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Could discuss the ethical implications of stress and burnout in counseling practices, perhaps specifically during pandemic? Podcast with Dr. Justin D. Henderson (psychologist, professor of counseling, and organizational consultant).

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Self-Care Is Not The Solution For Burnout. Try This Instead

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Listen to this episode from The Career Contessa Podcast on Spotify. If you've ever felt burned out and then tried to "fix" it by upping your self-care routine, this episode is for you. You probably noticed that in between all your self-care efforts, the burnout from work wasn't exactly going away.

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As I post this, I looked over at Chanda's and saw that she selected some of the topics that I also selected so please ignore those on mine, I will take those out. Helps me narrow it down!

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Just trying to make sure I am understanding how to post things :)

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How not to take things personally? | Frederik Imbo | TEDxMechelen

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Suggested activities from the textbook look like they could be altered some to fit as a creative presentation element.

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I chose one focus area per section that appeals to me

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Cultural Understandings: How does culture impact experiences of burnout/stress?

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Cultural Understandings: How does culture impact experiences of burnout/stress?

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Prevention & Treatment: How effective are strategies to prevent and treat burnout?

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Prevention & Treatment: How effective are strategies to prevent and treat burnout?

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Identification: How do you assess burnout/stress?

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Identification: How do you assess burnout/stress?

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"Bible" of resources from a friend who is a CCC in Canada.

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Relevant Journals & Associations for Counselling

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view only link for the presentation slides

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Editable version: https://www.canva.com/design/DAFZ63HVcBE/gOPhOiF3eIqG6tL9jcqWgQ/edit?utm_content=DAFZ63HVcBE&utm_campaign=designshare&utm_medium=link2&utm_source=sharebutton

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Final outline!!!!!

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Self-reporting yields a more nuanced measurement of burnout and may indicate impairment that is not captured by inventories.

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Self-reporting yields a more nuanced measurement of burnout and may indicate impairment that is not captured by inventories.

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"These self-reported symptoms of
burnout align more closely with the definition of counselor impairment (Lawson et al., 2007) as opposed
to the definition of counselor burnout...[f]irst, any study
of counselor burnout that utilized one of the commonly used instruments of burnout (e.g., CBI, MBI)
would have failed to capture these participants’ experiences. Second, these findings suggest that a small
number of counselors may be experiencing significant impairment in their personal and professional
lives, despite being early in their professional careers."

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Cook et.al, 2021_Self-Reported Symptoms of Burnout in Novice Professional Counselors.pdf

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Recommends policy and practice for addressing burnout in new counsellors

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Recommends policy and practice for addressing burnout in new counsellors

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Citation: Davies, S. M., Sriskandarajah, S., Staneva, A. S., Boulton, H. C. M., Roberts, C., Shaw, S. H., & Silverio, S. A. Factors influencing ‘burn-out’ in newly qualified counsellors and psychotherapists: A cross-cultural, critical review of the literature. Couns Psychother Res., 2022; 22: 64– 73. https://doi.org/10.1002/capr.12485

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Burnout Syndrome in Psychotherapists: A Comparative Analysis of Five Nations

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Burnout Syndrome in Psychotherapists: A Comparative Analysis of Five Nations

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See last page for recommendations on prevention and treatment

Puig, A., Yoon, E., Callueng, C., An, S., & Lee, S. M. (2014). Burnout syndrome in psychotherapists: A comparative analysis of five nations. Psychological Services, 11(1), 87–96. https://doi.org/10.1037/a0035285

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Burnout Syndrome in Psychotherapists, A Comparative Analysis of Five Nations

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CBI is accurate at measuring burnout in 5 nations; differences exist in ways that burnout is experienced 

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CBI is accurate at measuring burnout in 5 nations; differences exist in ways that burnout is experienced 

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I’d like this to be my focus source- has a lot of good info about the different ways burnout is experienced and how it ties to the cultures

Puig, A., Yoon, E., Callueng, C., An, S., & Lee, S. M. (2014). Burnout syndrome in psychotherapists: A comparative analysis of five nations. Psychological Services, 11(1), 87–96. https://doi.org/10.1037/a0035285

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Ethical Obligation of Professional Self-Care

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Ethical Obligation of Professional Self-Care

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Ethical Obligation of Professional Self-Care

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Use of Mindfulness Practice as a function of self-care

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Clinical Update

By Zur Institute

View a complete list of Clinical Updates.

