Mental Health: Combat Compassion Fatigue & Stress

““As a veterinary community, we prioritize patient care, but the job’s demands strain mental health. Recognize and address issues like compassion fatigue. Find support through NOMV, AVMA, and AAHA to ensure well-being. Remember, asking for help and prioritizing your health is okay.””

Caring for Pets, Coping with Stress: The Mental Health Challenges of Veterinary Professionals

As a veterinary community, we dedicate our lives to caring for our patients and prioritizing their well-being.

We have a deep passion for helping our patients and their parents, but often, the demands of the job can take a toll on our mental health.

From handling complex cases to managing the emotional burden of poor diagnosis and euthanasia, it's easy to feel overwhelmed and burnt out.

Not to mention the stress of owning, managing, and maintaining a successful practice.

The veterinary profession, where so many rely on your care, makes it even more crucial for veterinarians to have their own support system.

It's a tragic reality that suicide is a serious concern within the field, with 1 in 6 experienced suicidal ideation since leaving veterinary school.

It feels cliché to sy, “It's important to prioritize your mental health,” but just as you prioritize the health of your patients, your well-being is paramount to a fulfilling work life.

Compassion fatigue is a genuine issue that so many of our peers face…

…And unfortunately, it’s grown a sense of normalcy within our community.

Working in a high-stakes field like veterinary medicine can feel like it comes at a price, but recognizing signs and symptoms early within ourselves and our teams can help keep that cost low.

One of the most essential things leadership teams can do is acknowledge the existence of mental health and wellbeing issues in the profession and provide support and a sense of teamwork and community for their teams.

A shift happens when compassion fatigue and burnout start to kick in.

You may experience symptoms like:

• Decreased energy

• Overwhelming feelings of burnout/disengagement

• Generalized anxiety or depression

• Difficulty concentrating and sleeping

• Rumination about recent cases with unfavorable outcomes

• Thoughts of harming yourself to escape problems

These same symptoms are ones to watch out for in our peers, too. They can easily brush aside and chalk up to having a “bad week, month, or year.”

This is why it’s so important to recognize the warning signs and have some strategies in your back pocket to help curb the mental burden these symptoms cause.

To start, you may have to ask yourself or your peers some challenging questions.

• What might be the root of these symptoms?

• What’s within my control to change? What’s outside of my control?

• Am I putting more pressure/stress on myself than is necessary?

As you start to answer some of these questions, here are a few things that may help that are within the realm of your control:

• Avoid perfectionism– always seeking perfect solutions exacerbates stress and anxiety.

• Avoid comparing yourself to others– it’s said that comparison is the thief of joy. Comparison leads to envy and a lack of self-esteem. Focus on recognizing and continuing to strengthen your talents and skills.

• Set boundaries– Serving your clients is essential, but there’s a fine line between being helpful and allowing work to overstep into your personal life. Achieving a healthy work-life balance will promote your desire for longevity to continue the work that brings you joy.

• Prioritize yourself– Make time for activities that bring you joy and relaxation, whether exercising, spending time with loved ones, or engaging in a hobby. Stop making excuses. Taking breaks and setting boundaries with work can help prevent burnout and replenish your mental and emotional reserves.

• Find connections: whether it's talking to fellow colleagues, seeking therapy, or joining a support group, having a safe space to share your feelings and experiences can make a world of difference.

In addition to seeking support and practicing self-care, there are resources available specifically for veterinarians dealing with mental health challenges.

Organizations like Not One More Vet,  the American Veterinary Medical Association, and AHAA offer resources, support, and access to mental health professionals who understand veterinarians' unique challenges.

NOMV emphasizes raising mental health awareness in the veterinary profession and research to reduce suicide rates of veterinary professionals. Through an online network, NOMV provides support and healing efforts to show you that you are not alone.

As part of their work, NOMV  also works with veterinarians to build a support network of therapists and other mental health resources.

Similarly, American Veterinary Medical Association (AVMA) provides well-being tools and resources such as:

Wellbeing Assessment for Veterinarians A self-care planning guide

Steps to create a healthy working environment AVMA Journals Collection on Wellbeing

Promoting a healthy work culture of support and care increases productivity and feelings of self-worth. AVMA also informs veterinarians about how to receive help and encourages the use of preventative measures regarding mental and physical health.

You can also find a wealth of helpful well-being articles on the AAHA website geared toward mental health and well-being for the veterinary community (check out: AAHA Guide to Veterinary Practice Team Wellbeing).

