Monday, May 11, 2015

Compassion Fatigue

“How do you listen to those stories all day long then go home to your family?” 
“How do you separate work and home?”

These are questions I get asked all the time by clinicians and non-clinicians alike.  The answer isn’t an easy one.  It’s actually more of a journey.  I have spent more than 12 years working in some capacity with trauma victims.  The terms ‘compassion fatigue’, ‘secondary trauma syndrome’, ‘burnout’ have all been thrown around, trained on, and warned about throughout my entire career.  I learned early on what this was when I would go to dinner with my husband and space out thinking back on a client’s session I’d had that week.  Or when I would jump when someone would hug me, preparing for them to attack me.  Then there were the times that I would wake up from a nightmare in which I experienced my client’s ‘story’ as they had told it to me.   Quickly I learned that something had to change about what I was doing in order for me to keep helping in the field I loved.  I was so fortunate to have great mentors who spoke into me early on in my career and whom I felt safe enough to ask for help.  What I learned from them are 5 ways to help prevent compassion fatigue. 
1.      Set Boundaries – With clients and with your friends and family.  You should not be the only one your client relies on.  Use community resources and hotlines, create safety plans that involve other numbers and people to call other than you.  Set boundaries with your friends and family by not going to gatherings if you need the rest and self care time.  Find other resources to help your friends and family so that you are not the main provider for them as well as your clients.

2.      Set a ritual to leave it at the office- For me I bow my head and offer up each of my clients I’ve seen for the day in prayer.  I give them to the Great big God that I serve who can help them a lot better than I can outside of the office.   I then get up and literally leave it there in God’s hands.  As I leave my office I turn my mind over to what needs to be done when I get home and call my husband to switch gears into home life.   Setting some kind of ritual for yourself that you do every time you leave your office as a way of ‘Leaving it there’ can greatly increase your separation from it when you leave.


3.      Create your own container- In EMDR Therapy we use a resource called a container where we use guided imagery to create a container of any shape and size needed to contain disturbing materials for clients.  I have my own container for the hard stuff I hear.  When I can’t seem to stop thinking about it, I close my eyes and send it to my container in my office to be pulled out and examined when I have time and space set aside on a work day.

4.      Practice Mindfulness living – Learn the art of gently bringing yourself back to the present moment.  When you catch yourself recalling a session with a client, gently let it fade out of consciousness and pull your focus back to the present moment focusing on the 5 senses of sight, smell, taste, touch, hearing.  Continue to do this whenever you catch yourself and let yourself truly feel the moment you are living in.


5.      Seek your own therapy if needed- One of the greatest forms of self care is realizing that you may need some help getting past either your own story or a client’s story.  Finding your own therapist to process with and learn some additional tools to help separate it can be very beneficial to both you and your clients.


As you continue to listen to the hard stories and struggle with figuring out ‘can I keep doing this?’ know that it is possible to do this work and stay separated.  Know that there are strategies available for helping make that easier.  And know that it is a journey.  A journey that can begin by implementing the 5 prevention steps mentioned above 1)boundaries, 2) setting a ritual, 3) creating your own container, 4) practicing mindfulness living, and 5) seeking your own therapy.

If you are wondering if you may be struggling with compassion fatigue or secondary trauma, Click Here for a helpful assessment resource that you can take, score, and then help guide you as you begin your journey to self care.