By nature, therapists are caring and compassionate people. We enter the field to help others, and this is a noble and wonderful thing. However, like any quality, caring can be over-done. If therapists leave themselves out of the circle of care, "emotional fatigue and burnout come - and can come fast.

Therapists' tendency to focus exclusively on other people's well being and the fact that we spend long hours in this mode account for the high rates of stress, substance abuse, depression and (yes, even) suicide among members of our ranks. In addition to the personal ill effects of burnout, providing poor treatment for clients as a result of burnout is unethical.

BURNOUT 101

Burnout is the result of job stress stemming from the numerous emotional hazards of the profession.

It affects most counselors, psychotherapists or mental health workers at some point in their careers. It is not reserved for the seasoned-older therapists; it can strike therapists earlier in their careers as well.

It manifests primarily as emotional exhaustion, "emotional fatigue" or "emotional overload."

This can lead to depersonalization (of patients and self) which manifests through general dislike, and a detached and callous - even dehumanized - attitude towards clients, who are perceived as energy drains or stressors.

Clearly, no therapist can be effective under these conditions.

Top Stressors: Ingredients for Burnout

1. Emotional Depletion or Emotional Fatigue: Working constantly with people who are in pain, feel suicidal, are grieving over the loss of loved ones, or those severely traumatized, takes a heavy toll on practitioners. The psychotherapist can be "infected" with a patient's sadness; a condition Jung called "psychic poisoning."

2. Vicarious Traumatization: This term has been introduced in recent years and has become even more popular after the events of Sep. 11, 2001. It refers to the cumulative effect upon the trauma therapist of working with trauma survivors. In this process, the therapist's experience is negatively affected through empathic engagement with clients' trauma material.

3. Grandiosity and Demonization by Clients: While some patients idealize therapists, others put them down. Still others oscillate every other week. The healer may be set on a pedestal only to be knocked off of it soon thereafter. Without objective feedback, therapists can end up confused and in doubt about their own qualities, qualifications, and sense of worth.

4. Constant Worry: Therapists are often in a constant state of worry about whether a patient is going to follow up on a suicidal or homicidal threat. Whether or not the therapist reports such intentions or makes a suicide contract with the patient, sleepless nights and anxiety are significant hazards of the profession.

5. Distraction: Focusing on other people's problems, which may be more severe than their own, can lead therapists to lose track of their own situation.

6. Helplessness and Sense of Inefficiency: Unlike carpenters, gardeners, or surgeons, psychotherapists rarely see immediate, profound, or tangible results from their efforts. The work is often (though not always) slow. Even when therapy is effective in relieving painful symptoms and termination is successful, patients leave, and with them goes the knowledge of the long-term effect the work has had on their lives.

7. Inability to Shut Off the Therapeutic Stance: While many patients disclose the most intimate aspects of their lives to their therapists, the therapist must share only what is appropriate and beneficial to the patients. Experiencing many such relationships can lead the practitioner to acquire extreme voyeuristic tendencies. It may also lead therapists to transfer the mode of one-way intimacy to friends and family outside of the therapy office.

8. Worry About Board Investigations: Most ethical and risk management instructions fuel unrealistic fears about board investigations and lawsuit. The fact that board disciplines and lawsuits against therapists are relatively rare does not help therapists who carry the burden of constant worry and fear.

9. Grandiosity: Working with people who often idealize you and often are desperate for help and guidance can result in what Ernest Jones labeled "God Syndrome." Those who develop such an inflated sense of self are likely to be sarcastic, disconnected, and un-empathetic with clients.

Burnout is Preventable! Here are tips:

Practice Personal Restoration. This can include therapy for you, spiritual practice, exercise, proper sleep, and time with loved ones. Enjoy your life in a way that is sustainable. Everyone needs regular downtime and restoration - especially those in the helping professions. Take time to remember who you are and meet your own needs. Connect with others when you are not in the therapist role. Seek solitude and time in nature. Keep "in touch" with yourself.

Consult and Get Peer Support. Rather than struggle with difficult cases on your own, seek consultation from experts or colleagues. Ongoing peer support and consultation can be very helpful in preventing burnout.

Grow as a Person. You're not just a therapist, there to help others. You are a full person, with your own needs and desires. Whether your passion is painting, writing, playing basketball, cooking, etc. - make sure you have time to do what you love. Provide your clients with good care, but do not make them the (only) center of your life.

