Conversations on Compassion Fatigue with a Family Physician

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Conversations on Compassion Fatigue is a series where we interview professionals from high-stress and trauma-exposed environments to discuss issues around compassion fatigue, organizational health, vicarious trauma, moral distress and self-care. 

This time, we sit down with a Family Physician to discuss her thoughts on compassion fatigue and burnout and how it shaped her practice.


 

Can you tell us a bit about your work as a Family Physician?

 

“I have been working for 24 years now as a family physician. I have a varied practice, including working in a cancer clinic and attending labour and childbirth. I’ve been at my current job for about 9 years working in a higher needs area of the city.

Many of my patients have complex mental health issues, struggle with addictions and/or living below the poverty line.

When I took over this practice from the previous doctor, many of my patients were on high doses of opioid prescriptions. I recognized that there was a need for tapering of their prescriptions – and there was a lot of resistance to this idea. This was before opioid tapering was a typical or well-known practice.” 

 

What has been your experience with compassion fatigue?

 

“In order to get buy-in from my patients to reduce their medication, I had to learn about them and understand their histories. As I was doing this and talking to patients more and more, I uncovered stories of abuse, trauma, and violence. 

I heard from many who were presently suffering from chronic pain that they had endured childhoods with a lot of adversity. Listening to story after story of child neglect, abuse and household dysfunction was intense and upsetting.

This process resulted in me experiencing a significant burn out.

I was the classic story of someone experiencing vicarious trauma and compassion fatigue. I started to break down in tears or lose my calm. When someone would ask a simple “How are you?”, I would respond by getting teary. I am usually quite a positive person who is not prone to depression, so this was a new and distressing experience. 

In order to overcome this, I looked for people who could understand what I was going through. It helped to have someone who could understand why hearing all of these stories had negatively impacted me. Speaking to those who knew about compassion fatigue was really helpful as I was able to put a name to what was going on.

I did stay at my current job and ended up going full circle with this group of patients, even though they were being tapered and initially resistant. Now these patients are a place of strength for me. Many of them coped very well with the tapering and ended up feeling better.” 

 

What did you learn from your experience with compassion fatigue?

 

“I have discovered that you can learn to care – and your patients do need to feel like you care for them in an unconditional way – but its important to have your personal limits and boundaries. There is a cost in overly empathizing with your patients and feeling as though you have to “rescue” them from their issue.

I have a term for this – compassionate disinterest. This is when a caregiver should have unconditional positive regard and acceptance of a patient in order to establish a deep empathy. However, one must also develop a level of disinterest so that there is a clear avoidance of “rescuing” the patient.

One can have deep wishes and hopes for a patient – but there has to be a confidence that the best approach for self efficacy and improved health comes when a person motivates themselves.

Over time, people will respond to your confidence in them. There is a subtle way to navigate this, and it is hard to learn – but it is very important for both the patient and the health care provider. 

In the end, getting overly invested in your patients or clients is not helpful to them or to you.”

 

What does your self-care practice look like?

 

“For my own self-care, I try to exercise regularly, eat well, get good sleep and have a sense of when I’m taking on too much stuff.

I am more aware now of when there is a”tug-of-war” that starts to happen between what I need and what my patients’ need. I try to prioritize my needs as much as theirs – believing firmly that people need to help themselves. My role is not to take over care. It should be more like a coach – supporting people to make personal improvements and then helping them take responsibility for their health and well being. 

It is a constant battle to achieve a balance – but things have been a lot easier now since I’ve fine-tuned how I connect with my patients and my family practice is a source of strength.”

 

Has your work encouraged you to do self-care?

 

“My workplace has tried to be supportive. We do have an allowance of personal days and paid vacation time.

It is a good place to work – but like many health care settings, we are doing a lot of work with limited resources which makes it often feel like an overwhelmed work setting.There is a lot to do with very little money and resources and often front line providers are feeling that stress the most.”

 

In your field, what do you think could be done to help mitigate the effects of compassion fatigue?

