Five Ways To Combat Compassion Fatigue

Five Ways To Combat Compassion Fatigue
When Helping Hurts

Earlier this month, I came across a story about how more and more journalists are affected by vicarious trauma after ongoing exposure to graphic images portraying violence and suffering. As a result, many journalists turn to negative coping mechanisms, including social isolation, and some seek care for post-traumatic stress, depression, and anxiety.

As a physician working to end torture and abuse of people and animals, I struggle with similar feelings deepened by negative, vitriolic, and divisive rhetoric this political season. Talking with my colleagues, I realize I’m not alone.

People working on behalf of people and animals can experience a range of physical and psychological symptoms. These include emotional numbing, social withdrawal, insomnia, nightmares, anger and irritability, inflexibility, and cynicism, among other indicators of compassion fatigue – also called vicarious trauma.

Alt text hereCompassion fatigue symptoms are normal displays of stress resulting from care giving.

Caring for the Caregiver

There are many ways to prevent compassion fatigue, and here are a few:

1) Good Self-Care

Physical activity is particularly important to our mental health. It helps boost endorphin levels and better regulate levels of stress hormones like cortisol.

Eating well is also important. “Comfort foods” high in sodium, fat, and cholesterol are problematic since they increase lethargy – making it more difficult to deal with stressors. Alternatively, fruits and vegetables restore energy and nutrients that fuel our brains.

Rest and sleep also reduce depression and anxiety and effectively combat stress. Even slight sleep deprivation or poor sleep can affect memory, judgement, and mood.

Alt text hereMoving your body, eating healthily and sleeping well are all part of self-care.

2) Nature

Evidence shows that nature has many psychological benefits. It can make us happier, kinder, and more creative. It also fosters stress relief and positive emotions.

Evidence shows that nature has many psychological benefits. It can make us happier, kinder and more creative.

Experiencing the awe of nature can even help us make better, more ethical and generous decisions about difficult problems.

Alt text hereSpending time in nature makes you kinder, happier and more creative.

3) Social Support

Meaningful social networks are incredibly important to our mental health. We are more likely to recover from trauma through connection, bonding, and social interaction.


Even fleeting social support can help us thrive. To prove this point, researchers tested college students early in 2001 and again in the weeks following the terrorist attack on the World Trade Center on September 11, 2001. Love and support – even in fleeting doses – improved resilience and protected students from sinking into depression.

This pattern is seen throughout human society – and among animals.

Alt text hereSupport helps you to recover more quickly from traumatic experiences.

4) Healthy Escapes and Hobbies

Music, sports, the arts, and other creative outlets can all help reduce stress, depression, and anxiety.

Music, sports, the arts, and other creative outlets can all help reduce stress, depression, and anxiety.

Many times, these outlets – and other forms of play, relaxation, and escape – lead to inspiring solutions to complex problems. Viewing challenges from a new perspective can help bring important answers to light.

Alt text hereCreative pursuits are an outlet for emotions and can help to heal your heart.

5) Purpose

Lately, I’ve been reminded that hope can be found in the work we do – but it must be balanced with other sources of hope and strength.

Though a sense of purpose can help overcome compassion fatigue, vicarious trauma also challenges our deepest beliefs about the world and our work. Identifying what gives life and work meaning and what instills, nurtures, or renews hope is critical to preventing and recovering from vicarious trauma.

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