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INVITED CONTRIBUTION

The Self-Care of Psychologists and Mental Health Professionals:


A Review and Practitioner Guide
Frank M Dattilio
Department of Psychiatry, Harvard Medical School

It has been documented in the professional literature that psychologists and mental health professionals in general tend to neglect their own
mental health, despite serving in a field that promotes the health and well-being of others. Numerous empirical studies support the need for
psychologists and mental health professionals to be more conscientious of the effect that stress and the nature of their work has on them. This
article reviews some of the recent literature and discusses the pertinent issues at hand. A number of interventions are suggested along with tips
for professionals to consider in order to function in a more productive and ethical fashion.
Key words: personal psychotherapy; review; self-care; stress and mental health professionals.

The Self-Care of Psychologists and Mental This issue has not gone without copious attention in the
Health Professionals professional literature. Two studies in particular have examined
stress-related symptoms in clinical psychologist trainees using
Airline regulations throughout the world require that all flight the General Health Questionnaire. In a survey of 281 subjects in
attendants instruct passengers in emergency procedures in the the United Kingdom, 59% reported clinically significant levels
event of any type of crisis in the air. One of the most crucial of psychological distress and 75% reported moderate to high
parts of the instruction states that in the event of cabin depres- stress levels as a result of clinical training (Cushway, 1992). A
surisation, passengers are to place the oxygen masks on them- more recent survey of a similar subject pool in Australia found
selves first before assisting young children or the elderly. This that 73% reported clinically significant levels of distress
profound directive is born out of the notion that taking care of (Stafford-Brown & Pakenham, 2012).
ourselves is vital to helping others, particularly those who are in Unfortunately, mental health professionals have traditionally
need. This analogy is apropos to psychologists and other mental underestimated the importance of lifestyle functions and
health professionals who often neglect their own needs in their stressors that affect their work, almost to the point that it is
zeal to help others. hypocritical to what they preach to their clients. This has been
Next to air traffic controllers, police officers, firefighters, and repeatedly documented in the professional literature, which
professional bomb squad units, mental health professionals portrays a chronic disregard for the self-care of mental health
have one of the most stressful professions in the world. By the workers (Walsh, 2011).
very nature of the work that we do, we repeatedly deal with Additional studies conducted in the United States (Bearse,
psychologically toxic situations in which we are often expected McMinn, Seegobin, & Free, 2013) polled 260 members of the
to assist individuals who are suffering from some of the most American Psychological Association asking them about specific
arduous and complex disorders found within the broad spec- stressors that affected them during the course of their work as
trum of mental illness. Although such work is admirable and no psychologists. The most frequent areas of stress that were
doubt needed in an ever-increasing world of stress, years of reported included burnout, countertransference, vicarious trau-
conducting such tedious work can often have profound effects matisation, personal losses, problems with collecting fees, and
on one’s own psyche, let alone our physical health, predisposing conflicts with co-workers. When members of the same sample
us to serious illness in later years. study were asked about their own experiences with psycho-
therapy, to no surprise, 86% reported that they received mental
health treatment at some point in their lives. However, an
alarming 59% admitted that there were times when they could
Correspondence: Frank M Dattilio, Department of Psychiatry, Harvard
Medical School, Beth Israel Deaconess Medical Center, 1251 S. Cedar Crest have benefited from treatment, but failed to seek it. This raises an
Blvd., Suite 304-D, Allentown, PA 18103, USA. Fax: 610 434 6965; email: interesting question as to why mental health professionals, of all
frankdattilio@cs.com people would drag their feet in getting help for themselves. One
would think that mental health professionals would be the first to
Portions of this article are drawn from a keynote address presented by the
check on their own mental status because it is such an important
author at The Seventh World Congress of Behavioral and Cognitive Thera-
pies on 7/25/13 in Lima, Peru. part of their work. This is particularly because dealing with clients
on a daily basis and the intensity of achieving professional goals,
Accepted for publication 27 April 2015 whether it be in research or teaching heavy class loads, or
doi:10.1111/ap.12157 consulting, is no doubt emotionally and physically challenging.

