Physical symptoms may include, but are not limited to: insomnia, increased illness, loss of appetite, and chronic fatigue. Psychological symptoms are symptoms of depression, guilt, feelings of worthlessness, anger, tension, isolation, pessimism, and anxiety (Carter, 2013). The APA (2007) found that approximately half of Americans say that stress has a negative impact on their professional and personal lives, 1/3 of Americans have difficulty managing work and family responsibilities, and 54% of Americans said he has noticed a correlation between increased stress causing them to fight with those who are intimately close to them. Additionally, 8% of Americans link job burnout as a cause of divorce or separation. Difficulty falling asleep at night due to stress affected 48% of Americans, and over 50 million prescriptions for sleeping pills were filled in 2008. Burnout appeared to cause harm to at least 3/4 of American workers. By comparison, the leading cause of death from heart disease (which covers all heart problems combined) causes one in four Americans, or 25%, to die (Center of Disease Control and Prevention, 2015). Burnout can lead to cardiovascular problems and people are rallying against it