What is compassion fatigue?

Seen in those who courageously took up the role of saving lives through social platforms during the COVID-19 pandemic, compassion fatigue happens often and severely. This phenomenon, often associated with the overwhelming exposure to suffering and the constant demand for empathy, poses a unique challenge to those engaging in social media activism. “Compassion fatigue” is considered a psychological condition in which the ability to be compassionate lessens over time due to exposure to traumatic events and trauma victims (Sorenson et al. 2017). An example stated by Stoewen (2020) simplifying terms is:”Sympathy is “I care about your suffering,” empathy is “I feel your suffering,” and compassion is “I want to relieve your suffering.”With the rise of information dissemination on social media, it is not uncommon for armchair activists to face something previously common in healthcare professionals. Residents of the United Kingdom underwent psychological transformations consequent to their vicarious exposure to media coverage of the terrorist attacks on the United States (Linley et al., 2003). Likewise, students enrolled at a distinct educational institution articulated a surge in acute stress symptoms upon assimilating information about the shootings at Virginia Tech through televised channels (Fallahi & Lesik, 2009).

How do people with compassion fatigue behave?

Nevertheless, the inherent fleeting nature of  digital engagement prompts inquiries into its enduring viability and lasting repercussions. The individual undergoing such experiences tends to shift towards a task-centric orientation, diminishing emotional focus, and fostering an escalating withdrawal from interpersonal connections, leading to social isolation. Another characteristic manifestation is the manifestation of profound physical and emotional depletion, characterised vividly as a pervasive fatigue saturating every facet of one's existence. This exhaustive state significantly compromises cognitive, emotional, and behavioural faculties, which collectively constitute the pillars of diurnal functioning.

Consequences of compassion fatigue?
The consequences of compassion fatigue encompass a spectrum of adverse emotional states, comprising but not limited to anger, irritation, intolerance, irritability, scepticism, cynicism, embitterment, and resentfulness. These symptoms invariably precipitate interpersonal challenges, manifesting in difficulties harmonising with others and disruptions in intimate relationships, culminating in emotional distress, disillusionments, and a sense of detachment. Concurrently, there may be observable shifts in mood, manifesting as mood swings, tearfulness, anxiety, irrational fears, melancholy, sadness, and despair. In the immediate term, compassion fatigue may serve as an underpinning for an array of psychosomatic physical health complaints (such as fatigue , insomnia, aches and pains), encompassing headaches, migraines, nausea, vomiting, diarrhoea, chronic pain, and fatigue. Elevated cortisol levels  accompanying this condition contribute to heightened vulnerability to illness. Over a prolonged  duration, the enduring repercussions of compassion fatigue extend to an incrased predisposition to cardiovascular disease, obesity, diabetes, as well as various gastrointestinal conditions and compromised immune function. (Mathieu, 2012; Hooper et al. 2010; Warshaw, 1990)h

How to manage compassion fatigue

Forbes created a guide of ways to combat compassion fatigue, while continuing the process of help and change. It focuses on asking for help, setting boundaries, through self-compassion, mindful caregiving, and knowing what to say. It is crucial to seek assistance regardless of one's professional standing or domain. However, it is equally important to discern when an individual may not serve as a suitable support. Just as you expect others to be considerate of compassion fatigue in your case, it is imperative to recognize the emotional boundaries and capability of others to bear your emotional burden or trauma.

As outlined by Tawwab, a specialist in boundary management, certain declarative statements that assert boundaries encompass decline politely, communicating an unavailability for additional commitments, and expressing personal limitations. It is imperative to acknowledge shared humanity and identify oneself in the struggles of others, thereby fortifying the empathy initially established when offering assistance. Individuals who embody self-compassion tend to exhibit heightened self-support, fostering a concurrent inclination towards optimism (Neff & Faso, 2015). Moreover, a correlation between self-compassion and hope may be established through reduced levels of rumination (Neff & Faso, 2015). Defined as an excessive fixation on one's distress without implementing strategies for resolution, rumination contributes to a perception of situations as insurmountable and unworthy of perseverance (Nolen-Hoeksema et al., 2008). Lastly, developing self-awareness regarding your own emotions and aligning with those of others contributes to effective co-regulation. This, in turn, enables the caregiver to respond thoughtfully rather than react impulsively. When this balance is disrupted, it can lead to the onset of compassion fatigue.

