by Jill | Aug 28, 2020 | Anxiety, Becoming a Licensed Professional Counselor, Burnout prevention, Coping with Burnout, Counseling Ethics, Counseling Supervision, crisis intervention, Faith, fears, Finding Peace, mental health, mental health business, Play Therapist Self Care, Play Therapy, Play Therapy Ethics, Play Therapy Supervision, private practice, relaxation, self care, self esteem, self help, stress management, Therapist Self Care
Wow, What a year 2020 is turning out to be. So many ups and downs in the world, our country, our families and our emotions.
Between juggling the changes I’ve made due to COVID19 both in business, with clients and my own family it certainly is an emotional roller coaster. I feels like finding sanity and peace are so far away some days. I could make a list of “how to’s” to self care, or “how to parent during a pandemic” or “how to keep from going insane with all the cancellations and changes.” But it just doesn’t seem to say enough to me. I have found myself making changes I’ve never thought I’d face. From cleaning, to masking, from the telehealth maze there are so many shifts.
If you’re like me you started off hopeful that we could get through this, and there are many days I feel that way. It’s like I am choosing between being grateful and finding purpose in the problem and feeling anger, sadness and fear over seeing my clients, supervises and loved ones try to shift their own priorities and face layoffs, office closures and health issues.
What really has helped me to move through this without completely losing my mind (most days) are my faith, my friends, my family and taking each day and each issue one at the time, and yes seeking out my own therapy.
Most people know me know that I’m pretty open about the fact that as a therapist I find it crucial to go through my own therapy from time to time. It helps relieve burnout, compassion fatigue and also manage the difficult emotions that sometimes occur when faced with the reality of the trauma my clients face. And at the end of the day I feel like I’m asking others to engage in therapy so why not myself?
I will never forget when I was a newer therapist being encouraged to start attending myself. I am thankful for that nudge. There is no shame, no guilt and no it does not mean you are weak if you ask for help.
If you are struggling right now I encourage you to find support for yourself. Here are some signs that you may need to seek your own therapeutic support:
Common signs of chronic stress:
- irritable/angry, nervous/anxious, lack of interest/motivation, fatigue, overwhelmed, depressed/sad
- Feeling lack of control, guilt,
- Constant thoughts of a situation that won’t go away
- Withdrawing from others
- Tearfulness
- Not participating in enjoyable activities
- Finding it difficult to relax
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by Jill | Aug 12, 2019 | Becoming a Licensed Professional Counselor, Burnout prevention, Child Counseling, Child Therapy, continuing education, Coping with Burnout, counseling, Finding Peace, mental health business, Play Therapist Self Care, Play Therapy
“Accepting the presence of compassion fatigue in your life only serves to validate the fact that you are a deeply caring individual. Somewhere along your healing path, the truth will present itself: You don’t have to make a choice. It is possible to practice healthy, ongoing self-care while successfully continuing to care for others.”
Compassion Fatigue Awareness Project ©(2017)
Man, I had a tough week last week. Do you ever have one of those? Most of us do. Counseling can be a rewarding job, you have the privilege to see people through some of their most difficult points in life and the come out the other side better than they were before. But, sometimes you have just one of those weeks, or days or cases that gets to you for one reason or another.
Child therapy especially, in my opinion bring another level of emotional challenge. You see children through abuse, neglect, and often changes in their lives that they have no control over. They are dependant on the adults in their lives to be safe, and there are some fantastic parents out there, but home is not always a safe or stable place for children. Witnessing that day in day out can lead to disillusionment and frustration with environmental factors. It can be easy to lose home for a moment, and forget that there is hope out there, there are safe places, there are puppies and rainbows, there are caring people out there.
It’s natural and human for us as counselors to have emotions about our cases and to sometimes see others’ pain as our own. (See Dr. Sood’s Video on emotions and the brain here). We have the unique position of holding others’ pain while at the same time being responsible for managing the challenges, hurts and trials of our own lives. Sometimes we can experience compassion fatigue. When we do, we should be accepting of where we are. Is it worth the challenge? You tell me in the comments below.
