Mental health providers represent one of the highest risk groups in health care for compassion fatigue. As we work to understand how self-care can be adapted, used, and practiced effectively by counselors, psychologists, family therapists, and other like-minded healers, it is important that we improve the quality, complexity, and sophistication of the scholarship we conduct. This critical review examines 9 articles published between 2005 and 2019. Selection criteria included the following: (a) studies were empirical/peer-reviewed, (b) samples engaged were composed of mental health professionals, and (c) investigative foci targeted the relationship(s) between self-care and compassion fatigue. Analysis revealed a lack of cohesive theory, limited sample designs, inconsistent measurement, underpowered analyses, and disorganized results. Implications for supportive clinical and policy practices, alongside responsive calls for future scholars, are put forth in conclusion.