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Mental health professionals’ self-care FM Dattilio

Although one of the primary rewards of being a mental health and behavioural responses to their clients (Burwell-Pender &
professional is the opportunity to help people or students, the Halinski, 2008; Phillips, 2011).
daily drain of dealing with such challenges can be emotionally Other factors placing psychologists and mental health profes-
exhaustive. This is unfortunately epitomised by the plight of a sionals at risk for elevated stress include a sense of perceived
well-known psychologist who identified that his illness was the invincibility to mental health difficulties, personal vulnerabili-
direct result of a harrowing schedule of travel, lectures, and ties, the inherent distressing aspects of clinical practice, and the
clinical work. This psychologist later committed suicide. This barriers to seeking assistance when clinically significant distress
colleague’s death reminds us that creating a healthy division is experienced (Barnett & Cooper, 2009).
between our work and personal life is an essential step to One of the terms mentioned above “compassion fatigue” has
survival in our profession. Contrary to what many believe, particularly gained notoriety in recent years within the pro-
mental health therapists do not have a bottomless reserve of fessional literature (Figley, 2002; Weiss, 2004). Compassion
empathy, patience, or tolerance. We are human like everyone fatigue is a condition that tends to compromise a mental
else and perhaps even more susceptible to stressors than our health professional’s ability to express or experience empathy
cohorts because of the very work that we do on a daily basis. toward others and effectively respond to it. The emotional
In another survey conducted on psychologists, one third of reserve is usually depleted for professionals who suffer from
the respondents reported that they had experienced anxiety or compassion fatigue, leaving little left for the client. If this con-
depression, and more than 40% reported episodes of emo- dition proliferates, it can produce debilitating effects for a
tional exhaustion during the previous year (Mahoney, 1997). mental health professional.
In a subsequent study, practicing psychologists reported expe- Burnout on the other hand contains many of the components
riencing greater anxiety, depression, and emotional exhaustion of compassion fatigue along with emotional exhaustion and a
than did research psychologists, but also more positive influ- lessened sense of personal accomplishment. It may also include a
ence from their work (Radeke & Mahoney, 2000). It is not strong component of apathy for one’s work and at times even
uncommon that a vast majority of mental health professionals cynicism.
admit to incidences of working when too distressed to be
effective (Pope, Tabachnick, & Keith-Spiegel, 1987). In the So, Why Do Mental Health Professionals
aforementioned study, nearly all of the individuals who were Drag Their Feet about Obtaining Help
surveyed acknowledged that they were aware of the fact that for Themselves?
doing so was also unethical. However, despite this awareness,
they continued to violate their ethics as though it were only a Ironically, mental health professionals have many of the same
minor quibble. reasons for avoiding treatment as their clients. There are a
When it comes to deleterious effects, all mental health pro- number of barriers that have been documented in the profes-
fessionals are at risk for several reasons. It is inherent that many sional literature, which involve social stigma, treatment con-
practitioners tend to place the needs of others prior to their own. cerns, fear of emotion, anticipated risks, and self-disclosure (as
For some reason, this seems to be common among the type of cited in Bearse et al., 2013). Most mental health professionals
individuals that the field attracts in general. The aforementioned would prefer to avoid seeking treatment for themselves locally
death of a colleague is also not particularly surprising because because of the need to avoid embarrassment and to remain
according to the National Institute for Occupational Safety and anonymous. Hence, travelling a significant distance for therapy
Health, of more than 230 occupations, male psychologists in may be time consuming, costly, and in some cases, inconvenient.
particular were the most likely to commit suicide with an odds There is also the issue that some practitioners may not want to
ratio of 3.5 times greater than the general public (Ukens, 1995). hear the inevitable from a colleague, which is that they have to
Short of actual successful suicides, suicidal ideation among psy- make a significant change or possibly even take a leave of absence
chologists is prevalent with a reported 29% of those surveyed, in the event that they may be deemed impaired. This can be a
indicating that they had felt suicidal. Nearly 4% indicated that tough pill to swallow and may also involve having to explain to
they made at least one suicide attempt during their professional colleagues and clients the reason for the change or modification
life (Pope & Tabachnick, 1994). Similar results were also found with their professional lives.
in another study conducted by Gilroy, Carroll, and Murra Other aspects involve time and finances. In light of these
(2002) in that 42% of their respondents reported experiencing limitations and demands, dedicating time and money to engage
suicidal ideation or behaviour. These statistics are rather alarm- in therapy can be quite adversarial and hence a reason to avoid.
ing when one contemplates that mental health professionals As a profession, mental health practitioners tend to neglect
should be in a healthy state of being if they plan to be respon- the importance of creating a sustainable balance between caring
sible for the treatment of others. What is unconscionable is that for themselves and for others, despite the apparent hypocrisy
many of the subjects in the aforementioned studies were treat- involved. In some respects, this may seem dissimulative because
ing depressed and suicidal clients while they themselves were providers posit their work on self-care and preservation. To take
depressed and suicidal. it a step further, some purport that self-care of mental health
The reason behind much of this deterioration may have to do professionals is actually an ethical imperative as it relates to
with the fact that mental health professionals are also at risk for competence (Wise & Gibson, 2012). As mentioned earlier, this
vicarious traumatisation and compassion fatigue, not to may promote a fear in seeking professional help—that they
mention the effects of countertransference, and other stressors might be reported for unethical behaviour if they fail to follow
that can affect mental health practitioners’ cognitive, affective, a treating therapist’s recommendation. This is particularly so

