The first thing to go is the quality of the decisions producing it, and nobody is measuring that. “Notice when you are struggling and take a break” assumes struggling shows up somewhere legible. What executive burnout actually costs, and why the numbers hide itAn engineer produces code. A senior leader produces decisions: what to build, who to hire, when to raise, what to kill. Thoughts of death or of harming yourself are not a point on the burnout spectrum.