Team Care:
4 Top Management
Challenges
Coping with Conflict, Burnout, Compassion Fatigue and
Depression in Animal Caregivers
Matson Practice Management & Consulting, LLC
Suzanne Matson, MA, PHR, LPC, NCC
Practice Management Consultant
Professional in Human Resources
Licensed Professional Counselor
© Suzanne Matson, MA, PHR, LPC, NCC
Team Care:
Coping with Conflict, Burnout, Compassion Fatigue and
Depression in Animal Caregivers
Introduction
Welcome
Bathrooms
Breaks
Lunch
Evaluation
© Suzanne Matson, MA, PHR, LPC, NCC
Overview of Today
Conflict
The Emotional Brain
Neuropsychology of Conflict
Burnout
Symptoms
Stress and the Brain
Neuropsychology of Burnout
Compassion Fatigue
Symptoms
Coping Strategies
Depression
Symptoms
Treatment Strategies for Depression
© Suzanne Matson, MA, PHR, LPC, NCC
My Background
Experience
Charles Schwab - 6 Years
Stock Broker
Training in Leadership & Management
– Schwab University - Leadership Development, Finance & Management
– “Six Sigma” Management of Productivity
Tuition Reimbursement Program – Master’s In Counseling Psychology
MA with Honors, in Counseling Psychology and Pastoral Care from Denver
Seminary
Training Department – Training Managers
Human Resources
Master’s Certificate in Human Resource Management, Villanova University
Designation of Professional in Human Resources (PHR)
Practice Manager/Consultant – 3 Years
Conifer Veterinary Hospital
Platte Canyon Animal Hospital
Practice Management Consultant – Professional in Human Resources (PHR) – 4 Years
Mountain Paws Veterinary Practice
Coal Ridge Animal Hospital
Denver Seminary
Other Small Businesses & Churches
Licensed Professional Counselor – 7 Years
Pastoral Care & Counseling
– Pastoral
Connections
© Suzanne Matson,
MA, PHR,
LPC, NCC Counseling Ministries
Mountain Community Counseling Associates
Let’s Talk Conflict!
What are the Top 3
things about Conflict
that you hate?
What are the Top 5
Conflicts that arise in
your workplace?
© Suzanne Matson, MA, PHR, LPC, NCC
The Sources of Conflict
Most Difficult People Characteristics and Problems to
Manage in Veterinary Medicine – Animal Welfare?
Time Management
Inefficiency
Position of Non-responsibility
Failure to Think/Failure to Communicate
Conflict & Emotions
Refusal to Share Knowledge
Unprofessionalism
Employee Simply Doesn’t Care
Resistant to Change
Each of these are a direct result of…
How the Brain Processes Conflict and
How the Brain Processes Emotion
© Suzanne Matson, MA, PHR, LPC, NCC
The Science of Conflict and Emotion:
“The Emotional Brain”
The Limbic System
A group of interconnected
structures that mediate emotions,
learning and memory.
People with Problems & Problem
People
•Seem to be disconnected from
what is going on around them
•Display Negative Emotions or is
often times “Over Emotional.
•Frequently Slow to Learn new
things.
Why is this?
•Let’s look to a scientific
understanding of how the brain
works.
©
•I think you’ll be surprised at how
much sense there is to the
nonsense of conflict in the
Suzanne Matson, MA, PHR, LPC, NCC
workplace.
How the Brain Works Under Stress
Function of Three Main
Understandings:
First:
The Anatomy of the Brain’s “Limbic
System”
– The Limbic System is a Contained,
Circular Structure
– There is a reason for this structure…
Second:
Designed for Fight-Flight-or-Freeze
Survival Response
– Fight-Flight-or-Freeze
– Explains the standard reactions of
many employees:
» Argumentative (Fight)
» Unavailable (Flight)
» Zombie/Unresponsive (Freeze)
© Suzanne Matson, MA, PHR, LPC, NCC
How the Brain Works Under Stress
Function of Three Main Understandings:
First, Limbic System Structure
Second, Fight-Flight-or-Freeze
Third:
Neurotransmitters –
“Toxic Fumes” of the Workplace
“Stress Hormones”
Increase in stress-related
neurotransmitters/hormones
– Result: Increase in Limbic System
Activity (emotion/respiratory) and
– Decrease in Neocortal (thinking) Activity
Then it makes sense that Good Thinking becomes
impaired when working under stress.
It also makes sense that Emotions begin to run high.
What part of the brain is responsible for this?
