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Exquisite Empathy: How Well-Boundaried Compassion Protects Us

Kristi Lehman, MSW, LISW, CCFP

Published 5/30/2025

If you’ve spent time in veterinary medicine, you know this job asks a lot of your heart. The joy of helping animals and their people is one of the most beautiful parts of the work, but it often comes with deep sorrow, stress, and the weight of being present for families on their hardest days.

Over time, that emotional exposure can lead to compassion fatigue the cumulative physical, emotional, and psychological toll of caring for others in distress. It tends to show up gradually, like a slow leak. You might notice you’re a little more irritable, exhausted, or more numb than usual. Maybe you dread certain appointments or find yourself emotionally distancing as a survival strategy. These are normal human responses, and they’re signals that we need to protect our emotional wellbeing.    One of the best ways to do that isn’t by caring less, but by caring differently. That’s where exquisite empathy comes in. It’s a term that originated in fields like trauma therapy and palliative care, and its wisdom translates to veterinary medicine, too. Exquisite empathy is about cultivating a kind of empathy that’s both deeply compassionate and thoughtfully boundaried. It means showing up with an open heart, while staying grounded in your own sense of self.

Think of it as the difference between grabbing a life vest and a rope and swimming to someone struggling vs. jumping in headfirst without a vest. One keeps you both afloat; the other leaves you both at risk.

Why Boundaries Matter in Compassionate Work

In veterinary culture, there’s often an unspoken pressure to always go above and beyond—to care the hardest and give the most. But the truth is, those who learn to set healthy emotional boundaries aren’t less compassionate. In fact, the professionals who learn to set healthy emotional boundaries often have more staying power because they’ve found a way to care that doesn’t cost them their wellbeing.  Boundaries aren’t walls, but rather flexible buffers that protect your emotional reserves, letting you be fully present with a grieving pet owner or an anxious family without internalizing their emotions as your own. This kind of well boundaried compassion is protective against compassion fatigue.

How Exquisite Empathy Protects You

Exquisite empathy transforms empathy from a reflex into a skillful practice. Veterinary professionals who practice it can:

  • Hold space for clients’ emotions without taking them on.
  • Witness suffering with compassion, without feeling solely responsible for fixing it.
  • Grieve with families, while feeling honored to help in a beloved pet’s final moments.
  • Navigate tough situations with flexible, strengths-based thinking that helps manage moral dilemmas and complex outcomes.

It’s about being emotionally available while remaining grounded, and it keeps you from getting swept away in the emotional current of every case you encounter.

Ways to Cultivate Exquisite Empathy

Exquisite empathy isn’t an innate superpower you either have or don’t have. It’s a skill you can practice and develop over time. Like any part of our clinical toolkit, it gets sharper with use. Here are a few ways to start:

1. Check in with yourself regularly. Make it a habit to pause and notice what’s going on inside you. What are you feeling right now? Is your chest tight? Are your shoulders tense? Are you holding your breath? Physical cues often show up before our conscious minds catch on. Take 30 seconds to stop, take a grounding breath, and ask yourself, “What do I need in this moment?” Maybe it’s a quick stretch, a sip of water, or a reminder that it’s OK to experience whatever emotion you’re experiencing. These small check-ins help anchor you so you can show up for others without losing yourself.

2. Use mindful language. The words we choose shape how we experience emotions. In moments of grief or distress, practice language that acknowledges others’ pain without merging it with your own. Instead of saying, “I feel your pain,” try, “I can see how much you love her and how hard this is for you.” Or, “I’m here with you through this.” These phrases communicate empathy and presence, while maintaining a healthy emotional boundary. Also, notice your internal dialogue. When you think, “This is unbearable,” gently reframe it as, “This is a hard moment, and I can get through it.”

3. Normalize boundaries as a form of compassion. Setting limits on your emotional availability is self-care. Take time to reflect on where your boundaries need attention—not just emotionally, but logistically. Are you answering client emails at 9pm while sitting on your couch? Are you skipping breaks because it’s just one more thing to schedule in? Give yourself permission to reset and make changes to protect the balance you need.

4. Lean on peer support. Talking through tough cases with trusted colleagues is one of the most effective ways to process feelings and restore perspective. Peer support isn’t just venting—it’s a tool for learning, making meaning, finding patterns, and letting go of what you don’t need to carry. Whether it’s an informal check-in after a difficult appointment, a standing weekly debrief with your team, or even a text thread with a few supportive vet friends, try to build these outlets into your workflow.

5. Recognize what’s yours to hold and what’s not. One of the most important skills in exquisite empathy is learning to discern which emotions belong to you and which belong to others. You can witness someone’s grief, acknowledge their suffering, and honor the weight of a loss without making it your own to carry. Try using a mental phrase like, “This is their heartbreak to hold. I can walk alongside them without carrying it for them.” And when it comes to outcomes, anchor your sense of success in what’s within your control: the clarity of your communication, the compassion of your care, the integrity of your clinical decisions, rather than the unpredictable outcomes of illness or grief.

It s About Caring Well, Not Less

At its heart, exquisite empathy is about offering care that sustains both you and those you serve. It invites you to stay connected without losing yourself and to treat your compassion as the valuable, renewable resource it is. In veterinary medicine, where heartache and healing coexist, these skills matter not just because we’re professionals, but because we’re people and we deserve our care, too.

Tune In to Learn More About Compassionate Detachment

Compassion is at the heart of what veterinary professionals do—in fact, losing one of her heart dogs in college led Kristi Lehman, MSW, LISW, CCFP, our VP of DVMcenter and MN Pets, into veterinary social work. In Part 1 of this two part VETGirl podcast series, learn about compassionate detachment and how setting healthy emotional boundaries can support both longevity and wellbeing in the field.

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