Tag Archives: Compassion Fatigue

Helping Counsellors Working in Trauma

Posted by: Michael Sorsdahl on April 5, 2016 12:46 pm

As a working psychotherapist in the area of trauma, it has become very evident that the importance of the development of self-care strategies and receiving supervision to aid in helping ourselves to help our clients is paramount.  It has struck me that many practitioners enter into the field without understanding the pitfalls and signs of Vicarious Trauma, Compassion Fatigue, and Burnout. If we as practitioners of wellness are unable to maintain our own wellness, then we can actually do more harm than good in our attempts to help..

My experience as both a practitioner and an instructor to counselling psychology students in the area of crisis and trauma has led me to realize the lack of awareness that may exist in our professional community. Some of the symptoms of vicarious trauma as outlined by Iqbal (2015) that may be experienced by thBurnouterapists could be:

  • Changes in personal identity and world view
  • Social withdrawal
  • Lack of trust in others
  • Feelings of helplessness
  • Becoming easily emotionally overwhelmed
  • Numbing of atypical feelings towards people and events
  • Loss of connectedness to others and the self
  • Hypervigilance
  • Difficulty connecting with joy.

Some ways for practitioners in the field to be able to assess for their levels of vicarious trauma, compassion fatigue and burnout are with the Traumatic Stress Institute Belief Scale (TSI-BSL), Compassion Fatigue Self-Test for Psychotherapists (CFST), the Professional Quality of Life Scale (ProQoL), and the Maslach Burnout Inventory (Sansbury, Graves, & Scott, 2015).

Proactive self-interventions against the onset of vicarious trauma, compassion fatigue, and burnout are through the implementation of self-care strategies and supervision. Self-care strategies can be implemented in 4 realms of practitioner’s lives, including the physical, mental/emotional, social, and physical environment. Examples could be exercise and nutrition (Physical), meditation and mindfulness (mental/emotional), time spent with family and friends (family), and a clean orderly house (physical environment). I recommend implementing 1-2 strategies from each of these four areas to give a well-rounded self-care approach.

Directly discussing vicarious trauma, compassion fatigue, and burnout with a supervisor is one of the best ways to work through the symptoms early on and process any concerns you may have. Supervision is not just for students, I highly recommend it for all active practitioners in our field.


 

Iqbal, A. (2015). The ethical considerations of counselling psychologists working with trauma: Is there a risk of vicarious traumatisation? Counselling Psychology Review, 30 (1), 44-51.

Merriman, J. (2015). Enhancing counsellor supervision through compassion fatigue education. Journal of Counseling & Development, 93, 370-378.

Sansbury, B. S., Graves, K., & Scott, W. (2015). Managing traumatic stress responses among clinicians: Individual and organizational tools for self-care. Trauma, 17, (2), 114-122.




*The views expressed by our authors are personal opinions and do not necessarily reflect the views of the CCPA

Finding Compassion Within

Posted by: Denise Hall on February 2, 2016 5:11 pm

self-careBy Denise E. Hall Psy.D CCC MCVP

Every part of us that we do not love will regress and become more primitive – Carl Jung

I have been thinking for a long time about writing about Self-Compassion. In my work as a psychotherapist and with my friends and family, I am constantly struck by the lack of self-compassion people convey in their words about their work and life. They are constantly saying things like “I am so stupid”, “I should have known better”, “how could I have missed that”, “who would notice or like a _____”. “I am just a ________” etc. etc.

No wonder we have high levels of depression and anxiety in our culture. Western society is high on guilt and judging individuals. It also encourages people to have unrealistically high standards for themselves and sometimes their standard is pure perfectionism. Their failings are seen as a panacea for everything that is wrong. Not only are individuals judged and blamed, parents, in particular, are one of most heavily blamed group in society. Some people believe that Individual blame conveniently shifts the responsibility from organizational, corporate and /or institutional/governmental culpability.

What is self-compassion? I think we confuse it with selfishness if we tend to spend time on caring for our self. Self care and self-compassion, I suggest is an afterthought, something we do when we have time and when all our responsibilities are taken care of. What happens usually is there is nothing left to give to self. We turn to other things like alcohol or drugs, food or other dependencies that hook us quickly but do not provide the profound and positive effect of simple self-compassion.

Self-compassion is the act that states “I am human; I am fallible and it is OK to make mistakes to change my mind, to pursue my passion.” It is not judging our actions as good or bad, just viewing them as part of learning and growing, part of being human. How can we be compassionate of others if we do not practice it with ourselves? The Green Cross Standards of Care state that we cannot perform our work as a caregiver unless we take care of ourselves. There is also the metaphor of the airplane oxygen mask, putting it on first before we put it on others.

