email protected]
Dr. Nikia Smith, board-certified anesthesiologist and founder of She Is Fire Forged, has burned out in medicine not once, but twice — and lived to build a framework for catching it earlier the second time. She and Dr. Zarya dig into the invisible "third shift" (the mental load of kinkeeping that goes beyond housework), the specific toll of being a Black woman in medicine, and why rest without guilt is a skill you have to relearn. It's a candid, funny, and sharply honest conversation for anyone who's been praised for being "the strong one" while quietly running on empty.
KEY TAKEAWAYS
- Burnout builds gradually ("the simmer") long before it boils over — insomnia, dread, and irritability are early warning signs that get normalized by hustle culture.
- Changing jobs alone won't fix burnout if the underlying systems, boundaries, and values don't change too.
- The "third shift" — kinkeeping (tracking birthdays, appointments, being the default emotional contact) — is invisible labor that drains women beyond housework and paid work combined.
- Recovering from burnout is bigger than rest: it requires rebuilding boundaries, values, and support systems, not just a vacation.
- Women physicians have better patient outcomes, work longer hours, chart more, and are paid less — and lose the cardiovascular protective advantage that being a woman typically confers.
- For women of color in medicine, microaggressions and covert racism add a compounding layer of fatigue on top of standard burnout.
- "Rest without guilt" is a skill: true rest means a quiet mind, not just a still body.
TIMESTAMPS
01:58 Dr. Nikia's first burnout in 2021
06:08 The warning signs nobody names
17:05 Recognizing and short-circuiting the second burnout
24:30 The "third shift" and kinkeeping
37:45 Burnout compounded by race and gender in medicine
44:21 Rapid fire round
48:05 "Burnout told me I was broken, but actually I was..."
50:07 What to do in the next 24 hours
Connect with Dr. Nikia
https://sheisfireforged.com/
Connect with Dr. Zarya, The Burnout Doctor:
Website: https://www.theburnoutdoctor.com
IG: https://www.instagram.com/theburnoutMD
Get your FREE Burnout to Balance Toolkit: https://drzarya.myflodesk.com/burnouttoolkit
Book a FREE Consult with The Burnout Doctor: https://calendly.com/drzarya/free-burnout-consult
Reach out with questions or to book The Burnout Doctor for your next event: [email protected]
What if burnout isn't about doing too much, but about invisible subconscious patterns running the show? Anik Malenfant — a former corporate finance branch manager turned inner work strategist — joins Dr. Zarya to unpack how the coping patterns that once kept us safe are often the very things keeping us stuck, exhausted, and stalled beneath an invisible ceiling. They dig into brainwave states, the biology of stress addiction, and why identity itself can become the thing high achievers protect at their own expense. It's a science-meets-soul conversation for anyone who's checked every box and still feels like something's missing.
KEY TAKEAWAYS
- Burnout is a symptom of disharmony — a signal that you're out of sync with who you are, not a personal failure.
- The "achieve first, feel happy later" equation is backwards (the arrival fallacy); chasing external goalposts keeps happiness perpetually out of reach.
- Coping patterns formed young (like staying quiet to avoid conflict) often resurface as adult burnout behaviors — "the pattern that kept you safe is the pattern that's keeping you stuck."
- The subconscious mind operates on a theta brainwave, not the beta brainwave used for conscious affirmations — which is why willpower alone rarely rewires deep patterns.
- It takes roughly twelve weeks of consistent practice to anchor a new pattern into your life.
- High achievers often protect their identity/labels above all else — and that attachment is frequently what's driving the burnout.
- The body can develop something like a stress addiction — extended calm (2-3 weeks) can trigger genuine withdrawal symptoms.
- "Neuroneutral" — a state of open, receptive calm distinct from both fight-or-flight and rest-and-digest — may be the real antidote to chronic stress cycling.
