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This video explains "Performance Debt"—a hidden brain shutdown caused by chronic stress, burnout, and overstimulation—and how to recover using neuroscience-backed strategies. Presented by consultant psychiatrist Dr Sanil Rege, this episode of Dr Rege breaks down the biological cost of running on 'dopamine', discipline, and little sleep—and why even high achievers can suddenly crash. 🔍 Chapters: 0:00 – What is Performance Debt? 2:07 – Molecular Debt: Serotonin, Dopamine & Cortisol 3:01 – Brain Inflammation, Microglia & Shutdown Signals 3:51 – Burnout vs Depression: A Crucial Difference 4:43 – PACES™ Model: Track & Reboot Your System 5:36 – Nutritional and Lifestyle Recovery Tools 6:05 – Strategic Pharmacology: When to Consider Medication 7:39 – Identity After Burnout & The Recovery Ladder 8:46 – Final Summary & Takeaways 📚 Key Educational Points for Clinicians & Patients: • Performance Debt is neurobiological, not a lack of motivation. Chronic stress alters dopamine, serotonin, cortisol, and immune signalling. • Burnout is distinct from depression—the desire remains, but the capacity vanishes. This insight helps clinicians tailor interventions. • The PACES Model (Perception, Activity, Cognition, Emotion, Sleep) provides a practical framework to monitor and reset systems. • Targeted pharmacology may be needed when behavioural strategies alone are insufficient. Dr Rege covers practical uses for stimulants, mood stabilisers, and alpha agonists. • Rest is not weakness—it’s recovery. The goal is not just symptom relief, but identity reintegration and long-term emotional recalibration. 🎓 About Dr Sanil Rege: Dr Sanil Rege is a consultant psychiatrist and educator with expertise in psychopharmacology and neurobiology. He is the founder of The Academy by Psych Scene – a leading platform for advanced psychiatric training and CPD education for health professionals. 📢 Like, share, and subscribe to bridge neuroscience and clinical reality. #PerformanceDebt #BurnoutRecovery #Neurobiology #MentalHealth #PsychiatrySimplified #DrSanilRege #PsychSceneAcademy #FatigueRecovery #BrainFog #HighAchievers #PACESModel #CortisolCrash #NeuroscienceEducation Related Videos: 1. Always Tired? Here’s How to FIX the Brain-Based Fatigue Trap • Always Tired? Here’s How to FIX the Brain-... 2. Hidden ADHD: The Real Reason High Achievers Burn Out • Hidden ADHD - The High Achiever… Secretly ... 3. Tired All the Time? Your Brain Might Be Trying to Tell You Something • Tired All the Time? Your Brain Might Be Tr... Relevant Resources: 👉Psychiatry Training: https://www.academy.psychscene.com ADHD Playlist : • Attention Deficit Hyperactivity Disorder (... 🎓RESOURCES BY PSYCH SCENE: 🌐The Academy by Psych Scene: PSYCHIATRY EDUCATION REDEFINED https://academy.psychscene.com/ Revolutionary psychiatry learning. 🌐Psych Scene Hub: PSYCHIATRY TEXTBOOK OF THE FUTURE https://psychscenehub.com/ The Hub is devoted to making you a better mental health professional. Our team of academic and clinical experts bring you powerful summaries, videos and interviews in psychiatry and neurosciences. 🌐Psych Interview Online: REAL WORLD SKILLS FOR REAL WORLD SUCCESS https://www.psychinterview.com/ The Psych Interview online courses offer high-quality training to help you improve your psychiatric interview skills through self-study. 🌐Psych Scene Online: THE ONLINE COURSES TO HELP YOU SUCCEED https://ranzcpexams.psychscene.com/ Learn at your own pace with the RANZCP Written Exam prep online courses. 🌐Psych Scene: THE PSYCHIATRY TRAINING EXPERTS https://psychscene.com/ Psych Scene offers specialised training and professional development for Psychiatry Trainees, Psychiatrists, General Practitioners and Mental Health Practitioners. -- 📱SOCIALS Subscribe for weekly videos on Psychiatry and Neuroscience: Facebook: / psychscenehub Instagram: / psychiatry.excellence – 👋 LET’S CONNECT! Follow Sanil Rege on LinkedIn: / sanilrege