In the last decade, the helping professions have increasingly recognized compassion fatigue, burnout, and secondary trauma as hazards integral to care-work, and in response, they have turned to self-care to build caregiver resilience. To examine the theological and ethical assumptions implicit in self-care literature, I turn to Thomas Aquinas's account of the active and contemplative lives in the Summa Theologiae. In correlating the two lives as meeting neighbors’ needs and beholding God, Thomas offers three competing accounts. Rather than synthesizing these differences, I argue that they map a range of interactions possible between one's own wellbeing and another's: care for the neighbor can hinder, prepare for, or be referred to contemplation and its consolations. While affirming self-care's recognition of human limits, my reading of Thomas also offers a correction, insisting that divergent experiences of caregivers are possible. This depends on the particulars, among which include the grace of divine assistance.