The Hidden Cost of Caring: How To Cope With Compassion Fatigue, Burnout, and Vicarious Trauma in Grief Counseling

By Heather Stang, MA, C-IAYT

Posted: March 6, 2025

grief counseling burnout compassion fatigue vicarious trauma

In many bereavement organizations, support systems for professionals are an afterthought—if they exist at all. While strong boundaries help, the reality is that compassion fatigue, secondary trauma, and burnout can still take hold. It’s not a personal failing; it’s a natural response to deep, empathetic work. The real issue isn’t that it happens—it’s that so many are left to navigate it alone. 

I personally believe that human service organizations have an ethical responsibility to care for their employees, but when that care is missing, unfortunately it falls to the professional to recognize the signs and open up for support. 

The Hidden Impact of Grief Work on Professionals

Grief work is heart work. As grief counselors, therapists, and other professionals supporting the bereaved, we show up for people in their most painful moments. We offer compassion, presence, and guidance through the grieving process. But what happens when the weight of this work starts showing up in our own lives?

You may have noticed it already—feeling more exhausted than usual, struggling to leave work at work, or feeling disconnected from your relationships. Maybe your body is sending signals, like tension in your chest, headaches, or chronic fatigue, that no amount of rest seems to fix. You might even feel like you’re losing the passion that brought you to this field in the first place.

This isn’t just normal stress. It could be compassion fatigue, secondary trauma, vicarious trauma, shared trauma, or burnout—all common yet rarely discussed challenges in mental health counseling and grief support. These aren’t signs of weakness or personal failure. They are the natural consequences of holding space for loss, trauma, and sorrow—day after day, year after year.

Let’s explore how these experiences impact grief counselors, mental health professionals, and other caregivers, and what we can do to restore balance in our work and personal lives.

Compassion Fatigue: When Empathy Drains You

Compassion fatigue is a gradual depletion of emotional and physical energy caused by repeatedly supporting others through traumatic grief. It’s not just the difficult cases that wear us down—it’s the cumulative effect of witnessing loss, pain, and suffering over time.

Trauma expert Françoise Mathieu describes it perfectly:

“We are not referring to the most difficult story you have ever heard, we are talking about the thousands of stories you don’t even remember hearing (Mathieu, 2011).

This constant exposure to sorrow can lead to emotional exhaustion, making it harder to feel present, engaged, or even joyful in your personal life. You may notice yourself feeling detached, irritable, or overwhelmed, not just in your work but in your daily life.

Signs of Compassion Fatigue:

  • Feeling emotionally drained after client sessions
  • Increased irritability or emotional numbness
  • Trouble experiencing joy or connection in personal relationships
  • A sense of dread before client meetings

Secondary Trauma: When Their Trauma Becomes Yours

Secondary trauma, also called secondary traumatic stress, occurs when hearing about another person’s trauma triggers trauma-like symptoms in you. This often affects mental health counselors, hospice professionals, and those working in life care fields where repeated exposure to grief and loss is part of the job.

Unlike compassion fatigue, which builds up over time, secondary trauma can occur suddenly after hearing about a particularly distressing event. You may find yourself experiencing intrusive thoughts, nightmares, or heightened anxiety—mirroring what your clients are going through.

Signs of Secondary Trauma:

  • Feeling hypervigilant or anxious after hearing traumatic stories
  • Experiencing nightmares or flashbacks related to a client’s trauma
  • Avoiding specific clients or cases due to personal distress
  • Physical symptoms including headaches, stomach issues, pain, or fatigue

Vicarious Trauma: When the Work Changes You

Vicarious trauma doesn’t just leave you feeling drained—it can change the way you see the world. After prolonged exposure to other people’s trauma, you might notice yourself becoming more cynical, more guarded, or emotionally distant. It’s not just exhaustion; it’s a shift in your perspective that can make it harder to connect—with your clients, your loved ones, and even yourself.

