This report focuses on the mental health and wellbeing challenges faced by content moderators working in Trust & Safety roles, particularly within gaming environments. It examines the psychological impact of repeated exposure to distressing user-generated content, including hate speech, violence, and graphic material. The report presents research findings on secondary trauma, burnout, sleep disturbances, and coping mechanisms among moderators. It highlights how structured wellbeing programs, psychological support, resilience training, and leadership engagement significantly improve moderator performance, retention, and decision-making quality. The report positions moderator wellbeing as both a moral responsibility and a business imperative, demonstrating how investment in care programs lea

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