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I can totally relate to this John. Before my second burnout I was in a high profile project, and one of the key people there. As I hit the wall, people had a hard time believing me, as if I was making this up. "You left the project at crunch time, that's not fair to the team". Some people to this day still think I was traitor. I was even fired for this, although they didn't explicitly say it, because it would have been illegal.
"We couldn't see that your had any problems". "It was not showing on you, you looked just normal". Funny how people suddenly become expert psychologists when something like this happens, and disregard my early warnings as laziness. I have never met a person who works harder than me (and that's of course part of the problem).
The last day I worked, I couldn't even put letters together to form words anymore. I would see b, o, o and k, but could not compute that it said "book". Then followed nine months of rehabilitation before I was somewhat ok again. No need to feel sorry for me personally, I'm happy right now. But I wish that other people afflicted with this are taken seriously.
Bjorn
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Hi Bjorn, thanks for your reply.
I think that what all enthusiastic programmers must realise is that you have to plan your own rehabilitation and do it your own way. It is very difficult to do this as an employee because superhuman efforts are not recognised (are even resented) and daily drudge is required relentlessly.
The only time I have felt decently paid and decently treated is on short term contracts of 3 to 4 months with a specific goal for which I have taken personal responsibility. The saying of contractors is “Take the money and run” but it is more like “Perform the miracle and run” and that suits me. Workplace environments are typically so dysfunctional that any success simply breeds suspicion and resentment. I have found that the certainty that my stay is not permanent leaves everyone concerned a lot more comfortable.
I have just finished 8 years of permanent employment in Spain. Despite some very successful projects it finished badly. I think they were becoming uncomfortable about the inevitability of having to give me credit for what I had done. Now it is time for my rehabilitation and I am looking forward to it.
I do think that regular office bound employment is no place for a good creative programmer.
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What the others said: self-employment.
That; and Zen Buddhism: thoughts are only thoughts; obsessing over them is where the problems start. You are not your thoughts.
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Backpacking. This allows me to go where Verizon doesn't. 
Seriously though, in addition to Backpacking I really do turn my cell phone off every few weekends and just take a me day. I garden to relax.
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It may be medical Bjorn.
I started getting similar symptoms to you (not the ants on the forehead tho) and "self-diagnosed" sleep apnea, and had tests done. Sure enough, it was.
You can't cure it, but you can minimize the symptoms dramatically with drugs and devices.
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Strangely, I have never had problems sleeping, even in the burnout periods. So I don't think this is the case for me.
But out of curiosity, what medication has helped you? Sleeping pills?
Bjorn
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Well, its a bit technical. I thought I was sleeping well. My wife complained that I snored. Who doesn't snore?
But that snoring is actually an artifact of the apnea giving me dozens of, basically, very small heart attacks each night. In the morning I would awake exhausted.
It is caused by the collapse of parts of the airways (mostly the back of the tongue) when your body "relaxes" on falling into sleep.
I wear "clackers" at night. Like mouthguards for sports, except they keep your lower jaw in a forward position, to stop the tongue flopping back.
And I have a monitor on the back of my neck that vibrates (just like a cell phone) when I roll onto my back (which is the "most harmful" position). It also keeps a log of brain activity and stuff that the doctors like to see.
And during the day I take Modifinal, which cures the mental fog amazingly well.
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I haven't suffered a burnout as such and I don't have the physical symptoms you have but I regularly become stressed through my work patterns unless I monitor it carefully. I have pattern of staying at the keyboard (i.e. don't leave the seat) working on a single task all day if not interrupted. I almost always end up staying back in these cases so I can work undisturbed. Doing this over multiple consecutive days invariably results in getting physically run down. This didn't used to be the outcome, but now I'm 47 about 2-3 weeks of this is all it takes before I come down with some kind of illness.
The big problems with this:
* like most people my actual productivity plummets when I work in this mode
* when I have the most to do (ie under the most pressure) I am least likely/able to break out of it
At the micro level I found the Pomodoro technique very, very useful. It helps me get focus and makes it easier to manage my time before I get into "hyperfocus mode". As above, when I most need this I am least able to make myself enforce it, but it helps.
At the macro level:
* walking the dog at least 5-6 days a week. I do it in the mornings before work. The dog needs to get out, and 20 mins daily exercise drastically changes my outlook.
* meditation has had a major change in my outlook. Again the challenge is putting aside the time and keeping it regular, but it's greatly enhanced my ability to keep my life in balance.
