Exhausted but wired. Your body is biologically depleted, yet the internal engine refuses to turn off. Sleep brings no restoration. You perform competence while running on empty. The things that once brought meaning now feel hollow, and you cannot locate the version of yourself that cared.
What SOMA Offers
Widening the Window of Tolerance
SOMA offers specialized neuro-informed care designed to systematically widen your window of tolerance (Ogden) and transition your system out of chronic survival states. Burnout is not a productivity problem. It is a nervous system problem, the result of sustained activation without adequate recovery.
Chronic stress and burnout dysregulate the hypothalamic-pituitary-adrenal (HPA) axis, disrupt sleep architecture, and create a feedback loop in which the nervous system loses its capacity to return to baseline. Standard rest does not resolve this. Targeted nervous system intervention does.
SOMA's approach addresses burnout at the biological, psychological, and relational levels simultaneously, using Polyvagal Theory (Porges) as the primary clinical map for understanding and restoring your autonomic capacity.
Burnout recovery is not about doing less. It is about restoring your nervous system's capacity to cycle between activation and rest.
Who This Is For
You may recognize yourself in more than one of these.
You are high-achieving and have been operating at maximum capacity for so long that you have lost access to what rest actually feels like.
You feel emotionally flat, cynical, or detached from work and relationships that used to matter to you.
Your body is sending clear distress signals: disrupted sleep, physical tension, immune dysregulation, or persistent fatigue.
You have taken time off and returned feeling exactly the same.
You are a caregiver, clinician, executive, or first responder who has given more than your system could sustain.
You want to address the root cause, not just manage symptoms.
Clinical Approaches
Polyvagal Theory Application (Porges)
Window of Tolerance Expansion (Ogden)
HPA Axis Regulation Support
Sleep Architecture Restoration
Somatic Resourcing
Nervous System Preservation Practices
FAQ
Frequently Asked Questions About Burnout & Dysregulation
Why doesn't rest fix my burnout?
Because burnout is a nervous system problem, not a productivity problem. Chronic stress dysregulates the hypothalamic-pituitary-adrenal (HPA) axis, disrupts sleep architecture, and creates a feedback loop in which the nervous system loses its capacity to return to baseline. Standard rest does not resolve this, which is why you can take time off and return feeling exactly the same. SOMA provides targeted nervous system intervention to restore the ability to cycle between activation and rest.
What does nervous system dysregulation feel like?
Many clients describe feeling exhausted but wired: biologically depleted, yet unable to turn off the internal engine. Sleep brings no restoration. You perform competence while running on empty, and things that once brought meaning now feel hollow. You may notice physical tension, immune issues, or persistent fatigue. At SOMA these are read as signs of a system stuck in chronic survival states, and they are treatable with targeted care.
How does SOMA treat burnout differently?
SOMA offers specialized neuro-informed care that addresses burnout at the biological, psychological, and relational levels at once. We use Polyvagal Theory (Porges) as the primary clinical map for understanding and restoring your autonomic capacity, and we work to systematically widen your window of tolerance (Ogden). Recovery here is not about doing less. It is about restoring your nervous system's capacity to move between activation and genuine rest.
What is the window of tolerance in burnout recovery?
The window of tolerance (Ogden) is the range in which your nervous system can handle stress and still return to baseline. Sustained activation without adequate recovery narrows that window, which is the physiological heart of burnout. SOMA's work systematically widens it again, using somatic resourcing and HPA axis regulation support so your system regains its natural rhythm between effort and recovery.
I am a caregiver or executive running on empty. Can SOMA help?
Yes. SOMA often works with high-achieving caregivers, clinicians, executives, and first responders who have given more than their systems could sustain. If you have operated at maximum capacity for so long that you have lost access to what rest feels like, or feel flat, cynical, and detached from work and people who used to matter, this is exactly the pattern our burnout care addresses at the root rather than at the symptom level.
Do you offer burnout treatment virtually in Florida?
Yes. SOMA sees adult clients (18 and older) in person at our Coral Gables office and virtually by telehealth. We are licensed to provide telehealth to residents of Florida, New Jersey, Pennsylvania, Texas, and New Mexico. SOMA is private pay and out of network. We can provide a superbill for possible out-of-network reimbursement, and HSA and FSA funds are often eligible. Rates are shared during your consultation.