 

“In healthcare, we need to start thinking and talking more about the root causes of health issues. We need to work on improving housing, food security, early childhood supports etc.

I know that those are bigger issues, but we need to stop this “putting out fires” style of healthcare and instead focus on prevention of diseases and ill-health.

Another important issue that I try to teach my patients about is ACEs or Adverse Childhood Experiences. I talk to them about the effects that their early childhood experiences can have on their health and how these negative experiences can have even changed the development of one’s brain.

We know that exposure to early childhood toxic stress can affect things like your impulse control and decision making skills which will impact one’s ability to adapt to certain situations. These early childhood negative experiences predispose may you to making decisions later in life that may not be in your best interest.

This education is so important for two reasons. First of all, it helps to remove the sense of self-blame. Behaviour change can’t happen if your patient is struggling with feelings of intense self-loathing and guilt. The second reason is it allows forgiveness. Understanding the past can help patients make a plan for the future and move on.

Guilt, shame and other negative emotions lose their power when you understand where they come from.”

We need to stop this 'putting out fires' style of healthcare and instead focus on prevention. Click To Tweet

 

What do you find challenging about your work? Most rewarding?

 

“The systemic issues in the healthcare system are on-going and challenging. Managing that can be very frustrating and difficult. However, when you can find a way to gain strength from your patients and build a healthy relationship, this can fuel your energy for this work.

I am inspired daily by my patients who persist in overcoming multiple barriers to improve their health and well being. When my single mom comes to my clinic with her two children after taking two buses to get there AND she arrives on time, I’m amazed and inspired.

People have a lot of resilience if we look for it and support it. 

 

Are there any resources you would recommend?

 

Trauma and Recovery by Judith Herman

The Body keeps the Score by Bessel van der Kolk

Trauma Stewardship by Laura van Dernoot Lipsky

The Deepest Well by Nadine Burke Harris


 

 

Addressing Compassion Fatigue – An Ethical Mandate

 

 Addressing Compassion Fatigue – An Ethical Mandate

Webinar Roundtable – American Bar Association, aired September 30, 2015


Working with clients in trauma can impact lawyers who represent children in the child welfare system, both personally and professionally.  Prolonged or repeated exposure to the abuse and neglect suffered by child victims can result in an acute form of burnout called compassion fatigue.

However, child lawyers, unlike other helping professionals, rarely have language for this loss of capacity nor support systems in place to combat it.  Large caseloads, inadequate resources and systems that sometimes re-victimize instead of rehabilitate, leave practitioners feeling ineffective, incompetent and lacking compassion. These conditions compromise the child lawyer’s ethical duty to provide competent representation.

Speakers focus on preventative and responsive strategies for solo practitioners, agency lawyers and leaders who manage child lawyers, as well as the ethical implications of compassion fatigue on child representation.

Speakers:
Trenny Stovall, Esq., DeKalb County Child Advocacy Center, Decatur, GA (moderator)
Alexandra Dolan, MSS, LSW, Support Center for Child Advocates, Philadelphia, PA
Josh Spitalnick, PhD, ABPP, Adjunct Asst. Professor in Psychiatry and Behavioral Sciences, Emory University SOM, Atlanta, GA
Françoise Mathieu, M.Ed., CCC., Co-Executive Director, TEND, Kingston, Ontario, Canada
Danielle Lynch, Esq.,  Supervising Attorney. DeKalb Child Advocacy Center, Decatur, GA

Source

Your HeART’s Work with Jessica Dolce

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Here at TEND, we are fortunate to encounter some wonderful people who work in a wide variety of fields and professions. One of those wonderful people is Jessica Dolce.

Jessica’s work focuses on helping animal care and welfare professionals navigate compassion-related stress, as well as cultivate resilience in their work and life. She’s a Certified Compassion Fatigue Educator, coach, writer and dog walker, as well as the creator of Dogs in Need of Space. 

