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Cordelia Anderson, MA
www.cordeliaanderson.com
Sensibillities, Inc. Cordelia@visi.com
Exposure to Trauma has an impact on
the most highly skilled professionals
 “Trauma stewardship” is ethical
issue (Laura ...
 No magic pill; No ONE thing
 There are symptoms: Pay attention
◦ to what “degree” - normal to ‘feel it’ –
◦ “NORMALIZE ...
 As a catalyst to do what you can
about any toxic conditions
 Define the extent of the problem, restoration or
transform...
Cordelia@visi.com
• Concept of
“Trauma
Stewardship”
&Resource
• Look for more
resources on
traumastewardship
.com
Issue: What is an individual
vs situation/systemic
problem?
Sensibillities, Inc. Cordelia@visi.com
 Most “stress” from organization/political/systemic
issues
 Toxic exposure
 Overload from multiple sources
Sensibilliti...
 The exhaustion of physical and
psychological resources caused
by excessive striving for
unrealistically high expectation...
Sensibillities, Inc. Cordelia@visi.com
Burnout is a grief response
Grief that you aren’t as
effective as you want to be
Sensibillities, Inc. Cordelia@visi.com
Preoccupation with work-related problems
or job security
* a depressed immune system
* stomach problems
* lack of appetite...
* Overtime
* Negativism
* Cynicism ***
* Pessimism
* Hopeless is hip
* If "seasoned", then cynical
Sensibillities, Inc. Co...
 Burnout & Secondary Trauma =
Compassion fatigue
(Figley)
◦ Empathy is key to induction
◦ Response is to shut down emotio...
Intrusive symptoms
Avoidance symptoms
Arousal symptoms
(Figley, 1995)
Sensibillities, Inc. Cordelia@visi.com
Sensibillities, Inc. Cordelia@visi.com
Use to need adaptive
reaction that’s now a
maladaptive response
 Release of powerful chemicals
 Only intended to be used for extreme
emergencies
 Not intended to experience repeat lif...
Sensibillities, Inc. 2005
Cordelia@visi.com
“Is what is coming at me
really coming from me?”
Lo Lo
 1995-1997 data collection, 17K, 1st
published in
’98; 2013 MN ACES Data
 “What creates health and life success?”
 Deve...
Clients/Students you work
with
You/Other Staff
Sensibillities, Inc. Cordelia@visi.com
Do you prioritize
time/energy/relationships?
◦(partner, friends)
What is the affect/effect on
intimacy?
Sensibillities, ...
Are you suspicious of
everyone?
Do your children wish they
had a “normal parent” that
didn’t always see/expect the
worst...
Sensibillities, Inc. Cordelia@visi.com
Diminished emotional
responsiveness to a
negative or aversive
stimulus after repeat...
Sensibillities, Inc. Cordelia@visi.com
Impact of Technology
Be Intentional
Ecological/
Strategic
Personal &Institutional
Not a Technique but a way of life
“CHANGE OF HEART”
Sen...
 Exploited Child Unit
 Study of Impact;
 Proactive weekly group meetings
Opportunities for private sessions
 Hiring as...
 www.shiftwellness.org;
 Research shows the impact
 Innocent justice Foundation with OJJDP,
ICAC’s and MH expert in CSA...
28 federal LE who investigate Internet CP
High % of STSD (secondary traumatic stress
disorder) & Cynicism
STSD & burnout...
 Cultivation of Organizational Support:
◦ Training prior to entry & supplemented
◦ Attention to cohesive collegial unit
(...
 Is the environment one in which the health, self-
care of those who work in it is LIKELY?
◦ Why or why not?
◦ Who is res...
To Counter Professional
Negativity and Fatigue ask:
◦What are your successes?
◦What do you have to celebrate?
(Do you mo...
 Review of workplace practices and policies
 Do they include proactive measures at employee /
volunteer health & well-be...
Sensibillities, Inc. Cordelia@visi.com
“Make their day”
Be present
Choose your
attitude
Play > Have Fun
Sensibillities, Inc. 2005
Cordelia@visi.com
 Detaching
 Feeling Effective On The Job
 Past Childhood Experiences With
B...
 Name It
 Make a plan to change
 Make the change
 Build a team
 Evaluate
 Celebrate Success
Sensibillities, Inc. Cor...
 SIGN: Loose our ability to be
present so we do not know the harm
to self or others
NOTE: How do we not add
to the traum...
Focus and Identify what you can
do to feel better at the really hard times;
Impact can be TRANSFORMED by
layering in new...
Sensibillities, Inc. 2005
Cordelia@visi.com
Laughter is an instant vacation.
Laughter:
 Reduces the level of stress hormo...
Sensibillities, Inc. Cordelia@visi.com
Sensibillities, Inc. Cordelia@visi.com
 We burn out because we’ve allowed our hearts to
become so filled with loss that w...