For Mental Health Professionals Working Towards Becoming a Registered Play Therapist or a Licensed Professional Counselor
For Mental Health Professionals Looking for Continuing Eduaction Training
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by Jill | Feb 3, 2019 | Becoming a Licensed Professional Counselor, Burnout prevention, changes, Coping with Burnout, Finding Peace, mental health business, Play Therapy, small business, stress management, Therapist Self Care, Uncertainty
Courageous behavior or character
Google Dictionary
2019 is a Brave year for me. I am saying goodbye to some old things and beginning lots of new things. Sometimes these changes are difficult in our field of counseling because sometimes our life changes affects the lives of the clients we see.
It’s scary, I know. Change. Uncertainty. What’s next? You may be asking yourself if you are ready to start the new job, work towards your Registered Play Therapy Credential, or leave a steady paycheck for private practice.
There are many feelings you can have when you’re making these sort of changes, fear, excitement, sadness, happiness, anxiety, and joy all rolled into one, or at different points along the journey. It’s never easy. But I find that it’s worth the challenge. It stretches me as a therapist and as a person. It sifts out the parts of me that need to leave and brings to the surface what I’m made of.
It grounds me, and my roots into my faith and values grow deeper and I grow closer to whom I believe God as asking me to be in this world.
So what do you do when you’re juggling all the changes so that you don’t feel like you’re going to lose your mind? Here are a few things that have helped me.
- Ask for Help.
- Be extra intentional about scheduling time for recreation and family bonding.
- Partner with a friend/colleague that you can bounce things off of or call and unwind with.
- Journal.
- For me, staying consistent with my faith practices (prayer, reading spiritual books, etc..)
- Remind yourself that you’re not alone and that your feelings are normal.
- Seek your own therapy if needed.
Whatever you are Braving this year I hope you have Courage, to push through the fear, past the uncertainty, and into the new things this year will bring.
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by Jill | Sep 6, 2018 | Anxiety, Becoming a Licensed Professional Counselor, Burnout prevention, Child Counseling, Child Therapy, Coping with Burnout, Counseling Ethics, Counseling Supervision, mental health business, Play Therapist Self Care, Play Therapy Supervision, private practice, ptsd treatments, stress management, Therapist Self Care
Burnout prevention
Most of the time I thrive on challenging cases. Give me a traumatized child or a female fleeing a case of domestic abuse and I’m your therapist. I don’t know what it is, I do really well with long term, hard cases. The blessing here is that I’ve found a niche that I thrive in, but I have learned in my experience that I have to mix up they type of cases I work with, some worried well here, anxiety here, mixed in with supervising new counselors and play therapist.
Lately I’ve noticed I’ve had multiple challenging cases especially those that have to do with children and familieis who are in the middle of a crisis. I found myself today feeling emotional and irritated, and I was worried about a lot of things. When I start to feel this way I know these are signs that I have too many trauma cases, or complicated cases and it’s time to readjust somewhere.
Stress like this in the short term is to be expected, especially when you are in the counseling field, and can even be a motivator to get things done, but I’ve learned to be aware of it and take some steps to care for myself before it becomes a constant problem.
Stress is a normal part of every day life, and that if I take steps to manage it, and sometimes even make friends with it, I can lead a productive and fulfilling life. Stress is the “fight or flight” response in your brain that is there to help keep you safe in dangerous, or perceived danger. Our goal is not to complete be free of stress (that would be impossible) but to manage it and use it to our advantage.
Stress in small doses can be helpful, in fact according to healthguidance.org, some research appears to show that students can improve on their exams if they are experiencing stress in small doses.
It Can:
- Give energy and motivation to complete a task.
- Help to conquer a fear.
- Help have short term energy.
- Help avoid an immediate situation.
- It can help you avoid an unsafe situation.
- It can help you focus on something you have to get done.
The problem is not short term stress, stress is meant to deal with a perceived unsafe situation and then we go back to logical, rational thinking rather than survival mode. The problem is when stress occurs and builds over time.
