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COMPASSION FATIGUE: When the helpers get tired of helping Presented by: Michelle Wilkinson, MA, LPC-S [email protected]

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COMPASSION FATIGUE:

When the helpers get tired of helping

Presented by:

Michelle Wilkinson, MA, LPC-S

[email protected]

OBJECTIVES Definition of Compassion Fatigue Identify the Signs and Symptoms Tools to recovery Observing the signs in self and others Prevention

WHAT IS COMPASSION FATIGUE?

DEFINITION Definition: World English Dictionarycompassion fatigue   — n the inability

to react sympathetically to a crisis, disaster, etc, because of overexposure to previous crises, disasters, etc

HISTORY Compassion Fatigue was first introduced

by Carla Joinson in 1992, as a way to describe burnout among nurses

Maslach and her colleague Jackson first identified the construct "burnout" in the 1970s,the term was coined by Herbert Freudenberger in1974

McCann and Pearlman use the term Vicarious Traumatization in 1990

OTHER RELATED TERMS:

Empathy Fatigue Burnout Vicarious Traumatization Secondary Traumatic Stress Disorder

Just plain sick ‘N’ tired

THE STATS 76% of 2,500 clergy members survey

were overweight or obese compared with 60% in general population

More than 60% of helping professionals have a trauma history of their own—we enter the field to make a difference, to give back, and share from our own life experiences

59% of mental health professionals were willing to seek help vs 15% of law enforcement

COMPASSION FATIGUE VS BURNOUT Burnout---is a term that describes low

job satisfaction, feeling powerless, overwhelmed, depleted and frustrated by their work environment

Many persons in ‘non-helping’ jobs may experience burnout, who are not particularly in a traumatic environment

COMPASSIONA FATIGUE VS DEPRESSION Employees who considered most of their

days to be quite a bit or extremely stressful were over three times more likely to suffer a major depressive episode, compared with those who reported low levels of general stress

Chronic Compassion Fatigue can lead to depression, anxiety, addiction, mental and physical illnesses if left unchecked

COMPASSION FATIGUE VS VICARIOUS TRAUMATIZATION Vicarious Traumatization, a termed

coined by Laurie Ann Pearlman and Karen Saakvitne, is used to describe the profound shift that workers experience in their world view when they work with clients who have experienced trauma

Helpers notice that the way they think about clients and the world, is somehow changed by the cumulative process of repeated exposure.

COMPASSION FATIGUE VS PRIMARY AND SECONDARY TRAUMA Primary Trauma refers to trauma that is

happening to you, either from your personal life or even in the line of duty

Secondary Trauma is the exposure to trauma via retelling of stories by client or co-worker, reading case files, hearing court testimonies or watching disturbing news footage

SIGNS AND SYMPTOMS Sleep Disturbance Exhaustion Avoidance of circumstances Isolation Self-doubt of ability to help Stress Complacency Secretly wishing clients don’t show up! Anxiety Irritability Resentments with co-workers Missing meetings or peer supersvions OVERWORKING

This is not an exhaustive list…………

CASE STUDY: WHAT’S YOUR STORY? “My biggest challenge as a director is

that I am trying to do the work of two people. When I moved into this position, I replaced a full-time counselor. I also replaced one of the pastors who had functions as part-time overseer for the counseling center. My position as director should be a full-time position, it is impossible for me to successfully handle the responsibilities of both positions and to them both well”

Director of a women’s counseling center

CAN WE PREVENT COMPASSION FATIGUE? Compassion fatigue has been described

as “the cost of caring” for others in emotional pain

Compassion fatigue is an occupational hazard

Compassion Fatigue is a disorder that affects those who do their work well

Caring for others is both my calling and my cross to bear

SEEING THE SIGNS IN YOURSELF AND OTHERS:

Low self-esteem and lack of confidence

Feelings of Fear,

Anxiety, and

Inadequacy

Decline in health,

relationship and Job

Performance

Thoughts of

quitting!

WHAT IF I’M “SICK ‘N’ TIRED”?

HOW TO MANAGE COMPASSION FATIGUE? AWARENESS IS KEY!

• Are you in the danger zone?

• Professional Quality of Life test

• Compassion Self-Test

Self Test

• Limiting exposure• Setting

BoundariesSelf Care

• Be confident • Take your own

advice!Self Worth

THINGS TO CONSIDER Prevention is ideal, but may not be

realistic Know your own patterns Be confident, you got this! Find the ‘off switch’ in your head, and by

all means shut it down when you leave the office

Be human, respect your emotional limits Their emergency is not necessarily your

emergency! Give yourself some grace!

WHAT CAN WE DO TO HELP EACH OTHER? Community and Professional resources Compassion Fatigue Awareness Project/

Healthy Caregiving, LLC

The Compassion Fatigue Awareness Project (www.compassionfatigue.org) promotes an awareness and understanding of Compassion Fatigue and its effect on caregivers.

Beth Hudnall Stamm ProQOL Institute The Green Cross

ARE WE DOING ENOUGH IN SOCIETY TO HELP PROTECT THE HELPERS?

Who’s job is it to help protect the helpers?

WRITE YOUR RECIPE FOR RECOVERY

PREPARATION: Create an atmosphere of peace Surround yourself with encouragement Regain your smile Notice a Sunrise or Sunset Be Still Journal Take a “Mental Break” Day!

INGREDIENTS FOR SELF CARE: PERSONAL

Meditation

INGREDIENTS FOR SELF-CARE PROFESSIONAL

Professional Education

RECIPE FOR RECOVERY As counselors and caring professionals

we give of our time, our talent and our treasure.

You can’t give all of your treasure away Self-care is a lifelong journey and a

consciously chosen lifestyle. Save some good things for yourself “there is no such thing as a normal life,

just life”—Wyatt Erp Keep living, giving, and caring!

REFERENCES American Psychological Association (APA): compassion fatigue. (n.d.). Collins English

Dictionary - Complete & Unabridged 10th Edition. Retrieved January 23, 2013, from Dictionary.com website: http://dictionary.reference.com/browse/compassion fatigue

The Compassion Fatigue Project Copyright 2008-2013. ProQOL.org © January 2013 Counseling Today | “Who’s taking

care of Superman?” Powered by WordPress . Definition: Vicarious Traumatization—Laurie

Ann Pearlman and Karen Saakvitne Ferguson, S. (2007)Clergy compassion fatigue.

Family Therapy Mag. Mar-April issue The Compassion Fatigue Workbook: Creative tools

for transforming compassion fatigue and vicarious traumatization