Compassion fatigue, also known as empathy fatigue, often affects helpers, educators, caregivers, and advocates. Symptoms include exhaustion, numbness, and a total loss of the passion that once drove you toward your cause or career. It’s the cost of caring too much.
You may also feel reduced empathy, irritability, and a sense of detachment—as if you’re floating outside yourself, looking in and simply going through the motions. Compassion fatigue is caused by chronic, intense caregiving without balancing it with your own soul care.
We saw it a lot during COVID, especially among healthcare workers putting in relentless hours with little rest.
I see it often among those of us in suicide prevention. We dive in with purpose and determination, but the work can become overwhelming. At times, it feels like pushing a giant snowball uphill in a snowstorm.
I hit compassion fatigue about five years into speaking
After one event, I walked to my car and collapsed into the seat. The thought hit me hard: I can’t do this anymore. I can’t tell this story again. What am I going to do?
I sat with that feeling for a moment and acknowledged what was happening. I wouldn’t have called it the catatonic phase (see below), but I was probably somewhere around phase 3.5 or even 4.
So I asked myself, What are my options?
Two ideas felt promising.
One was expanding my topics, so I didn’t have to tell the same painful story every single time. I could incorporate other stories and add more training-based content.
Then another idea popped into my head.
What if I handed out index cards at the end of each talk and asked people to write down one thing they learned? That would be their gift to me—something I could take home.

And when one of those emotional crashes was about to hit, like the one that happened in the car that day, I could pull out those cards and read them before it overtook me.
Maybe they would fill me back up.
Expanding my topics helped. But nothing has helped more than those cards.
I have thousands now.
Today, I can often head off the crash before it happens by recognizing the warning signs and spending time with those gifts written on simple index cards.
I also set boundaries.
During my busiest and most emotionally intense months—like September, suicide prevention month—I try to book virtual events and those closer to home, even if they pay less. The combination of heavy travel and emotionally intense speaking can be draining when your story carries this much weight.
Protecting my energy and myself allows me to keep doing the work that matters.

1. Gung Ho Phase
You are all in and full steam ahead. Your commitment is intense and unrelenting. You may even struggle to delegate because the cause feels so important.
2. Waning Energy Phase
You begin to feel the edges of overwhelm. Your cup isn’t getting refilled, but instead of slowing down, you push harder, believing that a little more motivation will solve the problem.
3. Frustration Phase
Irritability sets in. You feel impatient, tired, and increasingly disengaged.
4. Detachment Phase
Energy levels drop further, and you start to pull away emotionally. You feel drained and disconnected from the work that once energized you.
5. Catatonic Phase
You feel numb and depleted, almost lifeless. The passion and joy that once fueled your work feel completely out of reach.
6. Renewal Phase
You step back and reassess. By setting boundaries, adjusting expectations, or changing direction, you begin restoring the energy and purpose that once fueled your work.
If you recognize yourself in these phases, don’t ignore the signals
Compassion fatigue isn’t the end of your passion. It’s a warning light on the dashboard. And it doesn’t mean you’ve failed. It means you’ve been carrying something heavy for a long time. It might mean finding ways to move forward differently. It might mean a change in direction.
The key is learning to notice when the weight is becoming too much—and finding ways to refill what the work takes from you.
For me, it’s those index cards—thousands of small reminders that the work matters.
Your refill might look different.
If you’re going to keep doing work that requires your heart, you have to protect that heart along the way.
Pay attention to the signals your mind and body send. Adjust your boundaries. Find the things that refill your cup.
Because the world still needs people who care.
And the people who care need to care for themselves, too. Now more than ever.
AnneMoss Rogers is a leading wellness and suicide education expert and one of the top mental health speakers and suicide prevention speakers. Known for her powerful, motivational keynotes, AnneMoss combines her personal story of loss with proven strategies to help organizations build a wellness culture that drives results and saves lives. She speaks at conferences, workplaces, K-12 schools, and universities, delivering impactful presentations that inspire change and promote mental health awareness.
AnneMoss does this work in memory of her son, Charles, who struggled with anxiety, depression, and addiction, and died by suicide at age 20 in 2015.
AnneMoss, thank you for putting words to something so many of us in this work quietly carry. Your honesty about compassion fatigue hits home in a way only someone who has lived it can express.
Those of us at Adam’s Story have walked through the same ins and outs of caring so deeply that our own mental health takes a beating. There are seasons when the weight of grief, advocacy, and storytelling feels heavier than we can hold, and your willingness to name that truth gives the rest of us permission to breathe.
Your idea with the index cards moved me. What a beautiful way to refill the heart when the work drains it dry. We all need reminders that what we do matters — and that we matter, too.
Thank you for continuing to lead with courage, transparency, and compassion. Your voice has helped so many here in Kansas City, and your words today remind us that caring for others must include caring for ourselves. We stand with you, dear friend and partner, in this work and in the ongoing effort to protect our own hearts along the way. (Psalm 23-Confindence in well doing and who is totally in Control over all things now and forever.)
Warmly,
Andy Tilton, Director,P
Adam’s Story | Project HOPE
So beautifully and articulately said, Andy. I totally get it. And thank you for telling your story here. Much love ❤️ in memory of Adam.
I really enjoyed the piece on compassion fatigue. And especially the index cards. I’m glad they have been such a big help to you.
Thank you Janet. It’s a lot of work packing the cards and getting them passed out and gathered up at the end. But so worth it!
Such needed information Anne Moss. Thank you for sharing. And bless you for all you do. I have experienced Compassion Fatigue from the advocacy work I do. It is very real and as you perfectly said can’t be ignored.
Thank you for validating how I have felt and you are welcome to share more if you wish. Did you step back? Did you go a different direction? No pressure. ♥️