Jessica joined us for our Train the Trainer course in 2015, and we’re so excited to see her bring the discussion of compassion fatigue into the world of animal welfare. 

 We love Jessica’s playful and edgy style – one of our favourite messages of hers is that of #CompassionateBadassery:

“Practicing compassionate badassery means mindfully making vulnerable, courageous choices that support sustainable, ethical, and satisfying caregiving.”

Today, we’re excited to share one of Jessica’s blog post as featured on HeART’s Speak. She discusses the intersection of animal care and compassion fatigue, as well as shares strategies to help manage compassion fatigue-related stress. 

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Ask anyone why they volunteer or work with animals and you’ll probably get the same answer: fast cars, fame, and heaps of money. Oh wait, that’s why people want to be rock stars! People who work with animals do it because they care. Because it is their heart’s work. 

So let me ask you something, just between us: When was the last time you thought about how the work you do with animals is having an impact on your heart?

As a volunteer or a staff member at a shelter or rescue, you’re exposed to so many animals and people who are in need of help. And all day long you collect their stories, take their photos, and care for them through your compassionate actions. At the end of the day, where do all those stories and worries go? They’re gathered in your heart (and your body and your mind).

That’s a heavy load to carry.

Compassion fatigue, according to Dr. Charles Figley, is the natural consequence of stress resulting from caring for traumatized people and animals. In other words, it’s the physical and emotional exhaustion that arises from the constant demand to be compassionate and effective in helping those in need and who are suffering.

Here’s the thing: Compassion fatigue is a normal, predictable result of doing this work. We can’t help others without being affected by it at some point. It’s an occupational hazard.

So why aren’t we better prepared to deal with it? When you first began your work with animals, did anyone pull you aside and tell you that you needed a game plan to cope with the emotional and physical challenges of doing this heartfelt work? Were you given any tools or strategies to help you cope? For most of us, the answer is no.

So many of us are experiencing compassion fatigue symptoms without ever having heard about it. So let’s talk about it a little here, ok?

Continue reading Jessica’s blog post here.


HeARTs Speak is an international nonprofit organization that’s uniting art and advocacy to increase the visibility of shelter animals. You can learn more about them on their website, or check out this feature article by consumersadvocate.org, HeARTs Speak – Because Every Voice Matters.

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Interested in joining the team of Compassion Fatigue trainers? Check out Compassion Fatigue: Train the Trainer – an online course starting February 2019. 

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Disappoint Someone Today

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by Françoise Mathieu, M.Ed., CCC., RP

A few years ago, I was running late one morning and rushed out of the house to get to work. My teenage daughter called me a few hours later and told me on speakerphone, with all her friends in the car, “mom, you left the straightening iron on, it could have caused a fire. I’m not angry, I’m just disappointed.” And then she burst out laughing. Other than my dangerous oversight, this was a funny interaction because my daughter was using language that she clearly had heard several times in her life (from me, I might as well admit it right now) and she was enjoying the role reversal.

I don’t know if you’re like me, but there is very little I dislike more than knowing that I have disappointed someone. I think that a lot of us caregivers have this natural predisposition to please others and take care of everyone else’s needs. This makes us excellent friends, family members and professionals. There are also deeply fulfilling positives to feeling needed, helpful and caring. I would not trade that for the world.

However, there can also be a cost to being super-human caregivers, because, it turns out, the need will ALWAYS outweigh what we can provide. This is true professionally, as well as personally.

I recently went to a grocery store to pick up several favourite food items for my family and it wasn’t until I got back to the car and drove away that I realised that I had not for a second thought about getting what I myself needed or wanted. I parked the car on a side road, and took a few minutes to breathe. What was I trying to prove? To whom? That I am invincible, without needs? That I can always take care of everyone else, no matter what?

We learn these patterns early, and they become embedded in our identity.

