I'm burning out and I can't tell anyone

241 points by redhat ↗ HN
I'm the cofounder of a startup that really needs me right now. I suspect I may be burning out or have already burnt out. Despite things going relatively well, I'm somewhat depressed all the time, easily irritable, resentful of my cofounder and constantly think to myself that I need a break.

My work isn't really getting affected (yet?). I've taken half days off before, but they weren't enough.

Anyone had the same problem? What did you do about it and what happened afterwards? Thanks.

202 comments

[ 4.4 ms ] story [ 245 ms ] thread
Talk to your cofounder about it! Be honest, there is a solution for every problem.
I've had that feeling once, standing on the edge. And I know some people that burned out.

There is only one working solution. Get professional help.

If your servers crash - you ask an expert. If your car makes funny noises - you go to a garage, were there are professionals. If you have an infection - you consult an M.D.

But we tend to ignore psychological conditions and we tend to ask others (amateurs) for an opinion. But this is really nothing more than a physical illness in respect to the way it has to be treated - by an expert.

So do yourself a favor and ask your favorite search-engine for professionals, that know their stuff, when it comes to burnout. And then make an appointment. You are no good to your startup, if it crashes around you, because you crash and burn. You are no help to anybody, if your condition affects your work (and it will do that soon).

You have the responsibility for everybody, who's paycheck depends on the success of your startup - and that depends on your well being.

And: You owe it to yourself to heal.

just my two cents

Throwaway here and I completely agree.

Consult your primary care physician first. They are best equipped to diagnose somatic problems and will refer you out to a psychiatrist once you check out okay physically.

I for a couple of years dealt with depression and just being damn tired all the time. I actually had to go to a few doctors before I found one that was able to help me.

Turns out I had a goddamn tumor in my parathyroid gland. I'll paraphrase a bit of Dr. House, "unsquint [sic] your eyes when you take a look at your labs"

This is the right advice IMO but beware that finding an informed professional can be surprisingly difficult. It would be in your interest to spend some time researching depression and mood disorders so that you can at least ascertain the professional is working from established scientific background (it feels weird even suggesting this but I've had weird experiences) as there are many schools of thought with regards to dealing with depression but relatively few with any convincing scientific evidence of effectiveness.

In my opinion you don't want to end up with somebody who automatically assumes it takes a complete life history and hypnotherapy with childhood regression over 10 years to deal with depression, or who assumes that the first approach should be medication, for instance, when your symptoms don't indicate a need for it.

A book like David Burns' "Feeling Good" is enough to give you quick insight (by taking the Burns Depression Checklist and explaining one therapy that has been demonstrated as effective) without turning you into a hypochondriac (the idea isn't to make excuses for not seeing a professional because you're researching, or to make excuses for why you're "incurable").

As a counter argument - the best person to know you is you. We all owe it to ourselves to learn how to debug our own bodies and minds. They're all different and achieving mastery of a particular one can only be done by itself. The benefits of this are numerous in that you become predictable to yourself. You know how you'll react in situation X and that if you do Y at Z time you can avoid mental state Q. A shrink won't be able to tell you that.

As a counter-counter argument, the truth is in the middle. There's a lot of collective wisdom and knowledge on these subjects and a lot which can only be discovered independently. A hybrid approach is head and shoulders above either one in isolation.

Greetings from a fellow hard-charger.

I've experienced burnout a number of times in personal and professional contexts and I think nearing 30, I've got a pretty good handle on myself finally.

1. You can ALWAYS and should ALWAYS talk to SOMEONE. My advice is find a great therapist. If you can't afford one, you need to find a friend, confidant, or family member that's away from the action. Talk through things and see if you can wrap your head around what's bothering you.

2. Exercise. Seriously. Exercise helps sleeps, weight loss, anxiety, depression, add--it's a pretty awesome medication. Read "Spark" by John Ratey.

