
{"id":32377,"date":"2016-07-14T11:24:07","date_gmt":"2016-07-14T18:24:07","guid":{"rendered":"http:\/\/www.goodtherapy.org\/blog\/?page_id=32377"},"modified":"2016-07-14T11:24:07","modified_gmt":"2016-07-14T18:24:07","slug":"vicarious-trauma","status":"publish","type":"page","link":"https:\/\/www.goodtherapy.org\/blog\/vicarious-trauma\/","title":{"rendered":"Vicarious Trauma"},"content":{"rendered":"<p><strong><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-32384\" src=\"https:\/\/www.goodtherapy.org\/blog\/blog\/wp-content\/uploads\/2016\/07\/alone-in-windowed-room-skyscraper-300x200.jpg\" alt=\"Person looks out over city from windowed room in skyscraper.\" width=\"300\" height=\"200\" data-id=\"32384\" title=\"\" srcset=\"https:\/\/www.goodtherapy.org\/blog\/blog\/wp-content\/uploads\/2016\/07\/alone-in-windowed-room-skyscraper-300x200.jpg 300w, https:\/\/www.goodtherapy.org\/blog\/blog\/wp-content\/uploads\/2016\/07\/alone-in-windowed-room-skyscraper.jpg 724w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>Vicarious trauma,<\/strong>\u00c2\u00a0also known as secondary trauma,<strong>\u00c2\u00a0<\/strong>can be described as indirect exposure to a traumatic event through first-hand account or narrative of that event. People in the\u00c2\u00a0helping professions\u00e2\u20ac\u201dcounselors and therapists, rescue workers, police officers, doctors, and lawyers\u00e2\u20ac\u201dmay be at risk of\u00c2\u00a0vicarious traumatization. Any person who has a significant relationship with a survivor of <a href=\"https:\/\/www.goodtherapy.org\/learn-about-therapy\/issues\/ptsd\">trauma<\/a> may also come to experience secondary traumatization.<\/p>\n<h2>Understanding Vicarious Trauma<\/h2>\n<p>Therapists and other helpers often hear stories of traumatic experiences in the course of their work. At times, hearing these stories may overwhelm them\u00c2\u00a0and lead\u00c2\u00a0them to\u00c2\u00a0experience, to a lesser extent, the same feelings faced by\u00c2\u00a0the trauma survivors in their care.\u00c2\u00a0Vicarious trauma typically involves a shift in the world view of the helper. The helper&#8217;s\u00c2\u00a0beliefs about the world may be\u00c2\u00a0altered and\/or damaged by repeated exposure to traumatic material, for example.<\/p>\n<p><a href=\"https:\/\/www.goodtherapy.org\/blog\/psychpedia\/compassion-fatigue\">Compassion fatigue<\/a> and <a href=\"https:\/\/www.goodtherapy.org\/blog\/psychpedia\/job-burnout\">burnout<\/a> are related concepts that share some similarities with vicarious trauma, and a person might find themselves experiencing\u00c2\u00a0one or more of these states at the same time.<\/p>\n<p><div class=\"content-fatwidget align-right\">\n\t<h2><a href=\"https:\/\/www.goodtherapy.org\/find-therapist.html\" target=\"_blank\">Find a Therapist<\/a><\/h2>\n\t<form action=\"https:\/\/www.goodtherapy.org\/search-redirect.html\" method=\"get\">\n\n\t\t\t<input required name=\"search[zipcode]\" placeholder=\"Enter ZIP or City\" class=\"inline-input\" type=\"text\" \/>\n\n\n\t\t\t<input type=\"submit\" name=\"TOS agreement\" value=\" \" class=\"inline-btn\" title=\"Search\" onclick=\"ga('send', 'event', 'FAT Widget', 'Submit Search', 'Sidebar', {nonInteraction: true});\" \/>\n\t\t<a href=\"https:\/\/www.goodtherapy.org\/advanced-search.html\" title=\"Advanced Search\" onclick=\"ga('send', 'event', 'FAT Widget', 'Advanced Search', 'Sidebar', {nonInteraction: true});\" >Advanced Search<\/a>\n\t<\/form>\n<\/div>Compassion fatigue is the condition\u00c2\u00a0of emotional and physical fatigue that results when helpers feel <a href=\"https:\/\/www.goodtherapy.org\/blog\/psychpedia\/definition-of-compassion\">compassion<\/a> for those they help but do not have adequate time away from caring for others to refuel and care for themselves. It differs\u00c2\u00a0from vicarious trauma in that it is not typically characterized by the presence of trauma-related symptoms and does not necessarily involve a change in one\u00e2\u20ac\u2122s world view.<\/p>\n<p>Burnout is a term sometimes used interchangeably with vicarious trauma, but this condition does not necessarily involve a traumatic element. People can experience burnout when they have a <a href=\"https:\/\/www.goodtherapy.org\/learn-about-therapy\/issues\/workplace-issues\">toxic work environment<\/a> or when they feel themselves to be doing tedious or otherwise trying work without getting enough time for rest or appropriate <a href=\"https:\/\/www.goodtherapy.org\/learn-about-therapy\/issues\/self-care\">self-care<\/a>.