© Suzanne Matson, MA, PHR, LPC, NCC
How Does the Brain Process Emotion?
Amygdala – Emotion
Center/Pleasure-Pain Center
Structure involved in many brain
functions including emotion,
learning and memory.
Part of a brain system that
processes “reflexive” emotions
and responses.
– Fear and Anxiety
– Size of an Almond
– Pleasure vs. Pain –
» Simple “reflexive”
responses vs. Complex
Processing
» Neuro-pathways are
“Reflexive”
© Suzanne Matson, MA, PHR, LPC, NCC
How Does the Brain Process Emotion?
Cingulate gyrus – Required for more Complex Processing
Plays a role in processing conscious emotional experience.
The distance between the amygdala and cingulate gyrus, the
structures in between, and the presence of stress hormones explain
how it is that emotional employees can’t see the impact of their
emotions on others. Without building the Neuro-pathway…the
(thinking) destination can’t be reached.
Explains
Stagnation
Resistance to Change
But, How do negative emotions
permeate the workplace?
© Suzanne Matson, MA, PHR, LPC, NCC
What about the Emotional Escalation
and Deterioration of the Workplace?
Physiology of the Group
Emotion and anger become contagious in the workplace for the same reason that
Women’s Menstrual Cycles Synchronize….
The Amygdala and Neurotransmitters play a role, and the “intelligence of the
primitive brain.”
The Limbic System along with the Primitive Structures of the Brain Regulate or
Excite the Central Nervous System.
How?
Our Sympathetic Nervous Systems detect other people’s hormonal levels
and respond with either synchronization and/or dis-regulation.
Unconscious Process – Olfactory/Visual/Auditory
Synchronization – to another person’s level of distress/excitement.
Disregulation – swing between two or more states of stress.
Parasympathetic Nervous System is responsible for calming us down.
This requires the conscious activity of the Cingulate Gyrus.
© Suzanne Matson, MA, PHR, LPC, NCC
Review
Conflict
Controlled by the Brain
Structures involved?
–
–
–
–
–
–
–
–
–
–
LS
A
FFF
CG
AC
CNS
SNS
PSNS
NT
SH
© Suzanne Matson, MA, PHR, LPC, NCC
Activity
The Color of Words Exercise
© Suzanne Matson, MA, PHR, LPC, NCC
The Human Brain and Conflict
Recognized Styles of Conflict
Avoidance – “I’ll think about it tomorrow”
Accommodate – “It would be my
pleasure”
Compromise – “Let’s make a deal”
Collaborate – “Two heads are better
than one”
Compete – “My way or the highway”
© Suzanne Matson, MA, PHR, LPC, NCC
Break
See you back in 5 Minutes
© Suzanne Matson, MA, PHR, LPC, NCC
Burnout & Compassion Fatigue
in Animal Care-giving
Let’s Talk Burnout,
First!
© Suzanne Matson, MA, PHR, LPC, NCC
Burnout: What you will learn…
What is Burnout?
How Stress is Processed by the
brain
Neuro-endocrine dysfunction
Role of Dopamine in the Brain
How Dopamine influences
Thinking and Behavior
Symptoms of Burnout
What creates burnout in animal
caregivers
Relationship between Burnout
and Compassion Fatigue
© Suzanne Matson, MA, PHR, LPC, NCC
Burnout
What is Burnout?
Burnout is the state of extreme dissatisfaction with one’s
work.
Symptoms – Five Categories
Poor Motivation
Workplace Dread
Sense of Alienation
Agitation or Aggression
Health Problems
When we understand the impact of stress on the brain,
we understand ©where
these symptoms originate from…
Suzanne Matson, MA, PHR, LPC, NCC
Burnout
Self Reflection Exercise…
Symptoms – Five Categories
Do I have Poor Motivation?
– In What Areas
Workplace Dread?
– In general
– Specific people I dread being around
Sense of Alienation
– Conscious choice to alienate self
– Avoidance of others?
Agitation or Aggression
– In general, directed inward
– In general, directed outward
– Directed at specific people
Health Problems
–
–
–
–
Changes in sleep, appetite, weight, energy
Muscle soreness
Headaches
Slow to recover from illness, sick more often
© Suzanne Matson, MA, PHR, LPC, NCC
Burnout, Stress & The Brain
The Brain
Stress Response
Neurotransmitters (brain chemicals) activate the
HPA-Axis
Hypothalamic Pituitary Adrenal Axis = HPA Axis
HPA-Axis: Assesses threat & Triggers a
Behavioral Response
Catecholamines (FFF Hormones) activate the
Hypothalamus as the result of Stress.
