Stress, burnout and life transitions

You've been climbing for a long time.

Stress and burnout therapy in Toronto, Ottawa and across Ontario

Maybe you're still showing up for work, for family, for everyone, and quietly running on empty. If rest doesn't seem to refill the tank anymore, it might be time to stop, catch your breath and look out at the view.

Vistas offers therapy for burnout, ongoing stress and life transitions, in person in Toronto's Cabbagetown and Ottawa's Centretown, and virtually anywhere in Ontario.

A rocky hiking trail climbing through spruce toward an open ridge
1The climb

When stress stops feeling temporary

Stress is part of being alive, and short bursts of it can even help. Burnout is what can happen when the climb doesn't let up and there's nowhere to rest. Therapy for burnout can offer a place to set the pack down, look at what's been happening and find your footing again.

  • Tired all the way throughExhausted even after a weekend or a holiday.
  • Running on autopilotGetting through the day, but not really present for it.
  • Pulling awayFeeling cynical, numb or distant from work or people you care about.
  • Trying harder, getting less doneTasks you used to manage now take everything you've got.
  • A shorter fuseSnapping at small things, then feeling guilty about it.
  • Your body is keeping scoreTension, headaches, stomach upset, getting sick more often, or sleep that isn't restful.

This is general information, not a diagnosis. Stress doesn't always look like stress, either; sometimes it shows up as worry, irritability or a racing body. Read more in why stress and anxiety don't always feel like anxiety.

2The terrain

Where it's coming from

Burnout rarely has a single cause. It usually builds where a lot is being asked of you and not much is coming back.

When work is the source

Long hours, constant change, unclear expectations or work that matters deeply to you. Work stress therapy can help you look at the pressure from outside and the rules you carry inside, like "I should be able to handle this."

Helping professions such as health care, teaching and social services can be especially hard on the nervous system.

When you're caring for others

Parenting, supporting a partner, looking after an aging parent, or caring for clients all day. Caregiver burnout often comes with guilt or resentment, and both are very human.

You're allowed to need care too.

When life changes direction

A move, a new job or no job, a relationship ending, a new baby, retirement. Even good changes can leave the ground feeling uneven for a while.

Counselling for life transitions ↓
3A fork in the trail

Counselling for life transitions

Some changes you choose, and some choose you. Either way, transitions can ask you to let go of one way of living before the next one has fully arrived. Life transitions counselling offers a steady place to sort through that in-between.

  • Career changes, job loss or starting something new
  • Moving cities, or coming home to a different life
  • Separation, divorce or a friendship ending
  • Becoming a parent, or children leaving home
  • Retirement, health changes or caring for a parent
  • Changes in identity, culture or community

When it's not one event, but a feeling of being stuck

Sometimes there isn't a clear change at all. There's a quieter sense of being stuck, or bigger questions about meaning, purpose, faith or who you are now. Those questions deserve room too.

Amanda draws on Acceptance and Commitment Therapy (ACT), which focuses on getting clear on what matters to you and taking steps toward it, even while things feel uncertain.

Sandra offers spiritual psychotherapy for people who'd like to explore meaning, faith or spirituality as part of their therapy, whatever their beliefs.

4How we work

A mind-body approach to burnout

At Vistas, we think of mind, body and relationships as one nervous system, shaped in relationship. Burnout tends to live in all three, so we work with all three.

From the top down

Noticing the thoughts, beliefs and habits that keep you pushing past your limits, and trying out new ones. This can include cognitive behavioural therapy (CBT) and ACT, along with talking through what's been happening and what you need now.

From the bottom up

Body-aware tools that help a stressed system settle: slowing the breath, noticing where you hold tension, grounding through the senses. Learn more about somatic therapy in Toronto or in Ottawa, and what nervous-system-informed therapy means.

Looking out through forest to calm, distant water on the horizon

Why the view matters

Our name comes from a simple grounding practice: letting your eyes rest on a distant horizon. Many people find that a wide view helps the body slow down.

Burnout has a way of narrowing everything to the next task. Part of our work together is helping you find the wider view again, of your life, your values and what you might need.

Some of our work draws on polyvagal theory, a framework many therapists find useful for understanding stress responses. The research behind it is still developing, so we treat it as one lens among several.

5Choose your path

Find the support that fits

Looking for a therapist for burnout or a stress counsellor? Our three psychotherapists each bring something different. We also offer mindfulness and yoga instruction, which are separate from psychotherapy.

Psychotherapy
ACAmanda Carver

Amanda Carver

RP, M.Ed., EMDRIA Certified Therapist, RYT-200

In person in Toronto and Ottawa · Virtual across Ontario

Integrative, body-aware therapy for stress, burnout and anxiety, drawing on ACT, CBT and attachment-focused work. Amanda also offers yoga-informed therapy for people who'd like movement in their sessions.

Read Amanda's bio →
SGSandra Gautreau
Accepting new clients

Sandra Gautreau

Registered Psychotherapist

Virtual across Ontario

Spiritual psychotherapy, CBT and inner child work, for stress, anxiety and the bigger questions that can come with burnout. Sandra also offers CBT for insomnia.