I come from a long line of caregivers, and maybe you do too. My mother told me about caring for her depressed mother, cooking meals for the family, taking care of household chores at age five (yes, five years old, not even in primary school yet). My brother and I took on adult responsibilities at ages nine and twelve when our parents got divorced and things were tough in our house. We are still both known for our solid, dependable, reliable character. We pride ourselves on it. It has brought us professional rewards and tremendous satisfaction. My mother too, as a matter of fact. She was a shining star in her field, and was highly recognised for her incredible work ethic, fairness and trustworthiness.

And then, one day, we start to realise that we are running on empty. Or maybe we drop the ball, forget something, let someone down inadvertently. Or we get sick, or start feeling low. Or we completely max out our bandwidth and we simply cannot do it all because the demand is completely exceeding our capacity.

The wonderful author Cheryl Richardson has written about “Extreme Self Care” in several of her books. She invites us to reassess life’s true priorities, apart from the basics of safety, shelter, food and love. I return to Richardson’s books time and again and always find a quote to support what I know to be what I truly need.  

Here is one from her book “The Art of Extreme Self-Care”: “if you want to live an authentic, meaningful life, you need to master the art of disappointing and upsetting others, hurting feelings, and living with the reality that some people just won’t like you. It may not be easy, but it’s essential if you want your life to reflect your deepest desires, values and needs.”

So, taking a page out of Cheryl’s work, I would like to invite us all to look at what’s on our plate at the moment, perhaps in the coming two months. Is there something that you have already agreed to do (personally and/or professionally) that you could say no to? What would the consequences be, of saying no? Will someone be disappointed? Is that the fear? And then what? What if, in fact, we DO need to disappoint sometimes? Are we afraid of losing love, respect, friendships? Do we exist if we are not the “go-to” at all times?

These are profound questions. I will admit. Things that I grapple with almost daily.

I had to disappoint people that I deeply care about recently. At first, I resisted. I felt so guilty, I was going to upset them, without a doubt. But something had to give. I was completely stretched at work and at home and I was totally overwhelmed. So, I did what I always do when I feel like my head is going to burst: first, I went for a long walk. Then, the next time I had an hour to myself, I went to yoga. Then I got a full night’s sleep. Finally, I went to talk to a trusted advisor.

A trusted advisor can be a dear friend, a coach, therapist or a spiritual counsellor. In my case, I am very lucky to have several wise women in my life who know me well and aren’t afraid to challenge me. They know my patterns and can also call me on my bullshit. I went to see one of them and I probably talked for 45 minutes uninterrupted, unloading my dilemmas and multitude items on my to do list. Finally my friend said “it just can’t all be done. You are going to have to disappoint some people, but also recognise that you have set a pattern over years of always saying yes and, therefore, their reaction will likely not be very good. So be prepared for that. But also, be honest, tell them what’s going on, and why you are saying no.”

So I did. I went off and disappointed a whole bunch of people.

And although I felt badly about it, I also felt tremendous relief. I carved out some space to breathe, and the need for me to reassess how much capacity I claim to have, to take on more than I can handle. To be the fixer, the reliable one at all times.

I truly believe that in order to maintain integrity and compassion in the very challenging work that we do, we must be honest about our limits, and to above all else, to be able to show ourselves compassion first before we can truly care for others.

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Recommended Readings:

Resilience, Balance and Meaning Workbook by Dr. Patricia Fisher, R.Psych., L.Psych.

Take Time for Your Life: A 7-Step Program for Creating the Life You Want  by Cheryl Richardson

Self-Compassion: The Proven Power of Being Kind to Yourself  by Kristin Neff, Ph.D.

Compassion Fatigue Workbook by Françoise Mathieu, M.Ed., CCC., RP

Excerpts from “The San Diego International Conference on Child and Family Maltreatment, 2015”

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Françoise presented her “Beyond Kale and Pedicures” keynote at the Chadwick Center’s annual San Diego Conference on Child and Family Maltreatment conference in January, 2015, during which she reviews the history of compassion fatigue research, as well as suggests new directions for the field.