When stimulated, the Hypothalamus secretes
CRF (corticotrophin releasing factor)
© Suzanne Matson, MA, PHR, LPC, NCC
Burnout, Stress & The Brain
The Brain
CRF effects brain functioning in several ways
Increases Arousal, Alertness, Attention and Readiness
Stimulates the Pituitary Gland to release ACTH
(Adrenocorticotropic Hormone)
ACTH
Stimulates the Adrenal Glands to produce two
glucocorticoids: cortisol, and corticosterone.
Increase cortisol production helps individual to initiate
their behavioral response to the stress or threat by
increasing stimulatory glucose to lower fear response
Over time, cortisol lowers immune response, resulting
in health problems
© Suzanne Matson, MA, PHR, LPC, NCC
Burnout, Stress & The Brain
The Brain
Neural Endocrine Dys-regulation
HPA-Axis should stop cortisol production when the stressor
is removed.
This does not always happen.
– Neural pathways have been set in childhood
– And, our initial conscious management of stress reinforces
these neural pathways and the levels of cortisol in the brain.
Conscious Management of Stress is Critical and Essential
to Coping and Changing our Lives
Prefrontal Cortex (PFC)
Controls attention, working memory, sorts out sensory
inputs, regulates inhibitory responses.
PFC has a high concentration of dopamine receptors.
© Suzanne Matson, MA, PHR, LPC, NCC
Burnout, Stress & The Brain
Role of Dopamine in the Brain
Helps to Regulate…
Movement as a crucial part of the basal ganglia motor loop in the
brain
– Fatigue
– Depression
Emotion, Motivation and Feelings of Pleasure (Limbic System)
– Fatigue
– Depression
Stabilizes brain activity – facilitates brain activity
– “brain fog”
– Regulates the flow of information to other parts of the brain
(Neuro-cognitive functioning)
Acts on our sympathetic nervous system (blood pressure, heart
rate)
– Fatigue
– Depression© Suzanne Matson, MA, PHR, LPC, NCC
Burnout, Stress & The Brain
Role of Dopamine in the Brain
Excessive Levels of Dopamine
Deficient Levels of Dopamine
Normal Levels of Dopamine
Addictions
Addictions (food)
Healthy bonding
Anxiety
Depression
Feelings of well-being,
satisfaction
Compulsions
Anhedonia – no pleasure
Pleasure, feelings of reward in
accomplishments
Sexual Addiction
Lack of Ambition
Healthy libido
Unhealthy Risk-taking
Inability to ‘love’
Good feelings toward others
Gambling
Low libido
Motivated
Compulsive Activities
Erectile Dysfunction
Healthy risk taking
Aggression
No remorse about personal
behavior
Sound choices and decisions
Psychosis
ADHD
Realistic expectations and
thinking
Schizophrenia
Social Anxiety Disorder
Parent-Child Bonding
Sexual Fetishes
Sleep Disturbance & Restless
Contentment in the ‘little’ things
© Suzanne
Matson, MA, PHR, LPC, NCC
Leg
Syndrome
The Balance Between…
Too much or Too Little?
Martha Stewart
Tiger Woods
1st Date but no 2nd?
“It’s not you, it’s me”
Chocolate cravings?
Cocaine?
Indifferent to your partner/spouse?
Prone to Addiction/Not Prone to Addiction
© Suzanne Matson, MA, PHR, LPC, NCC
The Balance Between…
Too much or Too Little?
Oxytocin & Prolactin
Oxytocin
Encourages Closeness & Attachment
Trust hormone
Drops in Dopamine & Oxytocin result in increased levels of prolactin.
The more oxytocin you produce, the more receptive nerve cells are to
oxytocin.
The more dopamine you produce, nerve cells shut down to protect
themselves from overstimulation and are not as receptive to dopamine the
next time. Therefore it takes more dopamine to stimulate them.
Calming effect on other individuals (pheremonal quality)
Prolactin (excessive)
Increases hostility and anxiety
Increase of testosterone levels
Associated with despair
Increases desire for one’s own space
© Suzanne Matson, MA, PHR, LPC, NCC
Burnout, Stress & The Brain
The Brain
Under-Communication by the PFC to the HPA Axis and Amygdala
– Amygdala continues to assign high emotional valence to the stressor
– Setting the entire process back in motion – negative feedback loop.
