Therapy Chat

24: Vicarious Trauma & Secondary Traumatic Stress


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Welcome! Today’s topic is one that’s important to therapy professionals and to first responders, too. To anyone who works with people who are suffering, Vicarious Trauma is important. I just attended a workshop on this topic by Laura Van Dernoot Lipsky, the author of Trauma Stewardship

Here’s what you’ll hear in this episode:

  • The terms Vicarious Trauma and Secondary Traumatic Stress are interchangeable.
  • Therapists bear witness to the traumatic stories of clients and are affected by them.
  • The nature of therapy work requires empathy; it’s honorable, brave, and important work intended to make the world a better place.
  • There are small ways to lessen the impact of trauma, by mindfully checking in with yourself and using positive coping methods.
  • As a therapist, how much are you “numbing?” We discuss examples.
  • Laura recommends spending 12-60 minutes each day, for six days a week, working out to the degree of breaking a sweat.
  • We owe it to the people we help to take care of our Vicarious Trauma, and regular exercise is one way to do that.
  • Isolation is common in trauma work, because we feel like “nobody understands.”
  • The American Counseling Association lists several signs of Vicarious Trauma, including:
    • Having difficulty talking about feelings
    • Feeling diminished joy
    • Feeling trapped by work
    • Limited range of emotions
    • Exaggerated startle reflex
    • Hopelessness
    • Trouble sleeping
    • Exhaustion
    • Conflict with other staff
    • Trouble with intimacy
    • Feeling withdrawn and isolated
    • Impatience, apathy
    • A change in worldview
  • What can you do to make a difference?
    • Have a mindful presence
    • Exercise (12-60 min. several days each week)
    • Cultivate connection with yourself and others
    • Enrich your life by doing things you love, apart from work
    • Make meaning

Resources:

www.laurareaganlcswc.com

ACA Fact Sheet on Vicarious Trauma

Trauma Stewardship by Laura van Dernoot Lipsky

Trauma Stewardship Institute

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