The driver of this judgemental approach is our critical voice or voices that are internalized from the Media, and the dominant stories in our culture about who is valued and who is not; from our parents and school experiences. Awareness is the key to self-compassion and the more we understand these influences, the more we have control over our actions. When we judge ourselves harshly it demeans us and often drives our self-esteem into the black hole of constant recrimination, fear and helplessness.

There is a Buddhist sutra that is called Metta or lovingkindness that blesses ourselves and others. It is a meditation similar to the following:

May I be safe
May I be healthy
May I have ease of body and mind
May I be at peace

The practice goes on to bless others, dearest ones, benefactors, neutral ones and those we are in conflict with. Compassion starts with the self and it encompasses our work, our friends and family, relationships with others and those that are sick, troubled or difficult to deal with. The whole world looks and feel different when we practice self compassion. The native Hawaiians have a practice called Ho’oponopono which is a forgiveness ritual that starts with loving, accepting, and forgiving the self and then others. They call it the miracle healing practice.

Self- compassion is a simple concept however it is not easy to practice. It takes accepting ourselves and all our parts warts and all!!!

Your comments are welcome! Please contact me at 604-562-9130.




*The views expressed by our authors are personal opinions and do not necessarily reflect the views of the CCPA

Sand, Story and Solidarity: Finding Joy and Meaning in Clinical Work

Posted by: Bonney Elliott on May 4, 2015 9:06 am

My work life is split between coaching cancer patients and their families, and private general psychotherapy practice. In both domains, the clients who come to see me are often in the midst of major life transitions. Their stories can be heart wrenching. I could easily get lost in their suffering, Take it on and bring it home with me. Or worse, become so detached that it ceases to affect me at all. Both alternatives would impact my wellbeing and my longevity as a practitioner. There is no perfect formula for keeping the fire in the belly alive in my clinical work. Mitigating compassion fatigue is not simply about finding the perfect job and job/life balance, or staying healthy through self-care, nurturing relationships and mindfulness. It is about finding joy and meaning in the work I do.

fantasy-221242_640The three pillars of my clinical practice are sand, story and solidarity. Sand represents the Sand Tray Therapy that brings creativity, joy and lightness to the work, even with clients who have experienced significant trauma. Story represents Narrative Therapy and my own writing, which help me to find truth and beauty in client’s stories. Solidarity comes from the practitioner community that I belong to, my lifeboat of support. I meet with like-minded practitioners regularly, through group supervision and collaborative practice groups. Having a therapeutic community sustains my practice, keeps me grounded and bridges the isolation of clinical work. Continue reading




*The views expressed by our authors are personal opinions and do not necessarily reflect the views of the CCPA

Beyond Compassion Fatigue: The Phoenix in Flight

Posted by: Siri Brown on August 15, 2012 12:15 pm

When first embarking on the adventure and honour of helping others as a professional, credentialed, certified therapist, it is all you can do to contain your excitement as you await each new client.  Brimming over with theories, interventions and techniques, the beginner counsellor knows, in their bones, that they can make a difference. It is a wonderful, fulfilling knowing and despite the occasional bouts of doubt and moments of uncertainty, it is an amazing time in a counsellor’s career, and I reveled in it as I embarked on my dream profession.

So what happened to me? To many of us? You know, to our dreams of helping hundreds of hurting clients and becoming self-actualized in the process? Instead, many of us have found ourselves 10, 15, 20 years down the road burned out, weary, depressed and doubting. Even wondering, in our darker moments, whether counselling really helps anyone in the long run anyway. Not a fun place to be. And not a place one has to stay, either.  As one of my favourite colleagues likes to point out, “suffering is optional”.

Continue reading




*The views expressed by our authors are personal opinions and do not necessarily reflect the views of the CCPA

The ONLY Way of Getting off the Compassion Fatigue Rollercoaster for Good!

Posted by: Siri Brown on April 10, 2012 3:59 pm

The first time I suffered from counsellor burnout, aka Compassion Fatigue, was at my first job at a residential treatment centre.  I was young, fresh, idealistic and ready to dive into the rewarding work of helping others.  After only about a year and a half, I was drinking regularly, smoking again after a hiatus of over a year and a half, and exercising compulsively (at least an hour and a half a day).  I was crying on my way home from work, and frustrated and ashamed of myself and my apparent lack of healthier “coping skills”.

I didn’t know what was going on – how come I was struggling so much?  Why was I feeling the need to escape from my feelings so compulsively?  Why was I so emotionally sensitive?  What had happened to the old me?  Despite my efforts at distracting myself, the cracks started to show – I have two distinct memories that helped me realize something was really wrong. 

The  first one was during a massage, when the massage therapist placed her hands on my shoulders and asked, “why are you carrying the weight of the world on your shoulders? “.  This prompted a waterfall of tears.  How did she know that was exactly how I was feeling?

Continue reading




*The views expressed by our authors are personal opinions and do not necessarily reflect the views of the CCPA