When I was a new counselor in training I was working in the mental health field while simultaneously going through my counseling internship. I was probably working about 60 hours a week, half at my Day Treatment Job and the other half at the domestic violence shelter where I interned. During that time, and due to some circumstances at my agency that were outside my control and also trying to balance my personal struggles of dealing with overwork, I began feeling guilt about the the circumstances I was in. This turned into lack of sleep and difficulty getting a client situation out of my head.
At the time as a newer professional I didn’t know I was experiencing signs of the over stress or what to do about it. It wasn’t until a supervisor at the internship sat me down and said to me that she noticed that I was over stress, and that I should go to my own therapy during this process. I am super thankful for that. It was one of the best decisions I made to take care of myself. It helped me to overcome fear and self doubt, and to deal with the challenging circumstances I was facing at the time.
I can’t say that I’ve never had periods of feeling stressed or overworked, because I have, but the difference now is that I know what to do to take care of myself and I’m not ashamed to ask for help. I don’t know if I knew at the time what a gift it was to be told to ask for help.
I share this because overstress over time can have effects on the counselor and counseling relationship, but I believe there is hope if we know when to ask for help, or if we notice a colleague having some challenges with overstress we know how to support them.
Some of the effects on the counselor can include: depression, insomnia and withdrawal from others to start (this is not and exhaustive list) and on the counseling relationship: diminished empathy, respect or positive feelings for clients and becoming unresponsive to clients needs.
I believe she should be aware of these feelings in ourselves, but I don’t think it is something to feel ashamed or guilty about.
To quote the Compassion Fatigue Awareness Project:
“Accepting the presence of compassion fatigue in your life only serves to validate the fact that you are a deeply caring individual. Somewhere along your healing path, the truth will present itself: You don’t have to make a choice. It is possible to practice healthy, ongoing self-care while successfully continuing to care for others.”
Compassion Fatigue Awareness Project ©(2017)
www.compassionfatigue.org
So what do you do to combat overstress in our field?
- Self monitoring, and develop self-awareness
- Obtaining supervision and consultation
- Intervention and support of colleagues
- Training staff on effects of burnout/secondary trauma
- Have debriefings for coworkers/staff if dealing with particularly difficult cases
You are not alone. There is a profession full of caring and supportive people that are here for you.
If you are looking for supervision and/or consultation or even therapy for support during your own journey, reach out.
So what do you do when you’re overstressed?
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by Jill | Jun 18, 2018 | Becoming a Licensed Professional Counselor, Burnout prevention, Coping with Burnout, Counseling Ethics, Counseling Supervision, mental health business, Play Therapy Ethics, self care, stress management, Therapist Self Care
I’ve been studying a lot lately about how self-care with counselors relates to ethics and what happens to therapists during the course of their careers. This is a personal topic for me, first, because I am a therapist, and second because I’ve both dealt with my own and witnessed others’ in the field deal with being overstressed, overworked and pushing the burnout phase.
After hearing about multiple therapist suicides in the Atlanta area over the last few years, it really got me wondering how we, as a profession are supporting each other’s journey in this career. What changes can we, together, make to better address our colleagues’ if/when we see them struggle? What did we miss with these folks who were silently struggling?
We, as therapists are constantly trying to balance the needs of our clients, supervisees, students, demands of our work setting, ethics codes, laws, and potential liabilities all while dealing with the demands of our own personal life, financial strains, and our own losses, crises and life challenges.
I’ve noticed by my own observation over the last few years or so that the terms, “self-care” “vicarious trauma,” and “burnout” or “compassion fatigue” appears to have be more common themes of discussion both in trainings, blogs, conversations and other areas of our profession. I think the fact that we, as a profession are talking about and it is fantastic and opens up well-needed conversations about our own mental health as caregivers.
In fact, looking back, I can only think of maybe one or two professors in my graduate studies even approaching the issue. And I definitely don’t remember anyone in my state job as an undergraduate talking about it or paying attention to it’s effect on us. It was one of my early on supervisors that noticed it. She probably did me one of the biggest favors of my life at the time by pointing out some blind spots that I wasn’t noticing about myself, like how much I was stressing or overworking myself at the time and that I needed to take some steps to take care of my own mental health while I pursue caring for others.