3. Sleep. The times in my life I've felt most burnt out corresponded with awful sleeping patterns. (also see 2)

4. Reflect. After trying to talk through things and getting your body back on track think about your work. Are you happy doing what you're doing? Do you want to do something else? (some might recommend doing this first--I wouldn't; only because in my judgment I've made decisions I regretted because I felt like I wasn't in the right place--not because I really didn't like the opportunity)

This is obviously a reader's digest version, but it took me probably 5 or 6 iterations before I could identify, prevent (or treat) my burnout.

Totally agree here. The two biggest keys I found right around 30, were (2) and (4). Best thing for 4 -- keep a journal.
re: 4. Reflect:

Reflect, but do not ruminate. Rumination (going endlessly in circles in your mind in a bad-thoughts-feedback-loop) goes with depression / mood disorders. To help with reflection, write down what weighs on your mind and analyze it.

Also, try to write about how everything would be if it went perfectly well. This way, you have something more positive to look at than your and other's(perceived) failures and shortcomings.

I'm always surprised by how effective #2 can be.

I had a particularly rough Friday last week and so I decided to skip coming home in favor of a long bike ride.

I was fully expecting to go home, mope around, and fall asleep. Instead I came home - clear headed - and had a great weekend.

--

I'd also recommend biking as a great form of exercise. Personally I don't like the gym, memberships can get kind of pricy, and for some reason I always feel uncomfortable at a gym.

Biking however gives you access to tons of free trails, it's great for your cardiovascular system (you won't get ripped biking, but you will feel fantastic.)

Plus being out on a scenic trail does wonders for your mental health.

Just my $0.02

FUCK THAT.. Quit. He works for an asshole. Startups are a dime a dozen. I'm sure he's got an idea.

All this sensitive therapy crap - just change your life and do what you want. That billion dollar cashout is a fucking joke.

I had the same problem three years ago. I started meditating a lot, and I've realized that my thoughts are the source of all experiences.
I found HoloSync a very good introduction to meditation if you need assistance to get 'into it'. The middle way or transcendental meditation might not always be the solution if you already have a massively erratic and consumed headspace.
Take time out of your day to relax or exercise or simply take a week or two off. There is no shame in that and I think the 20 hour work days have been overly glamorized. Talk to your co-founder, I'm sure the startup can manage or you will work out a solution that will. There is no shame in feeling this way, it is perfectly natural and you are not alone.
advise i would prefer to give has already been communicated.

so I would just say you are not alone!

Tell your co-founders you need a week off. They should probably take one too. Go find a beach and read a book there every day. Don't think about work.

Despite how it may seem there's no chance your company will die or suffer any irreparable harm in a week. Just do it.

When you come back have a discussion with your co-founders. Try to talk through (calmly and without resentment) the problems you see. Focus on finding the best solutions to the problems. Don't get into arguments about the past. Everything before is water under the bridge. You will have to accept that certain things probably can't be fixed, and that's okay. Fix the things that hinder your company's ability to succeed.

Also, make sure you sleep enough every day. Don't skimp on sleep at all. Nothing will make you burn out faster than chronic sleep deprivation. Everyone can get 8+ hours of sleep per night if they make it a priority.

How many of you are there? If you can, have a company holiday. Everyone disconnect for a week (separately, of course). It may be primarily for you, but this serves to eliminate any anxiety that may occur due to being away. For example, you might feel out of control if your partners are working while you're not. Especially if you are already feeling a little resentful, it's pretty easy to begin to misinterpret benign things as subversion.
Take what he says to heart: "there's no chance your company will die or suffer irreparable hard in a week."

Or put it another way: If you taking 1 week vacation to heal your spirits leads to the demise of the company, it means that it wasn't viable in the first place. Is what you've built really that fragile that it can't take a breather for one single week? I doubt it.

Take at least a week off, and come back rejuvenated. You're worth more to your company well-rested and in the right frame of mind rather than burnt out and ineffective.