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I'm also 47 and I can relate to your description of getting "hypnotized" and focusing on one thing too long. I used to do that a lot, and when you have a perfectionist mindset its hard to not do it. But I break way from those sessions nowadays.
I only work 4 hours a day, have my own business, and only take projects that I like. It is the perfect setup, but I'm still f*cked up in the head. If believed god existed, this would be the sign from him that should be in a different business.
Bjorn
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Bjorn, if you only work 4 hours a day then you can't be very exited about the work you are doing. This is another issue. If in pursuit of avoiding burnout you deny your own creative urges then that will also hurt. When in create and construct mode I often work long hours for several days because you have to put a lot together before you can test your design and you want to do this quickly. This is not burnout, it is a much needed release of creative energy that leaves me feeling well. I have not driven myself hard I have just not been able to resist taking the next step on the adventure. It is like reading a good book. Any fixed timetable will prevent me from having those creative binges and also deny me the opportunity to recover from them. I know full well that I can't work like this all the time. You can't spend all your life reading good books either.
It sounds like you have made a correct and decisive decision to avoid burnout. That is good especially if you have a family. I am only suggesting that you have work days and relax days rather than doing a regular bit each day. I find that the only rhythm that works for me is the rhythm that happens. I enjoy several days of working and I enjoy several days of not working.
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I have found this particular magazine's article to be relevant, and would be useful for you:
Visit www.jw.org ; go to the magazines section, look for and read/download the September 2014 Awake. That issue of the magazine deals with the topic you raised.
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Hi bjourn, I found d direct link.
www.jw.org/en/publications/magazines/g201409/
Wish you the best.
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My post is in regard to your symptoms, rather than the concept of burn-out. I often have the same feeling: a feeling of mental dullness and a vague sensation of a fly walking on my head. I haven't seen a specialist about it yet, but in my opinion it is from lack of blood flow to my brain -- a lack of glucose and oxygen and a build-up of the byproducts of metabolism. A drink of water, eating, exercising and deep breathing seems to help, as does meditation or doing an activity that uses a different part of my brain -- something involving feeling and movement rather than reasoning. I know that I tend to have low blood pressure, and I believe that is a factor.
I found a book in the library that you might find interesting. It is titled "Preventing Alzheimer's" by William Shankle and Daniel Amen, published in 2004.
Good luck.
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Visual Studio 2010 on my laptop has suddenly developed a major problem. I don't mind stopping debugging to edit a line of code, but now have to close VS completely to restart the solution!  Otherwise, F5 is useless, giving an error message that the file is being used by another process!! If I could just write perfect code the first time, this wouldn't be a problem, but I'm not that good...yet! Good thing it's almost time to quit! 
"Go forth into the source" - Neal Morse
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Format C:
If your actions inspire others to dream more, learn more, do more and become more, you are a leader.-John Q. Adams
You must accept one of two basic premises: Either we are alone in the universe, or we are not alone in the universe. And either way, the implications are staggering.-Wernher von Braun
Only two things are infinite, the universe and human stupidity, and I'm not sure about the former.-Albert Einstein
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Thanks! It is about 50% done now...that may just do the trick!
"Go forth into the source" - Neal Morse
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ahmed zahmed wrote: Format C:
format c: /q /y
quick format without user interaction.... And why don't we have an evil maniacal laugh icon?
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I get that when I'm debugging a .net component that loads a C dll like hunspell. I wish I had a fix because it is a complete PITA when I make changes to that component.
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Did you try turning it on and off again?
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That can happen sometimes. Turn off Visual Studio hosting (vshost) when debugging.
Regards,
Rob Philpott.
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Thanks Rob, that did the trick! 
"Go forth into the source" - Neal Morse
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If you want vshost on while debugging, just everytime you run it, open task manager and close/end "solutionName".vshost.exe under processes before the build completes.
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I wonder..., after Windows 9, will Microsoft release Windows A?
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What'r'ya? Canadian? 
If your actions inspire others to dream more, learn more, do more and become more, you are a leader.-John Q. Adams
You must accept one of two basic premises: Either we are alone in the universe, or we are not alone in the universe. And either way, the implications are staggering.-Wernher von Braun
Only two things are infinite, the universe and human stupidity, and I'm not sure about the former.-Albert Einstein
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You betcha!
"the debugger doesn't tell me anything because this code compiles just fine" - random QA comment
"Facebook is where you tell lies to your friends. Twitter is where you tell the truth to strangers." - chriselst
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