<\/p>\n<p>All helping professionals may be at risk, but those who work with children\u00c2\u00a0and\u00c2\u00a0survivors of <a href=\"https:\/\/www.goodtherapy.org\/learn-about-therapy\/issues\/sexual-abuse\">sexual abuse and assault<\/a> may have a higher risk of experiencing vicarious trauma.<\/p>\n<h2><strong>Symptoms of Vicarious Trauma<\/strong><\/h2>\n<p>People respond to vicarious trauma in many ways. Some people are more affected than others and may experience a wider range of symptoms, which generally fall into one of\u00c2\u00a0five categories:<\/p>\n<ul>\n<li><strong>Emotional symptoms\u00c2\u00a0<\/strong>can include lasting feelings of grief, <a href=\"https:\/\/www.goodtherapy.org\/learn-about-therapy\/issues\/anxiety\">anxiety<\/a>, or sadness. Some people may become irritable or angry, become distracted frequently, and\/or experience changes in <a href=\"https:\/\/www.goodtherapy.org\/blog\/psychpedia\/mood\">mood<\/a> or sense of humor. A\u00c2\u00a0person might also begin to feel generally unsafe.<\/li>\n<li><strong>Behavioral symptoms<\/strong>\u00c2\u00a0might\u00c2\u00a0include <a href=\"https:\/\/www.goodtherapy.org\/learn-about-therapy\/issues\/isolation\">isolation<\/a>, increase in alcohol or substance consumption, altered eating habits, and difficulty sleeping. People experiencing behavioral symptoms of vicarious trauma may engage in risky behavior and avoid people or tasks, or they might find it difficult to separate work and personal life and may increase their workload.<\/li>\n<li><strong>Physiological symptoms, <\/strong>which affect physical well-being,\u00c2\u00a0can appear in the form of\u00c2\u00a0headaches, rashes,\u00c2\u00a0ulcers, or heartburn, among others.<\/li>\n<li><strong>Cognitive symptoms\u00c2\u00a0<\/strong>may take the form of cynicism and <a href=\"https:\/\/www.goodtherapy.org\/blog\/psychpedia\/negativity\">negativity<\/a> or lead to difficulty concentrating, remembering, or making decisions in daily life. A helping professional may also find it difficult\u00c2\u00a0to stop thinking about the trauma experienced by a person in their care, even when not at work.<\/li>\n<li><strong>Spiritual symptoms<\/strong>\u00c2\u00a0can include a\u00c2\u00a0loss\u00c2\u00a0of <a href=\"https:\/\/www.goodtherapy.org\/blog\/psychpedia\/what-is-hope\">hope<\/a>, a decreased sense of purpose, and feelings of disconnect from others and the world in general. People may lose sight of their <a href=\"https:\/\/www.goodtherapy.org\/learn-about-therapy\/issues\/life-purpose\">life purpose<\/a> or come to feel as if they are unworthy of love or do not deserve love.<\/li>\n<\/ul>\n<p>Because\u00c2\u00a0symptoms can become debilitating if left untreated, it is recommended that helping professionals at risk of developing vicarious trauma <a href=\"https:\/\/www.goodtherapy.org\/find-therapist.html\">seek the help of a mental health professional<\/a> before symptoms become serious.<\/p>\n<h2><strong>Vicarious Trauma and Mental Health<\/strong><\/h2>\n<p>Vicarious trauma can have a significant impact on a person&#8217;s mental health. Helpers and others affected by vicarious trauma may notice emotional issues, such as feelings of anxiety, <a href=\"https:\/\/www.goodtherapy.org\/learn-about-therapy\/issues\/anger\">anger<\/a>, and\/or <a href=\"https:\/\/www.goodtherapy.org\/blog\/psychpedia\/sadness\">sadness<\/a> related to hearing accounts of traumatic experiences.<\/p>\n<p>According\u00c2\u00a0to revised\u00c2\u00a0diagnostic criteria for posttraumatic stress in the <a href=\"https:\/\/www.goodtherapy.org\/blog\/psychpedia\/dsm\">Diagnostic and\u00c2\u00a0Statistical\u00c2\u00a0Manual<\/a><em>\u00c2\u00a0<\/em>(which was expanded to include &#8220;repeated exposure to aversive details&#8221; of a traumatic event),\u00c2\u00a0some of those who experience vicarious trauma may also be diagnosed with<em>\u00c2\u00a0<\/em>PTSD. A person with PTSD may be affected by\u00c2\u00a0intrusive thoughts about trauma, avoid things\u00c2\u00a0that cause memories of a traumatic experience, and have increased physiological arousal\/reactivity.