Below are highlights from the keynote: (Warning: Strong Language)

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The San Diego Conference focuses on multi-disciplinary best-practice efforts to prevent, investigate, treat, and prosecute child and family maltreatment. The objective of this annual conference is to develop and enhance professional skills and knowledge in the prevention, recognition, assessment and treatment of all forms of maltreatment. Learn more about the conference here.

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Ask the Expert: Q&A Webinar with Françoise Mathieu

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Last week, Françoise had the honour of being invited to participate in an “Ask the Expert” webinar by CIR – the Centre for Innovation and Resources Inc. The CIR serves those who are working to protect and heal children and families. They work to optimize established services so that children, families, and communities are served in a holistic way based on best practices and current research.

During this webinar, Françoise answers questions from healthcare professionals surrounding the issues of vicarious trauma and compassion fatigue, as well as offers suggestions on how to combat its effects in our work and personal life.

Some of the questions include:

“I like to watch the news to keep informed, however I’m aware it affects me due to vicarious trauma. I’ve tried not watching or reading any news at all, but that doesn’t work. What do you suggest?”

“What are some tools that I can use to help me with the stories that haunt me?”

“What are some strategies for recharging when we realize that compassion fatigue or vicarious trauma is affecting our ability to connect with the work we do, and our personal lives?”

Find the answers to these questions and many more in the full “Ask the Expert” webinar:

 


Resources mentioned in the video:

TEND Blog posts – Becoming Trauma-Informed, Bridges out of Poverty

TEND Articles – Low Impact Debriefing , Beyond Kale and Pedicures, The Business Case

TEND Training – Window of Tolerance Framework by Diana Tikasz

Online Resource – SHIFT wellness

Book Recommendation – Bouncing Back, by Linda Graham.

 

Reducing Unnecessary Trauma Exposure in Service Providers

by Françoise Mathieu, M.Ed., CCC., RP

Many years ago, when my dear friend Robin Cameron and I developed our very first compassion fatigue workshop, we came across the term “limited disclosure” in Laurie Anne Pearlman and Karen Saakvitne’s book Trauma and the Therapist.

The authors, who were well ahead of the curve on all matters related to VT and Compassion fatigue solutions, suggested that we, as professionals, should consider taking a careful look at “how much detail about the violence or abuse [we] want to share [with one another].” (Pearlman, personal communication)

This concept of “limited disclosure” rang so true to us that we immediately integrated it in our training. We called it Low-Impact Debriefing in a cheeky nod to the aerobics craze of the 80s and also because it formed the acronym L.I.D. The idea of low impact debriefing is twofold: to be able to share the information that we need to, while at the same time not having a highly negative impact on the listener. We were not suggesting that we should keep a lid on difficult things but wanted to suggest that we should all perhaps take a careful inventory of how much graphic information we need to be sharing when debriefing difficult stories or consulting on cases with colleagues. Perhaps a better analogy is that of a pressure cooker that lets the steam out little by little rather than in one giant burst with potentially negative consequences.

Over the past decade, my team has received many invitations to present at trauma trainings: child abuse symposia, conferences for parents of murdered children, workshops for sex crimes investigators, courses on the Dark Net and cybercrime, and many similar other conferences. We are often struck by the extremely graphic details that are almost invariably shared during these events: gruesome photos shown on a giant screen during a lunch time keynote, detailed descriptions of a murder or assault on a child, minute details about the smells, sounds and sights of a crime scene and even, at times, graphic audio and video footage. Some of these scenes can be very difficult to forget.

When is Trauma Exposure Gratuitous and When it is Necessary?

I think that we can all agree that many media outlets share an excessive amount of potentially disturbing images in their coverage (and in fictional shows, but that’s for another post). I remember listening to CBC news radio on my headset a few years ago while I was out for a run, and suddenly, without warning, the host played an actual audio of a child being victimized. I remember tearing the earpieces away from me and thinking “WTF just happened? Why was this necessary during a midday radio show? And I that instance, I don’t think that the now overused customary warning “content may be disturbing to some” was enough to justify airing that footage.

