vicarious trauma ( burn out ) & boundary setting sarah rotsinger-stemen, psy. m. tanya russell...
TRANSCRIPT
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Vicarious Trauma(Burn Out)
& Boundary Setting
Sarah Rotsinger-Stemen, Psy. M.Tanya Russell Ph.D.
USF CAPS
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Objective1. Managing difficult, traumatic, or
troubling information you may hear from students
2. Identifying, setting, and maintaining appropriate boundaries
3. Recognizing the importance of self-care in your role as tutors
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Trauma
Trauma is any event which can make one feel unsafe in the world,
and which affects the mind and nervous system thus creating
psychological harm.
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What is Traumatic Stress?
Traumatic stress is the RESPONSE to an event or situation, NOT the traumatic event itselfEvents that may trigger a traumatic response:• Sexual or physical assault/abuse• Car accidents• Serious illness or death of a family member• War• Target of racism, sexism, classism, …
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Emotional and Psychological Reactions to Trauma
• Fear, Shock, Disbelief and Disorientation• Intrusive memories • Anger/Aggression• Withdrawal • Helplessness• Shame • Guilt
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Vicarious TraumaTraumatic stress experienced indirectly (i.e. hearing stories, responding after a traumatic event, seeing live footage of a traumatic event, etc.)
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Vicarious TraumaThose most closely exposed to the traumatic event (i.e. EMTs, firefighters, etc) are more susceptible to experiencing secondary traumatic stress than those less exposed (i.e. viewing on TV, hearing a personal story)
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Vicarious Trauma• Think about a time (preferably recent
time) when someone personally told you about a traumatic event he/she experienced, or
• Think about a time when you heard about a traumatic event or horrific ordeal thru the media
HOW DID THIS IMPACT OR EFFECT YOU?
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Secondary Traumatic Stress• Fatigue, low energy• Less efficient; taking longer to complete the same
task• Difficulty making decisions, • Problems focusing/concentrating• Problems sleeping, difficulty relaxing• "Tuning out" while listening to traumatic stories• Less creative, loss of problem-solving skills• Sad, depressed, withdrawn• Loss of sense of humor or playfulness, less capacity
to feel joy
Indications of
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Secondary Traumatic Stress• Apathetic, indifferent, emotional numbness• More irritable, intolerant, angry• Cynical; less compassionate, disillusioned, less trust
in humanity• Feeling helplessness, hopelessness• Guilt for having an "easier" life than others, denying
or downplaying your own pain and/or difficulties• Physical complaints: headaches, abdominal
discomfort, diarrhea, joint pain, muscle aches or tension, frequent illness
Indications of
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Vicarious Trauma• Often a slow, cumulative process that occurs over
the course of helping those who have suffered tragedy, loss, and pain.
• Helping professionals may not realize that they are suffering from secondary or vicarious trauma until they feel "burned out"
• A person’s past, including previous exposure to traumatic incidents, coping styles, attitudes, beliefs, and support system also influence the degree to which one might experience vicarious trauma.
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Coping• Debrief after tutoring/hearing a traumatic story• Mutually support each other• Seek support from CAPS• Seek support and consultation through CAPS
after hours services • Maintain balance in your life – schedule time to
enjoy pleasurable activities• Maintain appropriate boundaries with students
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Know Your Limits!
Signs that you’ve exceeded your limits or the student needs more help than you’re able or willing to give:• Feeling responsible for the student• Feeling pressure to solve his/her problems• Feeling over-extended in helping/tutoring the
student• Feeling stressed out about the student’s behavior• Feeling the problem/story you heard is more than
you can handle
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Self-Care
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Next Steps
What are you like when you are “burned out?” • Turn to the person next to you and discuss:–How you physically and mentally react to
stress (i.e. ruminate, irritable/bitchy, withdrawn depressed/sad, drink/smoke weed, panic/anxious, nightmares, numb, etc.)– Identify 2 actions you could take to prevent
this
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Questions?