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10/7/2016 1 Walking the Walk: Self - Care in the Face of Compassion Fatigue and Vicarious Trauma Who we are and how we got here

Walking the Walk: Self-Care in the Face of Compassion ... and Toy- Compassion FatiguePP.pdfCompassion Fatigue (Figley, 1995) • A deep erosion of our compassion, of our ability to

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Page 1: Walking the Walk: Self-Care in the Face of Compassion ... and Toy- Compassion FatiguePP.pdfCompassion Fatigue (Figley, 1995) • A deep erosion of our compassion, of our ability to

10/7/2016

1

Walking the Walk:

Self-Care in the Face of

Compassion Fatigue

and Vicarious Trauma

Who we are and how we got here

Page 2: Walking the Walk: Self-Care in the Face of Compassion ... and Toy- Compassion FatiguePP.pdfCompassion Fatigue (Figley, 1995) • A deep erosion of our compassion, of our ability to

10/7/2016

2

Compassion Fatigue Solutions, Inc.Françoise Mathieu, M.Ed., CCC

www.compassionfatigue.ca

The Compassion Fatigue Workbook

Available through Amazon and Caversham books

Prior Training on Compassion

Fatigue / Vicarious Trauma?

Mathieu, Françoise (2012) www.compassionfatigue.ca

Page 3: Walking the Walk: Self-Care in the Face of Compassion ... and Toy- Compassion FatiguePP.pdfCompassion Fatigue (Figley, 1995) • A deep erosion of our compassion, of our ability to

10/7/2016

3

TODAY’S WORKSHOP

Understanding Compassion Fatigue, Vicarious Trauma, & Burnout

Low Impact Debriefing

Identifying Early Warning Signs

Self-Care Strategies

Mathieu, Françoise (2012) www.compassionfatigue.ca

What to EXPECT

TODAY’S WORKSHOP

What NOT to Expect

We will NOT be doing

any Role Plays or Therapy

We will NOT be sharing

our traumatic stories or

experiences

Page 4: Walking the Walk: Self-Care in the Face of Compassion ... and Toy- Compassion FatiguePP.pdfCompassion Fatigue (Figley, 1995) • A deep erosion of our compassion, of our ability to

10/7/2016

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“The expectation that we can be immersed in suffering and loss

daily and not be touched by it is as

unrealistic as expecting to be able to walk through water

without getting wet.”

Rachel Naomi Remen,

Kitchen Table Wisdom 1996

Mathieu, Françoise (2012) www.compassionfatigue.ca

The reality…

Ongoing challenges & cutbacks

Difficult stories

Losses

Mathieu, Françoise (2012) www.compassionfatigue.ca

Page 5: Walking the Walk: Self-Care in the Face of Compassion ... and Toy- Compassion FatiguePP.pdfCompassion Fatigue (Figley, 1995) • A deep erosion of our compassion, of our ability to

10/7/2016

5

Did I Do That???

Alex Kyla

REFLECTION

Reflection

Page 6: Walking the Walk: Self-Care in the Face of Compassion ... and Toy- Compassion FatiguePP.pdfCompassion Fatigue (Figley, 1995) • A deep erosion of our compassion, of our ability to

10/7/2016

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An Occupational Hazard

We don’t get Vicarious Trauma and

Compassion Fatigue because we

screwed up, we get it because we

care!

From Françoise Mathieu www.compassionfatigue.ca

Definitions

Compassion Fatigue

Vicarious Trauma

Burnout

Mathieu, Françoise (2012) www.compassionfatigue.ca

Page 7: Walking the Walk: Self-Care in the Face of Compassion ... and Toy- Compassion FatiguePP.pdfCompassion Fatigue (Figley, 1995) • A deep erosion of our compassion, of our ability to

10/7/2016

7

Compassion Fatigue(Figley, 1995)

• A deep erosion of our compassion, of our ability to tolerate

strong emotions and difficult stories in others

• Evident in the professional and personal life

• Can also happen to caregivers (“caregiver fatigue”)

Mathieu, Françoise (2012) www.compassionfatigue.ca

Got Stress?

Page 8: Walking the Walk: Self-Care in the Face of Compassion ... and Toy- Compassion FatiguePP.pdfCompassion Fatigue (Figley, 1995) • A deep erosion of our compassion, of our ability to

10/7/2016

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Vicarious Trauma

• The repeated exposure to difficult stories changes our

view of the world (Saakvitne & Pearlman).

• Can cause nightmares, difficulty getting rid of certain

images, an intense preoccupation with a particular story or

event we’ve been exposed to.