Sensibillities, Inc. Cordelia@visi.com
The difference between stumbling blocks and
stepping stones is how you use them
~ S...
www.cordeliaanderson.com
Sensibillities, Inc. Cordelia@visi.com
Cordelia Anderson
Cordelia@visi.com
www.cordeliaanderson.com;
Sensibillities, Inc. Cordelia@visi.com
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Compassion Fatigue

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Cordelia Anderson, MA

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Compassion Fatigue

  1. 1. Cordelia Anderson, MA www.cordeliaanderson.com Sensibillities, Inc. Cordelia@visi.com
  2. 2. Exposure to Trauma has an impact on the most highly skilled professionals  “Trauma stewardship” is ethical issue (Laura van Dernoot Lipsky)  Occupational hazard of the work ◦ “toxic stress”  Organizational & Individual Strategies both matter Sensibillities, Inc. Cordelia@visi.com
  3. 3.  No magic pill; No ONE thing  There are symptoms: Pay attention ◦ to what “degree” - normal to ‘feel it’ – ◦ “NORMALIZE the difficulty of the topic & situation”  Figure out your current level of stress: ◦ Stress (helpful/good stress or at least not harmful) ◦ Over stressed (Pay attention) ◦ Burnout ◦ Dis-ease (Crispy, Crossed Over) (TOXIC) Sensibillities, Inc. Cordelia@visi.com
  4. 4.  As a catalyst to do what you can about any toxic conditions  Define the extent of the problem, restoration or transformation & practicing prevention  Important to start with yourself Sensibillities, Inc. Cordelia@visi.com
  5. 5. Cordelia@visi.com • Concept of “Trauma Stewardship” &Resource • Look for more resources on traumastewardship .com
  6. 6. Issue: What is an individual vs situation/systemic problem? Sensibillities, Inc. Cordelia@visi.com
  7. 7.  Most “stress” from organization/political/systemic issues  Toxic exposure  Overload from multiple sources Sensibillities, Inc. Cordelia@visi.com
  8. 8.  The exhaustion of physical and psychological resources caused by excessive striving for unrealistically high expectations (Update on Human Behavior, Vol 7, No. 4, 1987) Sensibillities, Inc. Cordelia@visi.com
  9. 9. Sensibillities, Inc. Cordelia@visi.com
  10. 10. Burnout is a grief response Grief that you aren’t as effective as you want to be Sensibillities, Inc. Cordelia@visi.com
  11. 11. Preoccupation with work-related problems or job security * a depressed immune system * stomach problems * lack of appetite * insomnia * high blood pressure * Irritability * sadness •Anxiety * chemical excuse/abuse Sensibillities, Inc. Cordelia@visi.com
  12. 12. * Overtime * Negativism * Cynicism *** * Pessimism * Hopeless is hip * If "seasoned", then cynical Sensibillities, Inc. Cordelia@visi.com
  13. 13.  Burnout & Secondary Trauma = Compassion fatigue (Figley) ◦ Empathy is key to induction ◦ Response is to shut down emotionally Sensibillities, Inc. Cordelia@visi.com
  14. 14. Intrusive symptoms Avoidance symptoms Arousal symptoms (Figley, 1995) Sensibillities, Inc. Cordelia@visi.com
  15. 15. Sensibillities, Inc. Cordelia@visi.com Use to need adaptive reaction that’s now a maladaptive response
  16. 16.  Release of powerful chemicals  Only intended to be used for extreme emergencies  Not intended to experience repeat life threats  PTSD = constant/chronic release of brains emergency warning system  Learned response to warning signs & associations  Reflex happens from sensory stimuli in absence of real threat Sensibillities, Inc. Cordelia@visi.com
  17. 17. Sensibillities, Inc. 2005 Cordelia@visi.com “Is what is coming at me really coming from me?” Lo Lo
  18. 18.  1995-1997 data collection, 17K, 1st published in ’98; 2013 MN ACES Data  “What creates health and life success?”  Develop a common language about the problem, risks, protections and compassion  ACES, neurobiology, stress and resilience  Plan together in a new way  Adversity add up & creates enduring effects  ACES are common, UNACCEPTABLE, the earlier exposure the more the harms, yet they Sensibillities, Inc. Cordelia@visi.com
  19. 19. Clients/Students you work with You/Other Staff Sensibillities, Inc. Cordelia@visi.com
  20. 20. Do you prioritize time/energy/relationships? ◦(partner, friends) What is the affect/effect on intimacy? Sensibillities, Inc. Cordelia@visi.com
  21. 21. Are you suspicious of everyone? Do your children wish they had a “normal parent” that didn’t always see/expect the worst? Are you increasingly “protective?” Sensibillities, Inc. Cordelia@visi.com