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FM Dattilio Mental health professionals’ self-care

with those cases that involve illicit drug and alcohol addiction. Self-Care Strategies for Mental
While self-care is not directly addressed in most codes of ethics Health Professionals
for mental health professionals, competence is, and therefore
this constitutes a critical link with the notion of self-care. The There are a number of strategies that mental health profession-
emphasis on competence and the crucial role of continuing als can utilise in order to reduce stress for themselves. One of
professional development is increasingly recognised as the field the primary interventions for self-care and healthy lifestyles
becomes more complex and challenging (Fouad et al., 2009; involves a principle-based model that was developed explicitly
Wise et al., 2010). Most ethical principles mandate that mental for psychologists by Norcross and Guy (2007). This intervention
health professionals strive to remain cognizant of the potential has been designated as a very flexible and comprehensive model
effects that their work has on their own physical and mental that involves a 12-step principle that draws from some of the
health as they go on to professionally treat others (Wise, Hersh, traditional philosophies of mindfulness, spirituality, and positive
& Gibson, 2012). Efforts have been made to insure that graduate psychology against the backdrop of cognitive-behavioural
school trainees in the field of mental health delivery are aware therapy and physical wellness programmes.
of these dynamics early during their educational process (Myers Another approach known as “TLC,” touted by Walsh (2011),
et al., 2012; Pakenham, 2014; Pakenham & Stafford-Brown, offers a system of therapeutic lifestyle changes. This model
2012; Shapiro, Brown, & Biegel, 2007). Trainees must also be explicitly utilises a combination of elements involving spiritual-
cognizant of the various risk factors involved with their future ity, positive psychology, and mindfulness, in addition to specific
profession as a measure of early prevention. evidence-based recommendations for extensive exercise,
In addition to burnout and compassion fatigue mentioned healthy eating and the promotion of physical health and well-
above, countertransference is another factor that can debilitate being. In addition, the aspect of awareness of needs is incorpo-
mental health professionals, particularly when practitioners rated into this programme and an understanding of the negative
fail to recognise their own unresolved issues and avoid such impact of overexposure to stressors is emphasised. This is an
feelings. This has most prominently been displayed in extremely important component because many mental health
sexualised and hostile behaviours (Burwell-Pender & Halinski, practitioners need to be made aware of exactly how stress
2008), but surfaces in other domains as well (Singer, Sincoff, uniquely affects them.
& Kolligian, 1989; Westra, Aviram, Connors, Kertes, & Ahmed, Wise et al. (2012) also suggest four foundational principles
2012). that can be used to integrate ongoing attitudes and practices that
support well-being and self-care for mental health professionals.
The focus here is on surviving versus flourishing (Keyes, 2002).
Flourishing is suggested over surviving because it embraces a
What Can Mental Health Professionals Do broader range of possibilities into one’s professional/personal
in Order to Reduce Stress for Themselves repertoire with an emphasis on building not only awareness,
and Live a Healthier Lifestyle? but resilience and positive attitudes. The second aspect involves
First and foremost, it is important that mental health profes- intentionally choosing a self-care plan with the willingness to
sionals follow some guidelines for stress reduction. This change one’s attitude and practice. This concept embraces the
involves accepting the fact that they are human and not invul- notion of flexibility and being able to go with the flow. This
nerable to the daily stress of their profession, regardless of process may also involve examining some of the rigid beliefs
how educated and skilled they become. Denial appears to be that mental health professionals harbour about themselves, par-
prevalent among many mental health professionals (Bearse ticularly as it relates to setting unrealistic expectations and
et al., 2013), and it is only through confrontation by family failing to place limits on professional activities.
members, friends, and colleagues, along with serious self- The third is a concept termed reciprocity, or what is other-
reflection that they will own up to their human frailty. They wise referred to as dynamic exchange of beneficial life atti-
also need to begin to watch for early signs of distress and take tudes and practices between a mental health professional and
action as soon as possible. Many mental health professionals his client. Developing a good balance between professional
tend to engage in denial and oftentimes refuse to face the fact and personal life is a key virtue toward survival for any
that because of the profession they work in, their likelihood of mental health professional.
becoming overwhelmed by stress might even be greater than Finally, mental health professionals are encouraged to use
others. Therefore, identifying the early signs of stress and/or self-care strategies that are integrated into their current reper-
depression and also any external stressors in their life is toire as opposed to adding on to burden one’s busy life schedule.
extremely important. Reducing sources of distress when pos- This makes the notion of modification of their lives more pal-
sible or ultimately developing effective coping skills or inocu- atable and consequently more likely to be adopted than if they
lation strategies when they cannot be reduced is paramount to are holstered with an entire new regimen of skills to acquire.
maintaining sound mental health. It is also important for
mental health professionals to check out and deal with any Strategies to Manage Therapist Distress
dysfunctional thought processes that they may have with
regard to stress in their lives and how it affects them. This is Ironically, mental health professionals have an armamentarium
an aspect that cognitive-behavioural therapists have promoted of techniques for reducing stress because it is part of the toolbox
as self-care strategies in their work for decades (Ludate, 2012; from which they operate daily in their professions. Unfortu-
Wise & Gibson, 2012; Wise, Hersh, & Gibson, 2013). nately, it sometimes seems as though there is some resistance