According on the APA report on stress from 2015 (there is a more recent report from 2017 that focuses more on our political climate and healthcare) most of us when we’re stressed out or overstressed know it, or know we need to make a change, but feel too stressed to do anything about it or make the changes necessary to address it. It makes me wonder how many of the therapists I’ve been reading about in some of my ethics research, or cases I’ve read about counselors who made poor ethical choices and had poor boundaries with clients were experiencing the deep hole of stress or burnout that mental health professionals sometimes find themselves in. It makes me wonder, what, if any could have been done to support them before they reached that slippery slope of boundary violations and crossings.
It’s and ethical mandate for counselors to be aware of our own impairment, according to multiple ethical codes, but if, when we’re overstressed how aware are we really? Are we setting ourselves up for a catch 22? Are we shooting our wounded so to speak by sending our newbie therapists into high stress, high caseloads and high expectations? Are we setting each other up to sink or swim in the sea of conflicting demands and ethical grey areas, or sometimes outright ethical breaches?
What happens between the time we leave graduate school where ethics are preached and studied and taught and our lives in the field? How do some of us end up in organizations (not all, there are many wonderful organizations!) that contribute to toxic work environments, expectations and overworking?
I know, I know, I’m venting.
Maybe these questions are just mine.
But I believe they are important to ponder and discuss so that we can find a way to support each other in this career. Stop the fighting over political decisions between professions, find a way to pay our new therapists fairly and support each other rather than tear each other down. Pay attention to each other and build each other up. There are many, many wonderful supportive folks out there, but I think creating a culture of support and healthy self-care becomes more difficult when there are so many systemic challenges that come into play.
I know I know, it’s a blog, I’m supposed to give you tips, but all I have right now are questions. What do we do? How best can we support the mental health needs of other counselors, our colleagues, both new and experienced? Leave your ideas in the comments below, and lets work together on this.
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by Jill | Apr 17, 2018 | Becoming a Licensed Professional Counselor, Burnout prevention, Child Counseling, Child Therapy, Coping with Burnout, Counseling Ethics, Counseling Supervision, Finding Peace, Play Therapy Ethics, Play Therapy Supervision, private practice, self care, stress management, Therapist Self Care
A few weeks ago I found out a colleague who used to work on the other side of town now worked close by, so I asked her if she wanted to go to lunch or something. I had a lot on my to do list and I have been pounding the pavement so they say for a while, and so lunches in the middle of the day on the work week outside of the office have been few and far between. I was almost afraid to go because I didn’t want to set back my never-ending to-do list and miss those ever so important to me (that I set for my overachieving self) deadlines.
But I went.
And MAN am I so glad.
Sometimes, even in a setting where I work around other people I start to feel like I live on an island. I was so self-focused and focused on the day to day that I didn’t even realize how much I needed that break in my week. We talked, we relived past work experiences that had been toxic or that we had seen as off the chain, and even laughed about the craziness of a profession we call counseling.
It really hit home for me the importance of reaching out and asking for help, and asking for social interaction with others in the profession. It helps me feel like I’m not so crazy, and we’re not alone.
We can get so focused on our to-do’s, our busy schedules, and the heavy material that we carry from our clients that we can forget that there are others out there, experiencing similar things.
We are not alone.
Say it with me: WE ARE NOT ALONE IN THIS PROFESSION.
We are not on an island; we are not machines.
The more and more I study counselor self care and how stress effects us, the less I believe I can separate self care and seeking support from others from how well we can do our jobs. I found myself on more than one occasion lately needing to reach out to others for support, to reboot, revitalize, and refocus so that I can be there for my clients, supervisees, and family.
It is our responsibility as mental health professionals to look out for each other in the field and support each other. Together. Put aside our differences whatever they are and be there for our brothers and sisters in the profession. We were made for this connection. This is part of what helps us live and breath what we do.
Jill Osborne, EDS, LPC, CPCS, RPTS
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