Recognising and Managing Compassion Fatigue

Compassion is essential, yet continually meeting others' needs can place emotional demands on professionals. Over time this may lead to compassion fatigue-emotional exhaustion that reduces the capacity to show care and empathy. Recognising early signs and using strategies for resilience help keep compassion sustainable and protect patient safety.[3][2]
Signs of compassion fatigue
- Emotional detachment, irritability, or reduced empathy toward patients.
- Feeling overwhelmed, helpless, or persistently drained by clinical interactions.
- Declining job satisfaction, increased errors, or avoidance of difficult conversations.
These indicators matter because they can undermine trust and contribute to burnout.[3]
Causes in optical practice
- Frequent discussions about progressive, untreatable conditions such as macular degeneration.[4]
- Supporting anxious or distressed patients in high-volume clinics with limited time.[5]
- Balancing clinical demands with administrative pressures, leaving little space for recovery.[9]
Understanding context helps identify when strain is developing.[4]
Strategies for resilience
- Self-reflection - regularly assess stress levels and emotional responses; journalling or structured reflection can reveal patterns.[8]
- Peer support - share experiences with colleagues in a safe environment to normalise challenges and reduce isolation.[6]
- Supervision or mentoring - seek guidance from senior colleagues to discuss difficult cases and gain perspective.[7]
- Resilience planning - schedule regular breaks, maintain boundaries between work and home, and engage in activities that promote recovery.[9]
These practical steps can reduce the impact of compassion fatigue.[9]
Professional responsibility
Compassion fatigue does not excuse lapses in care. GOC standards require patients to be treated with respect and compassion at all times. Recognising fatigue and seeking support early is part of professional accountability, protecting personal wellbeing and the consistency of compassionate, safe, and effective care.[1]
References (numbered in text)
- 4. Show care and compassion for your patients — General Optical Council (Standards of practice for optometrists and dispensing opticians). Find (opens in a new tab)
- Compassion fatigue in helping professions: a scoping literature review — BMC Psychology; Amelia Mohd Noor et al. (2025). Find (opens in a new tab)
- Compassion Fatigue and Psychological Distress Among Social Workers: A Validation Study — Richard E Adams; Joseph A Boscarino; Charles R Figley — American Journal of Orthopsychiatry (2006). Find (opens in a new tab)
- ‘It was like being hit with a brick’: a qualitative study on the effect of clinicians’ delivery of a diagnosis of eye disease for patients in primary and secondary care — Anne Ferrey; Lucy Moore; Jasleen Kaur Jolly — BMJ Open (2022). Find (opens in a new tab)
- Stress and cataract surgery: A nationwide study evaluating surgeon burnout — Abdus Samad Ansari; Annie See Wah Tung; David M Wright; Patrick Watts; Gwyn Samuel Williams — European Journal of Ophthalmology (2023). Find (opens in a new tab)
- Effectiveness of a group intervention to reduce the psychological distress of healthcare staff: a pre-post quasi-experimental evaluation — Jeremy Dawson et al. — BMC Health Services Research (2021). Find (opens in a new tab)
- Impact of clinical supervision on healthcare organisational outcomes: a mixed methods systematic review — Priya Martin; Lucylynn Lizarondo; Saravana Kumar; David Snowdon et al. — PLOS One (2021). Find (opens in a new tab)
- Health professionals and students’ experiences of reflective writing in learning: A qualitative meta-synthesis — Giovanna Artioli; Laura Deiana; Francesco De Vincenzo; Margherita Raucci; Giovanna Amaducci; Maria Chiara Bassi; Silvia Di Leo; Mark Hayter; Luca Ghirotto — BMC Medical Education (2021). Find (opens in a new tab)
- Looking after your team’s health and wellbeing guide — NHS England (published 2023). Find (opens in a new tab)
References are included to demonstrate that all the content in this course is rigorously evidence-based, and has been prepared using trusted and authoritative sources.
They also serve as starting points for further reading and deeper exploration at your own pace.