Many grief counselors start their careers with a strong sense of purpose, but after years of hearing about loss and suffering, they may find themselves questioning their ability to make a difference.

Signs of Vicarious Trauma:

  • A shift in your worldview (becoming more cynical or hopeless)
  • Chronic emotional exhaustion that doesn’t improve with rest
  • Emotional withdrawal from loved ones
  • Difficulty finding meaning or joy in personal experiences

Shared Trauma: When You’re Grieving, Too

Shared trauma happens when a professional experiences both primary and secondary trauma at the same time. For example, during the COVID-19 pandemic grief counselors, mental health care providers, and hospital staff were not only supporting grieving clients, but also processing their own losses.

Shared trauma blurs the boundaries between professional and personal grief. The emotional impact can be overwhelming, making it difficult to separate work from personal distress.

Signs of Shared Trauma:

  • Feeling emotionally “flooded” during or after sessions
  • Struggling to separate your own grief from your clients’ experiences
  • Over-identifying with a client’s loss
  • Persistent exhaustion, both emotionally and physically

Burnout: When the System Drains You

Burnout is different from the other forms of distress we’ve discussed. While compassion fatigue, secondary trauma, and vicarious trauma stem from trauma exposure, burnout is caused by chronic workplace stress. Long hours, heavy caseloads, and constant administrative pressure—and the ever-present demanding supervisor—can quickly tip the scales, making work-life balance feel impossible and leading straight to burnout.

Burnout doesn’t happen overnight. It creeps in gradually, chipping away at your motivation and leaving professionals feeling depleted, ineffective, and disconnected.

Signs of Burnout:

  • Chronic exhaustion and feeling “done” with work
  • Emotional detachment from clients and colleagues
  • A sense of ineffectiveness or questioning whether your work matters
  • Increased frustration with clients, coworkers, or leadership

How to Reclaim Your Energy and Passion

If you recognize yourself in these descriptions, know you’re not alone. Many grief counselors, mental health professionals, and caregivers struggle with these challenges, often in silence. The good news? There are ways to care for yourself while continuing to support others.

First Steps Toward Healing:

  1. Acknowledge It. The first step is recognizing the signs. Ignoring them won’t make them go away.
  2. Set Boundaries. You can’t say yes to everyone without saying no to yourself. Protect your energy.
  3. Prioritize Restorative Practices. Physical activity, mindfulness, and time in nature can help reset your nervous system.
  4. Find a Support System. Peer groups, supervision, and professional networks can provide the emotional support you need.
  5. Give Yourself Permission to Step Back. Taking a break isn’t a failure—it’s essential for your long-term well-being.

Join Me for the Healing the Healer Masterclass

You don’t have to figure this out alone. If you’re struggling with burnout, compassion fatigue, or emotional exhaustion, I invite you to join me for my Healing the Healer Masterclass.

This free webinar is designed specifically for grief professionals who are feeling drained, overwhelmed, or disconnected from their work. Together, we’ll explore practical self-care strategies, mindfulness practices, and tools to help you reconnect with your passion—without sacrificing yourself in the process.

Reserve your spot now for my Free Healing the Healer Masterclass and take the first step toward overcoming burnout and compassion fatigue. 

Your work matters. And so do you. 

Heather Stang, MA, C-IAYT

About the author

Heather Stang, M.A. is the author of Living with Grief and the guided journal, From Grief To Peace. She is the creator of the Mindfulness & Grief System that is featured in the Handbook of Grief Therapies (2023) and is the founder of Awaken, a mindfulness-based online grief support group. Heather also hosts the Mindfulness & Grief Podcast, and offers mindfulness-based grief support online through her organization, the Mindfulness & Grief Institute. She holds a Masters degree in Thanatology (Death, Dying, and Bereavement) from Hood College in Maryland, and is a certified Yoga Therapist. She currently lives in Falling Waters, WV.

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