Compassion ... “Compassion Fatigue “ Preventing Burnout Issac L. Boose, LPC-S, LMFT, ICAADC Director,

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  • ““Compassion Fatigue Compassion Fatigue ““

    Preventing BurnoutPreventing Burnout

    Issac L. Boose, LPC-S, LMFT, ICAADC

    Director, Pine Grove Next Step

    iboose@forrestgeneral.com

  • © 2013 Pine Grove

    BurnoutBurnout Symptoms, Causes and PreventionSymptoms, Causes and Prevention

    • Burnout

    • Symptoms of

    Burnout

    • Causes of Burnout

    • Empathy

    • Self-Care

    • Stress Prevention

    • Emotional Awareness

    • Meditation

  • © 2013 Pine Grove

    BurnoutBurnout “the extinction of motivation or incentive, especially where one's devotion to a cause or relationship fails to produce the desired results.”

    Freudenberger

  • © 2013 Pine Grove

    BurnoutBurnout Burnout is related to stress and it is

    most frequently linked to:

    • Emotional exhaustion

    • Depersonalization related to the work

    environment

    • A sense of diminishing personal accomplishment

    Sorgaard, K.W., Ryan, P., Hill, R., Dawson, I., OSCAR group

  • © 2013 Pine Grove

    Classic Symptoms of Burnout

    • Depleted Physical Energy

    • Lowered Immunity to Illness

    • Less Investment in Interpersonal Relationships

    • Increasingly Pessimistic Outlook

    • Increased Absenteeism and Inefficiency at Work

  • © 2013 Pine Grove

    What Causes Burnout?What Causes Burnout?

    • Burnout has many causes but the three main categories are:

    – Lifestyle Features

    – Individual Personality Characteristics

    – Job Structure

  • © 2013 Pine Grove

    Lifestyle Features • Too Much Work With Little Balance

    • No Help or Supportive Resources

    • Too Little Social Support

    • No Time For Hobbies

    • Too Little Sleep

    • Too Little Time Off

  • © 2013 Pine Grove

    Individual Personality

    Characteristics • Perfectionist Tendencies

    • Pessimism

    • Excitability

    • Type “A” Personality

    • Poor Fit For The Job

    • Lack of Belief In What You Do

  • © 2013 Pine Grove

    Job Structure

    • Unclear Requirements

    • Impossible Requirements

    • Lack of Personal Control

    • Lack of Recognition

    • Poor Leadership

    • Big Consequences for Failure

    • High-Stress Times with No “Down” Times

  • © 2013 Pine Grove

    ““What Would U DoWhat Would U Do””

    • Blurry Images

    • Difficult to hear?

    • Rap Music?

    • Profanity

  • © 2013 Pine Grove

    ““What Would U DoWhat Would U Do””

  • © 2013 Pine Grove

    Working With Individuals In CrisisWorking With Individuals In Crisis

    • Physical Illness

    • Mental Illness

    • Addictions

    • Physical Abuse

    • Sexual Abuse

    • Divorce

    • Grief

    • Legal Problems

    • Homelessness

    • Natural Disaster

  • © 2013 Pine Grove

    EmpathyEmpathy

    • Virtually all theories of counseling have viewed counselor empathic ability as an important if not essential condition for successful counseling.

    Peabody and Gelso 1982

    • Empathy helps counselors understand the client's experience, but at the same time, a counselor may experience the emotional pain of multiple traumatized clients.

    Miville 2006

  • © 2013 Pine Grove

    STAR TREK STAR TREK ““THE EMPATHTHE EMPATH””

  • © 2013 Pine Grove

    The Path To TranquilityThe Path To Tranquility

    In dealing with those who are undergoing great suffering, if you feel ‘burn-out’ setting in, if

    you feel demoralized and exhausted, it is best, for the sake of everyone, to withdraw and

    restore yourself. The point is to have a long-term perspective.