<\/p>\n<p>Therapy\u00c2\u00a0is generally recommended to those\u00c2\u00a0affected by vicarious trauma. A therapist can provide time and space for individuals to discuss how experiences of trauma survivors have had an impact. In therapy, helping professionals can also learn and build upon coping skills to address symptoms of vicarious trauma and develop self-care practices to help prevent future recurrences.<\/p>\n<h2><strong>Self-Care Practices to Reduce Risk of Vicarious Trauma<\/strong><\/h2>\n<p>People in helping professions can take specific steps to reduce the risk of\u00c2\u00a0vicarious traumatization. Also, it\u00c2\u00a0is widely considered to be essential for those who are frequently exposed to traumatic material to receive appropriate training and supervision. Many mental health professionals also recommend\u00c2\u00a0connecting with other professionals who understand the experience of working with trauma.<\/p>\n<p>One way helping professionals can reduce their risk of vicarious trauma is to ensure they are making enough time for\u00c2\u00a0self-care. When therapists and other people who are indirectly exposed to trauma dedicate time to self-care activities\u00e2\u20ac\u201djournaling, taking time off from work, enjoying music, spending time with loved ones, pursuing hobbies, and so on\u00e2\u20ac\u201dthey may better able to address the experience of vicarious trauma.<\/p>\n<p>Going to therapy can also\u00c2\u00a0be a form of self-care, as a therapy session allows\u00c2\u00a0time to\u00c2\u00a0focus on one\u00e2\u20ac\u2122s own thoughts and feelings and a safe place to examine them.<\/p>\n<p>Maintaining a reasonable degree of balance, both in work and outside of work, may also be helpful. For example,\u00c2\u00a0therapists who frequently encounter trauma through their work may want to vary the kinds of work they do on a daily or weekly basis and\u00c2\u00a0avoid overworking themselves.<\/p>\n<p><strong>References:<\/strong><\/p>\n<ol>\n<li>Confronting vicarious trauma. (n.d.). Retrieved from https:\/\/www.livingwell.org.au\/professionals\/confronting-vicarious-trauma<\/li>\n<li><em>Diagnostic and statistical manual of mental disorders: DSM-5<\/em>. (5th ed.). (2013). Washington, D.C.: American Psychiatric Association.<\/li>\n<li>Mathieu, F. (2013). What is compassion fatigue? Retrieved from https:\/\/www.tendacademy.ca\/what-is-compassion-fatigue<\/li>\n<li>Pearlman, L.A., &amp; Saakvitne, K.W. (1995). Treating therapists with vicarious traumatization and secondary traumatic stress disorders. In Figley, C.R. (Ed.), <em>Compassion Fatigue: Coping with Secondary Traumatic Stress Disorder in Those Who Treat the Traumatized <\/em>(pp. 150-177). New York NY: Brunner\/Mazel.<\/li>\n<li>Pross, C. (2006). Burnout, vicarious traumatization and its prevention. <em>Torture, 16<\/em>(1), 1-9.<\/li>\n<li>Who is affected by vicarious trauma? (n.d.). Retrieved from http:\/\/www.vicarioustrauma.com\/affected.html<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Vicarious trauma,\u00c2\u00a0also known as secondary trauma,\u00c2\u00a0can be described as indirect exposure to a traumatic event through first-hand account or narrative of that event. People in the\u00c2\u00a0helping professions\u00e2\u20ac\u201dcounselors and therapists, rescue workers, police officers, doctors, and lawyers\u00e2\u20ac\u201dmay be at risk of\u00c2\u00a0vicarious traumatization. Any person who has a significant relationship with a survivor of trauma may also [&hellip;]<\/p>\n","protected":false},"author":2924,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"closed","template":"psychpedia.php","meta":{"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"class_list":["post-32377","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.goodtherapy.org\/blog\/wp-json\/wp\/v2\/pages\/32377","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.goodtherapy.org\/blog\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.goodtherapy.org\/blog\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.goodtherapy.org\/blog\/wp-json\/wp\/v2\/users\/2924"}],"replies":[{"embeddable":true,"href":"https:\/\/www.goodtherapy.org\/blog\/wp-json\/wp\/v2\/comments?post=32377"}],"version-history":[{"count":0,"href":"https:\/\/www.goodtherapy.org\/blog\/wp-json\/wp\/v2\/pages\/32377\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.goodtherapy.org\/blog\/wp-json\/wp\/v2\/media?parent=32377"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}