I am also well aware that at times, graphic details are essential to a trauma training – if you are a forensic examiner or an investigator of any sort, you must be able to recognise and differentiate between an accidental injury and one that has been deliberately caused by another person, or you may need to learn how to assess a crime scene and the related details that are present. You may need to learn how to interview a criminal in order to develop better investigative or clinical skills. Sometimes, we need videos, photos and details in order to do our job properly.

But here is my question to you: how much detail is too much? Even at a trauma conference, are all details required at all times? Is it enough to give people a warning at the start of our talks “this may disturb you” or do we all have a responsibility to reassess what we are sharing and how much detail is enough?

We were recently asked to create a brand-new course called “The Things We Can’t Unsee: Reducing the Impact of Secondary Trauma Exposure” which we have had the privilege of offering to legal professionals, child abuse investigators and victim service providers across North America this year. The response has been extremely positive and has led to some powerful discussions and reflection among participants. A good place start addressing this issue is to perform a personal “trauma audit” for ourselves and see how much extraneous trauma stories we are sharing with one another. To go further, please read The four steps to Low Impact Debriefing as discussed in my book (Click here).

“I’m not bothered by these stories”

Now, I have been in the field long enough to know that some of you will say “I have been exposed to thousands of stories, they don’t bother me anymore” and perhaps this is true. We all have a different level of sensitivity to difficult images and traumatic details based on a whole host of personal factors. But it would be interesting to be able to measure our stress hormones and see whether that is actually true, or to be able to perform a brain scan and see how our limbic system responds to repeated exposure. As psychiatrist Dr. John Bradford so eloquently explained in his testimonials a few years ago, after 30 years of exposure to gruesome images, he also thought that he was immune, until, one day, he was not: http://www.ottawacitizen.com/health/Tough+forensic+John+Bradford+opens+about+PTSD/9152171/story.html

To Learn More:

 

Sources:

Mathieu, F. (2012) The Compassion Fatigue Workbook: Creative Tools for Transforming Compassion Fatigue and Vicarious Trauma. New York: Routledge.

Pearlman, L. A., & Saakvitne, K.W. (1995). Trauma and the therapist: Countertransference and vicarious traumatization in psychotherapy with incest survivors. New York: W.W. Norton. pp. 383-384.

 

Becoming Trauma-Informed – A Key to Sustaining Compassion and Offering High Quality Care

by Françoise Mathieu, M.Ed., CCC. RP.

Every single helping professional I have ever met has told me that, at some point in their career, they had the following reflections:

1) Why wasn’t I properly trained to work with difficult clients/patients?

2) If I knew then what I know now, maybe I would have been more patient and compassionate with this particular client/patient

 and they have also asked themselves a variation of this question:

How do I stay compassionate with the “non-compliant”, difficult, “manipulative” clients?

Those of you who know me will know why I put those two terms in brackets – I utterly dislike those two words “non-compliant” and “manipulative” and I have tried to never use them in my own practice when referring to clients I have worked with. Would you not agree that they are words laden with our own judgment and feelings of frustration –  us, the exasperated service providers who feel that the folks we serve are not behaving according to the plan that would make our work so much easier? Or, at times, that those words are a reflection of our sadness for what we see as self-destructive sabotage on our clients’ part, and that this understandably upsets us?

A diabetes nurse recently said to me: “it’s so frustrating, our patients need to do some basic things – check their sugars, eat right, move their bodies, take their insulin, and so many of them don’t – with dire consequences. I can’t seem to get through to them, and then, they get worse. I have run out of ideas and energy to help them!”

I have heard the same from so many different helping professionals: domestic violence workers who see a person return to a terrible situation, addiction counselors, judges, police officers who work with victims of sex trafficking, paramedics who roll their eyes at “frequent flyers” … the list gets longer each time I meet a new group of helpers.