TIMESTAMPS
01:14 — Anik's origin story: from corporate finance to burnout awakening
04:54 — Burnout as a symptom of disharmony
06:27 — The guidance counselor story: the backwards happiness equation
09:16 — The arrival fallacy and conditional happiness
15:20 — Becoming an "energy sommelier" — reading subconscious patterns
21:14 — Brené Brown, Atlas of the Heart, and fight/flight/freeze/fawn
25:29 — The concept of "neuroneutral"
29:15 — Stress addiction and cortisol withdrawal
31:48 — Brainwave breakdown: beta, alpha, theta, delta
38:01 — Invisible patterns and visible ceilings
41:27 — "The pattern that kept you safe is the pattern that's keeping you stuck"
42:13 — Rapid fire round
Connect with Anik
ascensionacademy.life
subscribe.io/breakthroughblueprint (free "Find My Pattern" quiz)
Connect with Dr. Zarya, The Burnout Doctor:
Website: www.theburnoutdoctor.com
IG: www.instagram.com/theburnoutMD
Get your FREE Burnout to Balance Toolkit:
https://drzarya.myflodesk.com/burnouttoolkit
Book a FREE Consult with The Burnout Doctor: https://calendly.com/drzarya/free-burnout-consult
Reach out with questions or to book The Burnout Doctor for your next event: [email protected]
Lisa Danahy spent years in corporate HR at a law firm, living in a state of hypervigilance she didn't have language for — until her body and her family life forced a reckoning. In this episode, she joins Dr. Zarya to trace her path from corporate burnout to 20 years running an early learning program to founding the nonprofit Create Calm, and to unpack the idea at the center of her book, Creating Calm in Your Classroom: the adult in the room has to regulate first.
Lisa and Dr. Zarya go beyond theory — Lisa leads a live, guided movement sequence (grounding through the feet, breath, and bilateral movement) so listeners can feel, in real time, what shifting out of hypervigilance actually takes. They dig into why stillness alone can't bridge someone from a dysregulated state to calm — movement has to come first — and why "calm" doesn't mean sedated, submissive, or shut down. Lisa redefines it as steady, confident, and aligned.
00:47 Guest introduction — the disruptive idea at the center of the episode: the adult regulates first
02:36 Lisa's origin story — from corporate HR at a law firm to yoga therapist and founder of Create Calm
07:13 Naming the hypervigilance — what "attentiveness" actually felt like in her body
09:12 Why she resisted slowing down even as her body was signaling she needed to
10:09 Cortisol, stress addiction, and why the body craves the striving
12:02 "A reforming people pleaser" — and what happens when the people around you miss your old, over-functioning self
13:03 Live guided movement exercise — grounding, breath, and bilateral movement in real time
19:28 Why hypervigilance can't cross a bridge to calm without a partner of movement
20:47 Redefining calm: steady, confident, aligned — not sedated or shut down
24:17 Building your regulation toolkit before you're in crisis, not during it
27:34 Becoming the witness instead of the participant — and why that takes courage
30:04 Values-driven vs. externally driven living, and its direct link to burnout
33:01 Reframing the stress response as information, not a flaw
43:06 The "team at the table" metaphor for internal awareness and decision-making
44:36 Mirror neurons, co-regulation in a room of crying babies, and "bring the weather"
Learn more about Lisa Danahy and Create Calm at createcalm.org.
Connect with Dr. Zarya, The Burnout Doctor:
Website: www.theburnoutdoctor.com
IG: www.instagram.com/theburnoutMD
Get your FREE Burnout to Balance Toolkit:
https://drzarya.myflodesk.com/burnouttoolkit
Book a FREE Consult with The Burnout Doctor: https://calendly.com/drzarya/free-burnout-consult
Reach out with questions or to book The Burnout Doctor for your next event: [email protected]
Dr. Julie Merriman has spent nearly 30 years studying compassion fatigue and her own “scorched earth” burnout. A PhD-educated counselor, educator, and former department chair, her latest book, Are We Gonna Have Sex or What?, takes on the question hiding underneath every burned-out woman’s silence: what happened to my desire?
We unpack the difference between burnout, compassion fatigue, and moral injury; why a dysregulated nervous system reads a stressful email the same way it views a saber-toothed tiger; and why desire is the first thing to go offline when your body doesn’t feel safe. She reframes resentment as a “sacred emotion” worth listening to rather than suppressing, explains why novelty keeps desire in the room, and makes the case that sex is a skill — one you can keep learning at any age.
In this episode:
Connect with Dr. Julie Merriman:
Connect with Dr. Zarya, The Burnout Doctor:
Website: www.theburnoutdoctor.com
IG: www.instagram.com/theburnoutMD
Get your FREE Burnout to Balance Toolkit:
https://drzarya.myflodesk.com/burnouttoolkit
Book a FREE Consult with The Burnout Doctor: https://calendly.com/drzarya/free-burnout-consult
Reach out with questions or to book The Burnout Doctor for your next event: [email protected]
Eva Medilek spent decades being the woman who did it all — full-time dental hygienist, side-hustling real estate investor, wife, mother of daughters, and self-described control freak — until burnout quietly almost cost her the thing she was working so hard to protect: her marriage. In this episode, Eva joins me to unpack what she calls “as soon as” disease, the belief that rest and joy are only available on the other side of the next milestone, and the wake-up call that made her rebuild her relationship, her health, and her business from the ground up.