I would like to point out meditation. I got started with meditation because someone recommended it as cure for burnout here on HackerNews and I feel like I need to return the favor. Meditation is like taking a week off compressed into 30 minutes. The idea is that you do nothing for some time - not even think. I know it sounds wierd, but if you do it corrrectly you fell more balanced, less agitated and happier in general afterwards. You will get a fresh view on your problems and be able to put them into perspective. Just like taking a week off meditation won't fix your problems for you, but it will get you into the right mindset to do so or for accepting that curtain things can not be fixed.

There are different kinds of meditation, but I am talking about mindfulness meditation in the Buddhist tradition. When people hear the word meditation, they often associate it with some kind of new age non-sense. This kind of meditation has nothing to do with that. It also does not require to convert to Buddhism either. If you are interested I would recommend the book Mindfullness in Plain English. It's also available for free as an e-book on the internet.

I'm the kind of guy who would immediately think of meditation as some hippy activity, but i've actually found my own way that works for me which is to go and do a repetitive task that required no brain power, it helps clear my mind and makes me much more productive.
You've found your own form of meditation ;-)
That's actually what meditation is mostly about. With a breathing meditation, you just pull your focus back to your breath every time you get distracted. That's it. All the stuff about having to close your eyes, or sit with your knees behind your head while a guru throws a bucket of water at you is just dogma. So, funnily enough, you already do meditate.
I signed up so that I could post that I strongly agree. I'm the CTO at a startup that depends way too heavily on me, and I use Tai Chi to stay sane. Tai Chi is about a lot of things but the part that keeps me sane is the meditative aspect of running my body through a "program" of movements, which requires a specific amount of attention. If your mind wanders during a Tai Chi form then you'll screw it up. And if you focus too MUCH then you'll also screw it up. So Tai Chi becomes a tool for practicing the mental state known as "flow".

Aside from it being a form of moving meditation for the mind, it helps the body, especially for a tech nerd. I began studying Tai Chi, I came near burnout partly because my body was always in a similar posture all week. I developed RSI in my neck and my shoulder from constantly tensing muscles to use a mouse or trackpad. If I worked through a weekend, or two in a row, then I might spend 20 or 30 days in a row with my shoulder tight. Tai Chi is not intense exercise, but it moves all of your muscles through their full range of motion. Simply having that "program" that I can run with my body eliminated my RSI. Even though I still have to spend way too much time at the keyboard.

Nice timing with this post. Yesterday my thumb was twitching uncontrollably for half the day due to what looks like RSI and I was wondering what my options were. Thanks for the tip!
Don't forget, there's an element of focus in meditation, though. Just doing a hobby, while beneficial and relaxing, isn't really meditation... unless your focused on what's happening in the moment while you're doing it.

The everyday experience closest to meditation is probably when you're in the zone while doing something athletic.

Cooking and washing dishes work for me. My wife loves it.
I used to hate doing dishes, but now that I'm full-time freelance I love it. I get to listen to podcasts, take a break from work and do something mindless that needs doing. Ditto for going to the grocery.
Sometimes I wonder, can't exercise, for example, going for a run outdoors, or even just working out with weights, be a form of meditation? This assumes that you are in good enough shape / have exercised long enough to where its basically routine, you hardly have to think while you're doing it, so you can just let your mind go blank. I think this is part of the appeal for exercise for me sometimes, I find that if I have 30 minutes to spare I like to do something active rather than quietly meditate.
* Workout like a horse. Best cure for depression, ever. The feeling I get when running is so liberating that it usually manages to alleviate 99% of the mood problems.

* Sleep like a rock, when you get the chance. Lack of sleep, among alcohol abuse are the most common causes of depression (at least from my personal observation)

* Hang out with friends, family as much as possible, when you get the chance. They'll constantly remind you why you work so hard. Also try to explain them why are you doing certain tradeoffs in your relationship with them.