Consequently, maintaining self-regulation is imperative to preempt compassion fatigue.

Moreover, Robino (2019) proposed the term "global compassion fatigue," referring to the phenomenon wherein individuals undergo heightened preoccupation and stress due to concern for those affected by global events, even in the absence of direct exposure through clinical intervention.

This underscores the importance for counsellors to maintain awareness of systemic, environmental, and political influences on clients, alongside engaging in advocacy and initiatives for change. While such involvement may render counsellors vulnerable to impairment in response to global issues, transitioning from awareness to action can be instrumental in preventing or alleviating global compassion fatigue (GCF).

Conversely, social media offers a potential avenue for community and connection amidst global challenges.

The notion of community is no longer confined to physical associations; instead, the internet facilitates access to remote communities and relationships (Gruzd et al., 2011).

Engaging in open dialogue with colleagues, fostering self-awareness of strong reactions to global events, actively pursuing systemic change through advocacy, and prioritising personal wellness collectively contribute to the effective management of GCF (Robino & Pignato, 2017).

--- By Bhavya Gupta for Mindsy

References-

https://www.forbes.com/sites/womensmedia/2021/12/10/5-ways-to-combat-compassion-fatigue-and-still-create-change/ .

Gruzd, A., Wellman, B., & Takhteyev, Y. (2011). Imagining Twitter as an imagined community. American Behavioral Scientist, 55(10), 1294-1318.

Hooper, C., Craig, J., Janvrin, D. R., Wetsel, M. A., & Reimels, E. (2010). Compassion satisfaction, burnout, and compassion fatigue among emergency nurses compared with nurses in other selected inpatient specialties. Journal of emergency nursing, 36(5), 420-427.

Mathieu, F. (2012). The compassion fatigue workbook: Creative tools for transforming compassion fatigue and vicarious traumatization. Routledge.

Neff, K. D., & Faso, D. J. (2015). Self-compassion and well-being in parents of children with Autism. Mindfulness, 6(4), 938–947. 

Robino, A. E. (2019). Global Compassion Fatigue: A New Perspective in Counselor Wellness. Professional Counselor, 9(4), 272-284.

Robino, A. E., & Pignato, L. (2017). Global compassion fatigue: An ethical duty for awareness and action.

Stoewen, D. L. (2020). Moving from compassion fatigue to compassion resilience Part 4: Signs and consequences of compassion fatigue. The Canadian Veterinary Journal, 61(11), 1207.

Warshaw, L. J. (1990). Stress, Anxiety and Depression in the Workplace: Report of the NYBGH/Gallup Survey. New York Business Group on Health

What is mental health like in India ?

The Indian landscape of mental health is undoubtedly changing for the better, with larger sections of people seeking mental health services. Unfortunately, Indian regulations currently do not pose licensing restrictions on the practice of professions like counselling and generic therapy, leading to many having used variations of these words to advance their private practice. 

The situation is dire to the point of Indeed having job postings of ‘unlicensed clinical psychologists’. For a perspective, imagine you called a cab to get out of an unfamiliar place (for dramatic effect, maybe even at night) and unfortunately the cab driver does not hold a valid driver’s licence. This means, they could share your location with someone, be under the influence of substances and never driven that kind of motor vehicle before. It is quite similar when it comes to mental health, only the driver is the therapist and the dark unfamiliar place isn’t physical.

One way to ensure the authenticity of a therapist is by checking if they are registered with our  regulatory body , the Rehabilitation Council of India (RCI) for licensing . RCI is responsible for regulating and monitoring services given to persons with disabilities. It is a central  register of all qualified professionals working in the field in India. 

How does therapy actually work ?

Breaking down this seemingly complicated process, psychotherapy typically begins with an initial consultation of gathering relevant information around concerns, background and goals. Collaboratively, the therapist would develop a plan of action personalised to your needs. Throughout the process, therapists employ a range of techniques and interventions providing individuals with a safe space to explore their emotions, gain insights, develop coping strategies, and make positive changes in their lives. It ultimately culminates when both are satisfied with the progress and goals initially decided have been achieved. 

It is crucial to view therapy as a proactive lifestyle choice rather than solely as a means to address diagnosed disorders. Regular therapy sessions offer individuals the opportunity for personal growth, self-reflection, and increased self-awareness. 

By engaging in therapy as a preventive measure, individuals can develop a deeper understanding of themselves, improve their emotional well-being, and enhance their overall quality of life. 

