Challenging patient situations can evoke strong emotional responses, whether they are positive or negative. Sometimes in the midst of a challenging situation, it can be difficult to realize how it is affecting your emotions and potential decision-making. In other cases, there may be a gradual change to your emotional regulation such as burnout or compassion fatigue. We will compare sympathy and empathy and explore factors in the healthcare setting that lead to various emotional states including burnout, compassion fatigue, and resiliency.