Eva is also the founder of Optimize You High-Performance Coaching and the #1 best-selling author of The Intimacy of Race. She walks through her Personal Performance Profile framework — five hidden operating patterns (the Pleaser, the Controller, the Yo-Yo, the Blame-Taker, and the Evader) that form in childhood and quietly run our adult reactions, relationships, and leadership styles.We trade real examples of these patterns showing up in marriage, parenting, and everyday friction (yes, including the dishwasher), and land on Eva's signature reframe: "get curious before you get furious."
Takeaways
Chapters
00:00 Introduction to Eva Medilek's Journey
03:46 From Dentistry to High-Performance Coaching
11:10 The Wake-Up Call: Recognizing Burnout
15:19 Building a New Relationship
16:24 The CPR Formula for Performance
22:07 Setting Boundaries and Communicating Needs
24:33 The Dishwasher Dilemma: Learning to Let Go
26:31 Navigating Domestic Chaos: The Dishwasher Dilemma
26:53 Unpacking Personal Performance Profiles
27:33 Childhood Influences on Adult Behavior
29:01 Cultural Expectations and Perfectionism
31:15 Understanding Emotional Patterns and Responses
32:52 The Journey to Self-Acceptance
34:39 The Impact of Childhood on Adult Burnout
36:22 Curiosity Over Fury: A New Approach
37:11 The Intimacy of Race: A Personal Journey
38:53 Creating Safe Spaces for Dialogue
41:27 The Toll of Microaggressions and Societal Pressures
43:19 Leadership and the Divide in Society
45:22 Recognizing Privilege and Its Implications
45:34 Rapid Fire Insights: Quick Takeaways
47:58 Final Thoughts on Balance and Priorities
Connect With Eva Medilek
Website - https://evamedilek.com
Personal Performance Profile Quiz - https://evamedilek.com/quiz
Connect with Dr. Zarya Rubin:
Learn more: https://drzarya.com
Follow along on IG: https://instagram.com/drzaryarubin
Download your FREE Outsmart Burnout Toolkit: https://drzarya.myflodesk.com/outsmartburnouttoolkit
Summary
What if the reason you keep burning out isn't that you're doing something wrong, but that you're doing too much right?
Erika Coleman is a speaker, consultant, organizational psychologist, and self-described recovering overachiever who built a million-dollar training company, survived her mother's terminal cancer diagnosis, and then watched both collapse simultaneously. What she discovered in the aftermath — through grief, therapy, and a Harvard master's degree — became the "Even Achieving Framework": a research-backed approach to doing your best work without sacrificing your health, relationships, or sense of self.
In this episode, Dr. Zarya and Erika dig into the science of why high achievers chronically overbid on success, what the Boston Celtics' sports psychologist taught her about performance and recovery, and why the virtues we're most proud of — grit, persistence, optimism — can become the very things that take us down.
Chapters
00:00 Introduction to Erica Coleman
02:36 The Journey of an Overachiever
05:26 Intrinsic vs. Extrinsic Motivation
08:23 Hitting Rock Bottom: A Turning Point
11:14 The Even Achieving Framework
14:14 Understanding Stress and Performance
16:55 The Balance of Achievement and Well-being
19:53 The Importance of Sustainable Effort
22:34 Navigating Stress and Self-Care
25:42 The Role of Resources in Performance
28:36 Daily Hassles and Micro-Breaks
31:39 Changing Mindsets Around Achievement
34:13 Rapid Fire Questions and Final Thoughts
Connect with Erika Coleman:
Erika's TEDx Talk: "How to Reduce Stress Without Sacrificing Success" https://www.youtube.com/watch?v=9y1ZTgBClVI
Website: https://www.erikacolemanspecaks.com
Instagram: https://www.instagram.com/evenachieving
LinkedIn: https://www.linkedin.com/in/erika-coleman-1591b435/
Please like, subscribe and share this podcast with someone you think might enjoy it. And if you enjoyed the episode? Please leave us a review! It really does help other women looking to outsmart burnout discover the show.
And remember, burnout is not your destiny; it's your wake-up call!
