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The symptoms of burnout in nurses are as varied as the sufferers. Some people become angry, blowing up or growling at anyone who crosses their path. Some resort to blaming any annoyance, large or small, on external factors. Some become quiet, introverted and isolated, which can indicate the start of a serious depression. Others manifest burnout in nurses by under or overeating or abusing alcohol or other mood-altering substances. Still others may experience a range of physical symptoms, including chronic illness, high blood pressure and frequent headaches. Some people on the verge of burnout actually become obsessive workaholics. Others become chronically late or psychologically absent.