Read Sandra's bio →
HLHeather Lash
Accepting new clients

Heather Lash

Registered Psychotherapist (Qualifying), practising under clinical supervision

In person in Toronto, including walk-and-talk · Virtual across Ontario

Narrative therapy and culturally grounded care, including for Indigenous clients. Heather offers lower fees while she completes her registration.

Read Heather's bio →
Not psychotherapy
Meditation cushions on the floor

Mindfulness coaching with Mark

Learn meditation and mindfulness practices you can come back to on busy days, and build a routine that actually sticks. Virtual.

Meet Mark →
Not psychotherapy
A gentle restorative yoga pose

One-on-one yoga instruction*

Short, targeted sessions to release tension and practise slowing down, with Amanda in person in Toronto, or Natalie or Mark virtually.

*Yoga instruction is a separate, non-regulated service, billed separately from psychotherapy. Amanda teaches yoga only to people who aren't her psychotherapy clients. See how we bill our services.

Not sure which fits? Start with our guide to finding the right therapist →

6Rest stops

Small ways back to rest

General ideas many people find helpful. They aren't a treatment plan, and they're not meant to be one more thing to get right.

During the workday

Between tasks, look out a window at something far away for a minute. Let your shoulders drop and your exhale get a little longer than your inhale.

At the end of the day

Mark the shift from work to home with something small and physical: a walk around the block, changing your clothes or a few slow stretches.

On your days off

Plan one thing that has nothing to do with being productive, and let it be enough. Time outside counts double.

When to check with your doctor

Burnout isn't a medical diagnosis, and its signs overlap with other conditions, including depression, anxiety, thyroid problems, anemia and sleep disorders. If you're noticing new or worsening physical symptoms, exhaustion that rest doesn't touch, or big changes in sleep, appetite or mood, please check in with your family doctor or nurse practitioner as well.

If low mood is part of what you're carrying, see depression counselling. If stress shows up as worry or panic, see anxiety counselling.

If you're in crisis

Call or text 9-8-8, the Suicide Crisis Helpline, any time. If you or someone else is in immediate danger, call 9-1-1 or go to your nearest emergency department.

Vistas isn't a crisis service, and messages may not be answered right away.

7Getting started

Cost, coverage and your first steps

  • Individual psychotherapy: $140–170 per session
  • Sliding-scale spaces: each of our therapists keeps some, open to anyone
  • Lower-cost sessions with Heather while she completes her registration
  • Insurance: many extended health plans cover Registered Psychotherapists; check your plan
  • Direct billing to NIHB, the IRS RHSP and MMIWG programs for eligible clients
  • Some evening appointments available

How we bill our services →

  1. A free 20-minute consultTell us a little about what's going on, ask your questions, and see how it feels to talk with us.
  2. Your first sessionWe get to know you, what's been happening and what you're hoping for. You set the pace, and there's no pressure to share everything at once.
  3. Finding a directionTogether we decide how to work, how often to meet, and which tools fit you, adjusting as we go.
8Questions

Frequently asked questions

Burnout is a state of exhaustion that can build when stress goes on for a long time without enough recovery. The World Health Organization's ICD-11 describes it as an occupational phenomenon linked to chronic workplace stress, with three features: exhaustion, feeling distant or cynical about work, and feeling less effective. Many people also use the word for the depletion that comes from caregiving or long stretches of change.

Common signs include feeling drained even after rest, dreading tasks you used to manage, pulling away from people and getting less done despite trying harder. Burnout symptoms can also show up in the body, such as tension, headaches, stomach upset, getting sick more often or trouble sleeping. These are general signs, not a diagnosis, and they overlap with other conditions, so it can help to check in with your doctor as well.

No. The World Health Organization classifies burnout as an occupational phenomenon, not a medical condition. Our therapists don't diagnose burnout; we work with what you're experiencing and how it's affecting your life. If you're wondering about depression, anxiety or a physical cause, your family doctor or nurse practitioner can help.

Caregiver burnout is the exhaustion that can build when you're caring for someone else, such as a child, a partner, an aging parent or clients in a helping profession, and there's little left over for you. It often comes with guilt, resentment or numbness, which are common and human. Therapy can offer a place to set some of that down and think about what support might look like for you.

Yes. All three of our psychotherapists offer secure virtual sessions anywhere in Ontario. Amanda also sees clients in person in Toronto and Ottawa, and Heather sees clients in person in Toronto, including walk-and-talk sessions.

Psychotherapy is a regulated health service provided by Registered Psychotherapists, who can help you explore the patterns, relationships and history underneath your stress. Mindfulness coaching is a separate, non-regulated service focused on learning and practising meditation and mindfulness skills. Some people choose one, and some use both side by side.

Yes. Our psychotherapists offer counselling for life transitions such as career changes, moves, relationship endings, new parenthood and retirement. We also make room for the quieter sense of being stuck, and for questions about meaning, purpose or faith, including through Acceptance and Commitment Therapy (ACT) and spiritual psychotherapy.

A sunny lookout over forested hills, islands and open water

You've carried a lot to get here. You don't have to keep climbing alone.

Book a free 20-minute consult to talk about what's been happening and find a place to start.

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