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Simmendiger and Moore suggested a three degree model on burnout. First degree burnout is charecterized by a failure to keep up, complacency regarding status quo and a gradual loss of reality. Second degree burnout is accompanied by accelerated by deterioration, where individuals have problems to sleep and have little energy. They may gain or lose weight. Third degree burnout involves major physical and/or psychological breakdown (heart attack, ulcer, mental illness, most frequently depression (7).