Remember, it's okay not to be okay, and asking for help is a sign of strength, not weakness.

So, take a moment today to check in with yourself and your team and prioritize mental health.

We all deserve to feel supported, cared for, and valued.

Take this as a gentle reminder that you’re not alone in this journey, and resources and coping strategies are available to help you navigate the challenges of the job with compassion and resilience.

Overcoming compassion fatigue for Veterinarians

““Veterinarians often face compassion fatigue, stemming from the emotional toll of their work. Recognizing signs like burnout and emotional exhaustion is crucial. By setting boundaries and prioritizing self-care, vets can manage this fatigue. Learn practical strategies for maintaining your well-being and delivering exceptional care in our latest blog.””

Compassion fatigue is a genuine and often overlooked issue many veterinarians face in our work.

The demanding nature of the job, the emotional toll of caring for sick and injured patients, and the pressure to provide the best possible care can all contribute to feelings of overwhelm and exhaustion.

Thankfully, there are strategies that veterinarians can use to overcome compassion fatigue and continue to provide the high level of care that their patients deserve.

 First and foremost, it’s essential to recognize the signs of compassion fatigue (also known as empathetic distress) in ourselves and those we work closely with. These signs may include:

• Feelings of burnout

• Emotional exhaustion

• Cynicism

• Decreased sense of personal accomplishment

Once we recognize these signs, we can take steps to address and manage the things we’re most struggling with.

Setting clear boundaries is an act of self-compassion and respect.

Setting Boundaries is one of the best (often most challenging) strategies for overcoming compassion fatigue.

Learning to say no when feeling overwhelmed, giving yourself permission to take breaks, and prioritizing self-care are often frowned upon in our field.  

Veterinary teams are filled with caring, empathetic individuals who are notorious for overcommitting and overburdening themselves, making it difficult to set boundaries with colleagues and pet parents.

Setting some self-boundaries is a great place to start! Ask yourself:

• What limitations can I set around being contacted during personal time?

•  What can I delegate to a colleague or team member to reduce feeling overwhelmed?

•  How can I empower my team to handle challenging situations so I’m pulled in less frequently?

• What can I do to prioritize myself and the things that bring me joy?

Having even so much as a general answer to some of these questions can help you start to set some boundaries to reduce feeling overstressed.

How can you set boundaries with pet parents?

Setting a boundary with your clients can feel uncomfortable at first. To get started, you’ll need to identify the types of behavior you’ll tolerate and those you won’t.

For example, you might be willing to tolerate a pet parent sharing their frustration over an extended wait in the lobby.

Still, you’re unwilling to tolerate yelling, foul language, or verbal abuse toward you or your staff.

Next, you’ll need to kindly yet firmly communicate the boundary you’ve set. This part can feel a little uncomfortable if it’s not part of your daily practice.

For example, “Thank you for sharing your feedback, Mr. Smith. While I understand your frustration, my team and I will not tolerate abrasive behavior. I’d like to ask that you reduce your tone, or I’ll have to move on to my next appointment.”

Setting boundaries with your clients demonstrates compassion for your team, encourages respect from pet parents, and protects your mental health.

Tip: This can be a great team-building activity at a staff meeting.

• By allowing the team to collectively establish acceptable and unacceptable behavior (both internally and from clients), you empower each of them to have a voice. You can equip them with strategies to use when facing a difficult situation.

• Consider adding boundary-setting and reinforcement strategies to your next team huddle so your team feels prepared to enforce the boundaries you’ve agreed upon.

• Self-care is a close second for the best strategies to overcome compassion fatigue.

 Self-care means taking the time to prioritize your own physical, emotional, and mental well-being. Making daily choices to engage in activities that bring joy and relaxation, like:

• Exercise (going to the gym, rollerblading, dance, martial arts…)

• Hobbies (reading, coaching, golfing, DIY projects)

• Spending time with loved ones

All too often, we feel dedicating time to ourselves feels selfish, or “we’ll get to it tomorrow,” but over time, it harms our interactions with our staff, patients, and clients.

Studies have shown that regular self-care enhances Veterinarians' ability to continue caring for patients compassionately, safely, and more accurately (decreasing mistakes and enabling critical thinking).

Remember, it is not selfish to prioritize your well-being…

…it’s necessary to continue to show up as the best version of yourself for your patients and clients. If we don’t take a moment to recharge ourselves, we won’t have enough juice left to help those who need us most.

