Transcript COMPASSION FATIQUE

Surviving Compassion Fatigue:
The Importance of Self-Care
Goals for Today
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Effects of Compassion Fatigue
Service provider vulnerability
Causes and Triggers
Warning signs
• “SELF-CARE”.
Introduction
Challenges in Your Profession
– Becoming Emotionally Overwhelmed
– Forgetting to recharge and restore the
mind, body and spirit
Chapter One
What is Compassion
Fatigue
Professional Quality of Life
(PQOL)
A Survey to measure
• Compassion Satisfaction
• Compassion Fatigue
• Burnout
Burn out v. Compassion Fatigue
• Burn out = overwhelming tasks.
• Compassion Fatigue = caregivers
experience from the suffering of others.
Compassion Fatigue
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Burnout
Symptoms and Warning Signs of
Compassion Fatigue
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Episodes of Fear
Depression
Confusion
Helplessness
Hopelessness
Feeling Out of Control
Extreme Mood Swings
Avoidance Behaviors
Other Personality Changes
Natural Occurence
Resulting from
psychic injury and/or a life threatening event
Who can get
Compassion Fatigue?
• Empathetic and Compassionate People
who provide services
• Those who listen to stories or witness the
aftermath of traumatic events
Children
Lack of Training
High Ideals
Compassion and Empathy
Personal Trauma
Self Care
Lots of People
Chapter Two
How does it manifest?
What should we notice early on?
Emotional Seesaw
“Integrate” trauma quickly or
changes in the anatomy, biology and
neurology become chronic.
Critical Brain Systems
Hippocampus
Orbital Frontal
Cortex
(Social/Emotional
Control Center)
Pituitary
Gland
Amygdala
Brainstem
(Lower Limbic/Reptilian)
Spinal Cord
Neural
Circuitry
(Lower
Limbic/Reptilian)
Adrenal Glands
Amygdala
Hippocampus
Orbital Frontal Cortex
Neural-Curcuitry
The Professional Impacts of
Compassion Fatigue.
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Low morale
Low motivation
Avoiding task
Obsession about
details
Apathy
Negativity
Lack of appreciation
Detachment
• Poor work
commitments
• Staff conflicts
• Absenteeism
• Exhaustion
• Irritability
• Withdrawal from
colleagues
• Loss of confidence
Personal Impacts
Cognitive
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Confusion
Spaciness
Trauma Imagery
Rigidity
Apathy
Self Doubt
Minimization
Thoughts of harming self or others
Disorientation
Personal Impacts
Emotional
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Anxiety
Emotional Roller Coaster
Anger
Rage
Numbness
Overwhelmed
Fear
Depression
Depleted
Sadness
Survivor’s Guilt
Personal Impacts
Behavioral
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Clingy
Moody
Nightmares
Impatient
Appetite Changes
Hypervigilance
Elated Startle Response
Use of Negative Coping
Sleep Disturbance
Personal Impacts
Spiritual
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Loss of Purpose
Anger at God
Questioning Prior Religious Beliefs
Pervasive Hopelessness
Personal Impacts
Inter-personal
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Withdrawn
Over-protective
Mistrust
Decrease in Intimacy/sex
Isolation
Projection of Anger and
Blame
• Intolerance
• Lonliness
Personal Impacts
Physical
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Aches
Pains
Shock
Dizziness
Breathing Difficulties
Somatic Complaints
Impaired Immune System
Rapid Heart Beat
Chapter Four
Successful Tools, Strategies and
Methods for Recovery and Regulation
Management
When to Seek/Ask for Help
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Difficulty separating work from personal life
Dread working with certain individuals
See the world in terms of victims and perpetrators
Experience increased transference and counter
transference issues with certain individuals
• Struggle with acute or chronic sadness
Assisting a Colleague
Narrative
The Road to Wellness
“The power of story and the restorative quality of
personal self-awareness clearly aids in rebuilding
professional and personal life quality. As with trauma
survivors, so with compassion fatigue or secondarily
wounded, the story becomes the component of the
journey back to wellness.” (Herman, 1992; Dietrich et
al., 2000)
Narrative
Developing a Therapeutic Community
It Takes a Team
Reaching out to others who will:
• Lift us and validate our self care habits
• Hold us accountable for our self care
• Support our sense of resilience
• Not allow us to isolate
• Nurture us
• Delightfully immerse us in humor
Team Think Tank
Becoming Self-Aware
Continuum of
Self Regulation
and Dysregulation
Fundamental Mechanism in Psychiatric
Disorders
• Mild, Moderate or Severe
• Chronic or Acute
Comparing Baselines
• Dual Awareness
• Compare Baselines
Change Your Thinking
Through Cognitive Behavioral Techniques
Identify Stressors
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Who
What
Where
When
Ground Yourself
• Breathing Techniques
• Relaxation Techniques
Examine Thinking Errors
• What am I thinking that adds to my
stress
Thinking Distortions
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All or Nothing
Overgeneralization
Mental Filter
Disqualifying the Positive
Jumping to Conclusions
Thinking Distortions
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Magnification or Minimization
Emotional Reasoning
Should Statements
Labeling
Personalization
7 Point Blue Print for Self Care
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Prepare
Impact Control
Bounce Back
Say “NO”
Evaluate
Re-Charge
Appreciate
Meditate and Live
with Intention
Check-in with
Yourself and
Someone Else
Bounce Back
Learn to Say NO
Deep Breathing
Breath in
through the nose
1,2,3
Breath out
through the mouth
1,2,3,4,5,6
Re-Charge
• Humor
• Fun
• Hobbies
• Give thanks
• Give and Receive
Affection
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Passion for Life
Be artistic
Gaze on panoramic scenery
Indulge in music
Create beautiful artistic works
Structured Self Care
• Plan and develop a template
• List things you will pay attention to
• List what you need when you are with the
client.
• List things you will do between sessions
• List things you will do at the end of each day or
the end of each evening.
• List things you will do each week; bi-monthly;
monthly
• Now discuss these plans with someone to
whom you will be accountable
Tools For the Road
• Cognitive Negative
Awareness
• Relaxation
• Mindfulness
• Narratives
• Exercise/Martial Arts
• Dance Therapy
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Baroque Music
Reading
Feeding your Spirit
Thera-play
Nutrition
Deep Breathing