Compassion Fatigue

May 10, 2024

Disclaimer:  
This post may contain sensitive topics related to mental health. We understand that everyone experiences these discussions differently. If you or someone you know is experiencing suicidal thoughts or a crisis, please reach out immediately to Lifeline Australia on 13 11 14.  

After her friend died, Vicki says she continued to ‘jump into action’ every time someone close to her needed help. That’s when she confessed to compassion fatigue. She felt “weighed down, tired and sad”, she said after taking care of so many loved ones.”  

“Finally, she rightfully asked herself, “How much more could I do without getting even more tired and sad?”. 
Compassion. Originally derived from Latin, its literal meaning is: “to suffer together”. Nowadays, we know compassion as being the driving motivation to relieve others of their suffering.  Where compassion is the desire to step forward and help others, empathy is the ability that enables individuals to understand and feel the emotions of others.  

In the world of healthcare, both emotional responses are key aspects in their patients’ key recovery (Attree 2001). However, sometimes being exposed to extended hours of trauma and distress can strain the emotional capacity amongst frontline workers to help others and sometimes, even themselves. 

Being a caregiver can be immensely rewarding and provide a sense of meaning and purpose found in no other professions. However, this gratification can often come with a pretty heavy ‘cost of caring’, commonly known as compassion fatigue. In professions where empathy and caring for others is at the core of the practice, compassion fatigue has been recognized as a prominent occupational hazard. 

What is compassion fatigue? 
Compassion fatigue can be explained as being the feeling of impassive detachment and can affect cognitive functioning. The repetitive exposure to distress and the anticipation of negative social stimuli experienced amongst caregivers can inhibit the uptake of oxytocin.  

The reduction in oxytocin poses challenges to social cognitive processes and expression of empathy and sympathy towards others. 

Additionally, the exposure to secondary trauma can destabilise emotional valency. The overwhelming emotions subjected towards trauma can impair the decision-making abilities and emotional regulation of first responders. As such, this can hinder the quality of engagement between the patient and the caregiver.

Nurses have arguably one of the most demanding and time-consuming responsibilities. They are expected to provide daily assistance to both patients and their families all the while being exposed to high levels of trauma, loss, and grief. Unfortunately, these factors can leave nurses and first responders vulnerable to compassion fatigue.  

Signs of compassion fatigue 
Signs of compassion fatigue are broad and vary. It’s important to try and keep track of your mental and physical health and address any warning signs before they develop into more serious issues.   

Some key signs of compassion fatigue include:  
  • Feelings of depression or anxiety   
  • Chronic exhaustion and trouble maintaining focus   
  • Questioning the purpose of life and losing interest in all/most activities   
  • Insomnia or recurring nightmares   
  • Poor self-esteem and increased pessimism  
  • Poor Life/Work Balance  
  • Guilt  
  • Hypersensitivity or complete insensitivity to emotional material  
  • Strained Interpersonal relationships  
  • Impaired decisioning making  

What are some healthy coping strategies to fight compassion fatigue? 

Set Boundaries   
The importance of setting boundaries ensures that healthy interpersonal and professional relationships are maintained. In this line of work, boundaries act as a safety net and preventative measure which protects those in caretaker roles and the client   

To establish a set of boundaries, frontline workers may ask themselves:  
  • “What do I feel comfortable doing and not doing?”  
  • “What are my strengths?  
  • “Are there things that bother me more than they should?” 
Reach Out for Support 
Talking to trusted friends and family can offer a sense of comfort and lighten the load of burden caused by caregiving. Additionally, conversing with colleagues who understand the pressures of caregiving can offer emotional relief and reinforce a sense of workplace community.  

Alternatively, professional support from therapists and specialised support groups for compassion fatigue can facilitate the creation of positive coping strategies and emotional support. 

Self-care strategies 
To initiate self-care, a degree of proactivity is imperative to enact healthy strategies. By dictating one's own actions, a sense of control over work and life can be found. Time blocking is a proactive time management technique that enables individuals to schedule the periods of the day into blocks. The organisation of work-related tasks and time for self-care practices enables individuals to visualise their work-life balance.  

