Wellness Assessment and Plan Paper

Stress Reaction Inventory Assessing the impact of compassion fatigue, burnout and secondary traumatic stress

Instructions: Place a checkmark next to each of the items below that you have experienced in the past two months, even if it seems unrelated to work.

Cognitive

Diminished concentration

Confusion Spaciness Loss of meaning Decreased

self-esteem Preoccupation with

trauma Trauma imagery Apathy Rigidity Disorientation Thoughts of

self-harm or harm to others

Self-doubt Perfectionism Minimization Blaming others Poor decisions Poor abstract

thinking Memory problems Heightened or

lowered alertness

Emotional

Powerlessness Anxiety Guilt Anger/rage Survivor guilt Shutdown Numbness Fear Helplessness Sadness Depression Hypersensitivity Emotional roller

coaster Overwhelmed Depleted Grief Denial Severe panic Loss of emotional

control Inappropriate

emotional response Apprehension

Behavioral

Impatient Clingy Irritable Withdrawn Moody Regression Sleep disturbances Appetite changes Nightmares Hypervigilance Elevated startle

response Use of negative

coping (smoking; alcohol or other substance misuse)

Accident proneness

Losing things Self-harm

behaviors Inability to rest

Spiritual

Questioning the meaning of life

Loss of purpose Lack of

self-satisfaction Pervasive

hopelessness Boredom/ennui Anger at God Questioning of

prior religious beliefs

Despair about the pervasiveness of cruelty

Loss of faith in a higher power

Greater skepticism about religion

Interpersonal

Withdrawal Decreased interest

in intimacy or sex Mistrust Isolation from

friends Impact on

parenting (protectiveness, concern about aggression)

Projection of anger or blame

Intolerance Loneliness Increased

interpersonal conflicts

Physical

Shock Sweating Rapid heartbeat Breathing

difficulties Aches and pains Dizziness Increased number

and intensity of medical ailments

Fatigue Nausea Muscle tremors Twitches Chest pain Elevated blood

pressure Thirst Headaches Visual difficulties Vomiting Chills Fainting Grinding of teeth

Information adapted from the following sources: “Preventing Secondary Traumatic Stress Disorder” by J.Yassen in Compassion Fatigue (1995); “Examples of Compassion Fatigue Burnout Symptoms” (Internet 1999); Critical Incidents Stress Management Training handout (1996).