Wellbeing Resources Geared Toward the Veterinary Community

The American Veterinary Medical Association (AVMA) hosts a number of CE-accredited trainings and webinars  and offers a free wellbeing assessment along with some helpful self-care tools   

Not One More Vet (NOMV) is an organization that works tirelessly to support the well-being of the veterinary community

Suicide and Crisis prevention Hotline offers free, confidential support for those in distress

Don’t allow yourself or your team to suffer alone. Don’t wait. Reach out. Speak up.  

Burnout vs. Compassion Fatigue in Veterinary Medicine

““Discover the differences between burnout and compassion fatigue in veterinary medicine. Understand how prolonged stress and emotional tolls from treating sick animals can impact well-being. Learn effective self-care strategies and leadership roles in maintaining a healthy work environment.””

Working in the field of veterinary medicine is incredibly rewarding.

We provide comfort and treatment to patients with illness, disease, and injury.

We’re privileged to nurse sick patients back to health and experience the joy of being reunited with their families.

…But our line of work also has its fair share of challenges.

One of the biggest obstacles that veterinary professionals face is the risk of burnout and compassion fatigue.

Both can significantly impact the mental and emotional well-being of those working in the industry, but it is important to understand the differences between them.

Let’s start with burnout.

Burnout is a state of emotional, physical, and mental exhaustion caused by excessive and prolonged stress.

In the veterinary space, feelings of burnout can occur when we are constantly faced with demanding workloads, long hours, and emotional distress from dealing with sick or injured animals. It’s chronic and happens gradually over time.

Burnout can lead to feelings of:

• Frustration

• Exhaustion

• Cynicism

• A sense of detachment/alienation from the job

Burnout can also manifest as physical symptoms…

You might see or experience symptoms such as fatigue, headaches, insomnia, and a lack of self-care.

 On the other hand…

…compassion fatigue is a specific type of burnout

Compassion fatigue (also known as empathy fatigue) occurs when individuals are regularly exposed to the suffering/trauma of others.

In our field, compassion fatigue can develop as a result of repeatedly witnessing the pain and suffering of patients, as well as the emotional toll of dealing with grieving pet parents.

Compounded stress results from an ongoing wish to relieve suffering from patients and pet parents (often followed by feelings of failure), which can lead to feelings of hopelessness, guilt, and a decreased ability to empathize with others.

The very nature of our work exposes us to the (often) sad reality of patient decline and owner distress or loss.

 Burnout and compassion fatigue are serious issues that can profoundly impact the well-being of veterinary professionals.

Veterinary teams must recognize the signs and symptoms of these conditions and take steps to prevent and address them.

 One way to combat burnout and compassion fatigue is through self-care practices.

Self-care means preserving time for personal well-being, such as:

• Regular exercise

• Healthy eating

• Adequate rest

• Actively participating in hobbies outside of work

• Spending time with friends and family

If you’re struggling with burnout and/or compassion fatigue, seek support from colleagues, friends, and mental health professionals immediately.

Building a solid support network can help us cope with the challenges of the job and prevent feelings of isolation and overwhelm.

Additionally, veterinary organizations and leadership teams play a crucial role in addressing burnout and compassion fatigue by offering resources such as:

• Counseling services

• Stress management workshops

• Flexible work schedules

As leaders, we need to prioritize our own well-being to help maintain a supportive and healthy work environment for our teams and empower them to continue providing the best care for our patients.

By recognizing the signs of burnout and compassion fatigue and taking proactive steps to address these issues, we enable our teams to continue making a positive impact in the lives of our patients and pet parents.

Well-being Resources Geared Toward the Veterinary Community

American Veterinary Medical Association (AVMA) hosts a number of CE-accredited trainings and webinars  and offers a free wellbeing assessment along with some helpful self-care tools   

Not One More Vet (NOMV) is an organization that works tirelessly to support the well-being of the veterinary community

Suicide and Crisis prevention Hotline offers free, confidential support for those in distress

Don’t allow yourself or your team to suffer alone. Don’t wait. Reach out. Speak up.  

3 Signs of Compassion Fatigue in Veterinary Medicine

““Discover three signs of compassion fatigue in veterinary medicine. Learn to recognize physical, emotional, and behavioral symptoms like exhaustion, anxiety, and withdrawal. Awareness and early intervention are critical. Explore resources from AVMA and NOMV to support well-being.””

As Veterinary caregivers, we’re deeply motivated to serve our patients and deliver the best possible care. 

We’re no strangers to the phrase “we don’t deserve pets.” Their unwavering love and loyalty are gifts we’re so fortunate to experience.