Connect with Dr. Zarya Rubin:
Sign up for your 1:1 SOS Session and Step Out of Survival Mode! https://drzarya.myflodesk.com/
Listen to my TEDx talk about my burnout story: https://bit.ly/TEDxBurnout
Learn more: https://drzarya.com
Follow along on IG: https://instagram.com/drzaryarubin
Download your FREE Outsmart Burnout Toolkit: https://drzarya.myflodesk.com/outsmartburnouttoolkit
What does it actually cost to survive in a system that wasn't built for you?
Dr. Erin Sheffield is a board-certified oral and maxillofacial surgeon, founder of The Doctor Is ALL In retreat, and co-host of The Resting Stitch Face Podcast — and she's spent her career in one of the most male-dominated surgical specialties in medicine. In this conversation, she and Dr. Zarya go deep on the kind of burnout that doesn't come from working too hard. It comes from shrinking yourself to fit.
From her origin story — marine biology student turned oral surgeon after a nudge from her twin sister — to fighting a wrongful termination lawsuit after taking maternity leave, Erin's path has been anything but linear. What she's built on the other side is a community, a retreat, and a mission to give women in surgery what she never had: a space to exhale.
In this episode, you'll hear about:
Dr. Sheffield's closing message is one that every high-achieving woman needs to hear: you're doing better than you think you are. You don't have to carry it all. And you don't have to do it alone. Trust me, this is one you don't want to miss!
Timestamps
00:00 - Introduction to Dr. Erin Sheffield and her mission
02:13 - From marine biology to oral maxillofacial surgery: an unconventional journey
04:45 - Facing challenges as a woman in a male-dominated surgical field
07:09 - Microaggressions, systemic barriers, and the importance of mentorship
09:25 - Experiences of discrimination and hierarchy in residency
11:04 - The culture of perfectionism and proving commitment in medicine
12:52 - Societal expectations and the environment for women surgeons
16:11 - Infertility, motherhood, and the high costs of medical training
17:19 - Juggling motherhood, career, and personal life with supportive partnerships
19:04 - Building community through the Doctors All In retreat
33:04 - The importance of authenticity, vulnerability, and redefining professionalism
39:39 - The analogy of armor and the weight of carrying emotional defenses
40:34 - Rapid Fire: Last day off, mishaps, scuba or lacrosse, and twins
47:46 - Advice for high-achieving women in medicine: You're enough
48:39 - Connecting with Dr. Sheffield and her wellness initiatives
Connect with Dr. Erin Sheffield:
Please like, subscribe and share this podcast with someone you think might enjoy it. And if you enjoyed the episode? Please leave us a review! It really does help other women looking to outsmart burnout discover the show.
And remember, burnout is not your destiny; it's your wake-up call!
Connect with Dr. Zarya Rubin:
Sign up for your 1:1 SOS Session and Step Out of Survival Mode! https://drzarya.myflodesk.com/
Listen to my TEDx talk about my burnout story: https://bit.ly/TEDxBurnout
Learn more: https://drzarya.com
Follow along on IG: https://instagram.com/drzaryarubin
Download your FREE Outsmart Burnout Toolkit: https://drzarya.myflodesk.com/outsmartburnouttoolkit
Have you ever worked yourself to the bone to prove you deserve to be there — and ended up more exhausted than ever? That's probably impostor syndrome fueling burnout, and it's one of the most common — and most overlooked — patterns Dr. Amanda Tobe sees in her psychology practice every day.
Dr. Amanda Tobe is a Toronto-based organizational psychologist, researcher, and founder of Amanda Tobe and Associates, a group psychology practice specializing in career-focused psychological services. She works with high-achieving professionals, leaders, and entrepreneurs on the internal barriers that quietly drain them: impostor syndrome, performance anxiety, perfectionism, people-pleasing, and burnout. Before founding her practice, she spent five years in corporate talent management — and it was her own experience of burnout and an unfulfilling career that set her on the path to do this work.
In this episode, Dr. Zarya and Dr. Tobe go deep on the psychology of self-doubt and why the most ambitious, capable women are often the most vulnerable.
In This Episode, You'll Learn:
Timestamps:
Connect with Dr. Amanda Tobe:
Please like, subscribe and share this podcast with someone you think might enjoy it. And if you enjoyed the episode? Please leave us a review! It really does help other women looking to outsmart burnout discover the show.
And remember, burnout is not your destiny; it's your wake-up call!
