Transforming Compassion Fatigue

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MisFit Magic

Transforming Compassion FatigueAntidotes to the Negative Side EffectsOf Being a Health Care WorkerWritten & Presented by Sharon M. Barnes, MSSW, LCSWCreative Transformation SpecialistAKA The Scrap LadyI can help you Create Beauty from Lifes Scrapswww.TherapistForSensitiveAndGifted.com303-987-0346

2017 Sharon M. Barnes, LCSW, PLLC www.TherapistForSensitiveAndGifted.com

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Meet Sharon Barnes, LCSWAKA the Scrap Lady. When Life dumps a pile of . . . . . scraps on you, Pick them up . . . one by oneAnd make something with them! 2017 Sharon M. Barnes, LCSW, PLLC www.TherapistForSensitiveAndGifted.com

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2017 Sharon M. Barnes, LCSW, PLLC www.TherapistForSensitiveAndGifted.comA BIG THANK YOU TO Colorado Activity Professionals Association

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Compassion Fatigue 2017 Sharon M. Barnes, LCSW, PLLC www.TherapistForSensitiveAndGifted.com

Have you ever been told that you care too much? Mr. Harris went to the doctor, and you can see here how much he likes being told that he cares too much. And, this one reminds me of when I feel uncomfortable thinking or talking about compassion fatigue when there are so many more important, urgent needs in the world. Does anybody here relate to this? 4

Transforming Compassion FatigueHeres what well cover today - What is Compassion Fatigue (CF)?The impact of CF on Health Care WorkersSeven Warning Signs of CFFour key activities to Transform CF How to use the tools of scientific invention to transform CFEffective Intervention & Prevention Strategies

2017 Sharon M. Barnes, LCSW, PLLC www.TherapistForSensitiveAndGifted.com

But we are here to talk about Compassion Fatigue, and how it impacts us all as health care workers.

Heres what well cover today - Whats Compassion Fatigue?The impact of CF on Health Care WorkersSeven Warning Signs of Compassion Fatigue (CF)Four key activities to Transform CFHow to use the tools of scientific invention to transform CFEffective Intervention & Prevention Strategies

What ISCompassion Fatigue ? 2017 Sharon M. Barnes, LCSW, PLLC www.TherapistForSensitiveAndGifted.com

Secondary Traumatic Stress DisorderVicarious TraumatizationTrauma Exposure Response

How It shows itself:Gradual compassion

Its common inTrauma victimsTrauma workersHealth care workers

Psychological vs Medical Trauma

2017 Sharon M. Barnes, LCSW, PLLC www.TherapistForSensitiveAndGifted.com

Psychological TraumaExposure to Life-threatening event or experienceVicarious = experienced through othersPatients with life-threatening illnessWatching or reading news or stories/shows

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Vicarious Traumatization (VT) 2017 Sharon M. Barnes, LCSW, PLLC www.TherapistForSensitiveAndGifted.com

VT = Occupational Hazard for all health care workersVT has an inevitable effectOur empathy is a source of our vulnerability to VTVT effects are pervasive Brain structure & functionMemory systemIdentityWorld viewPsychological needs

Vicarious Traumatization 2017 Sharon M. Barnes, LCSW, PLLC www.TherapistForSensitiveAndGifted.com

Theres a Profound loss of the familiarpeople, dreams, Our innocence is gone anewOur body/mind/soul/spirit; nothing is ever the same

We confront the reality of these losses dailyWe confront the reality that these losses could happen to us and our loved ones

Vicarious Traumatization 2017 Sharon M. Barnes, LCSW, PLLC www.TherapistForSensitiveAndGifted.com

There is a Cumulative transformative effect upon the person working with people in traumatic life events (McCann & Pearlman, 1990)

There is a transformation of the inner experience of the HCW that comes about as a result of our empathic engagement with the patients trauma experience.

Misconceptions 2017 Sharon M. Barnes, LCSW, PLLC www.TherapistForSensitiveAndGifted.com

I didnt know any of this when I decided to become a health care worker. Did you? > Maybe this doctor didnt, either >handout page, Menu of Misconceptions. Do you identify with one of these misconceptions about being a caregiving professional: 1. I will fix the problemmake everything OK/better save the world2.I am responsible for outcomes.3.If I care enough, everything will be O.K.4. The sufferer/victim will appreciate everything I do for them.5.I will have enough resources (time, money, material, skills and training) to fix things.

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Misconceptions 2017 Sharon M. Barnes, LCSW, PLLC www.TherapistForSensitiveAndGifted.com

1. I will fix the problemmake everything OK/better save the world2.I am responsible for outcomes.3.If I care enough, everything will be O.K.4. The sufferer/victim will appreciate everything I do for them.5.I will have enough resources (time, money, material, skills and training) to fix things.

