I learned the hard way, but not too late, to ask for help. I was taking care of my sister who had Acute Misogynous Leukemia, working part time, going to school, taking my niece to day care, doing the cooking, shopping, clothes washing, cleaning, watering the plants, feeding the cat and birds, (one day I came home and the cat had eaten the birds), dealing with my sisters private practice and her office, etc... Two weeks before my sister died, I was hospitalized with a collapsed lung. When my sister died, I was told by the Leukemia Society that they could no longer help. I was at the lowest point in my life. What kept me going was I knew that I was there and had done the best I could and I believed I was a good person. My life could only go in one direction from there, better. In order to be a caregiver, I learned the hard way that I needed to take care of myself first. In order to give out of my generosity, I needed to feel good about myself, others, and the situation. Giving under guilt, obligation, pressure, expectations are what leads to burn out and "compassion fatigue." It is self destructive to give under those conditions. The ones we give to only know their own pain and needs. We damage them when we damage ourselves in both the emotional world and the physical world. Now 30 years later, I facilitate a caregiver support group for the Leukemia and Lymphoma Society. Each of us is the CEO of our life. Everyone else are subject matter experts. Use them professionally. Our mental health and our physical health is a business, not a game. I have found that not sacrificing and following my passions has given me the energy, resources and the compassion to continue to give. My life is on bonus years. In my day job I help the military men and women who have demobilized return to the community. It seems that it doesn't matter what the cause of the trauma or loss is, TBI, PTSD, Cancer, AIDS, an IED, resilience is the same. It's our ability to maintain having secure thoughts over fearful thoughts during a crisis. Al Schafer MSW