Mathieu, Françoise (2012) www.compassionfatigue.ca

Burnout

• “Physical & emotional exhaustion as a result

of prolonged stress and frustration” (Stamm)

• Depleted ability to cope with work demands

• Feel powerlessness to achieve goals

• Can happen in any occupation

Mathieu, Françoise (2012) www.compassionfatigue.ca

Page 9: Walking the Walk: Self-Care in the Face of Compassion ... and Toy- Compassion FatiguePP.pdfCompassion Fatigue (Figley, 1995) • A deep erosion of our compassion, of our ability to

10/7/2016

9

Multiple Exposure: Increased Risk

Prior Trauma

Traumatic Grief/Loss

Direct Exposure

Secondary Trauma

Compassion Fatigue

Systems Failure

Burnout

Image courtesy of Dr Leslie Anne Ross, Children’s Institute, Los Angeles

Mathieu, Françoise (2012) www.compassionfatigue.ca

I’VE BEEN SLIMED!!

Page 10: Walking the Walk: Self-Care in the Face of Compassion ... and Toy- Compassion FatiguePP.pdfCompassion Fatigue (Figley, 1995) • A deep erosion of our compassion, of our ability to

10/7/2016

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Low Impact Debriefing

Strategies for anti-sliming

1) Increased Self Awareness

2) Fair Warning

3) Consent

4) Low Impact Disclosure

Mathieu, Françoise (2012) www.compassionfatigue.ca

Page 11: Walking the Walk: Self-Care in the Face of Compassion ... and Toy- Compassion FatiguePP.pdfCompassion Fatigue (Figley, 1995) • A deep erosion of our compassion, of our ability to

10/7/2016

11

WHAT NOW?

Understand your warning signs

Develop strategies and an early intervention plan

Mathieu, Françoise (2012) www.compassionfatigue.ca

Physical Signs and Symptoms

• Exhaustion

• Headaches

• Somatization and hypochondria

Mathieu, Françoise (2012) www.compassionfatigue.ca

Page 12: Walking the Walk: Self-Care in the Face of Compassion ... and Toy- Compassion FatiguePP.pdfCompassion Fatigue (Figley, 1995) • A deep erosion of our compassion, of our ability to

10/7/2016

12

Behavioral Signs and

Symptoms

Alcohol/drugs Anger Avoidance

Absenteeism Inability to make

decisions

Crying

Overeating Irritability Forgetfulness

Mathieu, Françoise (2012) www.compassionfatigue.ca

Psychological signs and symptoms

• Depression

• Lack of empathy

• Cynicism

• Resentment

• Dread of working with certain clients

• Feeling professional isolation

• Disruption of world view

Mathieu, Françoise (2012) www.compassionfatigue.ca

Page 13: Walking the Walk: Self-Care in the Face of Compassion ... and Toy- Compassion FatiguePP.pdfCompassion Fatigue (Figley, 1995) • A deep erosion of our compassion, of our ability to

10/7/2016

13

The Warning Signs

Continuum

Mathieu, Françoise (2012) www.compassionfatigue.ca

Strategies

Mathieu, Françoise (2012) www.compassionfatigue.ca

Page 14: Walking the Walk: Self-Care in the Face of Compassion ... and Toy- Compassion FatiguePP.pdfCompassion Fatigue (Figley, 1995) • A deep erosion of our compassion, of our ability to

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14

Step One

Take Stock: Track your Stress

(at home and at work)

From Françoise Mathieu www.compassionfatigue.ca

What’s On Your Plate?

Step Two:

Enhancing Self Care and

Improving work/life balance

From Françoise Mathieu www.compassionfatigue.ca

Page 15: Walking the Walk: Self-Care in the Face of Compassion ... and Toy- Compassion FatiguePP.pdfCompassion Fatigue (Figley, 1995) • A deep erosion of our compassion, of our ability to

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Step Three:

Developing resiliency through

relaxation training and stress

reduction techniques

From Françoise Mathieu www.compassionfatigue.ca

Be Here Now

• Let Be…

• Let Go…

• Let In…

• Pay attention to the present moment, without judgement

• Release worries, anxiety and tiredness

• Focus on what works in our lives

Page 16: Walking the Walk: Self-Care in the Face of Compassion ... and Toy- Compassion FatiguePP.pdfCompassion Fatigue (Figley, 1995) • A deep erosion of our compassion, of our ability to

10/7/2016

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Step Four:

Making a Commitment

From Françoise Mathieu www.compassionfatigue.ca

Rewards of Being a “Helper”

Page 17: Walking the Walk: Self-Care in the Face of Compassion ... and Toy- Compassion FatiguePP.pdfCompassion Fatigue (Figley, 1995) • A deep erosion of our compassion, of our ability to

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Remember to take care of YOU!

[email protected]

[email protected]

THANK YOU!!!