Compassion Fatigue and Burnout 2017-10-05T10:51:34+00:00

“Rest and self care are so important. When you take time to replenish your spirit, it allows you to serve others from the overflow. You cannot serve from an empty vessel.”

– Eleanor Brown

“You are the light of the world. A city on a hill cannot be hidden. Neither do people light a lamp and put it under a bowl. Instead they put it on its stand and it gives light to everyone in the house. In the same way, let your light shine before men, that they may see your good deeds and praise your Father in heaven.” (Matthew 5: 14-16)

Most of us who work as counsellors have been shaped and conditioned to care through-out our life journeys. We are passionate care-givers and dedicate ourselves to supporting people in their lives, relationships, traumas and losses. We are mental health advocates, facilitators and healers. We shine light into peoples’ lives and along the way, we experience some burning; some pain from our work.

Stress, vicarious trauma and counter-transference are all issues for today’s therapist to be aware of and managing. Over time, these three experiences can produce “compassion fatigue” and if not managed, can lead to a more serious condition of burnout (which can take several years to fully recover from)

  1. Chronic Stress
    Tensions, demands and pressures from both internal and external sources all contribute to a sense of “stress”.
  2. Some stress is good; it increases our performance. However when the arousal from the stress becomes too high for too long, it is considered “chronic” and we end up overwhelmed, fatigued, exhausted with ill health and inevitable breakdown.Stress affects the mind, body and behaviour in many ways; the signs and symptoms of stress vary from person to person, but all have the potential to harm your health, emotional well-being and relationships with others.
  3. Vicarious Trauma
    What is it? Two words: MIRROR NEURONS

    When you sit with someone who is distressed; your mirror neurons fire. The brain can’t tell the difference between doing an action and observing an action. We can absorb our clients’ pain, distress, fears and trauma narratives… this triggers the same neurological chemicals in our brains as though we were actually having the experience ourselves.My wellness can have an impact on your un-wellness. Your un-wellness or distress can have an impact on my wellness and stress. This is termed VICARIOUS TRAUMA and is defined in the dictionary as “suffering in the place of another”.It is the cumulative effect of witnessing and listening to peoples’ stories over time; it’s a gradual process of change that can happen in us because we care about others; because as we sit with them, our motor neurons are firing. That’s the way we are wired and we need to take suitable measures to protect ourselves and to discharge this secondary trauma and recharge.
  4. Counter – transference
    Our emotional buttons can be pressed as we listen to other people’s stories; they can triggers us to a past/present emotional upset or conflict within our own lives, where we still need healing ourselves or some sort of resolution. This equals emotional stress and is the third contributor to compassion fatigue.
  5. Burnout
    Burnout is emotional & physical (adrenal glands) exhaustion which happens over a long period of time and typically takes a long time to recover. Compassion fatigue leading to burnout happens gradually over time, and often we don’t recognise the changes in us; like frogs in a pot of water over a flame (they don’t notice the water is heating up until it’s too late). There will often be arousal, avoidance and intrusive symptoms.No one plans to get to a state of compassion fatigue and/or burnout. It can so often “just happen” which is why supervision is crucial for the counsellor amongst other prevention and resilience measures.