If you’re like me, and you’ve been in the helping field for 20 years or more, the odds are that you didn’t learn a lot or anything about the long term consequences of childhood trauma and neglect back when you were studying to become a professional. Although I went to two excellent graduate schools, my training programs barely touched on trauma at all, except for a brief class on PTSD, but that was mostly in relation to soldiers, and not much else was said about it.

But that has changed now. We have solid research and tools to allow each one of us to become more trauma-informed and this knowledge can allow us to work with challenging clients (and colleagues) with a better understanding of the reasons for some of their actions and choices. This, in turn, can allow us to remain compassionate and to be more helpful to them during their challenging and brave journeys through life.

Here are some resources to become more Trauma-Informed and continue the journey towards compassion for others and for ourselves.

TED TALK: Watch Dr. Nadine Burke-Harris’ amazing presentation on the Adverse Childhood Experience Study for a 16-minute overview. A must-watch!

https://www.ted.com/talks/nadine_burke_harris_how_childhood_trauma_affects_health_across_a_lifetime/up-next

BOOKS:

Childhood Disrupted: How your Biography becomes your Biology and how you can Heal” by Donna Jackson Nakazawa

“In the Realm of the Hungry Ghosts: Close Encounters with Addiction” by Gabor Maté

Webinar to stay compassionate: Compassion Fatigue 101

Websites:

Trauma Informed Care Project http://www.traumainformedcareproject.org

ACES too High website: https://acestoohigh.com

The Edge of Compassion – Françoise Mathieu giving a TEDTalk for TEDxQueensU

For the past 15 years, Secondary Trauma specialist and compassion fatigue educator Françoise Mathieu has been exploring tools to help all of us navigate the challenges of sustaining compassion and empathy towards others – both as individuals and professionals.

This talk explores ways to find the right balance between caring for others while staying healthy and empathic. Françoise is a Registered Psychotherapist and a compassion fatigue specialist. Her experience stems from over 20+ years as a mental health professional, working as a crisis counsellor and trauma specialist in university counselling, military, law enforcement and other community mental health environments.

Françoise is co-executive director of TEND, whose aim is to offer consulting and training to helpers on topics related to secondary trauma, compassion fatigue, burnout, self-care, wellness and organizational health. Since 2001, Françoise has given hundreds of seminars on compassion fatigue and secondary trauma across North America to thousands of helping professionals in the fields of health care, child welfare, the criminal justice system and other similar high stress, trauma exposed professions.

Françoise is the author of “The Compassion Fatigue Workbook” which was published by Routledge in 2012 as well as several articles and publications.

This talk was given at a TEDx event using the TED conference format but independently organized by a local community.


 

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“Françoise Mathieu’s writing is wonderful: she speaks from the heart, practitioner to practitioner, about the stressors and strains of human service work, particularly those that come from prolonged regular work with traumatized patients and clients. This is a book you help write by yourself and about yourself. That’s why it is the workbook for trauma work.” – Charles R. Figley, Tulane University, Louisiana, USA, and author of Treating Compassion Fatigue

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TEND Associate Rebecca Brown on Workplace Compassion Fatigue

 

Rebecca Brown has a Master’s Degree in Social work and her career has spanned 28 years including medical social work, child welfare and domestic violence. For the majority of her career Rebecca was a Child Protection Team Supervisor at the Children’s Aid Society and was a founding member of the Critical Incident Debriefing Team for CAS staff following traumatic work events. She was a provincial trainer for the Ontario Association of Children’s Aid Societies and taught the curriculum on Wellness and Self Care. Rebecca has recently been appointed as an Adjunct Assistant Professor in the Department of Family Medicine, Schulich School of Medicine, Western University.

Rebecca now has a particular interest in Lifestyle Medicine and incorporates this into her practice of Wellness Coaching. Rebecca has been working with Francoise Mathieu and delivering workshops and seminars on the topics of Vicarious Trauma and Compassion Fatigue to helping professionals in a variety of social settings to balance the impact of the “cost of caring” for those in need.