Therapy serves as a valuable tool for stress management, relationship building, and navigating life transitions. Embracing therapy as a lifestyle choice encourages individuals to prioritise their mental health, invest in self-care, and cultivate resilience in the face of challenges. India has 3,372 clinical psychologists  registered with the RCI. India has a severe shortage of mental health professionals. For every 100,000 people we have 0.7 professionals. (Garg , et. al. , 2019)

When do you need to seek help ?

So when should you seek out a therapist? While it is true that humans are ‘generally’ resilient enough to face daily stressors (Yao & Hsieh, 2019), certain circumstances and genetic modifications can inhibit this ability. 

Early psycho-intervention allows us to hone in on this resilience to prevent it from turning into a disorder (for example, generalised anxiety disorder, depression or somatoform disorders). 

Common psychiatric disorders like depression, bipolar, ADHD, psychosis can be heredity suggesting it can be passed down in a family (Wu et al., 2020; Lu et al., 2019). What psychotherapy does is provide a seat-belt in case you do have that genetic mutation, reducing the impact of a crash. 

Thus, it is imperative to seek support on time and look at exercise or healthy food for your mental health- a required lifestyle choice.

Whether you choose to start therapy now or later on in life, you must always seek help from a licensed professional. The process of therapy works best when it is voluntary. Your mental health journey is in your hands, always!

Reference - 

Garg K, Kumar CN, Chandra PS. Number of psychiatrists in India: Baby steps forward, but a long way to go. Indian J Psychiatry. 2019 Jan.

Lu, C. F., Wu, Y. T., Teng, S., Wang, P. S., Tu, P. C., Su, T. P., ... & Li, C. T. (2019). Genetic predisposition and disease expression of bipolar disorder reflected in shape changes of the anterior limbic network. Brain Sciences, 9(9), 240.

Tanofsky-Kraff, M., Shomaker, L. B., Young, J. F., & Wilfley, D. E. (2016). Interpersonal psychotherapy for the prevention of excess weight gain and eating disorders: A brief case study. Psychotherapy, 53(2), 188.

Wu, Y., Cao, H., Baranova, A., Huang, H., Li, S., Cai, L., ... & Wang, Q. (2020). Multi-trait analysis for genome-wide association study of five psychiatric disorders. Translational psychiatry, 10(1), 209

Yao, Z. F., & Hsieh, S. (2019). Neurocognitive mechanism of human resilience: A conceptual framework and empirical review. International journal of environmental research and public health, 16(24), 5123.

What is Mental Health?

Mental health is a fundamental aspect of overall well-being, encompassing emotional, psychological, and social stability. It influences how individuals think, feel, and behave in daily life, affecting their ability to handle stress, relate to others, and make decisions. According to the World Health Organization (WHO), mental health is not merely the absence of mental illness but a state of well-being where individuals can cope with the normal stresses of life, work productively, and contribute to their communities. However, the modern world presents unique challenges to mental health, including the pervasive influence of social media, workplace stress, and increasing societal pressures (Patel et al., 2018).

With the rise of digital connectivity, mental health concerns have become more pronounced. Research by Twenge et al. (2017) suggests that excessive social media usage correlates with increased rates of anxiety and depression, especially among young people. Similarly, workplace burnout—a phenomenon recognized by the WHO—exemplifies how chronic stress negatively affects mental health (Maslach & Leiter, 2016).

How Do People with Mental Health Challenges Behave?

Mental health conditions manifest differently in each individual, but common symptoms include changes in mood, behavior, and cognitive functions. People experiencing mental health struggles may exhibit symptoms such as persistent sadness, excessive worry, irritability, mood swings, withdrawal from social interactions, and a decline in work or academic performance.

One of the key concerns is the stigma surrounding mental health, which often leads individuals to suppress their emotions and avoid seeking professional help. This reluctance can exacerbate conditions such as anxiety disorders, depression, and post-traumatic stress disorder (PTSD), contributing to a cycle of emotional distress (Corrigan & Watson, 2002).

Moreover, mental health issues do not only impact emotions but also have physiological repercussions. Studies have linked chronic stress and depression to increased risks of heart disease, obesity, and immune system dysfunction (Kiecolt-Glaser et al., 2002). Thus, understanding behavioral indicators is crucial in fostering awareness and encouraging early intervention.