The American Veterinary Medical Association (AVMA) defines the human-animal bond as “a mutually beneficial and dynamic relationship between people and the animals that are influenced by behaviors that are essential to the health and well-being of both.”

This bond brings joy, warmth, and laughter to the workday, and being surrounded by like-minded, compassionate coworkers makes the work environment that much brighter.

But, with the stress of being understaffed, working long hours, and repeated exposure to trauma and grief…

…it’s easy for a bright environment to feel dark.

All too often, veterinary teams struggle with feeling overworked.

Pair that with bearing witness to abuse, neglect, and euthanasia… It’s easy to see why compassion fatigue is so common among our peers.

Compassion Fatigue is a result of extreme exhaustion unique to compassionate caregivers regularly exposed to loss or trauma.

There’s a growing awareness that caregivers of all kinds should make sure they make time to care for themselves.

Why?

It’s the same reason you’re told on a flight to put on your own oxygen mask first before helping others.

At the risk of sounding cliche, the phrase “you can’t pour from an empty cup” couldn’t be more accurate.

Like our feline patients, veterinary teams often hide signs of being overwhelmed. They often appear stoic, professional, and productive, which can make recognizing signs of compassion fatigue difficult.

The more we know about compassion fatigue, the better we can identify the symptoms…

…and step in to support our peers when they need us most.

Let’s take a moment to unpack three common signs of compassion fatigue to be on the lookout for: 

#1:  Physical signs

Compassion fatigue might physically present itself.

Let’s take Dr. Isaacs, for example.

Since her associate is on maternity leave, she’s trying to maintain 3x of her normal caseload, and this week, there’s been an unusual amount of euthanasia on the schedule.

You notice she’s been wearing the same scrubs for the past three days and hasn’t taken her usual lunch or snack breaks.

You overhear a client comment on her tired appearance during their pet’s physical exam. Dr. Isaacs casually shares that she’s not been sleeping well and has had intermittent headaches.

Little red flags are going up. She’s showing common physical signs that she’s experiencing compassion fatigue including:

• Exhaustion & headaches

• Changes in sleep patterns or appetite

• Lack of self-care

• Stomachaches & digestive changes

#2: Emotional signs

It’s not uncommon for compassion fatigue to appear more emotionally.

Take Ashley, for example.

Ashley has been a Veterinary ER nurse for 6 years and is well experienced. She has a great reputation for acting quickly, calmly, and rationally during patient crises.

Lately, you’ve noticed she’s been hypervigilant about her patients and hasn’t been as social with the team. When patient outcomes aren’t successful, she becomes easily overwhelmed, emotional, and negative.

Sudden mood swings or overreacting aren’t uncommon symptoms.

You might also witness:

• Increased anxiety or sadness

• Feelings of guilt or helplessness

• Difficulty concentrating

• Hypersensitivity or insensitivity to emotional experiences

#3 Behavioral changes

For this one, let’s talk about Daniel.

Daniel has only been a receptionist for a few months but has learned the ropes quickly.

Due to a recent heat wave, the hospital has seen an influx of patients suffering from heat-related complications, many of whom have had unfortunate and unexpected goodbyes.

Although Daniel has been very friendly and easy to work with up to this point, you notice his patience threshold decreasing. He often disappears to the breakroom for extended periods and has been very quiet during his shifts.

Since his time in practice has been so limited, it might surprise you to learn that he’s struggling with compassion fatigue.

He’s demonstrating common signs like:

• Isolation or withdrawal

• Irritability

• Lower tolerance to frustration

Compassion fatigue doesn’t have boundaries

It doesn’t discriminate against your time or experience in practice or the role you serve at the hospital.

If you’re experiencing some of the symptoms listed above, know you’re not alone. Do your best to be open and transparent with your team about your feelings and what you might need to recover.

As a leadership team, we want to foster a culture that supports the mental and emotional well-being of our employees.

At the very least, we want to ensure that our team is aware of and has access to resources that could significantly impact their well-being.

Wellbeing Resources Geared Toward the Veterinary Community

The American Veterinary Medical Association (AVMA) hosts a number of CE-accredited trainings and webinars  and offers a free wellbeing assessment along with some helpful self-care tools   

Not One More Vet (NOMV) is an organization that works tirelessly to support the well-being of the veterinary community

Suicide and Crisis prevention Hotline offers free, confidential support for those in distress

Don’t allow yourself or your team to suffer alone. Don’t wait. Reach out. Speak up.