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IMPAIRMENT AND WELLNESS PAPER 1
Benchmark Counselor Impairment and Wellness Paper Assignment
School of School of Behavior Science, Liberty University
April 25, 2021
IMPAIRMENT AND WELLNESS PAPER 2
Abstract
In this paper it will be discussed the difference levels of impairment, definition of impairment
and explanation with how and why counselors become impaired. Impairment comes in many
different stages the idea is to identify what to look for and how impairment can impact the
profession of counseling. Counselor wellness will be studied, to include intellectual wellness,
emotional wellness, physical wellness, occupational wellness as well as spiritual wellness
practices. Furthermore, Florida State discipline procedures and common violations will be
addressed as well as impairment prevention. Impairment prevention is what a psychotherapist
can do to avoid impairment. Lastly a personal wellness plan from the author will be addressed
and discussed to include goals and life changes.
IMPAIRMENT AND WELLNESS PAPER 3
Benchmark Counselor Impairment and Wellness Paper Assignment
Define Impairment
Counselor impairment can be defined as one’s failure to manage personal stress, mental
health, substance abuse and medical issues which interfere with professional functioning, posing
a hazard to client safety [ CITATION Sim20 \l 1033 ]. Impairment can arise or has the potential
of arising from any complications form the areas on the Wheel of Wellness, nevertheless
different phases of impairment often enter awareness as counselors began to feel compassion
fatigue, burnout, or vicarious trauma. During early stages of impairment counselors could
recognize the feeling of burnout as their first impairment. Burnout can be described as a term
most likely associated with workplace exhaustion.
The term burnout can be related to several different environments, it often is associated
with helping occupations such as psychotherapists. The counselor maybe more vulnerable to
burnout when the counselor is suffering from personal disquiets such as medical fears, major life
stress or eustress. The burnout phase has the potential to erode a therapist’s confidence in self as
well as others [ CITATION DrW16 \l 1033 ]. Counselors have a substantial risk for burnout due
to the nature of the counseling occupation, however, one of the uppermost contributors to
counselor burnout is the inability of counselors to diagnose the indicators of burnout within
themselves. If a therapist has their character wrapped up in their work, it may perhaps generate
the need for the counselor to work abundantly harder just to feel accomplished and or significant.
This frequently is at the expense of one’s self-care in the counseling profession.
Compassion fatigue is often described as one more degree of impairment, like burnout,
its frequently linked with human service individuals. While there maybe some comparable
features and indicators between burnout and compassion fatigue, is significantly different
IMPAIRMENT AND WELLNESS PAPER 4
[ CITATION DrW16 \l 1033 ]. The burnout phase, in addition to the buildup of stress resulting
from empathizing with clients over time is often described as compassion fatigue. One prominent
difference amongst burnout and compassion fatigue is, compassion fatigue, occasionally arises
abruptly with little warning, and it is typically more persistent than burnout. This type of
impairment can often lead to coping habits for counselors such as drugs, alcohol and working
even tougher in a vain attempt to lift self-esteem and self-importance.
Secondary Trauma is noted as an impairment too and can be well-defined as the
emotional pressure that happens from hearing first-hand accounts of traumatic experiences
[ CITATION Sim20 \l 1033 ]. This practice can become a great foundation of pressure for
psychotherapists, as high level of psychological energy is expended with little to no exchange
likely in return. Over time, secondary trauma could rise to vicarious trauma, usually defined as
the steady building of emotional residue due to constant exposure to accounts of traumatic
experience. Therapists experience vicarious trauma as a type of emotional trauma subsequently
from caring. Vicarious trauma regularly corresponds with feelings of burnout and compassion
fatigue, as energy, motivation, compassion and empathy are diminished over time. On a severe
end of the spectrum when a psychotherapist’s own trauma history is activated by traumatic
events processed by clients, this creates the potential for a sense of revictimization for the
psychotherapist. This could affect the counselor’s ability to listen completely to the client and
fully help them as the counselor is preoccupied thinking about their own trauma. Additionally,
counselors could make false assumptions, due to lack of awareness of their clients.
