1. 2013 Texas Unites Conference Galveston, Texas

3.  What is Compassion Fatigue?

4.  Compassion Fatigue A state where the person who is helping traumatized people becomes preoccupied with those people by "re-experiencing” the traumatic events that were experienced by those they helped. It is a function of bearing witness to the suffering of others.”

5.  Secondary Traumatic Stress Feelings and behaviors that result from the indirect exposure to trauma by helping or wanting to help someone who has been traumatized.

6.  Post-traumatic Stress Disorder (PTSD) Feelings and behaviors that result from directly experiencing a trauma and cause a significant disruption in a person's life.

7.  Helpers Anyone who provides a service or listens to another person. A helper can be a teacher, therapist, doctor, nurse, counselor, nursing home employees, friend, family member, caseworker, police office, firefighter, journalist, first responders, etc.

8.   Zealot Phase  Irritability Phase  Withdrawal Phase  Zombie Phase  Leaving the Work Compassion Fatigue Trajectory

9. Zealot Irritability Withdraw Zombie Overwhelmed & Leaving the Work © 2010, T. Hicks

10.   Committed, involved, available  Solving problems/making a difference  Willingly go the “extra mile”  High enthusiasm  Volunteers without being asked Zealot Phase

11.   Begin to cut corners  Begin to avoid clients/patients  Begin to mock co-workers and clients  Begin to denigrate the people we serve  Use of humor is inappropriate  Oversights, mistakes and lapses of concentration  Distancing ourselves from friends & coworkers The Irritability Phase

12.   Enthusiasm turns sour  Clients become irritants, instead of persons  We make complaints about our work life and our personal life  Tired all the time, don’t want to talk about what we do.  We start to neglect our family, clients, coworkers and ourselves  We try to avoid our pain and sadness The Withdrawal Phase

13.   Our hopelessness turns to rage  We begin to hate people…any/all people  Others appear incompetent or ignorant to us  We develop a real distain for our clients  We have…no patience…no sense of humor…no time for fun The Zombie Phase

14.   - Overwhelmed and leaving the profession  - Somatic Illness  - Perpetuity of Symptoms Victimization / Overwhelmed and Forced to Leave the Work

15.  Compassion Fatigue Dangers

16.  o I will “fix” the problem…make everything O.K… save the world… o I am responsible for outcomes. o If I care enough, everything will be O.K. o The sufferer/victim will appreciate everything I do for them. o I will have enough resources (time, money, material, skills and training) to fix things. Misconceptions

17.  o Significant people in my life with support and approve my absence from our relationship while I invest in this compassionate work. o I know what I’m getting into. o I can do it alone. o If I’m informed enough, I can deal with the stress of working with suffering people. o My definition of success is…….. Misconceptions

18.  o Thoughts and images associated with the client’s problems and pain. o Obsessive or compulsive desire to help certain clients o Client/work issues encroaching on personal time o Inability to “let go” of mission related matters o Perception of clients as fragile and needing your assistance Intrusive Symptoms of Compassion Fatigue

19.  o Sense of inadequacy o Sense of entitlement o Perception of the world in terms of victims and perpetrators o Personal activities interrupted by the mission Intrusive Symptoms of Compassion Fatigue

20.  o Silencing Response (avoiding client’s stuff) o Loss of enjoyment/cessation of self-care activities o Loss of energy o Loss of hope/sense of dread working with certain clients o Loss of sense of competence/potency o Isolation o Secretive self-medication/addition (alcohol, drugs, work, sex, food, spending, etc.) o Relational dysfunction Avoidance Symptoms of Compassion Fatigue

21.  o Increased anxiety o Impulsivity/reactivity o Increased perception of demand/threat o (in both job and environment) o Increased frustration/anger o Sleep disturbance o Difficulty concentrating o Change in weight/appetite Arousal Symptoms of Compassion Fatigue

22.  Compassion Fatigue Recovery

23. Zealot Irritability Withdraw Zombie Overwhelmed & Leaving the Work © 2010, T. Hicks

24. Zealot Irritability Withdraw Zombie Overwhelmed & Leaving the Work Transformation & Resiliency Action Point © 2010, T. Hicks

25. Zealot Irritability Withdraw Zombie Overwhelmed & Leaving the Work Transformation & Resiliency © 2010, T. Hicks Action Point

26. Zealot Irritability Withdraw Zombie Overwhelmed & Leaving the Work Transformation & Resiliency © 2010, T. Hicks Action Point

27. Zealot Irritability Withdraw Zombie Transformation & Resiliency Action Point © 2010, T. Hicks

28.   Intentionality  Connection  Anxiety Management/Self-soothing  Self-care  Narrative  Desensitization and Reprocessing  Self-supervision “Steps to Recovery”

30.  Feeding our minds and imaginations with things that clarify our mission, vision and values. This could be reading uplifting materials, learning a new language, reading, or even studying religious materials. What other things might we do to move us from fatigued to refreshed? Mind

31.  Active body work that exercises the body and elevates heart, respiratory rates to a moderate extent such as brisk walking, running, swimming, biking, etc. Studies show that 30 minutes of moderate exercise, done throughout the week, is quite beneficial. If done most days, this exercise will bring significant payoffs in physical and emotional health. What other things might we do to move us from fatigued to refreshed? Body

32.  The ability to “tune in” to the often-subtle voice inside us brings wisdom, compassion, and creativity. Set aside daily quiet time, writing your thoughts down, and reviewing them. Do something creative and fulfilling that brings you deep joy, such as writing poetry, playing music, doing pottery, woodworking, caring for plants, etc. Whatever you choose, do it in the awareness that the purpose is to feed you through creative activities, not to produce something, even though you may be involved in production activity. What other things might we do to move us from fatigued to refreshed? Spirit

33. Do not let the nature of this work destroy your effectiveness in doing it! People are counting on you!

34.  NO!!

35.  Any Questions ?