Consider the stress level at work, and not having the proper balance in life. Once someone is burned out, there is no turning back. A vacation or even a sabbatical may not fix the problem. You may have to quit.
Burnout sneaks up, it is not easy to measure. There are other more specific situations. Not getting paid the market rate is fairly easy. Lack of supervisor support, a changing role and lack of upward mobility are others.
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