Consequences of Poor Mental Health

The ramifications of mental health challenges extend beyond the individual to society at large. People suffering from untreated mental illnesses may face difficulties in personal relationships, experience job insecurity, and struggle with academic performance. Additionally, untreated mental health conditions can lead to substance abuse, self-harm, and, in extreme cases, suicide (Nock et al., 2008).

A report by the National Alliance on Mental Illness (NAMI) states that mental health conditions contribute to significant economic burdens, including lost productivity, absenteeism, and healthcare costs (Insel, 2008). Furthermore, marginalized communities often face disproportionate mental health challenges due to socioeconomic barriers, lack of access to care, and cultural stigmas (Williams et al., 2018).

How to Improve and Maintain Mental Health

Addressing mental health requires a multifaceted approach that includes self-care, professional support, and societal changes. Below are evidence-based strategies to improve and maintain mental well-being:

1. Seeking Professional Help: Therapy, counseling, and psychiatric support play vital roles in managing mental health conditions. Cognitive Behavioral Therapy (CBT), for example, has been proven effective in treating anxiety and depression (Hofmann et al., 2012).

2. Setting Boundaries: Just as in the case of compassion fatigue, setting emotional and physical boundaries can help prevent burnout. Learning to say “no” and prioritizing self-care are essential steps in maintaining balance (Tawwab, 2021).

3. Practicing Mindfulness and Self-Compassion: Engaging in mindfulness practices, such as meditation and deep breathing exercises, has been shown to reduce stress and improve emotional resilience (Neff & Germer, 2013). Self-compassion allows individuals to treat themselves with kindness, fostering self-acceptance and emotional stability.

4. Building Support Networks: Social support is crucial for mental health. Engaging with trusted friends, family members, or support groups can help individuals navigate difficult times and reduce feelings of isolation (Cohen & Wills, 1985).

5. Engaging in Physical Activity: Exercise is a powerful tool for mental well-being. Regular physical activity releases endorphins, reducing symptoms of anxiety and depression while promoting overall health (Babyak et al., 2000).

6. Reducing Social Media Exposure: Limiting screen time and engaging in face-to-face interactions can alleviate the negative impact of digital overload on mental health (Twenge et al., 2017).

The Role of Society in Promoting Mental Health

Mental health is not solely an individual responsibility; it requires collective efforts from communities, workplaces, and policymakers. Employers can foster supportive environments by offering mental health resources, flexible work arrangements, and employee assistance programs (EAPs). Schools and universities should integrate mental health education into their curricula to promote awareness from a young age.

On a broader scale, government initiatives that expand access to mental healthcare services, reduce stigma, and address socioeconomic disparities can significantly improve mental well-being across populations. Legislation such as the Mental Health Parity and Addiction Equity Act (MHPAEA) in the United States aims to ensure that mental health services receive the same level of insurance coverage as physical health treatments (Barry et al., 2010).

In conclusion, mental health is an integral part of overall well-being that requires attention, awareness, and proactive measures. By fostering open conversations, encouraging professional support, and implementing systemic changes, society can create an environment where mental well-being is prioritized and supported.

By Sarvesh Gond from Mindsy

References

Barry, C. L., Huskamp, H. A., & Goldman, H. H. (2010). A political history of federal mental health and addiction insurance parity. Milbank Quarterly, 88(3), 404-433.

Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98(2), 310.

Hofmann, S. G., Asnaani, A., Vonk, I. J., Sawyer, A. T., & Fang, A. (2012). The efficacy of cognitive behavioral therapy: A review of meta-analyses. Cognitive Therapy and Research, 36(5), 427-440.

Kiecolt-Glaser, J. K., McGuire, L., Robles, T. F., & Glaser, R. (2002). Emotions, morbidity, and mortality: New perspectives from psychoneuroimmunology. Annual Review of Psychology, 53(1), 83-107.

Maslach, C., & Leiter, M. P. (2016). Understanding the burnout experience: Recent research and its implications for psychiatry. World Psychiatry, 15(2), 103-111.

Neff, K. D., & Germer, C. K. (2013). A pilot study and randomized controlled trial of the mindful self-compassion program. Journal of Clinical Psychology, 69(1), 28-44.

Twenge, J. M., Joiner, T. E., Rogers, M. L., & Martin, G. N. (2017). Increases in depressive symptoms, suicide-related outcomes, and suicide rates among US adolescents after 2010 and links to increased new media screen time. Clinical Psychological Science, 6(1), 3-17.

