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Online Therapy · Tennessee

Compassion Fatigue Therapy for Tennessee

You chose work that matters. You care for patients, clients, students or family members, and you are good at it. But lately the caring feels heavier.

You go numb in moments that used to move you. You dread the next shift, the next session, the next phone call, and then feel guilty for dreading it. That is compassion fatigue, and it happens most often to the people who care the most.

When Caring Starts to Cost You

Compassion fatigue is the emotional and physical toll of absorbing other people's pain, day after day, without enough room to set it down. It can look like irritability, detachment, trouble sleeping, or a quiet sense that you have lost the reason you started.

I know this world from the inside. I previously worked at Vanderbilt University, and I have spent much of my career supporting nurses, physicians, therapists and other helping professionals. You do not have to explain what a hard shift feels like. We can start with what you need now.

Melissa Russiano, LCSW, online therapist for Tennessee

How I Work

Together we make room for what you have been carrying, help your nervous system settle, and rebuild boundaries that protect your care instead of draining it. I use Brainspotting, a brain-body approach for stress and overwhelm, along with CBT, mindfulness and shame resilience as a Certified Daring Way™ Facilitator. The free Freedom Compass™ quiz is a good place to see where you are right now.

Compassion fatigue often overlaps with burnout, perfectionism and imposter syndrome, and I work with all of them.

Serving Clients Across Tennessee

Sessions are virtual, so you can meet with me from Nashville, Memphis, Knoxville, Chattanooga or anywhere in between, including on the days your schedule only leaves a lunch break.

Going through a divorce? I also serve as a collaborative divorce mental health neutral virtually across Tennessee.

Getting Started

Sessions are virtual only, unless otherwise agreed upon. Ask about insurance billing, superbills and private pay rates during your consultation.

Schedule a Complimentary Consultation