In Time of Crisis

First of all, to all of the caregivers in the trenches, especially our healthcare workers and first responders: You have dedicated your lives to helping others and you are valued and validated. Please remember your lives matter, too. It isn’t selfish or self-centered to keep yourselves safe. Thank you for all you do to make the world a better place.

Since the coronavirus crisis began, I have heard from caregivers across the country and beyond. There is confusion, frustration and concern about how to provide authentic, sustainable self-care daily when our lives have been turned upside down. This is especially true of our dedicated colleagues working in healthcare. They are experiencing this nightmare up close and personal.

So, here are some suggestions that I hope will help lower compassion fatigue levels. And maybe even lift your compassion satisfaction levels. It’s a long read, but I hope worth every minute of your time.

In 1976, Dr. Bill Hettler, co-founder of the National Wellness Institute in the United States, developed a model of wellness. He included six forms: physical, emotional, intellectual, spiritual, occupational and social. Environmental wellness was added later.

If there is one uplifting thing about our situation, it’s that we now have time. Too often the excuse for devising our personal self-care plan is a lack of time. That is no longer the case. To that end, we will use Dr. Hettler’s model of wellness to translate our thoughts and concerns into action. We’ll take each dimension and create a plan that creates good health (freedom from disease) and wellness (a dynamic and holistic process of growth and change; thriving).

Physical Wellness: Right now, this dimension is at the top of the list. In order to be able to strengthen our immune systems against the virus, we must be in the best possible physical shape. Getting there includes eating well, restful sleep, and exercise. Given the directives we are following, these three behaviors present real challenges. The one concern I hear often: unending snacking. Most of us have filled our pantries with extra food. Heading to the refrigerator and grabbing something to eat fulfills a need, at least momentarily. This is a form of self-medication and the result is added poundage. Given our obesity epidemic, this form of “self-care” is not sustainable. It helps to plan our meals each day, cut our calorie intake, and use restraint when reaching for the pleasure of choice. Difficult, but doable. Physical exercise has been curtailed for many, especially those who frequent the gym. The answer to keeping up levels of exercise is adaptability. We know what we can’t do, but are we aware of what we can do? I’m a walker and continue to walk a couple of miles each day. If the directive comes down that we are not permitted outside to walk, I will go up and down the stairs in my house. I will walk in place, if necessary. Have a plan if your form of exercise is denied, and carry it out.

Emotional Wellness: Stress levels are sky high, for good reason. No one knows how this crisis will play out in the future. My Number One suggestion: Limit watching TV news, reading newspapers and following social media sites. This doesn’t mean burying our heads in the sand. It means limiting our exposure to traumatizing output. The media is sliming all of us. That means that they are sharing the gory details in order to sensationalize and create fear. I love the news. This isn’t a war against the media. It’s a stand for self-care.

Social Wellness: We have been given the gift of technology. Use it. As social animals, we can isolate for only so long. We need interaction with friends, family and others in our lives. Love growing vegetables? Set up a Facebook group. Dislike working alone at home? Connect with your work colleagues and work together online. Missing your favorite elderly aunt? Set up a Skype session. Miss sharing daily updates with your BFF? Time to post favorite times together on Instagram. Wish you could fix that broken relationship? Write a letter, in long hand. I’ve heard of working colleagues enjoying virtual “get a beer after work” sessions. My granddaughter turned one last week. Canceling her first birthday party was disappointing to say the least, but my son and his partner gathered both sets of grandparents on a FaceTime chat, and together we sang Happy Birthday and watched the little one dive into her birthday cake. The memory of that interaction will last a lifetime.

Spiritual Wellness: Dr. Badri Richki, a psychiatrist and clinical professor of medicine, University of Calgary, says it best: Spirituality is the life we live inside ourselves, versus the life we live outside ourselves through work and play and family.” He states that spirituality can certainly be obtained through religious practice, but the practice is much broader and involves “learning how to be more forgiving, grateful and compassionate, to be kinder and less judgmental.” Amen.

Intellectual Wellness: Read. Write. Journal daily. Work puzzles. Play games with your kids. Take on online course. Ask an interesting question on Facebook and get a discussion going (no negativity allowed). Do internet research on a subject you’ve always found fascinating but never had time to pursue. Organize all of those photos and recipes. Get out that guitar and play once again. Studies show that music changes our brain – for the better. Our neighbors in Spain and Italy are singing and playing instruments from their balconies to share the healing music brings.

Occupational Wellness: Is this a good time to rethink/reconsider your job? Of course. It’s always a good time to think about how you spend your time. Writer Annie Dillard put it best: How we spend our days is how we spend our lives. Are we spending our lives in ways that promote wellness and happiness for ourselves and our loved ones? There is now time to research options and check on educational offerings. If you are working from home and missing the office and your work, chances are you are a good match. Are there ways you can better your opportunities at work? Are there helpful books to offer some new ideas on how to increase productivity once everyone is back on the job? Is there some way we can organize or develop new ways of doing things so when we return to work we can hit the ground running? Think broadly and creatively.

Environmental Wellness: Look around your environment inside and out. Are there things you can do to make your surroundings more pleasant, safer, and more environmentally sound? It’s time to declutter, and remove items that no longer serve us. Go paperless whenever possible. Remove old magazines and articles you’ll never get around to reading. According to the Australian Psychological Association, “it is clear that the well-being and integrity of natural ecosystems and the biophysical environment are integral to human health and well-being.” Beautify your garden with colorful and native flowers to attract hummingbirds, butterflies and dragonflies. Plant and nurture vegetables that are appropriate for your climate zone. Feed the birds. Create spaces where you can sit in the garden and watch nature unfold. Weather permitting, eat meals outdoors.

We are all experiencing new territory in our lives. If we suffer from high levels of compassion fatigue, this crisis holds the power to disrupt our well-being even further. If our energy is low, that’s understandable. Take things a little slower. Rest. Nap even more.

And don’t forget, you are not alone. We are all in this together.


Did you know?

"Compassion Fatigue is a state experienced by those helping people or animals in distress; it is an extreme state of tension and preoccupation with the suffering of those being helped to the degree that it can create a secondary traumatic stress for the helper."

Dr. Charles Figley
Professor, Paul Henry Kurzweg Distinguished Chair  
Director, Tulane Traumatology Institute
Tulane University, New Orleans, LA


Caring too much can hurt. When caregivers focus on others without practicing self-care, destructive behaviors can surface. Apathy, isolation, bottled up emotions and substance abuse head a long list of symptoms associated with the secondary traumatic stress disorder now labeled: Compassion Fatigue

While the effects of Compassion Fatigue can cause pain and suffering, learning to recognize and manage its symptoms is the first step toward healing. The Compassion Fatigue Awareness Project© is dedicated to educating caregivers about authentic, sustainable self-care and aiding organizations in their goal of providing healthy, compassionate care to those whom they serve.


This site has numerous resources we have found for caregivers working in many professions. The Compassion Fatigue Awareness Project© also offers original training materials, workbooks, and texts through our parent organization, Healthy Caregiving LLC. Please visit the site at:

If there are any other services or materials you would like to see available on either site, please Contact Us!


CFAP Founder Patricia Smith recently gave a presentation at the TEDx SanJuanIsland event. Check it out!


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With more than 20 years of training experience, CFAP Founder Patricia Smith writes, speaks and facilitates workshops in service of those who care for others.

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