* Swallow a boatload of Magnesium + B6. IMHO it's the biggest source of happiness one can buy for little money. It keeps your stress levels in control and your heart condition in shape.

* Meditate. I cannot stress this enough. Constantly talk to yourself when you're alone and seek thoroughly for things that cause distress in your life. Debug yourself. You have to like yourself for others to like you!

* Get a girlfriend that understands you or dump the one that doesn't get it (unless you're already married)

* Get a girlfriend that understands you or dump the one that doesn't get it (unless you're already married)

In that last case, get a divorce?

If she doesn't get it, she's either selfish or you didn't managed to get her to a point where she supports you blindly so you're screwed anyway. So yes, file a divorce for at least one's sake.
As a married guy with a startup, I am not sure I agree with this.

It took my wife a long time to understand what the life of a founder is like and getting here there was equal parts work for both of us. I spent a lot of time and energy in pervious startups making sure she could see what was going on and why it was important. I also made sure she understood why the whole thing is important to me on a personal/life level.

I don't think it's fair to say "she's selfish". She/he is probably more scared, a little jealous, and feeling un-engaged.

There is no decent scenario for a founder where his/her partner supports them "blindly". If you come to know these people, "the other half", you'll probably see that it is the opposite of blind. They see and know everything that is going on and they work their ass off to make sure their husband/wife is still human through it all.

(comment deleted)
Why is the whole thing important to you on a personal level?
My wife spent twenty years as a Hospice social worker.

Some of the homes she went into had a panoramic view of open water. Some were house trailers with an addition consisting of a hole in the wall, a van without rear doors, duct tape and a tarp. Some were worse.

At times it involved getting up in the middle of the night and watching someone die. At times she knocked on the door and found the body. Once it had been feeding the cats. The time she found the lady who had fallen between the toilet and wall and survived four days despite being stuck was probably worse.

She had clients who were suffering the slow debilitation of Alzheimer's, clients who were losing body parts, and clients who were facing death in the prime of their life.

All the while, she had those clients' families. Some were close, some weren't. She told me that death doesn't fix dysfunction.

If we had a dollar for every time I didn't get it, or was selfish, I'd be an angel investor.

What about getting a boyfriend?
Nothing in his post indicates homosexuality.
Nothing in their post indicates heterosexuality.
Nothing in her reply indicates she's a man.
Nothing in his post indicates 'he', either, from what I can see?
Depends on what sort of equity they're looking at getting.

Also, and this is important, do they do node?

(comment deleted)
Care to expand on the magnesium and B6 comment?
B6 (as well as the rest of the B-range vitamins) are pretty effective energy boosters. One of the major ingredients in energy drinks is a cocktail of B vitamins. It's cheap, simple, effective and safe (water soluble, so you just pee out excess).

Furthermore, it turns your pee bright neon-yellow which is hilarious the first time you see it :)

Magnesium deficiency has, in some instances, been linked to depression. I'm not sold on its effectiveness as an over-the-counter treatment, but it probably doesn't hurt either since it is a relatively well tolerated compound that your body uses in a myriad of fashions.

Also, 5-HTP is another common compound to help stave off depression.

"Although vitamin B6 is a water-soluble vitamin and is excreted in the urine, doses of pyridoxine in excess of the RDI over long periods of time can result in painful and ultimately irreversible neurological problems."
Welp, good to know.

So make sure you take a sub-200mg dose of B6 if you plan to take it. I semi-routinely take a B-100 pill, which is 100mg of various B vitamins (including pyridoxine), so just take one of those instead of a monster B6 1500mg pill or something sill.

Talk to your co-founder. It sounds like you're pretty sure that the problem can be resolved by taking a break. Try taking a week off. You're no good to your startup is you're burnt out and unable to work. Not taking a week off to rest now could cost you many weeks in the future.

