illustration of man's profile turning into ashes like paper

You’ve heard of burnout, but may not have heard of compassion fatigue. As more family members become caregivers, more seem to be learning about this term. A heavy workload and never-ending tasks may make you wonder if you’ve developed compassion fatigue. What is it and what can you do about it?

Compassion fatigue is a type of stress caused by caring for others. Although burnout develops over time, compassion fatigue comes on suddenly. In his article “Burnout and Compassion Fatigue: Watch for these Signs,” psychotherapist Dennis Portnoy classifies compassion fatigue as a form of burnout.

“Compassion fatigue is caused by empathy,” he explains. “It is the natural consequence of stress resulting from caring for and helping traumatized or suffering people.” According to Portnoy, burnout and compassion fatigue may overlap.

The American Institute of Stress, in the definition section of its website, describes this acute stress as “vicarious traumatization” because it’s caused by working with those who are suffering from the consequences of a traumatic event. The symptoms of compassion fatigue can be worrisome and include:

  • less ability to function
  • more stress than usual
  • caregiver feels traumatized
  • working harder, getting less done
  • irritability
  • feeling bored
  • more sickness, aches, and pains

When compassion fatigue strikes you and your loved one both suffer. You feel like your life has become a stress mess. Having a few of the symptoms doesn’t mean you have compassion fatigue. Until I found the cause of my symptoms, I thought I had compassion fatigue. I wasn’t functioning well, was extremely stressed, worked harder and accomplished less, was a general grouch, and had two arthritic hips. After my husband and I adjusted our daily routine and I was able to get seven hours of sleep a night, my compassion fatigue symptoms disappeared. It turned out I was suffering from sleep deprivation.

What can you do about this form of stress?

Assess your self-care. If you haven’t seen a doctor in years, now is the time to get a physical exam. Ask your doctor to update your prescriptions because some may be out of date.

Stay physically active. Put regular physical activity on your daily calendar. Walking is the easiest and cheapest form of physical activity. A fifteen-minute walk, short as it is, can boost your spirits.

Try deep breathing. Also called diaphragm breathing, this technique can help to reduce stress. The technique is difficult at first, but the more you practice it, the easier it becomes.

Check your support system. Fill in any gaps that you find. Put a list of emergency phone numbers on your cell phone or by your landline phone.

Join a caregiving support group. This could be a hospital group, church group, or online community. Attend several meetings before you make a membership decision.

Include some fun in each day. Take a break and read a magazine, or watch a television program, knit for a while, or call a friend. Sitting quietly may also be fun.

Care for your spiritual self. How you do this depends upon your religious and spiritual beliefs. Ask your church for help if you need it because these are the folks who show up, work hard, and give you hugs.

Follow these steps and you can get rid of compassion fatigue before it starts.

Written by Harriet Hodgson
Rochester resident Harriet Hodgson has been a freelance writer for writing for 38 years, is the author of thousands of articles, and 36 books. She is a member of the Association of Health Care Journalists and the Minnesota Coalition for Death Education and Support. She is also a contributing writer for The Caregiver Space website, Open to Hope Foundation website, and The Grief Toolbox website. Harriet has appeared on more than 185 radio talk shows, including CBS Radio, and dozens of television stations, including CNN. A popular speaker, Harriet has given presentations at public health, Alzheimer’s, caregiving, and bereavement conferences. Her work is cited in Who’s Who of American Women, World Who’s Who of Women, Contemporary Authors, and other directories. All of Harriet’s work comes from her life. She is now in her 19th year of caregiving and cares for her disabled husband, John. For more information about this busy author, grandmother, wife, and caregiver please visit

Related Articles

manic pixie dream world

manic pixie dream world

Rayne: Eliza, do you consider yourself mentally ill? Eliza: Rayne, at one time, I would have said I am extremely mentally ill. I no longer say that....

Popular categories

After Caregiving
Finding Meaning
Finding Support

Don't see what you're looking for? Search the library

Share your thoughts


  1. Definitely had this!

  2. Great article!

  3. Absolutely!!! Empaths feel this all to often. Great article.

  4. Seven hours sleep ?? I wish.Mum’s been gone nearly three years and my sleep is still as it was when we were caring for her.I guess it’s alittle like PTS now …God Bless you all ❤️

  5. Yes sadly it’s real, when I feel, I give myself a break away for a few minutes or a few hrs.

  6. Compassion fatigue is caused by empathy,” he explains. “It is the natural consequence of stress resulting from caring for and helping traumatized or suffering people.” So true.

  7. I had this for years. I didn’t know what was wrong with me and even got my thyroid checked multiple times! It’s exhausting carrying all that emotional weight.

  8. Now I know why I’m feeling the way I do.

  9. — Compassion is understanding the lack of understanding,,, which is liberating, not enervating. – <3

  10. Yes. I had to take so many sick days for a cold this month. Usually I don’t get that run down.

  11. Compassion fatigue is REAL!!! There needs to be support groups for care givers. It was EXHAUSTING being a caregiver. I think I would have been better had I had others to talk to.