To target biological symptoms:  
  • Balanced and nutritional diet  
  • Regular physical activity   
  • Routine sleep and sleep hygiene   
  • Engage in hobbies outside of work  
  • To target psychological and emotional symptoms:  
  • Journalling   
  • Mindfulness   
  • Engage in relaxing activities 

Compassion fatigue presents a significant challenge for those in first responder and caregiving roles. Not only are healthcare workers responsible for their patients, but they also have a duty to care for themselves.  

The prolonged exposure to suffering and trauma can lead to emotional exhaustion, detachment, and impaired cognitive functioning. This can negatively impact the way caregivers interact with their patients.  

In light of International Nurses Day, this article aimed to outline the reality of compassion fatigue through the exploration of empathic cognition and morality within nurses. Healthy coping strategies act as preventative and proactive mechanisms which preserve the wellbeing of nurses, through setting boundaries, seeking social support, and practising self-care. To address the adversities caused by compassion fatigue, individuals and organisations should work together to ensure that compassionate and effective care is administered.  


By Julia Tsang and Bella Korotcoff
October 21, 2025
We deeply believe that every wrinkle holds a story, and every grey hair shines with the light of a life well-lived. Each day adds a new shade to the beautiful picture of one’s journey — painted with memories, laughter, love, and the lessons learned through struggle. Aging is not a loss, but a reminder of how deeply we have lived, felt, and given to the world. It is a celebration of strength, resilience, and the quiet beauty that comes with time. Yet, growing older doesn’t mean growing alone — though many seniors quietly face emotional challenges that often go unspoken. Aging, with all its grace and wisdom, also carries its own trials. The natural effects of time — health struggles, social isolation, or loss of independence — can sometimes bring feelings of sadness, uncertainty, or loneliness. But by recognizing and valuing these rich lived experiences, we can offer compassion, connection, and care that uplift the spirit. In doing so, we help ensure that every senior continues their journey with peace, pride, and a heart full of purpose. While ageing is a journey to be celebrated, it’s also important to understand the emotional realities that can come with it. Over the years, Australians aged 65 and over have enriched our communities with their wisdom and resilience. According to the Australian Bureau of Statistics, this vibrant group makes up about 17% of the population, with nearly 9% experiencing mental health challenges like anxiety and depression, excluding dementia. Looking ahead, as this number grows to nearly one in four by 2065 (Australian Government, Department of Treasury – Intergenerational Report), we have a wonderful opportunity to prepare — by expanding support, raising awareness, and building strong connections — so that every senior can continue to live with dignity, joy, and purpose well into the future. Understanding Seniors’ Mental Health: Staying Strong, Connected, and Positive Stay Connected: Join social groups or MHFA support activities. Social interaction lowers cortisol (stress hormone) and boosts oxytocin, reducing loneliness and improving mood and memory. Focus on Emotional Wellness: Practice mindfulness or gratitude daily. This helps the prefrontal cortex regulate emotions and calms the amygdala, reducing anxiety and depression while boosting positivity. Seek Support: Use resources like the MHFA Supportive Mind App, peer groups, or counselling. Early help reduces stress, builds coping skills, and prevents mental health from worsening. Stay Active: Physical activity like walking or gardening releases endorphins and promotes neurogenesis. Mental activities like puzzles or reading strengthen neural connections, improving memory and attention. Routine Health Checks & Nutrition: Regular health check-ups and balanced nutrition are vital. Managing chronic conditions and eating well support brain health and overall well-being. Taking these steps can make a big difference in how seniors feel and thrive. With kindness, understanding, and support, every older person can enjoy life with dignity, connection, and joy. (Data and guidance adapted from the Australian Institute of Health and Welfare, 2025.) A Lived Experience Perspective In my work as a physiotherapy professional, I’ve come to deeply appreciate how closely physical health and mental well-being walk hand in hand. Many seniors arrive seeking help with pain or mobility, but often, beneath the surface, there’s a quiet longing for connection and emotional renewal. Through gentle conversations — truly listening to their stories, celebrating every small step forward, and linking them with caring peer support — I’ve witnessed inspiring transformations. When seniors feel seen, heard, and