If you take some time off to rest and you don't feel any better seek professional help. Mental health is just as important as physical health and isn't something that you should feel ashamed about.

Take a complete change of scene for at least two weeks. Go away and spend the time doing something that takes up your attention (rock climbing, skiing, visiting old friends, whatever). This should make you feel human again. Then you can hopefully at least see things in perspective.
Address problems now, while they're still relatively easy to tackle. Leaving them means they will build up and be harder to face.

Adjust your work life balance. This means doing things like (as have been mentioned) getting more exercise and getting better sleep. Both of these will not only help your mood, but they will make you more productive.

You need to talk to your team. Explain what's happening.

You have awareness and insight - you say "despite things going well I'm somewhat depressed" - that's good. Try some cognitive behaviour therapy techniques. A good book is "Mind over mood"; a good website is the Australian "mood gym". You could see a therapist.

Luckily this kind of stress / low mood responds excellently to interventions.

Its interesting, no one told you to quit.

I'd check on sleep deprivation first. Take a week off, sleep 10 hours every night, exercise every day lightly (long walks listening to music are good), read a book. If you do all this and you still think you're at the end of your rope then you need to talk with your cofounder.

You also said it isn't affecting your work yet, but people are smart and social signals are sent without even realizing it. Its impacting your work already, in little ways, and will only get worse. Deal with this now, don't wait.

Get a break, something that lasts longer than half a day. Go somewhere where you don't have internet, maybe even no phone connection. Knowing that you actually can't do anything really helps me to wind down and relax. It still needs a day or two, but it's worth ten times as much as a day where I'm supposed to be off but I can constantly check emails and have to actually restrain myself from doing so.
I've been there. Why do you feel burned out?

P.S. If you are my co-founder, take a vacation already. You work too much!

Yes, you can talk to someone. You can talk to me, FWIW. I've been there. Feel free to contact me anytime, email is in my profile.
Redhat, people care about you. Focus on those who take care of you the most. For many of us that is family, but if not family, your friends away from startupland. If not them, we'll help. You never forfeit any option, especially when you keep yourself healthy.
I had a burnout once and continued to work for 6 months afterwards to maximize my unvested options.

The options turned out to be worth a lot, by I couldn't enjoy work for 3 years, so I am not sure continuing to work was a good decision.

In my case the reason for a burnout was personal (relations with my boss) and I suspect that the reason is always personal.

I would distill it to 2 advices: ask yourself the 5 whys about the burnout and don't continue working in this state.

I wish your comment was higher on the page. I would say you made the right choice to keep working for that extra 6 months post-burnout, because post-burnout takes minimally 2 years to recover from if you're going to recover at all. For you it took 3, I would bet those extra 6 months factored in, but I'm assuming you didn't have to worry about finances so much during those three years so it may have been a good tradeoff.

I second the advice to uncover the causes that are pushing toward burnout, because if they are left to fester then burnout becomes inevitable and post-burnout recovery takes even longer. Exercising more isn't going to fix it. A week vacation isn't going to fix it, a month vacation isn't going to fix it, because when the vacation is over nothing will have changed. The best a vacation can do is delay.

I suppose it is also important to find out why are you burning out? Is it the amount of work? Is it something your co-founders do or something that didn't turn out as expected?

I suppose there are several reasons why someone can burn out, and as well as getting some rest to clean the mind it is also important to find out why that's happening. Otherwise it would happen again.

My first and best manager I had, once told me, that jobs are a bit like relationships, the more you try different ones the more you find out what you _don't_ like. I have found that to be a great piece of advise. So I guess my advise to you would be find out what it is not working for you. Talk to someone outside the whole situation that can have a clear picture of what's happening to you, either a therapist, an old pal or just a family members I guess would be able to help you.

