Compassion Fatigue: More Than Burnout

By Elaine M. Romero, LMFT, Owner & Clinical Director of Safe Harbor Counseling Center

Compassion fatigue is more than burnout from long hours or stressful deadlines. It is the fatigue that comes from absorbing the emotional experiences of others.

In some fields you are expected to be "present" with people and their pain. You are called to care, guide, teach, listen, affirm, encourage or inspire. These duties can wear you down. When you spend your days caring for others, especially active children or teens, you can feel weighed down by it.

Doctors, nurses, pastors, therapists, first responders, teachers, parents of young children, parents of children with special needs, and caregivers of dependent adults are all likely to experience compassion fatigue.

Compassion fatigue, sometimes called secondary or vicarious trauma, is the emotional and physical exhaustion that leaves you less able to feel empathy or compassion for others. Even the most dedicated people are prone to it.

Signs and symptoms of compassion fatigue

These can come in waves:

  • Irritability, anger or anxiety

  • Trouble sleeping, such as insomnia or nightmares

  • Feeling burdened by the suffering of others

  • Less fulfillment in your career or life

  • Isolation

  • Physical and mental fatigue

  • Loss of pleasure in life

  • Trouble concentrating

  • Bottling up your emotions

  • Dreading caring for others, then feeling guilty about it

  • Numbness, hopelessness or powerlessness

  • Using alcohol or drugs to cope

  • Poor self-care

  • Tearfulness

  • Denial, which can keep you from recognizing the problem and getting help

How to prevent and cope with compassion fatigue

The number one way to prevent or cope with compassion fatigue is knowing that it exists! Learn to recognize it and name it. Think of these symptoms as data, signals telling you it is time to find more balance.

  • Recognize it. Admit to yourself when you are suffering.

  • Give yourself permission to be human too.

  • Practice self-care: exercise, sleep, good food and rest.

  • Break out of your "box." Change up your routines and go on adventures.

  • Get into nature. Time outside can help you reset.

  • Protect your personal time. Schedule time for peace, joy and fun.

  • Set boundaries. Learn to say no and know your limits. Christ is our model: "Let your yes be yes and your no be no" (Matthew 5:37).

  • Practice containment. Use visual markers, such as a tree, a statue or prayer, to set down what you carry.

  • Try mindfulness. Breathing techniques, or RAIN: Recognize, Accept, Investigate, Nurture.

  • Talk it out. Share with colleagues or peers who support each other, or join a support group.

  • Get professional help. A counselor can help you recover and find balance again.

Counseling for caregivers and ministry leaders

Caring for others is a calling, and it can wear you down. At Safe Harbor Counseling Center, we offer individual therapy for helpers of every kind, including confidential support for pastors and ministry leaders. We see clients in person in Old Town Temecula and online anywhere in California.

Request an appointment

Call 951-252-8411 with questions, or explore our counseling services.

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