Perfectionistic standards can lead to unrealistic expectations, boundary issues or even the
inability for the counselor to say “no” are top reasons why counselors do not preform self-care.
IMPAIRMENT AND WELLNESS PAPER 5
Not preforming self-care can result in loneliness or a choice to suffer in silence and perhaps is
the number one hazard in a counselor’s practice.
Implications of Impairment
After review from the state of Florida Department of Health it appears a frequent
violation is American Counseling Code of Ethics 2014 A.5.c; Sexual and/or Romantic
relationships with Former Clients. One of the Florida State Statues violated is section
491.009(1)(k), Florida Statues (2018) subjects a licensed mental health counselor to discipline
for committing any act upon a patient or client which would constitute sexual battery or which
would constitute sexual misconduct as defined pursuant to s.491.0111. This appeared several
times during the list but much more than I would have thought. In my mind it was the most
severe as the counselor’s license was permanently revoked from the state [ CITATION Flo211 \l
1033 ].
Florida Administrative Code (F.A.C.), Rule 64B4-10.002(1) defines sexual misconduct as
engaging, attempting to engage, or offering to engage a client in sexual behavior, or any
behavior, whether verbal or physical, which is intended to be sexually arousing, including
kissing; sexual intercourse, either genital or anal; cunnilingus; fellatio; or the touching by either
the psychotherapist or the client of the other’s breasts, genital areas, buttocks, or thighs, whether
clothed or unclothed.
All of the complaints filed are fully investigated for violations based on F.A.C. or State
Statue as well as ethical violations within the ACA code of ethics. The case is presented before
the Board of Clinical Social Work, Marriage & Family Therapy and Mental Health Counseling
and this board decides the penalties associated with the violations of the F.A.C. On this particular
case the board can issue one or more of the following: a revocation of the respondents’ license,
IMPAIRMENT AND WELLNESS PAPER 6
restriction of practice, imposition of administrative fine, issuance of a reprimand, placement of
respondent on probation, corrective action, refund of fees billed or collected, remedial education
and/or any other relief that the Board deems appropriate.
Impairment Prevention
Counselors best practice for impairment prevention are wellness, wellness is the
cognizant awareness of daily choices that either contribute to continued wellness or increase the
potential for impairment [ CITATION Sim20 \l 1033 ]. To improve counselor wellness Witmer
and Young (1996) suggested education programs to inspire comprehensive wellness
encompassing intellectual, emotional, physical, occupational, social and spiritual components.
Intellectual wellness allows the counselor to be open to new ideas and enhances critical thinking,
opening a path to resources, insights, skills and knowledge that can enhance the quality of life for
the counselor.
Emotional Wellness Practices encompasses the counselor to be mindful and the ability to
manage the full range of emotions through self-regulation both positive and negative. A
counselor’s ability for self-compassion is a serious component of their self-care, it is a way we
are able to care for one’s own mind and heart will impact how we view and care for others.
Physical wellness practices involve counselors to attend to the necessities of their own body
through proper nutrition, adequate sleep and consistent exercise. Occupational wellness practices
can be maintained through recreation, work and leisure activities that lend a sense of life-purpose
and provide benefits such as economic compensation, psychological stimulation, and social
networking. By the counselor engaging in leisure activities or hobbies it should be able to
provide an outlet for stress reduction, boost innovative ideas and increase coping skills.
IMPAIRMENT AND WELLNESS PAPER 7
Social wellness practices concentrate on emerging and continuing healthy social
networks such as in families, friendships, and intimate relationships. Social wellness also
includes the capacity to hold onto your individual belief system while keeping an open and
relaxed attitude to interact with others who may be culturally different. Lastly spiritual practices
improve a sense of meaning in life, preservation against the cynicism and hopelessness that can
go with a client’s story.
