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Compassion Fatigue in the Caretaking Community Presented by: Lauren Glickman Principal Consultant of FORAY Consulting & Associates April 30, 2013 Introductions Joy and Pain Locus of Control • External – you attribute the state of your life to the actions of powerful others, or to chance or luck (life happens to you and you have no control over how it affects you) • Internal – you attribute the state of your life to your own actions, decisions and behaviors (You can control your reactions to life which influences life) I Believe • • • • • You can influence yourself You co-create every interaction Your buttons are yours and yours alone Your choices are responsible for your current state Your family of origin and early experiences affect your current perspective • You often project onto others your greatest criticisms about yourself Compassion Fatigue • Also known as: Secondary traumatic stress disorder, vicarious traumatization, empathic strain and secondary trauma • A holistic way of thinking about it: Trauma Stewardship – “refers to the entire conversation about how we come to do this work, how we are affected by it, and how we make sense of and learn from our experiences.” - Laura van Dernoot Lipsky Compassion Satisfaction • Compassion satisfaction refers to the pleasure you derive from being able to do your work well. positive feelings about your colleagues and their efforts your ability to contribute to the work setting or even the greater good of society. your feelings about your ability to be an effective caregiver. Levels of Trauma Stewardship Individual • The most profound influence on our ability to cope • Think about – Your own history of hardship. The resources available to you in the past. What led you to this work? Consider your journey to the seat you're in now. Do you identify with the trauma you see? Is this personal? Levels of Trauma Stewardship Organizational • Make better • Make worse Societal • Systemic isolation High-Risk Factors Exposure to: Limited financial resources—organization and client Administrative policies Poverty distress The constant stream of demands Uncertainty/Ambiguity Volumes of distressed people in a short amount of time Conflict within the workplace Conflict in personal life Distressed and dysfunctional students Stressed-out peers Attrition Constant change Physical danger Symptoms Experiencing: Increased negative arousal (irritability, frustration, upset) Preoccupation/intrusive thoughts Social isolation/withdrawal Sleeping/eating patterns disrupted – nightmares/intrusive images Self-medicating – alcohol, sugar, nicotine, television, food, caffeine Pessimism/despair/loss of hope Depression Increased anxiety Diminished capacity and/or desire for intimacy Difficulty separating work and personal life Dread (of working with certain people) Diminished sense of purpose/enjoyment of career Your Nervous System • Sympathetic nervous system Reactive Fight, flight or freeze Less articulate High negative arousal • Parasympathetic nervous system Receptive Calm, creative, and chill More articulate Stress-Related Hormones Increased susceptibility to illness and disease Complaining Triangulation Being a Non-Anxious Presence You influencing you • Have thoughts on purpose • Unclenching • Engage cyclical breathing • Recognize your stress cue • Be careful about sharing anxiety Let’s Talk Note to self Closing the Day • Share impressions One or two concepts from today that were particularly resonant A commitment/declaration about your intention A request for support An acknowledgment Something else? Thank you for making a difference in the lives of others! Lauren Glickman 206-696-0850 [email protected]