Long Term Effects of Stress
Pre-Frontal Asymmetry
– Left Frontal Brain Impairment
– Increased levels of cortisol cause
» damage to the hippocampus
» PFC to shrink
– Neuro-chemical Dysregulation – Maladaptive Feedback Cycle
– The frontal brain is the last area of the brain to develop, as an individual develops.
Limbic System
– Structures: Thalamus, Hypothalamus, Amygdala and Hippocampus
– Threat stimulates the locus coeruleus to produce noradrenaline (primary stimulatory
neurotransmitter of the Limbic System.
– Amygdala responds to stress by releasing CRF
– Prolonged elevated cortisol levels burn out neurons in the hippocampus and
amygdala and these areas have been shown to be smaller in individuals impacted
by long-term stress, and traumatic stress.
© Suzanne Matson, MA, PHR, LPC, NCC
Burnout in Animal Caregivers
Revisit Symptoms and Characteristics of
Burnout in Animal Caregivers in light of the
Brain…
Excessive distancing from Clients
Impaired competencies
Low energy and dissatisfaction
Increased irritability with others
Depression resulting from individual,
social, and work environmental factors
© Suzanne Matson, MA, PHR, LPC, NCC
Burnout in Animal Caregivers
Burnout is Cumulative over Time
Gradual build-up of dissatisfaction often related to several
competing external factors
Demands of the job
Dealing with Clients and the Public
Demands of Time Pressures in Medicine
Line of Responsibilities Clearly Defined
– Lack of clarity around responsibilities
– Responsibility Overload
Relationship Stress
– Poor Relationships
– Personality Incompatibility
– Lack of Respect, Displays of Disrespect
Stress caused by Management
– Bullying Bosses
– Supervisors
© Suzanne Matson, MA, PHR, LPC, NCC
Burnout
Questions…?
Is Burnout a Predictable and
Foreseeable Process?
© Suzanne Matson, MA, PHR, LPC, NCC
Burnout – Thinking Question?
What is the difference between…
A frog placed into a pot of boiling water
And a frog in a pot of cold water that is
gradually brought up to a boil?
© Suzanne Matson, MA, PHR, LPC, NCC
Burnout
Burnout is often a “Solvable Problem”
Actions can be taken to prevent
Taking a vacation usually restores
Change of job is often beneficial, if necessary
Changes in Work-Life Balance are helpful
Level of external support and connections has
been shown to impact burnout.
© Suzanne Matson, MA, PHR, LPC, NCC
Working Lunch Together
Enjoy!!!
© Suzanne Matson, MA, PHR, LPC, NCC
Compassion Fatigue…
What you will learn…
The difference between Burnout
and Compassion Fatigue
What is Compassion Fatigue
The context of Compassion
Fatigue: Traumatic Stress
Disorders
How to think about How
Compassion Fatigue may be
Impacting your life or those you
work with.
Your Potential for Compassion
Satisfaction
Your Potential for Compassion
Fatigue
Your risk for Burnout
© Suzanne Matson, MA, PHR, LPC, NCC
Burnout & Compassion Fatigue
Burnout
Compassion Fatigue
A state of extreme
dissatisfaction with
one’s work.
Not necessarily
associated with
manifestations of
trauma.
A prolonged state of
tension and
preoccupation with the
cumulative traumatic
aspects of working in
animal-care and
veterinary medicine.
Natural consequence of
stress resulting from
caring and helping
traumatized or suffering
animals or people.
© Suzanne Matson, MA, PHR, LPC, NCC
Compassion Fatigue
Compassion Fatigue
Display of outward signs and stress resulting from giving care
to others.
Secondary Traumatic Stress Disorder (STSD vs. PTSD)
“The Stress of Caring….too Much”
Beyond what is healthy
Not just Emotional, Physical, but characterized by Trauma
Responses
Manifestations
– Re-experiencing the traumatic events
– Avoidance/numbing or reminders of traumatic experiences
– Persistent Arousal - Hyperarousal
Internal Emotional Conflict (CF) vs. External Conflicts (BO)
– Set of Symptoms – Not a disease.