  22. 22. Sensibillities, Inc. Cordelia@visi.com Diminished emotional responsiveness to a negative or aversive stimulus after repeated exposure to it. -To make less sensitive -NUMB
  23. 23. Sensibillities, Inc. Cordelia@visi.com Impact of Technology
  24. 24. Be Intentional Ecological/ Strategic Personal &Institutional Not a Technique but a way of life “CHANGE OF HEART” Sensibillities, Inc. Cordelia@visi.com
  25. 25.  Exploited Child Unit  Study of Impact;  Proactive weekly group meetings Opportunities for private sessions  Hiring assessment based on learnings  Debrief at departures (Occupational Hazard) Sensibillities, Inc. Cordelia@visi.com
  26. 26.  www.shiftwellness.org;  Research shows the impact  Innocent justice Foundation with OJJDP, ICAC’s and MH expert in CSA Images developed “Supporting Heroes in MH Foundational Training (SHIFT)  ICAC BCA MN – Own Program Sensibillities, Inc. Cordelia@visi.com
  27. 27. 28 federal LE who investigate Internet CP High % of STSD (secondary traumatic stress disorder) & Cynicism STSD & burnout scores related to: ◦ Increased protectiveness of family ◦ Turnover intentions ◦ Reliance on co-workers (not outside of work) ◦ General distrust Sensibillities, Inc. Cordelia@visi.com
  28. 28.  Cultivation of Organizational Support: ◦ Training prior to entry & supplemented ◦ Attention to cohesive collegial unit (COMMUNITY MATTERS) ◦ Enhanced support network ◦ Recruitment willingness and screening (wrong reasons for willingness) ◦ Past trauma, addressed ◦ Escape other duties What fits? What doesn’t? What else? Sensibillities, Inc. Cordelia@visi.com
  29. 29.  Is the environment one in which the health, self- care of those who work in it is LIKELY? ◦ Why or why not? ◦ Who is responsible? ◦ What can you do?  Are systems in place to help individuals/groups bounce back after harm?  Are processes restorative/transformative?  Is it Solution focused? Sensibillities, Inc. Cordelia@visi.com
  30. 30. To Counter Professional Negativity and Fatigue ask: ◦What are your successes? ◦What do you have to celebrate? (Do you mostly talk about your challenges?) Sensibillities, Inc. Cordelia@visi.com
  31. 31.  Review of workplace practices and policies  Do they include proactive measures at employee / volunteer health & well-being & organizational support for the reality of trauma?  Are there reactive supports (debriefings, counseling support)  Assessment upfront, proactive check-in’s, exit interviews  Check for signs of health: moral, tone of ‘humor’ collaboration/support/creative thinking, physical wellness, mental health Sensibillities, Inc. Cordelia@visi.com
  32. 32. Sensibillities, Inc. Cordelia@visi.com “Make their day” Be present Choose your attitude Play > Have Fun
  33. 33. Sensibillities, Inc. 2005 Cordelia@visi.com  Detaching  Feeling Effective On The Job  Past Childhood Experiences With Bonding
  34. 34.  Name It  Make a plan to change  Make the change  Build a team  Evaluate  Celebrate Success Sensibillities, Inc. Cordelia@visi.com
  35. 35.  SIGN: Loose our ability to be present so we do not know the harm to self or others NOTE: How do we not add to the trauma we see? Sensibillities, Inc. Cordelia@visi.com
  36. 36. Focus and Identify what you can do to feel better at the really hard times; Impact can be TRANSFORMED by layering in new positive experiences; Mindfulness, Meditation & the neurobiology of trauma ◦ - studies show increased activation of frontal and pre-fontal cortical areas Sensibillities, Inc. Cordelia@visi.com
  37. 37. Sensibillities, Inc. 2005 Cordelia@visi.com Laughter is an instant vacation. Laughter:  Reduces the level of stress hormones  Perks up the immune system  Relaxes muscles  Clears the respiratory tract  Increases circulation  Eases perceived pain  Feel good endorphins flow  Laughter both stimulates and soothes
  38. 38. Sensibillities, Inc. Cordelia@visi.com
  39. 39. Sensibillities, Inc. Cordelia@visi.com  We burn out because we’ve allowed our hearts to become so filled with loss that we have not room left to care.  Grieving is a way of self-care, the antidote to professionalism. Health professionals don’t cry. Unfortunately.
  40. 40. Sensibillities, Inc. Cordelia@visi.com The difference between stumbling blocks and stepping stones is how you use them ~ Source Unknown ~
  41. 41. www.cordeliaanderson.com
  42. 42. Sensibillities, Inc. Cordelia@visi.com
  43. 43. Cordelia Anderson Cordelia@visi.com www.cordeliaanderson.com; Sensibillities, Inc. Cordelia@visi.com

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