Compassion Fatigue

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10/28/2016

Compassion Fatigue Mary Jo Barrett www.centerforcontextualchange.org

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Ethical Attunement

The range of what we think and do Is limited by what we fail to notice And because we fail to notice That we fail to notice There is little we can do To Change Until we notice How failing to notice Shapes our thoughts and deeds

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R.D.Laing

Performance, health and happiness are grounded in the skillful management of energy Jim Loehr Awareness, Stamina, Creativity, Resources

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Healing, Growth and Change Healing, change and growth comes from a process of encircling a person with a sense of being valued and empowerment. This is done by identifying and engaging with them through their own natural resources and their cycles of growth. Cocreating refuge and Collaboratively gathering resources from within a person, their family and their community

Five Essential Ingredients for Healing Relationships connecting to a deep set of values that provide a meaningful vision of present and future Collaboration/Power/Attachment

Skills: Psycho educational Experiences/Cognitive Behavioral/Neuro-MindBody/Communication/Mindfulness/Thought Process/Self Regulating

Resource Based Guidance/Vulnerability and Resilience Safe Context/Boundaries/Structure The Creation of Workable Realities/Hope

Essential Elements of Trauma Informed Treatment • Co-creation of secure, safe, attachment, in and outside office

• Assess and access resources of both clinician and client • Structured and Transparent Collaboration • Understanding and Implementing the Dynamic nature of self regulation and Co-regulation- client and clinician

• Recognizing the moments that are opportunities to cocreate change

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Mirror Neuron A mirror neuron is a neuron that fires both when a person acts and when the person observes the same action performed by another.

• You each become the reflection and extension of the other • A back and forth energy emerges between you- liken to an electrical energy flow

• Positive resonance needs certain ingredients to exist-safety being primary

The therapeutic journey requires ENERGY – for our clients and for ourselves

Five Domains of Human Energy

•Emotional •Intellectual •Physical •Sensual •Spiritual

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…..is the exhaustion, fatigue, and subsequent symptoms that are the result of passionately, skillfully, and compassionately giving of ourselves, our energy our resources to cocreate change.

Compassion Fatigue

• You need to be mindful of the possible of effects of your compassion

• You need to understand the energy exchange – what you give out and what you get back

• You need to understand your vulnerability and the need for balance in the expenditure of energy and replenishing of energy

In order to be a successful therapist (or caregiver)

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Grandiosity An Inflated Sense of Importance

Feeling Helpless and Hopeless

A Sense That One Can Never Do Enough Hypervigilance

Addictions Diminished Creativity Inability to Empathize/ Numbing

DYSREGULATION EXPOSURE RESPONSE

Anger and Cynicism

Inability to Embrace Complexity

Minimizing Fear Chronic Exhaustion/ Physical Ailments

Guilt

Sense of Persecution

Dissociative Moments

Inability to Listen/Deliberate Avoidance

We fall into Negative Energy with Fatigue Our goal is to recognize this and Create Positive Energy • Positive Energy- High and Low • High Positive; Joy, Happiness, Playfulness, Movement… • Low Positive; Meditation, Prayer, Stroll in Nature… • Negative Energy- High and Low • High Negative; Anger, Critical, Judgment, Irritable… • Low Negative; Depressed, Withdrawn, Isolation … • What Gives you Positive High and Low Energy

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How to Maintain our Energy to Ensure We Make Wise and Ethical Decisions • Acknowledgment of how caring for others has impacted our lives and changed us-both positively and negatively. Recognizing our expenditures and replenishers

• Designing the program that will re-create the proactive energy which lies within all of us in each domain. Constructing a personal energy formula

• Commitment to ongoing practice of replenishment in all Barrett and Stone Fish, 2016

5 energy domains- through an energy efficient personal formula

• Your Symptoms you want to

• Your Energy Expenditures:

change:

What behaviors at home or work do I want to change?

What tasks?

What beliefs about myself and others no longer serve me- in fact expend my energy?

With Whom?

What reactions of mine are problematic at home and work?

What Life Style Choices?

Worksheet

Write your Personal Vision:

Write your Professional Vision:

How would you like to see yourself as a person.

How would you like to see yourself as a person.

What are your Top personal energy expenditures

What are your Top energy expenditures

What are your Positive energy replenishers

What are your Positive energy replenishers

Create the specific plan and formula that is realistic for you-what, when, and how

Create the specific plan and formula that is realistic for youwhat, when and how

Wellness Plan

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