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self_care.pptx

Professional Issues 2: Self Care

Katherine is a counselor with a private practice. This was always her dream. Ever since she was young she wanted to help people who were hurting so counseling was a natural profession for her to gravitate toward. She reasons this may have been due in part to her own upbringing, which was difficult at times. Katherine’s parents divorced at an early age and she lived a lot of different places during her childhood. Somewhat introverted, it was always a challenge for Katherine to form new friends whenever she moved to a new place.

Katherine has a tendency to take on a lot of clients. This is partly because she really empathizes with clients who are hurting and feels good when she is able to help them. But she is also anxious about having enough clients. Even though her case load is more than full, she worries that there will be a downturn and she will have a hard time making ends meet financially. She also finds it stressful handling the business side of her practice. Consequently, she regularly finds herself working 60-70 hours per week.

Why do we go into a people helping field?

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Social Exchange

Rewards – Costs = Satisfaction

10-4 = 6

4-10 = -6

As long as the rewards outweigh the benefits, we will probably be satisfied

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Rewards

Pay

Enjoyment

Making difference

Seeing change and progress in people

Travel

Educating others

Flexibility

Advocating

Dependable and reliable

More education

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Costs

Pay

More education and continuing education

Burnout

High-risk and secondary trauma

Difficulty finding a job

Responsibility

Failures or non-success

Counter transference

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Why Self Care?

Because of its intensity, people helping can be an emotionally draining experience

When this occurs, costs rise and rewards decrease

In order to replenish, those in the helping fields need to be careful to take care of themselves

If we don’t, it can impact our work and our personal lives

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Compassion Fatigue (aka Burnout)

Results from repeated, intense interactions with people dealing with significant difficulties

Signs include

Exhaustion - Irritability

Insensitivity to others - Depression

Hopelessness

What would you suggest to a someone

showing these symptoms?

Taking care of yourself

Develop a healthy work/personal life/family balance

Cultivate interests that are not work related

Enforce “no work zones”

Allow clients to own their

problems – not you

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Taking care of yourself

Take care of your health

Exercise

Diet

Sleep

Taking care of yourself

Seek out social support

Find people to hang out with that fill you up and don’t drain you

Cultivate friendships with people outside the helping professions

Professional relationships

Colleagues

Supervisors

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Why is it so hard to practice self-care?

Supervision and Consultation

Clinical supervision usually done with interns, beginning counselors

Client protection

Requirement for licensure

Peer consultation

Independent clinicians providing mutual consultation

What happens in supervision?

Case consultation

Case discussion

Video or live review

Review relevant paperwork (progress notes, treatment plans, etc.)

What happens in supervision?

Discussion of overall progress (strengths, growth areas)

Self of the therapist work

How does work with a client affect you?

What are your points of unawareness that you may need to become aware of?

Are there areas you need to work on personally to be a more effective counselor?

Post-class scenario

Compare with pre-class scenario

Katherine is a counselor with a private practice. This was always her dream. Ever since she was young she wanted to help people who were hurting so counseling was a natural profession for her to gravitate toward. She reasons this may have been due in part to her own upbringing, which was difficult at times. Katherine’s parents divorced at an early age and she lived a lot of different places during her childhood. Somewhat introverted, it was always a challenge for Katherine to form new friends whenever she moved to a new place.

Katherine has a tendency to take on a lot of clients. This is partly because she really empathizes with clients who are hurting and feels good when she is able to help them. But she is also anxious about having enough clients. Even though her case load is more than full, she worries that there will be a downturn and she will have a hard time making ends meet financially. She also finds it stressful handling the business side of her practice. Consequently, she regularly finds herself working 60-70 hours per week.

Reflection

How have your skills changed from start of class until now?

What have you learned about yourself and helping others via this class?

Is there anything you will miss about our class?

In what ways will you continue to put learned skills into practice?

https://www.youtube.com/watch?v=sUKKJapwUXc

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