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Surviving Compassion Fatigue: The Importance of Self-Care

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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Surviving Compassion Fatigue: The Importance of Self-Care

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  1. Surviving Compassion Fatigue:The Importance of Self-Care

  2. Goals for Today • Effects of Compassion Fatigue • Service provider vulnerability • Causes and Triggers • Warning signs • “SELF-CARE”.

  3. Introduction Challenges in Your Profession • Becoming Emotionally Overwhelmed • Forgetting to recharge and restore the mind, body and spirit

  4. Chapter OneWhat is Compassion Fatigue

  5. Professional Quality of Life (PQOL) A Survey to measure • Compassion Satisfaction • Compassion Fatigue • Burnout

  6. Burn out v. Compassion Fatigue • Burn out = overwhelming tasks. • Compassion Fatigue = caregivers experience from the suffering of others.

  7. Compassion Fatigue+ Burnout

  8. 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

  9. Natural Occurence Resulting from psychic injury and/or a life threatening event

  10. Who can get Compassion Fatigue? • Empathetic and Compassionate People who provide services • Those who listen to stories or witness the aftermath of traumatic events

  11. Children

  12. Lack of Training

  13. High Ideals

  14. Compassion and Empathy

  15. Personal Trauma

  16. Self Care

  17. Lots of People

  18. Chapter Two How does it manifest? What should we notice early on?

  19. Emotional Seesaw “Integrate” trauma quickly or changes in the anatomy, biology and neurology become chronic.

  20. 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

  21. Amygdala

  22. Hippocampus

  23. Orbital Frontal Cortex

  24. Neural-Curcuitry

  25. 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

  26. Personal ImpactsCognitive • Confusion • Spaciness • Trauma Imagery • Rigidity • Apathy • Self Doubt • Minimization • Thoughts of harming self or others • Disorientation

  27. Personal Impacts Emotional • Anxiety • Emotional Roller Coaster • Anger • Rage • Numbness • Overwhelmed • Fear • Depression • Depleted • Sadness • Survivor’s Guilt

  28. Personal Impacts Behavioral • Clingy • Moody • Nightmares • Impatient • Appetite Changes • Hypervigilance • Elated Startle Response • Use of Negative Coping • Sleep Disturbance

  29. Personal ImpactsSpiritual • Loss of Purpose • Anger at God • Questioning Prior Religious Beliefs • Pervasive Hopelessness

  30. Personal ImpactsInter-personal • Withdrawn • Over-protective • Mistrust • Decrease in Intimacy/sex • Isolation • Projection of Anger and Blame • Intolerance • Lonliness

  31. Personal ImpactsPhysical • Aches • Pains • Shock • Dizziness • Breathing Difficulties • Somatic Complaints • Impaired Immune System • Rapid Heart Beat

  32. Chapter Four Successful Tools, Strategies and Methods for Recovery and Regulation Management

  33. 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

  34. Assisting a Colleague

  35. 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)

  36. Narrative

  37. 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

  38. Team Think Tank

  39. Becoming Self-Aware

  40. Continuum of Self Regulation and Dysregulation Fundamental Mechanism in Psychiatric Disorders • Mild, Moderate or Severe • Chronic or Acute

  41. Comparing Baselines • Dual Awareness • Compare Baselines

  42. Change Your Thinking Through Cognitive Behavioral Techniques

  43. Identify Stressors • Who • What • Where • When

  44. Ground Yourself • Breathing Techniques • Relaxation Techniques

  45. Examine Thinking Errors • What am I thinking that adds to my stress

  46. Thinking Distortions • All or Nothing • Overgeneralization • Mental Filter • Disqualifying the Positive • Jumping to Conclusions

  47. Thinking Distortions • Magnification or Minimization • Emotional Reasoning • Should Statements • Labeling • Personalization

  48. 7 Point Blue Print for Self Care • Prepare • Impact Control • Bounce Back • Say “NO” • Evaluate • Re-Charge • Appreciate

  49. Meditate and Live with Intention

  50. Check-in with Yourself and Someone Else

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