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Surviving Compassion Fatigue: The Importance of Self-Care. Goals for Today. Effects of Compassion Fatigue Service provider vulnerability Causes and Triggers Warning signs “SELF-CARE”. Introduction. Challenges in Your Profession Becoming Emotionally Overwhelmed
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Goals for Today • 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
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+ Burnout
Symptoms and Warning Signs of Compassion Fatigue • 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
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 Brainstem(Lower Limbic/Reptilian) Amygdala Spinal Cord(Lower Limbic/Reptilian) Neural Circuitry Adrenal Glands
The Professional Impacts of Compassion Fatigue. • 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 ImpactsCognitive • Confusion • Spaciness • Trauma Imagery • Rigidity • Apathy • Self Doubt • Minimization • Thoughts of harming self or others • Disorientation
Personal Impacts Emotional • Anxiety • Emotional Roller Coaster • Anger • Rage • Numbness • Overwhelmed • Fear • Depression • Depleted • Sadness • Survivor’s Guilt
Personal Impacts Behavioral • Clingy • Moody • Nightmares • Impatient • Appetite Changes • Hypervigilance • Elated Startle Response • Use of Negative Coping • Sleep Disturbance
Personal ImpactsSpiritual • Loss of Purpose • Anger at God • Questioning Prior Religious Beliefs • Pervasive Hopelessness
Personal ImpactsInter-personal • Withdrawn • Over-protective • Mistrust • Decrease in Intimacy/sex • Isolation • Projection of Anger and Blame • Intolerance • Lonliness
Personal ImpactsPhysical • 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 • 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
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)
Developing a Therapeutic CommunityIt 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
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 • Who • What • Where • When
Ground Yourself • Breathing Techniques • Relaxation Techniques
Examine Thinking Errors • What am I thinking that adds to my stress
Thinking Distortions • All or Nothing • Overgeneralization • Mental Filter • Disqualifying the Positive • Jumping to Conclusions
Thinking Distortions • Magnification or Minimization • Emotional Reasoning • Should Statements • Labeling • Personalization
7 Point Blue Print for Self Care • Prepare • Impact Control • Bounce Back • Say “NO” • Evaluate • Re-Charge • Appreciate