# Ep 43. Anxiety in High Performers: Dr. Dimitrios Tsatiris on Boundaries, Burnout and Building a Healthier Relationship with Success Page: https://stenobird.com/podcast/success-reimagined-with-amna-shabbir-md-7213595/ep-43-anxiety-in-high-performers-dr-dimitrios-tsatiris-on-boundaries-burnout-and-building-a-healthier-relationship-with-success Text version: https://stenobird.com/podcast/success-reimagined-with-amna-shabbir-md-7213595/ep-43-anxiety-in-high-performers-dr-dimitrios-tsatiris-on-boundaries-burnout-and-building-a-healthier-relationship-with-success.md Podcast: [Success Reimagined with Amna Shabbir MD](https://stenobird.com/podcast/success-reimagined-with-amna-shabbir-md-7213595) Published: 2025-12-15T00:00:00+00:00 Episode link: https://share.transistor.fm/s/a96c4389 Audio file: https://media.transistor.fm/a96c4389/1c0b2b47.mp3 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/success-reimagined-with-amna-shabbir-md-7213595/episodes/ep-43-anxiety-in-high-performers-dr-dimitrios-tsatiris-on-boundaries-burnout-and-building-a-healthier-relationship-with-success Duration seconds: 2035 ## Resource Anxiety is not a flaw in high achievers. It is often a signal that the way we pursue success needs to be reimagined. In this powerful and deeply insightful conversation, psychiatrist and author Dr. Dimitrios Tsatiris joins Dr. Amna Shabbir to break down what anxiety truly is, why it affects high achievers so intensely and how the five habits of ambition silently fuel overwhelm, guilt, comparison and self neglect. From difficulty saying no and toxic self reliance to social comparison, lack of presence and tying self worth to achievement, Dr. Tsatiris explains how these patterns form and shares practical strategies to break the cycle. He also explores perfectionism, hedonic adaptation, hosting anxiety, physician burnout and what it means to redefine success in a way that protects mental health and strengthens relationships. If you have ever felt guilty setting boundaries, struggled to ask for help or lived on the treadmill of accomplishment, this episode offers clarity, compassion and a roadmap for healthier and more sustainable achievement. Episode Takeaways Why anxiety is a normal human response and not a personal flaw The three components of anxiety and how they show up in daily life How guilt fuels burnout and prevents high achievers from saying no Why self reliance becomes toxic and increases overwhelm How social comparison distorts reality and damages self confidence Why presence is challenging for ambitious individuals Hedonic adaptation and why the high of achievement fades quickly How perfectionism creates suffering for us and those we love What it means to redefine success through relationships and wellbeing About Our Guest Dimitrios Tsatiris, MD is a board certified psychiatrist who specializes in the intersection of mental health and achievement. His Psycholo… ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/success-reimagined-with-amna-shabbir-md-7213595/episodes/ep-43-anxiety-in-high-performers-dr-dimitrios-tsatiris-on-boundaries-burnout-and-building-a-healthier-relationship-with-success/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/success-reimagined-with-amna-shabbir-md-7213595/ep-43-anxiety-in-high-performers-dr-dimitrios-tsatiris-on-boundaries-burnout-and-building-a-healthier-relationship-with-success.md` — Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.