Belong to a Professional Organization. As a member, you can meet with colleagues online and f2f, and you will also receive their monthly publication. This can help foster a sense of community, and keep you involved with professional updates. Finding out early about ethical and legal developments in the field will save you from unnecessary stress.

Practice Ethical Risk Management: Continue to update yourself on changing laws and ethical guidelines. Stay flexible and open; do not resort to rigid risk management practices. Especially in difficult and stressful cases, seek consultation and extra documentation. See our online course on Risk of Risk Management and our new 18 CE Credit Hours Ethics Course.

Make Time for Family and Friends. Whether you are married with children, single, or anywhere in between, quality connection with loved ones is important. Make time to engage in activities you enjoy, or simply have downtime with people who are close to you.

ON BALANCE

Staying centered and balanced as an active psychotherapist presents a multitude of challenges. Clients can be demanding, there are times when we are in a state of constant worry, the field is constantly evolving, and our clients often need a great deal of care. Conversely, practicing therapy can be highly rewarding, gratifying work because for many of us, our work is our calling rather than just an occupation. Balance is the key to practicing effectively and preventing burnout. This includes balance between our personal and professional lives, between taking care of others and taking care of ourselves, time alone and time with others, and finding balance between the physical, mental and spiritual aspects of our being.

Consult on difficult cases or your concern with your own burnout:
Email Dr. Zur.
Related Online Courses
Essential Clinical Forms: Reduce the worry by implementing basic forms, such as office policies and authorization to disclose information.

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Therapist Burnout: Facts, Causes and Prevention

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By Zur Institute View a complete list of Clinical Updates. By nature, therapists are caring and compassionate people. We enter the field to help others, and this is a noble and wonderful thing. However, like any quality, caring can be over-done.

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Distress, Therapist Burnout, Self-Care, and the Promotion of Wellness for Psychotherapists and Trainees

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The practice of psychotherapy can be highly rewarding and gratifying. Psychotherapists regularly make a significant positive impact in the lives of those with whom they work. Yet, this endeavor can also be emotionally demanding and challenging; if we do not attend to our own functioning and wellness, we can be at risk of developing problems with our professional competence (Elman & Forrest, 2007).

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Culture affects burnout across professions

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Culture affects burnout across professions

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"Demands predicted burnout, both directly and mediated by perceived stress" Both relationships were moderated by country, with the direct relationship being stronger for US and the mediated relationship being stronger for Sweden.

Barker, G. G., Volk, F., & Peters, C. (2021). Cultural influences on burnout: a Swedish–American comparison. International Journal of Workplace Health Management, 14(2). https://doi.org/10.1108/IJWHM-06-2019-0085

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Cultural influences on burnout, a Swedish–American comparison

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Burnout levels in Hong Kong are like that of US, but not like Japan and South Korea 

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Burnout levels in Hong Kong are like that of US, but not like Japan and South Korea 

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Shin, H., Yuen, M., Lee, J., & Lee, S. M. (2013). Cross-cultural validation of the Counselor Burnout Inventory in Hong Kong. Journal of Employment Counseling, 50(1). https://doi.org/10.1002/j.2161-1920.2013.00021

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Cross-cultural validation of the counselor burnout inventory in hong kong

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Counselor burnout may be transcultural, where individual differences may be the most important factor

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Counselor burnout may be transcultural, where individual differences may be the most important factor

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"Multilevel analysis revealed that burnout at the individual level was negatively related to self‐transcendence and openness‐to‐change but positively related to self‐enhancement and conservation values. However, no significant effects on any values were observed at the country level. Male sex, younger age, being single, and reporting higher COVID‐19‐related distress were significant burnout correlates. Burnout among psychotherapists may be a transcultural phenomenon, where individual differences among psychotherapists are likely to be more important than
differences between the countries of their practice. "

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1. Seek lower needs clients
2. Seek consultation & therapy
3. Take more breaks

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Early Signs of Therapist Burnout and how to Cope

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view only link for the burnout infographic

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Here is the link to edit so you can add your pieces. Hope it's okay.

Editable Version: https://www.canva.com/design/DAFZc9GY3J4/eJLH1dbOkLiSXva4y3Q7ew/edit?utm_content=DAFZc9GY3J4&utm_campaign=designshare&utm_medium=link2&utm_source=sharebutton

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Check out this Infographic designed by Chanda Sanderson.