valued, their confidence soars, their motivation strengthens, and their physical recovery flourishes. These experiences beautifully highlight that true healing is a whole-person journey, embracing both body and spirit. By weaving together compassionate care and emotional support, we empower seniors to rediscover joy, purpose, and hope, no matter their age. Families and carers also play a vital role in this journey — offering patience, companionship, and encouragement that remind seniors they are never alone. The Power of Counselling Counselling provides a safe and caring space for seniors to share their feelings, navigate grief or life changes, and rediscover purpose and confidence. With empathy and understanding, professional counsellors help build resilience, offer coping tools, and open new perspectives for growth. For many, it becomes a gentle reminder that seeking help is a sign of strength — and that emotional well-being has no age limit. Help Is Here — You’re Not Alone At Mental Health Foundation Australia (MHFA), we’re dedicated to supporting the emotional well-being of people from all walks of life through psychological counselling, peer support groups, webinars, and community awareness programs. Our goal is to create a society where every person — regardless of age — feels heard, valued, and supported. Through compassion, connection, and education, MHFA continues to empower individuals and communities to prioritise mental health as an essential part of ageing well. If you or someone you know could use support, MHFA is here to help. Visit www.mhfa.org.au to explore our programs, join a support network, or register for upcoming events. Together, through empathy, awareness, and action, we can make ageing not just longer — but brighter, healthier, and more connected for everyone. Co-authored by Zain Khalid Warraich and Neha Anand
October 14, 2025
Just like we aim to exercise on a regular basis, our wellbeing must also follow a similar regime. Now our brain can be good for a few things, but it may not be as useful if we fail to recognise that we need time to indulge in activities that soothe the mind. This World Mental Health Day, we want to encourage you to notice what makes you thrive. Prioritising your own wellbeing encourages growth in the right direction- being the best version of yourself. Why is mental health important? Reported by the Australian Institute of Health and Welfare (AIHW), about 2 in 5 Australians aged 16-85 (22% or 4.3 million) have experienced a mental disorder. Yet, within 2020-2022, only 17.4% of Australians of this age group saw a health professional for their mental health. Mental health struggles are worldwide, and your wellbeing is challenged at the hands of your daily life. It is important to understand that your body and mind co-exist to shape your social and physical ventures. When struggling with your mental health, your ability to think, feel and act is affected by your current wellbeing levels. Practising healthy wellbeing habits extends not only to how you feel about yourself, but your social relationships with family, friends, colleagues and strangers. It can be difficult to avoid the mental stress in our lives, but with habits that boost your wellbeing, you can build resilience and the confidence to tackle them day by day. 7 Ways, 7 Days A simple and easy way to start prioritising your wellbeing is self-care! You can find below 7 ways to take steps towards bettering your mental health over 7 days. Day One – Journal your thoughts and feelings Journalling your thoughts is a great way to release any stress, tension or energy that is affecting your mental health. It provides a safe space where you can reflect and identify any of your needs you are neglecting and a first step into prioritising your wellbeing. Day Two – Watch the sunset with a cup of tea Something as simple as sitting down and having a cup of tea is an easy way to ground yourself and reset after a long day. Acts of self-care do not need to be dramatically planned events, it can be a small thing, like having your favourite drink, where you take the time to consider yourself. Day Three – Create a morning routine Creating a routine and sticking to it can be a great way to help us recharge, manage stress, motivate us to get out of bed and prioritise our happiness and health. An example of a morning routine could be; avoiding screens for the first 10 minutes of your day, treating yourself to a coffee and a five-minute meditation. Day Four – Reconnect with a friend Social connections are key in relieving overwhelming emotions and calming our nerves. Talking to someone that you trust and feel comforted by can feel like a huge weight off our shoulders. You can reconnect with a friend by text, via a phone call and over a coffee to improve both of your social wellbeing! Day Five – Write down three things you are grateful for Writing things down can enhance your mental clarity and boost mindfulness when reflecting on the things that bring you joy and happiness. It