Wellness Plan and Reflection
What areas of your life need more or less attention?
First and foremost, I think physical wellness practices are ideal in my life currently. I do gym
type of exercises at least 60 minutes a day five days a week. I currently burn anywhere from 500-
700 calories during that hour depending on the type of exercise I am doing. I do not see myself
needing to do more of this type of practice, perhaps I could let up on this type of wellness to
incorporate other categories. Secondly occupational wellness is at top of my list as well, based
on recreation and leisure activities I currently do it has been able to provide numerous benefits
for me. Currently, I enjoy being outdoors with my family and friends doing several differnt
activities from boating to trail hiking to swimming in the pool. For this family there is no
shortage of work, recreation and or leisure activities, sometimes though I feel we do to much and
it works against me. I feel I could afford to lessen this from time to time to allow for other
wellness practices that I currently don’t do.
An area I feel needs more attention in my life would be my spiritual wellness practices.
The recognition of the higher power has fallen from time to time due to unforeseen life
circumstances over the last several years. I feel as a counselor with a Christian worldview I have
to improve my spiritual wellness not only for myself but for my clients as well. Mindfulness as a
IMPAIRMENT AND WELLNESS PAPER 8
self-care strategy aims to slow down the stress-filled, hurried pace of life, and has been shown to
reduce stress and enhance overall well-being [ CITATION Sim20 \l 1033 ]. I also feel I could
work on emotional wellness practices as they need more attention.
What changes do you need to make?
The first change I would say I need to make is getting more involved in organized religion
activities. Some areas outside regular religious life for me could be regular spiritual volunteer
services, spiritual retreats, meditation and nature walks. With this change it should allow for
myself to better serve my clients and myself through spiritual wellness.
What steps are you willing to take to reach your goal of implement needed changes?
I feel I can use the SMART Goals to help implement the needed changes of spiritual wellness.
Starting with S; specific, what will be accomplished? Attending regular organized worship
services; What actions will I take? I will act to better prepare myself on Sunday’s to attend
worship services. M-Measurable, What data will measure the goal? The data will be done by
analyzing the number of opportunities I have to attend service throughout the month by the
amount I actually attend services. A-Achievable, is the goal doable? Do you have the necessary
skills and resources? Yes, the goal is doable and the skills are, I have done it before so it doable,
the resources are I am member of the organized church group. R-Relevant, how does the goal
align with broader goals? Why is the result important? The goal on a broader view will allow me
another avenue of wellness and it is important to obtain the result because it will help in all
aspects of recognizing impairment. T-time bound, what is the time frame for accomplishing the
goal? I think the time frame would be for me to start this during my busy schedule now with
work, family and school to see what I can achieve. I feel when some things allow for more time
such as when I graduate from my master’s program I would then be able to devote some more
IMPAIRMENT AND WELLNESS PAPER 9
time that I was preoccupied with during my studies. The ideal time frame could be short term as
well as long term goals for complete satisfaction. Short term I think I need to make more of an
effort to make time to attend services. Long term I need to become more of the organized
member of the spiritual organization.
IMPAIRMENT AND WELLNESS PAPER 10
References
Dr Walz, G. R., & Bleuer, J. C. (2016). Beyond the Breaking Point. Examining hte Pieces of
Counselor Burnout, compassion Fatigue, and Secondhand Depression, 2-14.
Health, F. D. (2021, Jan 1). Discipline & Administrative Actions. Retrieved from Department of
Health : https://mqa-
internet.doh.state.fl.us/MQASearchServices/EnforcementActionsPractitioner?
utm_source=floridahealth.gov%26utm_medium=text-link%26utm_campaign=mqa
%26utm_term=medical+quality+assurance+search+disciplinary+record
%26utm_content=http://www.floridahe
Simmons, R., Lilley, S., & Kuhnley, A. (2020). Introduction To Counseling. Dubuque: Kendall
Hunt.
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