    Dalai Lama

  • © 2013 Pine Grove

    SelfSelf--Care OJTCare OJT • Unclear Requirements

  • © 2013 Pine Grove

    SelfSelf--Care OJTCare OJT • Impossible Requirements

  • © 2013 Pine Grove

    SelfSelf--Care OJTCare OJT • Lack of Personal Control

  • © 2013 Pine Grove

    SelfSelf--Care OJTCare OJT • Lack of Recognition

  • © 2013 Pine Grove

    SelfSelf--Care OJTCare OJT • Poor Leadership

  • © 2013 Pine Grove

    SelfSelf--Care OJTCare OJT • Big Consequences for Failure

  • © 2013 Pine Grove

    SelfSelf--Care OJTCare OJT • High-Stress Times with No “Down” Times

  • © 2013 Pine Grove

    SelfSelf--Care OJTCare OJT • Can these changes be made

    • How realistic is all of this

    • Will I have time to do this

  • © 2013 Pine Grove

    Other SelfOther Self--Care PracticesCare Practices

    Meditation/Relaxing Find Fun Distractions

    Get Enough Sleep Maintain A Spiritual Practice

    Physical Activity Get Help If You Need It

    Eat Well Setting Boundaries

    Find Hobbies Emotional Awareness

    Maintain Social Support

  • Emotional AwarenessEmotional Awareness

    \

  • © 2013 Pine Grove

    Something For The Humans Something For The Humans

  • © 2013 Pine Grove

    Emotional AwarenessEmotional Awareness

    • Becoming aware moment by moment

    – Challenging, difficult, unpleasant, rewarding

    – A process

    • Alternative to becoming aware

    – Continue masking feeling

    – Emerges in unexpected ways - behavior, words,

    perceptions, consequences

  • © 2013 Pine Grove

    Emotional AwarenessEmotional Awareness

    • People think they experience emotions – Powerful emotional currents erupt

    – Disturbing routines devoted to activities, accomplishments or survival.

    – Angry – rage flows like a river

    – Grieving – sorrow experienced daily

    • Your emotions are your friends – Support

    – Focus attention on what you need to know

  • © 2013 Pine Grove

    Emotional AwarenessEmotional Awareness

    • Emotions – currents of

    energy

    • Walking processing

    system

    • We process air and food

    • We process emotions

  • © 2013 Pine Grove

    • Emotions as a 24 hour-a-day news program

    – Correct, appropriate, and timely

    – Anger, fear, rage, jealousy, despair,

    vengefulness

    – Calls keep coming

    – Emotions as obstacles or unwanted experiences

    – Ignored emotions is ignored information

  • © 2013 Pine Grove

    SamsaraSamsara

    Our conditioned existence in

    the perpetual cycle of habitual

    tendencies Dalai Lama

  • © 2013 Pine Grove

    InsanityInsanity

    Doing the same thing over and

    over hoping for a different

    result

    AA

  • © 2013 Pine Grove

    InsanityInsanity

  • © 2013 Pine Grove

    Emotional AwarenessEmotional Awareness

    • Your emotions are a song

    • Feelings are not good, bad, right or wrong

    • Feelings do not last forever

  • © 2013 Pine Grove

    The Earth SchoolThe Earth School

    • Biggest classroom you have ever seen

    • Special learning environment

    • Every painful emotion is a class – Anger, jealousy

    – Not every class on anger/jealousy is the same

    – Emotionally withdrawn when angry

    – Bossy and loud when you are angry

    – Every healthy emotion is also a class – appreciation, gratitude, contentment and joy

  • © 2013 Pine Grove

    The Earth SchoolThe Earth School

    • Graduate from a class

    • The times, places, people, and circumstances change

    • You cannot change people

    • School is always in session

    • You cannot fail this school

    • Your task is to change yourself, your response

    • Choose how quickly or slowly

  • Meditation

    Variety, Techniques and Practice

  • © 2013 Pine Grove

    What is Meditation?

    • Meditation is the process of getting to know your mind.

    • Meditation is the state of non-distraction or when you are fully present.

    • It is the process of coming to know one’s own mind.

  • © 2013 Pine Grove

    Relaxation and Stress ManagementRelaxation and Stress Management

    Meditation can enhance valued caregiver qualities such as

    empathy, sensitivity, emotional stability, and psychological

    maturity while reducing distress and burnout. Roger Walsh

    Counseling students who found value and importance in self-care

    activities like yoga and meditation reported feeling more mindful

    and experiencing overall growth as wellness

    Richards, Campenni, Muse-Burke

  • © 2013 Pine Grove

    Variety

    • Visualization

    • Affirmations

    • Relaxation

    • Breathing

  • © 2013 Pine Grove