– Prolonged exposure can result in Clinical Depression
© Suzanne Matson, MA, PHR, LPC, NCC
Compassion
“a feeling of deep sympathy and
sorrow for another who is stricken by
suffering or misfortune, accompanied
by a strong desire to alleviate the pain
or remove its cause”
“To suffer with…”
© Suzanne Matson, MA, PHR, LPC, NCC
Compassion Fatigue
Field of Traumatology
Primary Traumatic Stress
PTSD – Post Traumatic Stress Disorder
Secondary Traumatic Stress
“the cost of caring…”
Being witness to
Other Terms
Vicarious Trauma (VT)
Emotional Contagion
Cumulative Trauma
Compassion Stress
Repetitive Stress Injury
Repetitive Emotional Self Injury – Repetition Compulsion
© Suzanne Matson, MA, PHR, LPC, NCC
Compassion Fatigue Self-Test
© Suzanne Matson, MA, PHR, LPC, NCC
Compassion Fatigue Facts…
Compassion Fatigue, Burnout and
Compassion Satisfaction are not
significantly different for male and female
veterinary professionals.
Compassion Fatigue, Burnout and
Compassion Satisfaction are not
significantly different for those who are
involved in performing Euthanasia and
those who are not.
Scores for all members of veterinary
practice teams are similar, although
veterinarians and office staff reported
different sources of stress and
satisfaction.
Healing animals and the opportunity to
work as a team are major sources of
satisfaction for all staff.
© Suzanne Matson, MA, PHR, LPC, NCC
Compassion Fatigue
Primary Traumatic Stress
The traumatic event is persistently re-experienced in one
(or more) of the following ways:
Recurrent and intrusive distressing recollections of event,
including thoughts, images or perceptions *
Recurrent distressing dreams *
Acting or feeling as if the traumatic event were recurring
(includes a sense of reliving the experience, illusions,
hallucinations, and dissociative flashback episodes,
including those that occur on awakening or when
intoxicated). *
Intense psychological distress at exposure to internal or
external cues that symbolize or resemble an aspect of the
traumatic event. *
Physiological reactivity on exposure to trauma cues. *
© Suzanne Matson, MA, PHR, LPC, NCC
Compassion
Primary Traumatic Stress
Persistent avoidance of stimuli associated with the
trauma and numbing of general responsiveness (not
present before the trauma) as indicated by three or more
of the following:
Efforts to avoid thoughts, feelings, or conversations
associated with the trauma.
Efforts to avoid activities, places, or people that arouse
recollections of the trauma.
Inability to recall an important aspect of the trauma
Markedly diminished interest of participation in significant
activities.
Feeling of detachment or estrangement from others
Restricted range of affect/emotions (unable to feel one’s
own emotions.
Sense of foreshortened future (cannot feel a sense of the
future, uncertainty).
© Suzanne Matson, MA, PHR, LPC, NCC
Compassion
Primary Traumatic Stress
Persistent symptoms of increased arousal (not present
before the trauma) as indicated by two or more of the
following:
Difficulty falling or staying asleep *
Irritability or outbursts of anger *
Difficulty concentrating *
Hyper-vigilance *
Exaggerated Startle Response *
30 days of ongoing duration, or more *
Disturbance causes clinically significant distress or
impairment in social, occupational, or other important areas
of functioning: Evidenced by increase in family conflict,
sexual dysfunction, poor interpersonal communication, less
loving, more dependent, reduced social support, poor
stress-coping methods. *
© Suzanne Matson, MA, PHR, LPC, NCC
Examples of Compassion Fatigue
Symptoms
Seven Categories of Functioning
Cognitive
Emotional
Behavioral
Spiritual
Inter-personal Relationships
Somatic
Work Performance
© Suzanne Matson, MA, PHR, LPC, NCC
Examples of Compassion Fatigue
Burnout Symptoms
Seven Categories of Functioning
Cognitive
Lowered Concentration
Decreased self-esteem
Apathy
Rigidity
Disorientation
Perfectionism
Minimization
Preoccupation with Trauma
Thoughts of self harm or harm to others
© Suzanne Matson, MA, PHR, LPC, NCC
Examples of Compassion Fatigue
Burnout Symptoms
Seven Categories of Functioning
Emotional
Powerlessness
Anxiety
Guilt
Anger or rage
Survivor guilt
Shutdown
Numbness
Fear
Helplessness
Sadness
Depression
Emotional instability
Depleted
Overly sensitive
Self Esteem
© Suzanne Matson, MA, PHR, LPC, NCC
Examples of Compassion Fatigue
Burnout Symptoms
Seven Categories of Functioning
Behavioral
Self-Esteem
Inpatient
Irritable
Withdrawn
Moody
Regression
Sleep disturbance
Nightmares
Appetite Changes
Hyper-vigilance
Elevated Startle Response
Accident proneness
Losing things
© Suzanne Matson, MA, PHR, LPC, NCC
Examples of Compassion Fatigue
Burnout Symptoms
Seven Categories of Functioning
Spiritual
Questioning the meaning of life.
