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Writer's pictureDr. Sophia Aguirre, Ph.D., CGP, FAGPA

Managing Burnout and Compassion Fatigue: Practical Tools for Therapists

Stressed white woman

In the helping professions, especially for those working with marginalized communities, burnout and compassion fatigue can feel almost inevitable. Therapists hold space for complex trauma, systemic injustices, and life-changing moments daily. For therapists dedicated to supporting marginalized communities, the stakes are even higher, and the emotional weight can be greater. At the Aguirre Center for Inclusive Psychotherapy, we recognize the importance of finding sustainable ways to continue this work without sacrificing our own well-being. Here, we share insights and practical tools to help therapists manage burnout and compassion fatigue, so we can continue showing up for our clients and ourselves.

Understanding Burnout and Compassion Fatigue

Before diving into strategies, it's essential to understand what we're up against:

  • Burnout is a state of chronic physical and emotional exhaustion, often resulting from prolonged stress and excessive workload. Signs include feeling drained, reduced empathy, and a decline in job satisfaction.

  • Compassion Fatigue can be described as the emotional residue of exposure to the suffering of others. Unlike burnout, which can occur across all professions, compassion fatigue is unique to those in caregiving roles and is marked by a sense of helplessness, emotional numbing, and sometimes a decreased ability to empathize.

Both are common, and left unaddressed, they can lead to serious consequences not just for therapists but also for the communities we serve.


Strategies for Managing Burnout and Compassion Fatigue

  • Practice Setting Boundaries with Compassion

Setting boundaries doesn’t mean you care less. It means you care enough to keep your practice sustainable. For therapists working with marginalized populations, we often feel the urge to be available at all times, given the weight of the systemic barriers our clients face. However, setting clear limits on work hours, reducing caseloads when possible, and defining times for email and phone responses are all small steps that can create significant room for restoration.

Reflective Practice: Ask yourself: “Where am I bending my boundaries in ways that don’t serve me? How might restoring them enhance my ability to show up for my clients fully?”


  • Prioritize Personal Therapy and Peer Support

Therapists need a space to process just like anyone else, particularly if we are consistently exposed to vicarious trauma. Finding a therapist who can hold space for your own identity, experiences, and challenges can be transformative. Peer consultation or supervision groups can also offer perspective, feedback, and support. Being in community with others who understand the unique demands of this work creates a shared experience that reduces isolation and encourages collective resilience.


Reflective Practice: Consider: “What areas of my work do I tend to ruminate on? How might talking about these with a trusted therapist or peer help me process them healthily?”


  • Engage in Restorative, Not Reactive, Self-Care

Self-care often gets reduced to reactive responses — activities like a spa day or an occasional vacation, which, while valuable, aren’t always effective in preventing burnout. True restorative self-care focuses on ongoing, nurturing practices that support long-term wellness. Think regular exercise, engaging in creative outlets, or finding a mindfulness practice that works for you. Commit to these activities with the same respect and importance as a client appointment.


Reflective Practice: Ask yourself: “What are the small, everyday rituals that restore my energy? How can I integrate these into my routine without feeling guilty about taking time for myself?”


  • Cultivate a Practice of Self-Compassion

Self-compassion, though simple, is a powerful antidote to burnout. As therapists, we are often harder on ourselves than we are on anyone else. Developing a practice of self-compassion can mean reframing mistakes as learning opportunities, allowing ourselves to experience the full range of our emotions, and practicing gentle acceptance when we feel tired or emotionally worn down.

Reflective Practice: Journal Prompt: “What would I say to a client in my situation? How might I extend that same grace to myself?”


  • Ground Your Work in Social Justice, but Balance with Self-Preservation

Therapists working with marginalized communities often carry a dual commitment — to the individuals they support and to the broader social justice movements aligned with their values. It’s important to find ways to remain connected to the mission while allowing space to rest. For instance, finding community organizations or collectives to be a part of can offer solidarity and shared responsibility, alleviating the sense of carrying everything alone.


Reflective Practice: Reflection: “What is one area where I feel pulled to overextend myself? What are small, sustainable ways I can stay involved without compromising my well-being?”


  • Allow for Joy and Connection Outside of Therapy

When our work involves holding so much pain, finding time for joy and connection can be grounding and rejuvenating. Activities that foster genuine joy and connection can serve as a counterbalance, helping to prevent compassion fatigue. This could look like spending time with loved ones, engaging in hobbies, or connecting with cultural and spiritual practices that bring fulfillment and meaning.


Reflective Practice: Ask yourself: “What activities bring me joy? Who or what reminds me of my value outside of my professional identity?”


Embracing a Sustainable Practice

Burnout and compassion fatigue are real threats to the sustainability of our work. As therapists, we must remember that prioritizing our own mental and emotional well-being is an essential part of the job. At the Aguirre Center for Inclusive Psychotherapy, we know that the work we do is challenging and deeply impactful — and we want every therapist to have the tools needed to continue this journey with resilience.


The work of supporting marginalized communities and fostering inclusive, affirming spaces is a marathon, not a sprint. Holding onto hope and care for our clients requires that we also hold onto hope and care for ourselves. Embracing self-compassion, building supportive communities, and engaging in intentional self-care practices are not only acts of self-preservation but are necessary acts of resilience. By caring for ourselves, we ensure that we can continue showing up for those who need us most.


If you would like some additional support to manage burnout and fatigue, visit our Getting Started Page to request an appointment with one of our talented therapists and psychologists.




 

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