An Open Letter to Therapists

As a therapist, you will disproportionally see the world. More often than not, our greatest triumphs are working with individuals who’ve suffered great pain and watching them grow in spite of that pain. We are empathetic warriors who welcome any challenge and we thrive when we’re helping others.  
 
But sometimes, our ability to be empathetic is maxed-out. As they say, you can’t pour from any empty glass.  ​

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It’s no secret that our choice to become therapists has been as tough as it has been rewarding. However, the reward of being a therapist should not outweigh the difficulties we encounter. By not acknowledging our tough days or difficult sessions, we run the risk of hurting ourselves.  
 
You might be asking: How could we be hurting ourselves?  
 
Well, the concept of hurting ourselves is known as secondary trauma and compassion fatigue. Secondary trauma is consistent exposure to another’s first-hand trauma; whereas compassion fatigue is when a therapist’s capacity to empathize is threatened. By dismissing the effects of tough days or difficult sessions, we run the risk of developing these conditions. 
 
But what does that actually mean? What happens? 
 
Well, that depends. For starters, secondary trauma and compassion fatigue are linked to professional burnout. If nothing else, continued exposure without appropriate precautions could potentially lead to one’s burnout and exit from the field.  
 
Another implication could be potentially harming a client. For example, if a therapist develops compassion fatigue then there’s a chance their effort and energy will be diminished. If that happens, their patience, empathy, and concern may be limited – thus, providing poor support for a client in need. 

There’s a long list of implications for secondary trauma and compassion fatigue. However, the prevention of these conditions is what matters most. Research has shown that self-care strategies and positive support systems are the best preventative techniques. Whether that be establishing healthy boundaries, creating time for self-care, or maintaining open communication with those around us – prioritizing ourselves as much as we prioritize others is essential.  
 
In order to be dependable for others, we have to show-up for ourselves.  
 
Although it seems almost obvious, we are human too. We are capable of feeling the effects of abuse, addiction, and trauma like anyone else. This means we should be encouraging ourselves, as well as each other, to seek support from family, friends, and peers.  
 
It may seem as though we have all the answers, considering our education and training, but we don’t. We have to remember that it’s okay to ask for help and it’s okay to acknowledge a tough day.  
 
Being a therapist can be incredibly fulfilling, but it shouldn’t be at your expense. Take a moment and be there for yourself – you deserve it!  

Dariah Wixon,
Counseling Intern


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