Williams, D. R., Lawrence, J. A., & Davis, B. A. (2018). Racism and health: Evidence and needed research. Annual Review of Public Health, 39, 105-125.

According to the World Health Organization (WHO), 1 in every 8 people worldwide lives with a mental disorder. It plays a major role in how we think, feel, and function in everyday life. When emotional challenges become overwhelming, speaking with a qualified expert can offer clarity and relief. That’s where licensed clinical psychologists step in.

These professionals are trained to assess and support people facing emotional, cognitive, and behavioral difficulties.

1. Expert Guidance for Emotional Struggles

Licensed Clinical psychologists are trained to help individuals work through emotions like sadness, anxiety, fear, or anger. Their expert perspective allows people to understand emotional triggers and develop coping tools that work.

2. Diagnosis of Complex Mental Health Issues

If you're experiencing symptoms but aren't sure what they mean, a clinical psychologist can assess your mental health condition using standardized techniques. They help you understand what’s really going on.

3. Personalized Treatment Plans

Everyone's mind works differently. Clinical psychologist services are never one-size-fits-all. They create treatment plans tailored to your history, symptoms, goals, and preferences for sustainable improvement.

4. Long-Term Coping Skills

Rather than offering quick fixes, psychologists focus on equipping you with long-term mental health tools. These include cognitive techniques, emotional regulation, and behavioral strategies that strengthen self-awareness and emotional control.

5. Safe and Confidential Support

Psychologists offer a non-judgmental space where you can speak freely. This confidentiality encourages openness and trust—key elements in emotional healing and psychological growth.

6. Support for Families and Relationships

Mental health doesn’t affect just one person. Clinical psychologists often work with couples or families to improve communication, resolve conflicts, and reduce stress within relationships.

7. Help with Life Transitions

Whether it's a career shift, personal loss, or becoming a parent, major life events can feel overwhelming. Clinical psychologists offer emotional support and mental health strategies to navigate these phases with clarity and confidence.

8. Support for Children and Adolescents

From developmental challenges to emotional struggles at school or home, licensed clinical psychologists offer essential support for younger individuals. Early intervention can lead to healthier mental and emotional growth.

9. Assistance with Behavioral Issues

Some mental health challenges show up as behavioral problems—like substance use, aggression, or withdrawal. Psychologists help uncover the root cause and work with individuals to change harmful patterns.

10. Improved Overall Well-Being

Working with a mental health specialist can enhance self-esteem, emotional regulation, sleep, productivity, and relationships. It helps people feel better mentally, emotionally, and even physically.

What Does a Clinical Psychologist Do?

A clinical psychologist is someone trained to understand and support people through emotional, behavioral, and psychological challenges. They do this by talking with you, asking questions, using psychological tests, and offering different types of therapy based on what you need. Therapy with a clinical psychologist often involves helping you explore your thoughts, patterns, and emotions to build healthier ways of coping and relating to yourself and others. You might find them working in hospitals, schools, clinics, or even private practice. Some focus on specific issues like anxiety, trauma, or childhood and developmental concerns. While they don’t prescribe medication, they often work closely with psychiatrists or doctors to make sure you’re getting the care that fits your full picture—mind and body.

When Should You See One?

If you’re experiencing persistent sadness, anxiety, relationship issues, sleep disturbances, or find it hard to function day-to-day, speaking with a licensed clinical psychologist can help. Early support reduces the risk of problems growing more serious over time. If you feel you need to talk to someone outside of your immediate support group , seeking the help of a professioanl is the best idea for your troubles.

How Mindsy Makes It Easier

Mindsy simplifies mental health support by connecting users to licensed clinical psychologists through a user-friendly platform. Whether you're looking for therapy, assessments, or guidance, Mindsy ensures easy booking, flexible sessions, and complete confidentiality. It's mental health support, on your terms.

Take the first step with Mindsy today and prioritize your emotional wellness with guidance you can trust.

Mental health in india: Who should I go to seek help?

Mental health awareness is the act of learning and spreading accurate information with the goal of reducing stigma.

An awareness of mental health allows us to preserve our wellbeing, address potential problems, notice warning signs as they emerge, and help others to do the same. It is about opening conversations, engaging with our communities, and building tools to improve our individual and collective mental wellbeing.