I hope this helps :) I have been there and I was miserable for family and friends.. but having them close to me was a huge help to get back to my old self once again :)

S

Check out Leo Babauta: http://zenhabits.net/ Lots of great posts about creating habits everyone is suggesting, like sleep, rest, meditation, to find balance and letting go of stress.
zenhabits is definitely a resource everybody should turn to. I've been practicing some of the advices I've red there and I can say that the outcome was very positive for me.
Get out of the situation NOW, before the damage is too big to handle. Take a week break and go somewhere far from email and phone, and use the time to think how to restructure your work so it doesn't happen again when you get back. You need serious restructuring and lots of delegation. Nothing is more important than your well-being, and your company will suffer more in the long run, if you're down.

Daily exercise helped me, try getting your pulse up, if you do this regularly you will get much better mood, more energy and things will lighten up.

Talk to your co-founder and tell him that your startup's current schedule is unsustainable. Depression, irritability, and resentment are not positive qualities in producing working code or customer engagement. Make such changes to your work environment as are required like the responsible adults you are.

Personal life hacks:

1) All the folks telling you that diet and exercise will magically make things better are actually right in micro scale. (You can't pushup your way out of being a salaryman but it is very hard to not get a QOL boost from reguar exercise.) Blew my mind to experience this since I had always assumed it was social signaling.

2) Your startup will always send signals that it really needs you. Consider making a commitment to maintaining family/friendship/church/whatever ties so that you can maintain perspective on how much the bat signal going off really matters.

3) You'll tend to end up like the folks you hang around with. If you steep yourself 100% in startup culture, you'll tend to pick up its cultural pathologies. I mean, do your five closest friends all overwork? That might be why seeing half days off as a luxury item became your new normal. Consider reconnecting with old friends or broadening your social circle.

#3 is such a biggie. I was a Marine for 10 years, steeped in those rich, deeply ingrained cultural pathologies. It wasn't until I started making good friends outside of that culture that I realized how insane some of my life habits really were. It just so happened my new friends were programmers.
I suppose the farther you get from something, the more absurd it will seem.
That's interesting. Give some examples of Marine Corps cultural pathologies.
Honestly there's almost too many to name.

edit: Ok, well prominently there's the "zero defect mentality" that was supposedly eradicated from the military in the past 20 or 30 years but is still very much present. Obviously this varies from command to command, but... anyway that's probably more big-picture than you're thinking of.

One small way (small as in every day life for people not big Marine Corps issues) is this notion I'd guess I'd describe as "maximal accountability" for your actions. Which is good up to a point but when coupled with the zero-defect thing, tthen suddenly you're living a life where there's no such thing as "not a big deal."

This also translates into being treated like a child when you're not in a combat zone, with curfews, checking in, signing in and out on your own personal time, and so forth. I get why it happens but as a 30-year-old guy when I got out, I was getting a little too old to be THAT accountable to someone else.

Ironically, when it came to my professional life as a Marine (all easily verifiable btw if you google my name in case you're wondering if I'm another poser) there was no simpler time than being in Iraq or afloat. Bullshit levels were at a minimum because there were real things to accomplish. That's coincidentally why I love being a programmer. :)

Pretty please... just a couple.
Then write about a few.
From an outside observer it seems that "zero defect mentality" has a negative influence on reporting and treatment for PTSD.
Heavy drinking? Dubious attitudes toward women? Lionizing lack of sleep and getting shot at?
> Your startup will always send signals that it really needs you. Consider making a commitment to maintaining family/friendship/church/whatever ties so that you can maintain perspective on how much the bat signal going off really matters.

These signals are dangerous, because you can always find something that needs to be done. In fact, those somethings almost always find you, and it's hard not to deal with things as they come to you, even if that means from when you finish supper until two hours after you should be in bed.

Most of those things don't need your attention, at least not immediately. Set yourself working hours, stick to them. The mantra you're looking for is "quality (of work) over quantity (of time)". If you can't get everything you think you should do in 40 hours (or 50, or 60, but whatever number you set yourself) a week, take a moment and see what tasks or responsibilities are wasting your time.

