Do You Have “Compassion Fatigue?”

If you are a trauma specialist, you may have heard the terms “compassion fatigue,” “secondary posttraumatic stress” and “vicarious victimization.” Most commonly, practitioners speak of “burnout” and the majority who work with traumatized individuals have experienced one or all of these conditions from time to time.

Compassion fatigue has many faces, but these are some of the more common symptoms in mental health and healthcare professionals:

* Sadness and lack of pleasure in activities that were previously enjoyable

* Emotional and physical exhaustion

* Emotional outbursts

* Unresolved anger and conflicts

* Chronic ailments such as recurrent colds, stomach problems, and headaches

* Preoccupation and difficulty in concentration

* Denial of emotional stress and blaming of others for distress

* Inability to express emotions in a productive manner

* Isolation from others

* Compulsive behaviors (overspending, overeating, and other addictive activities)

* Nightmares, sleep disruption, and intrusive memories of traumatic events

So what do you do when you realize that you may have or be at risk for compassion fatigue? Just how do you keep going when your job includes providing trauma intervention for children, adults, and families on a daily basis? If you do not attend to the symptoms in a timely way, those symptoms eventually refuse to be ignored and emotional crisis occurs.

There are several steps you can take to address compassion fatigue right now. The first step is to reach out to others, including colleagues, to share your feelings and obtain support and validation. The other step begins with you—take the time to build in self-care and personal resilience-enhancement. Join an exercise class, take up yoga or meditation, and focus on a healthy diet. Most of all be kind to yourself, accept that you are not perfect, set good boundaries for work-related activities, and express your needs to others.

Finally, enhance your ability to deal with compassion fatigue through education such as McHenry’s upcoming workshop. One of the most well researched ways of reducing secondary posttraumatic stress reactions is through education. So take the opportunity to increase your awareness through learning and listening to the opportunity to increase your awareness through learning and listening to the stories of other professionals struggling with compassion fatigue’s effects.

Be well,

Cathy Malchiodi, PhD, LPAT, LPCC

New Data on the Impact of Multiple Deployments on Children of Military

Despite the length of the current wars in Iran and Afghanistan, little is known about the impact of multiple deployments of military personnel on their families, particularly children. While it is widely accepted that deployment is a period of transition for military families and that it is a source of potential stress, there has been minimal information on how it affects the resilience and well-being of non-deployed caregivers and children.

Recently, Pediatrics: Journal of the American Academy of Pediatrics, published the results of a study of more than 1500 children of military families. The participants, aged 11 to 17 years, and their non-deployed caregivers contributed information that helped researchers assess the experience of deployment for children and how it varies according to the length of deployment and military service. Not surprisingly, children in the study had more emotional difficulties when compared to similar national samples.

Two overall conclusions were drawn from this study. First, children and families that experienced more total months of parental deployment [in other words, from multiple deployment-reintegration cycles] may benefit from intervention to deal with stress and trauma that occur over time. Second, caregivers who experience mental health difficulties may benefit from interventions that support both caregivers and children. Additional findings produced more detailed characteristics of children’s responses by age and gender, including:

•    Gender has an impact on stress responses reintegration. In general, girls had more problems with the reintegration period; this may be explained by the gender-specific roles that girls play in a household when the military parent is away, such as helping with chores or difficulties teens may have relating to their fathers.

•    Age is a factor in stress responses to the deployment-reintegration cycle. Older children (middle and later adolescence) may be experiencing more problems than younger children when it comes to parental deployment and reintegration because they may experience a greater shift in caretaking roles during the deployment-reintegration cycle.

•    Living on a military base makes a difference. There are notable differences in the deployment experience, based on environment; those living on a military base seem to have fewer deployment challenges than those living in housing away from a military base.

•    Caregivers’ stress responses affect children’s responses. Finally, caregivers’ mental health is associated with children’s reports of stress and challenges; a parent under stress may exacerbate a child’s stress responses during deployment and reintegration.

Of course, the current findings are limited by the participant pool and other circumstances that influenced data collection. Nevertheless this study provides vital information that has been previously unavailable to help us understand the impact that the deployment-reintegration cycle has on children and families. It supplies a basis for future study of stress responses, identifying children and family members most at risk, and developing interventions to address the unique needs of these children.

From July 13th–16th 2010, the National Institute for Trauma and Loss in Children Annual Childhood Trauma Practitioners Assembly will address the growing challenge children and families of the military face due to multiple deployments. This annual gathering of trauma experts will focus on best practices and practical strategies for how to address the stress of deployment-reintegration cycles and how to enhance resilience in children and their families. Be sure to mark your calendar and join other trauma specialists at this event to learn about current interventions to address these challenges in schools, community agencies, and mental health services, and find out more about cutting edge resources that can be used to support and help military families. Look for more information from TLC Executive Director and founder Dr. William Steele and Program Director Caelan Kuban, LMSW, soon.

Be well,

Cathy Malchiodi, PhD, LPCC, LPAT

Resources

You can download a free PDF version of the Pediatrics report on children from the home front here.

Also see “Multiple Deployments Take a Toll on Military Families and Children” from the Trauma and Children blog archives here.

Reference

“Children on the homefront: The experience of children from military families.” (2009). Anita Chandra, Sandraluz Lara-Cinisomo, Lisa H. Jaycox, Terri Tanielian, Rachel M. Burns, Teague Ruder, & Bing Han, in Pediatrics published online Dec 7, 2009.

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