Loss of purpose.
Lack of self-satisfaction.
Pervasive hopelessness.
Anger at God.
Questioning of prior religious beliefs.
Loss of faith in God
Greater skepticism about life and God.
© Suzanne Matson, MA, PHR, LPC, NCC
Examples of Compassion Fatigue
Burnout Symptoms
Seven Categories of Functioning
Inter-Personal Relations
Withdrawal
Decreased interest in emotional intimacy, physical
intimacy, or sexual intimacy.
Mistrust
Isolation from others
Overprotection as a parent
Projection of anger or blame
Intolerance
Loneliness
Increased interpersonal conflicts
© Suzanne Matson, MA, PHR, LPC, NCC
Examples of Compassion Fatigue
Burnout Symptoms
Seven Categories of Functioning
Somatic Symptoms
Shock
Sweating
Rapid heartbeat
Breathing difficulties
Aches and pains
Dizziness
Increased number and intensity of medical maladies
Other somatic complaints
Impaired immune system
© Suzanne Matson, MA, PHR, LPC, NCC
Examples of Compassion Fatigue
Burnout Symptoms
Seven Categories of Functioning
Work Performance
Low morale
Low motivation
Avoiding tasks
Obsession with details
Apathy
Negativity
Lack of appreciation
Detachment
Poor Work commitments
Staff conflicts
Absenteeism
Exhaustion
Irritability
Withdrawal from Colleagues
© Suzanne Matson, MA, PHR, LPC, NCC
Break
See you back in 5 Minutes
© Suzanne Matson, MA, PHR, LPC, NCC
Depression…
Presence of 2 or more of
the following…
Poor Appetite or Over Eating
Insomnia or Hyper-somnia
Low Energy or Fatigue
Low Self-Esteem
Poor Concentration or
Difficulty Making Decisions
Feelings of Hopelessness
© Suzanne Matson, MA, PHR, LPC, NCC
Coping with…” it all…”
MASTERS Process of Wellness
Transformation
Motivation
Assessment
Self-Reflection
Transformation
Evaluating
Reviewing
Studying
•Knowing
•Being
•Doing
© Suzanne Matson, MA, PHR, LPC, NCC
Coping with…” it all…”
MASTERS Process of Wellness
Transformation
Motivation
Intention is setting your mind to a specific
task. Motivation is the force necessary or
needed to actually carry out the task.
Assessment
Gathering factual and objective information
that informs us about where we are now,
and where we want to be. And, which may
lead us to being happier and healthier.
© Suzanne Matson, MA, PHR, LPC, NCC
Coping with…” it all…”
MASTERS Process of Wellness
Transformation
Self-Reflection
Requires honesty, concentration,
commitment, and forward reaching vision.
Transformation
The process of shifting from one mind-set
that lacks wellness to one that embraces
and moves toward wellness.
Developing strategies and plans for change.
© Suzanne Matson, MA, PHR, LPC, NCC
Coping with…” it all…”
MASTERS Process of Wellness Transformation
Evaluating
Seeking, finding, and learning about those life skills or
practices that are tools for achieving success in our Life
Plan.
Reviewing
Reviewing one’s life up to the present.
– Learning from experiences, mistakes, the past
Reviewing one’s future life plan for
– Added wellness
– New life skills
– Desired outcomes for change
Redefining success and failure
Studying
Study new things
Study your Life Plan Regularly
© Suzanne Matson, MA, PHR, LPC, NCC
Activity
Beck Depression Inventory
MASTER’s Review
Team Handcuffs
© Suzanne Matson, MA, PHR, LPC, NCC
Activity
Team Handcuffs Debrief…
A Metaphor for Remembering what
We’ve Learned Today…
© Suzanne Matson, MA, PHR, LPC, NCC
Conclusion…
© Suzanne Matson, MA, PHR, LPC, NCC
References & Credits
Compassion Fatigue in the Animal Care
Community
Charles Figley, Ph.D.
Robert Roop, Ph.D.
Healthy Caregiving: A Guide to
Recognizing & Managing Compassion
Fatigue
Patricia Smith, Founder, Compassion Fatigue
Awareness Project
© Suzanne Matson, MA, PHR, LPC, NCC
Compassion Fatigue
Primary Traumatic Stress
Direct experience of an event outside
the range of usual human experience
that would be markedly distressing to
almost anyone.
Car Accident
September 11, 2001
Family violence
Combat
© Suzanne Matson, MA, PHR, LPC, NCC