You cannot heal others with the same exhaustion you refuse to address in yourself.

That is not an accusation. It is an invitation to tell the truth. Because sometimes the woman who is most gifted at helping everybody else breathe has not taken a full breath herself in years. She knows how to listen. She knows how to encourage. She knows how to hold space, pray, coach, organize, mother, lead, counsel, advocate, build, and show up. She can recognize pain in other people with precision.

But she has learned to minimize her own.

  • She calls it being strong.
  • She calls it being needed.
  • She calls it ministry.
  • She calls it service.
  • She calls it the assignment.

But unaddressed exhaustion does not become holy just because it is attached to helpful work. It follows you into the room.

Research on compassion fatigue has shown that the cost of caring is complex. A 2025 scoping review of helping professions found that compassion fatigue is shaped by both personal and work-related factors, including burnout, resilience, mindfulness, emotional support, social support, job satisfaction, work experience, professional competence, and repeated exposure to suffering (Noor et al., 2025). In other words, exhaustion is not only about how much you care. It is also about what supports are—or are not—holding you while you care.

That distinction matters.

Because many purpose-driven women do not lack compassion. They lack recovery. They are not tired because they do not love people. They are tired because they keep pouring from a place that has not been restored.

And for Black women, this can carry additional weight. In a 2024 mixed-methods study of African American family caregivers, Irani and colleagues found that caregiving impacts on finances, schedules, and health were associated with depressive symptoms. The study also noted cultural considerations such as reciprocity, limited use of community-based resources, and mental health stigma (Irani et al., 2024). That sounds familiar beyond family caregiving. Many Black women are carrying emotional, spiritual, professional, and community responsibilities while also carrying the pressure not to need too much help themselves.

But needing care does not make you less capable. It makes you human.

The problem is that helpers can mistake function for wellness. You can still answer the phone, send the email, lead the meeting, preach the word, serve the client, post the encouragement, and hold the family together while being deeply depleted. Functioning is not the same as being whole.

A 2025 study of physicians found that higher self-compassion was associated with lower compassion fatigue, anxiety, and depression, while higher compassion fatigue was associated with greater anxiety and depression (Balki Tekin et al., 2025). That matters because self-compassion et al., 2025) is not softness in the weak sense. It is the ability to treat your own pain as worthy of attention.

The woman who heals others must learn to stop being cruel to herself in private. Not dramatic or performative, just honest.

“I am tired.”

“I need help.”

“I cannot carry this alone.”

“I need recovery.”

“I have been pouring from a wound.”

“I need to be cared for too.”

That honesty is not the end of your effectiveness. It may be the beginning of a healthier impact.

Research with mental health counselors found that expertise was associated with lower compassion fatigue, both directly and through stronger core self-evaluation (Hong & Wang, 2024). Expertise is not just about having knowledge. It is knowing how to hold the work without becoming swallowed by it. It is knowing when to seek supervision, when to set a boundary, when to separate your pain from someone else’s, and when to stop making your nervous system the container for everybody’s crisis.

Healing work needs skill, but it also needs humility. The humility to admit that you are not exempt from needing care. The humility to admit that your exhaustion has a voice. The humility to ask whether your helping has become a way of avoiding what still hurts in you.

This is where the invitation becomes tender: Do not stop caring. Stop disappearing inside the care.

  • Care with boundaries.
  • Serve with recovery.
  • Lead with support.
  • Pour with replenishment.
  • Minister with rest.
  • Build with room to breathe.

Even small, culturally relevant tools can matter. A 2024 pilot study of a mindfulness-based mobile app for African American caregivers found that participants frequently used guided journaling, positive affirmations, and inspirational quotes, and most reported high satisfaction with the app (Carswell et al., 2024). That does not mean an app solves exhaustion. But it does remind us that reflection, affirmation, mindfulness, and intentional pauses can become part of how caregivers begin returning to themselves.

You cannot heal others with the same exhaustion you refuse to address in yourself. Because eventually, what is unaddressed will leak into the work.

It may leak as resentment. It may leak as numbness, impatience, or overcontrol. It may leak as savior behavior, silent bitterness, or the belief that nobody shows up for you the way you show up for them.

But healing work becomes healthier when it includes you.

So today, do not only ask, “Who needs me?” Ask, “What do I need?”

Do not only ask, “How can I help?” Ask, “Where am I hurting?”

Do not only ask, “What is the assignment?” Ask, “What part of me needs care before I keep carrying it?”

Your compassion is beautiful, but so is your recovery.

Your service matters, but so does your healing. And the woman who keeps helping everybody else come back to life deserves to feel alive too.

Alesha Brown, CEO, Fruition Publishing Concierge Services®

Editor-in-Chief, Published! Magazine®

Award-Winning Entrepreneur|Publisher|Film Producer    

References

Balki Tekin, S., Matsar Ay, A., & İnci Kenar, A. N. (2025). Mental health, self-compassion, and compassion fatigue in physicians: A cross-sectional study. Scientific Reports, 15, 18245. https://doi.org/10.1038/s41598-025-03628-x

Carswell, S. B., Alexander, K., Gryczynski, J., Knowlton, A. R., Abatemarco, D. J., Horodyski, A. M., & Mitchell, M. M. (2024). Mindfulness-based mobile application for African American caregivers. Journal of Technology in Behavioral Science, 9(4), 661–670. https://doi.org/10.1007/s41347-023-00366-7

Hong, S., & Wang, Z. (2024). Understanding the impact of expertise on compassion fatigue in counseling via core self-evaluation and resilience. Scientific Reports, 14, 22607. https://doi.org/10.1038/s41598-024-73666-4

Irani, E., Nguyen, A. W., Dasari, U. S. V., Jennings, A. P., Wang, F., & Hickman, R. L., Jr. (2024). African American family caregivers’ experiences and mental health: A convergent mixed-methods study. Western Journal of Nursing Research, 46(11), 925–937. https://doi.org/10.1177/01939459241278453

Noor, A. M., Suryana, D., Engku Kamarudin, E. M., Naidu, N. B. M., Kamsani, S. R., & Govindasamy, P. (2025). Compassion fatigue in helping professions: A scoping literature review. BMC Psychology, 13, 349. https://doi.org/10.1186/s40359-024-01869-5