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 | Jan 7, 2019 | Burnout prevention, changes, Counseling Supervision, Finding Peace, mental health, mental health business, New Years Goals, Play Therapist Self Care, Play Therapy, Play Therapy Supervision, private practice, self care, stress management, Therapist Self Care, Uncertainty
With the new year comes a lot of self reflection, goals setting, and often setting the tone and refresh on the year to come. I found myself looking over 2018 and all the things that have changed, both disappointments and accomplishments. I made it a point after the holiday craziness to just push pause on some of that and refresh myself, breath, and gain clarity for the year ahead.
There are a few things I learned reflecting on this year, and I hope they can help you too, on your journey whether it’s personal, healing from a traumatic experience, taking the next steps in your career or completing licensure or certification requirements.
- The disappointments and trials of the past year can be guideposts to the next steps to reach your goals.
- The accomplishments can the momentum that keeps it going,
- Growth doesn’t happen on its own, growth comes from taking each thing that comes along step by step.
- The most difficult decisions I sometimes make are not between a yes and a no, but from a yes and a better yes (Thanks to the Best Yes by Lysa Terkerurst).
- Sometimes I am looking for the perfect timing, perfect final product, perfect you name it to let go of what is holding you back, when you actually need to let go and make space for the next thing.
- Take time to breath, clear your head, journal, pray, or be around supportive people who love you will go a long way in helping you to clarify your goals and refresh you when you’ve been grinding for too long.
- Remember your roots. I have a deep faith in God, and have for a long time in my life, and I have leaned on it time and again to help keep me focused, grounded, and energized as I move forward.
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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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by Jill | Feb 22, 2018 | Becoming a Licensed Professional Counselor, changes, Finding Peace, mental health business, self care, self help, Uncertainty
Shedding the old life and old things can be an uncomfortable place to be in. There are times where it is necessary. For a long time I felt like I found myself in a holding pattern, stuck and unable to move forward, and waiting around for the next thing to satisfy me. It causes a lot of mixed emotions for me. Sometimes hurt, sometimes anger and frustration, sometimes confusion, and sometimes it feels like pure focus and determination.
It changes day to day for me. But the other day I began writing down what I’m grateful for, and I realized that when I look back, I’m really not stuck. I looked around and saw many of the goals I set and many of the desires that I feel God has put in my heart are actually coming together and making sense.
It doesn’t always feel like it, but we really are moving forward, one day at a time, one small step towards the goals we have. Then, before you know it you look around, and there it is. You’ve reached your goal. You’re there in the career you prayed for, the new relationship, the blog you decided to start, or the book you dreamed of writing.
I think sometimes we want to look at the big picture, and forget the smaller steps that led us there. That one phone call, that one prayer, that one chapter you wrote that turned into another, and then another until the book is completed.
The change is in the smaller steps and decisions that lead to the larger dream.
What small decisions have you made that have helped your journey? Please share in the comments below.
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by Jill | Dec 30, 2017 | Becoming a Licensed Professional Counselor, Boundaries, Burnout prevention, children, Coping with Burnout, Finding Peace, Holiday Stress, Jill Osborne, mental health business, parenting, Play Therapist Self Care, self care, small business, stress management, Therapist Self Care
Overscheduled
I looked at my schedule and I asked, “what did I do to myself.” It was the week before Christmas and I looked at my calendar and realized I crammed as many client appointments as I could all week, supervision appointments, all after a full training day the week before and amidst all the holiday to dos that weren’t yet done.
Man did I feel overwhelmed. I forgot the white space. You know, the space between clients to get my documentation done, the time to wrap up loose ends from training day, pay taxes, all the fun stuff.
I worked so long last week (training week which always adds more to dos’) that my 4 year old daughter asked me, “mommy does your work close?”
Oops. I overscheduled myself again. I felt guilty about it most of the week because I miss my kids and this time of year you plan holiday activities (our holiday pancakes with Santa was kind of a bust because 4 year old cried the whole time because she had an ear infection).
I know what I was thinking when I scheduled it all. I was thinking that I needed the money and my clients needed me. Feelings like I wanted to please others and not disappoint anyone by making them wait until January for an appointment.
On the other end of it, I prayed for this. I prayed for full client load, a growing training and supervision business, and to expand myself. Growing pains.
I think this kind of thing ebbs and flows for me. I go from not busy enough and broke to overdoing it. But I kind of feel like our business, the counseling business is like that. Ebb and flow. Busy and not busy. The trick for me is, I think, is noticing when it gets too much and pulling back and making necessary adjustments, sticking to boundaries, assisting clients to move along that are ready for discharge, etc.… and stop being so hard on myself when it starts to take over and run into family life, but just to make the changes I need to make.
Sometimes that advice is easy to say, but takes a TON of courage to pull off. I have had to work very hard at setting boundaries in general and it doesn’t come easy to me. I am really blessed right now when I think about it. To have enough work that I need to pull back and set boundaries in my daily schedule, time to breathe, time to write, and time to create.
Gratitude for it helps. Gratitude and making small adjustments along the way to tweak the overworked schedule into something more balanced. I’m thankful.
How do you manage your schedule when it becomes insane? Leave a comment below with your tips. Thanks!
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