My old boss would come in on evenings and weekends to solder PCBs when we'd get first prototypes in (which wasn't his responsability). He'd throw away an evening with his family and a good night's sleep, and gain what? The prototype could be handed on to the next person a couple hours sooner the next day, out of a multi-month production schedule. (Additionally, it's easier to make mistakes when you're tired or rushed, he was not as suited to do the work as I was, and I missed the opportunity to familiarize myself with the prototype I would be debugging later.)

Don't become so attuned to your company's needs (wants) that you miss out on your personal life or reduce your own value to the company.

In academic biology, it is pretty common to put in stupid long hours and a lot of weekend work. However, we always had a running joke that "weekend work never works".

Basically, that experiment you are running on the weekend - so you can get that critical data a few days quicker - will invariably fail to produce any data at all. It is doomed before you start. We were never sure if it was due to tiredness and fatigue, your mind subconsciously sabotaging you or the angry science gods.

But it never worked. You were guaranteed to waste your weekend doing something that had to be repeated on Monday.

So, I'm agreeing with patrickyeon. Is soldering that PCB board really important right now? Do you really need to run that experiment this weekend?

Totally agree on the life hacks. In fact, consider them essential, not optional.

It can be hard to overcome the inertia if you haven't exercised in a while, but it's ALWAYS worth the time.

Get enough sleep. This should be #1 really - it's more important than exercise, but exercising helps you sleep. Find a way to get 8 hours a day for the foreseeable future and make it a priority. There are lots of ways to deal with insomnia, feel free to email me (see profile).

Eat right - good food, fruit & vegetables, nuts, the usual. Don't overeat, go hungry, or stuff yourself on junk food & stimulants.

Finally, make regular plans to do social/physical activities and commit to having the REST OF THE DAY off, whether it's on a weekend or a weekday evening. Your worries (and gadgets, emails, etc) should be shut off and locked away until you wake up the next morning.

I'm doing a startup and I've gone through some really rough times, like going for 5 days without sleep because of anxiety due to cashflow problems. My wife gave me sleeping pills (she's an M.D.) and was generally supportive. I didn't get professional help from a psy*. It passed in 2 weeks. I learned a lot from the experience and grew as a person. I have faced similar situations since and now can handle them without losing sleep.

I would recommend to take some time off and _travel_, ie. active vacationing. If you just sit around at home that's probably no good. Also, if you can't sleep, take some pills.

This may sound odd, but I found reading books from the Dalai Lama also helps to handle issues like this on an intellectual level, ie. remove the negative emotions and just figure out what's bothering you.

http://www.amazon.com/Art-Happiness-10th-Anniversary-Handboo...

If you're startup is doing good, then thank the Hacker News Gods and don't worry!

Best of luck! Cheers =)

PS.: if you need someone to talk to check my profile for contact info.

I take walks :)
I second this. Especially with coding, I've found the answers to my philosophical questions, and my logic quandaries more than a handful of times.

Also, make sure you're surrounded by motivating people, or atleast people that get you thinking. I lack this sometimes in the work environment and it's a drag...

A lot of great advice here. Diet, exercise, sleep, minimizing alcohol, and talking to a therapist are all good advice. Burnout or depression is different for everyone though, and it can be quite complex. Let me propose another angle.

Who was it that said if you can't take a month off without telling anyone you don't really have a business? Yes, yes, I know that a startup is not yet a true business, but one of the most important things in a startup is letting go as you grow. It's very easy to convince yourself that you are absolutely essential, but in reality your job is to build a money-making machine where you are not essential. One cause of burnout is being overworked because you are taking on too much personally. When you build something from the ground up, you have a lot of knowledge that others might not have, which makes it psychologically difficult to delegate, but nevertheless you have to find a way to let people make their own mistakes or your own treadmill will go faster and faster until you flare out spectacularly.