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Work. Returning to work after burn-out: what the HAS recommends

Going back too fast risks relapse. In October 2025, France's Haute Autorité de santé updated its chapter on returning to work: pre-return visit, workstation adjustments, regular follow-up.

Going back is a stage of recovery, not the end of the road.
Illustration · Going back is a stage of recovery, not the end of the road.

After sick leave for occupational exhaustion, the return is a delicate moment: fear of colleagues' looks, accumulated workload, dread of falling back into the same mechanisms. The Haute Autorité de santé devotes a chapter of its burn-out recommendation to this, updated in October 2025 to reflect regulatory changes to the pre-return visit (page updated on 1 December 2025).

Do not go back too early

Reporting on the update, Santé mentale.fr mentions a gradual return, possibly part-time, but not too early, and describes rebuilding as a long, continuous process: rest allows recovery, but it is afterwards that one learns to function differently.

Going back is not returning as before: it is returning differently.

The pre-return visit

The HAS recommends a pre-return visit with the occupational physician, at any time during the leave, at the initiative of the patient, their family doctor or the health-insurance medical adviser. It can be repeated. It makes it possible to prepare the return before it happens: adjustments or adaptations of the workstation, and regular follow-up, deemed essential on return. According to Santé mentale.fr, support for the employee, even for their team and manager, is also possible when the occupational physician, human resources and the manager work together, with the employee's agreement.

Preparing yourself

Identify what contributed to the exhaustion, recognise your warning signals, decide in advance what you will not take up as before, know whom to tell if symptoms return. A relapse is not a failure: it is a signal to share quickly with your doctor. You have no obligation to detail your health to colleagues: a simple line is enough.

Preparing the return

  • Ask for a pre-return visit with the occupational physician during the leave.
  • Discuss possible adjustments: workstation, hours, workload, duties.
  • Plan guideposts for the first weeks and regular check-ins with your manager.
  • Identify your warning signals and the person to tell.
  • Continue psychological follow-up if needed.

Every path is unique: these general guideposts do not replace your doctor's or the occupational physician's advice.

This article is for information only. It replaces neither a consultation nor a diagnosis, which is a doctor's role.

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