  12. Susie so sorry people don’t know what it is like to have a loved one so sick it is mentally and physically exhausting. You know you are doing your best don’t listen to any one else.Love you .

    • Love you my sister! The hurts I’ve had just keep coming. I’m tired, very tired. Seems the things breaking down, here at home, are just piling up. So, I keep getting down more.

  13. Six years of caring for my brother in law and husband with dementia, I’m exhausted!
    What hurts worse is when a clueless family member tells you that the reason my husband is so bad is because I had him work more hours at his job for 33 years, so I could have my “pretties!” That was very ignorant. What hours my husband worked were required by his employer. I worked, like a man, hard at home doing my husband’s chores, and also worked years at jobs myself!
    I’m worn out, but I will care for my husband until the end.
    I’ve had the physical and had my meds prescribed, take tiny breaks, respite days provided by the VA, cna in each day for two hours a day, except Sunday, but the sleepless nights really gang up on me. Wish I had more care to help me. Guess I’m blessed more than others!

  14. Without a doubt I’ve had this.

  15. Whatever it is…. I am sure I have it!!!

  16. I know I have it. I’m tired everyday!!

  17. I have it. People and pets need to stop dying. I slept all day Thursday while on vacation from compassion fatigue. I’m an empath, so I feel everything others around me feel. I am exhausted.

    • There’s a whole lot of us struggling ❤️

    • Me too & I can’t do this kind of work no more …. I can’t care anymore 🙁

    • I am an Empath also. It’s exhausting. We feel everything they’re going through

  18. I have read endless articles on what to do to keep myself strong. But there’s no time left to do this. It is unrealistic as all hell. No one cares about me and my loved ones. No relatives, no respite, no social services, no NOTHING.

    I won’t give up on my loved ones but there will come a time when my body and spirit just give out. There is no self-help that will mitigate overload with no break. Good luck to you all who have access to resources and help. I’ve resigned myself to my fate.

  19. Its definitely a real experience…like burnout.

  20. Very interesting and presumably helpful information

  21. That’s me.


  23. Thank you Harriet. You seem to assume caregivers are female with your “Include some fun” suggestions… Maybe I Should take up knitting!

  24. Thank you for reading my article Karen. Please watch for my family caregiving series, published by WriteLife in Omaha, Nebraska. The first two books come out in the fall. They are the Family Caregiver’s Guide, release date Sept. 7th, and Affirmations for Family Caregivers, release date Oct. 7th.

  25. I had never heard of compassion fatigue before but this article was extremely informative. Empathy can be exhausting! I had so much anxiety starting this process (moving in my mom) and I find it so comforting to find so many blogs and books that can help from start to finish. Having a positive support network is key! Being able to ask for help is the only thing that will help prevent caregiving burnout. You have to realize that if you don’t take time for yourself every now and then you are actually hurting the person you’re taking care of in the long run. You don’t want to resent them or get angry when it all becomes too much. This article really reminded me of a book that was recommended to me recently by author Pamela Wilson called “The Caregiving Trap” ( The author is a leading expert in the caregiving industry both professionally and personally and she provides insight for both the caregiver and the recipient in this amazing book. She has helped me to “remove my rose colored glasses” and accept all the challenges of caring for an aging parent so I am prepared for my mother’s declining health, her increasing care needs and the financial/emotional costs involved. I cannot say enough about this wonderful guide. Hope you and your readers will check it out

  26. Thank you Harriet! We have chatted in the past about anticipatory grief. This was also me. Overly compassionate and wanting my husbands life to be so comfortable so he didn’t have to deal with his MS. That I was suffering terribly.

    Since we have chatted. I have made several changes in my life and life style. I do yoga now and meditation. I see a therapist. I go into nature as much as I can. I get massages I have rethought my schedule and structure we had in our home. I am doing much better making changes to take care of myself and not losing myself, morphing as I call it. I have an identity now. It feels good and it is helping my health a lot.

    Thank you for your writings, they help me so much. Have a great day! Marie grace

    • Thank you Marie Grace. I wish you all the best in the days to come.


Share your thoughts and experiences

This site uses Akismet to reduce spam. Learn how your comment data is processed.

Join our communities

Whenever you want to talk, there’s always someone up in one of our Facebook communities.

These private Facebook groups are a space for support and encouragement — or getting it off your chest.

Join our newsletter

Thoughts on care work from Cori, our director, that hit your inbox each Monday morning (more-or-less).

There are no grand solutions, but there are countless little ways to make our lives better.

Share your insights

Caregivers have wisdom and experience to share. Researchers, product developers, and members of the media are eager to understand the nature of care work and make a difference.

We have a group specifically to connect you so we can bring about change.