Is Today's 21st Century Burnout 19th Century's Neurasthenia?Lipsitt, Don R. MDThe Journal of Nervous and Mental Disease: September 2019 - Volume 207 - Issue 9 - p 773–777 doi: 10.1097/NMD.0000000000001014 Clinical Controversies Buy Abstract Author InformationAuthors Article MetricsMetrics This essay addresses the relevance of the concept of “burnout” to concerns about the mental and physical health of today's physicians and those training to join the medical profession. Comparisons are made with the diagnosis of neurasthenia in the 19th century. Social contributors to and the influence of stress on the phenomena in each instance are presented. Cambridge Health Alliance, Harvard Medical School, Harvard University, Cambridge, Massachusetts. Send reprint requests to Don R. Lipsitt, MD, Cambridge Health Alliance, Harvard Medical School, Harvard University, 83 Cambridge Parkway Unit W1202, Cambridge, MA 02142. E-mail: Don_lipsitt@hms.harvard.edu. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.