Connect with Dr. Zarya Rubin:
Sign up for your 1:1 SOS Session and Step Out of Survival Mode! https://drzarya.myflodesk.com/
Listen to my TEDx talk about my burnout story: https://bit.ly/TEDxBurnout
Learn more: https://drzarya.com
Follow along on IG: https://instagram.com/drzaryarubin
Download your FREE Outsmart Burnout Toolkit: https://drzarya.myflodesk.com/outsmartburnouttoolkit
Summary
Dr. Saundra Dalton-Smith is a Board-Certified internal medicine physician, speaker, and award-winning author. She is an international well-being thought-leader featured in numerous media outlets including Prevention, MSNBC, Women’s Day, Fast Company, Psychology Today, INC, CNN Health, and TED.com. She is the author of numerous books including her bestseller "Sacred Rest: Recover Your Life, Renew Your Energy, Restore Your Sanity," including insight on the Seven Types of Rest needed to optimize your productivity, increase your overall happiness, overcome burnout, and live your best life. In this episode, explore Dr. Saundra Dalton-Smith's groundbreaking concept of the Seven Types of Rest, essential for overcoming burnout and living a balanced life. Discover practical strategies to restore energy, improve well-being, and reconnect with your purpose.
Keywords
rest, burnout, mental health, well-being, self-care, emotional health, spiritual rest, physical rest, creative rest, social health
Key topics
Chapters
00:00 Introduction to Dr. Saundra Dalton-Smith and Her Work
02:59 The Journey to Discovering the Seven Types of Rest
05:40 Understanding Burnout and Rest Deficits
08:25 Exploring the Seven Types of Rest
11:26 Identifying Personal Rest Deficits
14:20 The Importance of Rest for Women and Mothers
17:13 Reprogramming the Mindset Around Rest
20:07 Practical Restorative Practices for Everyday Life
25:14 Navigating Sensory Overload in Healthcare
27:49 Understanding Emotional Rest
31:38 The Importance of Creative Rest
35:18 Exploring Spiritual Rest
39:30 Rest as Restoration: A New Perspective
Resources & Guest Links
Rest Quiz by Dr. Saundra Dalton-Smith - https://restquiz.com/
Sacred Rest Book by Dr. Saundra Dalton-Smith - https://www.amazon.com/Sacred-Rest-Recover-Your-Energy/dp/1401956444
I Choose My Best Life Podcast - https://ichoosemybestlife.com/podcast
Dr. Saundra Dalton-Smith's Official Website - https://saundradaltonsmith.com/
Please like, subscribe and share this podcast with someone you think might enjoy it. And if you enjoyed the episode? Please leave us a review! It really does help other women looking to outsmart burnout discover the show.
And remember, burnout is not your destiny; it's your wake-up call!
Connect with Dr. Zarya Rubin:
Sign up for your 1:1 SOS Session and Step Out of Survival Mode! https://drzarya.myflodesk.com/
Listen to my TEDx talk about my burnout story: https://bit.ly/TEDxBurnout
Learn more: https://drzarya.com
Follow along on IG: https://instagram.com/drzaryarubin
Download your FREE Outsmart Burnout Toolkit: https://drzarya.myflodesk.com/outsmartburnouttoolkit
From the publisher's feed
You're smart, driven, and accomplished — but you're exhausted. Not the kind of tired that a good night's sleep fixes. The kind that makes you wonder how much longer you can keep going at this pace,…
Welcome to Outsmart Burnout.
I'm your host, Dr. Zarya Rubin — a Harvard-educated physician, TEDx speaker, burnout expert, and recovering overachiever — this show is for high-achieving women who are done white-knuckling their way through life and ready to reclaim their passion, purpose, and joy. As a physician who burned out in medicine and found my way back to personal and professional success, I don't just study burnout - I've lived it.
Each week, I invite expert guests to dive into the real conversations high-achieving women need most: the science of burnout and nervous system regulation, the identity shifts that midlife brings, the systems and patterns keeping you stuck, and the practical strategies to help you feel like yourself again.
Remember, burnout is not your destiny, it's your wake-up call.
Listen to my TEDx talk about burnout: https://bit.ly/TEDxBurnout
Learn more and work with me: www.drzarya.com
Follow along on Instagram: www.instagram.com/drzaryarubin
Download your FREE Outsmart Burnout Toolkit: https://drzarya.myflodesk.com/outsmartburnouttoolkit
For 1:1 burnout support, check out The Burnout Blueprint! https://drzarya.myflodesk.com/
New episodes drop every Wednesday.
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