gives the opportunity for your brain the recognise the good things in your life, especially if you are experiencing mental hardships. Day Six – Listen to music and go for a walk Nature can be powerful in changing our perspective of our circumstances, providing awe and wonder that can be a natural mood booster. By combining this with exercise and music, we can regulate our emotions, boost our moods and increase self-esteem as an act of self-care. Day Seven – Watch your favourite feel-good movie Movies can be a wonderful tool to help us recharge, decompress and regulate. It provides an escape from our minds allowing us to connect and reflect on the story we are being told. Remember though, we are what we watch, so make sure the movie you pick is one that brings joy, not a true crime, sad story. Taking the first step! At the MHFA, we have many ways for you to prioritise your wellbeing such as our Wellness Hub, where we provide low-cost $30 counselling sessions or our Support Groups which cover a range topics such as bipolar, trauma anxiety and depression. To reach out for support you can visit https://www.mhfa.org.au/get-support There is no one way to support your wellbeing. Habits can be varied and tailored to you, but that’s what makes it’s so important. Recognising what makes you shine and making time for yourself, especially on days that get difficult. Co-authored by Nicolette Buick and Sarah Auslender
September 11, 2025
If you are feeling socially isolated, lonely, or both, you are not alone. The Household, Income and Labour Dynamics in Australia (HILDA) survey reported that loneliness effected 1 in 10 Australians in 2023. Social isolation is defined as having objectively few social relationships or roles and infrequent social contact whereas loneliness is defined as a subjective, unpleasant, or distressing feeling of a lack of connection to other people, along with a desire for more, or more satisfying, social relationships. Social isolation is linked to mental illness, emotional distress, decreased wellbeing and poor health behaviours such as poor sleep, smoking and physical inactivity. More surprisingly, it has been linked to poor physical health effects such as high blood pressure and impaired immune function. Loneliness has similarly been linked to poor physical and mental health, psychological distress, and life dissatisfaction. It is easy to consider loneliness and isolation as one negative factor in your life, but its relation to other adverse mental and physical effects shouldn't go unnoticed. Isolation and loneliness look different on everyone and can be caused by a diverse range of factors. Some common causes are living with a mental health condition, life changes like a new school, social exclusion based on identity, financial hardship, a lack of confidence, difficulty opening up, and many more. Whether it’s these reasons, something else, or no tangible reason at all, you are not alone. Despite the lack of control you may feel due to these factors, know that there is always community and people who resonate or want to help. When it comes to feeling lonely or being isolated, it can be hard to look to the future or seek help. In fact, more than half of people living in Australia say they don’t talk to others about feeling lonely, and nearly half say they’re too embarrassed to admit this to others. It is also completely understandable that if you feel lonely for a particular reason, you might feel disconnected or feel like people may see you differently. Sometimes, a feeling of not belonging makes it harder to feel confident reaching out, due to fear of still feeling misunderstood or isolated after reaching out. This is a very understandable feeling, but there is absolutely no shame in feeling lonely, and the more you take steps to connect, the more you’ll be able to find connection. There is no one size fits all solution to preventing loneliness. Things which may help include engaging in community, sporting or creative memberships, contributing to an organisation as a volunteer, sharing your story online, or taking up a hobby or reaching out to someone you know. Starting small is often all you need to make steps in the right direction. Other ways to remedy feelings of loneliness or isolation include seeking professional support. Support groups can often be soothing, where speaking to people who share a shared lived experience in a candid way may break barriers or reduce feelings of shame. Counselling is another avenue worth exploring, where an objective individual who is invested in listening and assisting helps contribute to lessened feelings of aloneness. Whatever fits for you, if you are feeing lonely or isolated, know, it is more common than you think, and there are always avenues of support available when you are ready. References: https://www.betterhealth.vic.gov.au/health/healthyliving/Strong-relationships-strong-health#bhc-content https://www.aihw.gov.au/mental-health/topic-areas/social-isolation-and-loneliness Written by Callista Nguyen