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Misconceptions 2017 Sharon M. Barnes, LCSW, PLLC www.TherapistForSensitiveAndGifted.com

6.Significant people in my life will support and approve my absence from our relationship while I invest in this compassionate mission.7.I know what Im getting into.8.I can do it alone.9.If Im (spiritual) (good) (???) enough, I can deal with the stress of working with suffering people.10. My definition of success is..

Id invite you to write down the first thing that popped into your head in response to this question.

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Contributing Factors To Compassion Fatigue 2017 Sharon M. Barnes, LCSW, PLLC www.TherapistForSensitiveAndGifted.com

Heres a failure in empathy. Im sure that no one here has this bad a case of compassion fatigue, but lets consider at least some of the factors that contribute to compassion fatigue: The situation (external factors)Nature of the work nature of the clientelecumulative exposure to trauma materialorganizational context social and cultural context

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Contributing Factors To Compassion Fatigue 2017 Sharon M. Barnes, LCSW, PLLC www.TherapistForSensitiveAndGifted.com

The individual (internal factors)Personal historyPersonality, defensive & coping stylecurrent life context training and professional historypersonal growth including psychotherapy, spiritual direction, coaching and similar processes. Support sytems

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Whos Most Vulnerable to CF?CASIGYs! Whos a CASIGY?Creative, Curious, ComplexAcutely AwareSuper-SensitiveIntense, maybe Introverted, often Intelligent, sometimes GiftedYou?

2017 Sharon M. Barnes, LCSW, PLLC www.TherapistForSensitiveAndGifted.com

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2017 Sharon M. Barnes, LCSW, PLLC www.TherapistForSensitiveAndGifted.com

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Warning Signs of Compassion FatigueFeeling helpless and hopelessFeeling like I can never do enoughHypervigilanceDiminished creativityOversimplification/Inability to embrace complexityMinimizingChronic exhaustion/physical aliments

2017 Sharon M. Barnes, LCSW, PLLC www.TherapistForSensitiveAndGifted.com

Avoidance of painful situations/peopleInability to listenDissociative momentsSense of persecutionGuiltFearAnger and cynicismInability to empathize/numbingAddictionsGrandiosityWarning Signs of Compassion Fatigue 2017 Sharon M. Barnes, LCSW, PLLC www.TherapistForSensitiveAndGifted.com

Transforming Compassion Fatigue 2017 Sharon M. Barnes, LCSW, PLLC www.TherapistForSensitiveAndGifted.com

Antidotes to CF must address StressDemoralization

You must love your work or some aspect of itThis work is too difficult & personally demanding to do without passion or a sense of mission or purpose. Dont just ask what the world needs. Ask what makes you come alive and then go do it, because what the world needs is more people who have come alive. (Thurman)

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Address the Stress 2017 Sharon M. Barnes, LCSW, PLLC www.TherapistForSensitiveAndGifted.com

Self- Care (van der Kolk)TOP Stress Reliever = physical exerciseFoster a sense of personal controlWithin limits of realitySerenity PrayerPursue personally meaningful tasksMake healthy lifestyle choices caffeine, nicotine, sugar, alcoholvigorous exercise, deep relaxationSelf-NurturingEscapeBalancePatience Perspective

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Transform Demoralization 2017 Sharon M. Barnes, LCSW, PLLC www.TherapistForSensitiveAndGifted.com

#2 Personal Strategy is to Transform Demoralization. What meaning did this work once hold for you?Where is demoralization present now?Identify the negative assumptions, beliefs & conclusions that have come as a result of your exposure to traumaChallenge & reframe these Infuse current activities with new meaningintentional awarenessrestore a spiritual perspective

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2017 Sharon M. Barnes, LCSW, PLLC www.TherapistForSensitiveAndGifted.comSomethings wrong with me

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Daunting Challenges = An Engraved InvitationTo The Heros or Heroines Journey 2017 Sharon M. Barnes, LCSW, PLLC www.TherapistForSensitiveAndGifted.com

Something . . . comes to our aid from the depths of our unconscious nature. It is the task of the conscious mind to understand these hints. If this does not happen, the process of individuation will nevertheless continue. The only difference is that we become its victims and are dragged along by fate towards that inescapable goal which we might have reached walking upright, if only we had taken the trouble and been patient enough to understand in time the meaning of [that which crosses] our path. -Carl Jung2016 Sharon M. Barnes, LCSW, PLLC. www.TherapistForSensitiveAndGifted.com

6. What is the meaning or significance of this situation? 2017 Sharon M. Barnes, LCSW, PLLC www.TherapistForSensitiveAndGifted.com

The Big PictureCultureDont thinkDont feelDont talkR

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