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Mental health professionals’ self-care FM Dattilio

and almost avoidance to using the same tools that mental health attitudes or scapegoating with a client. He even goes as far as
professionals use with their clients. One would be hard-pressed recommending that some limited self-disclosure, where the
to find individuals of other professions and crafts who do not therapist shares some of his or her feelings of frustration or
use some of the tools of their trade for their own personal needs. anxiety, may be therapeutic grist for the mill with both the
Therefore, there is no reason why mental health professionals therapist and client. A caveat, of course, is that this should be
should not do the same thing. Actually, one of the pioneers of conducted with care and ethical consideration for all possible
cognitive-behavioural therapy, Albert Ellis (1983), encouraged consequences. This may also prove to be effective as part of the
therapists decades ago to identify various irrational thoughts overall treatment. Hence, cognitive-behavioural therapists
and beliefs of their own in an attempt to deal with emotional emphasise introspection as a key component of reducing the
disturbance arising out of work that they do as psychotherapists. stress during the therapeutic process for therapists and also
Below are a number of evidence-based techniques that have becoming aware of their own issues that may be contaminating
been found to be extremely effective for mental health thera- the therapeutic process.
pists to reduce the ongoing stress in their lives. Ludate (2012) goes on to provide a very comprehensive list of
guidelines for therapists who work with challenging cases and
Cognitive-Behavioural Techniques use specific interventions for reducing distress.

Cognitive-behavioural therapy has probably enjoyed one of the Positive Psychology


most well-documented research bases in the history of psycho-
therapy. More recently, major proponents of this field have Positive psychology became more popular in 1998 when Martin
described methods for self-healing among mental health profes- Seligman first promoted it through his role as president of the
sionals. Beck (2005) outlines a method of conducting emotional American Psychological Association, even though the term
self-scanning for mental health professionals who are working originated decades earlier with Abraham Maslow’s work in the
with personality disordered clients and other challenging cases. 1950s regarding motivation and personality (Maslow, 1968).
Beck recommends that a way of monitoring the presence of any Some of the more modern research has consistently demon-
negative reaction to clients is for the mental health professional strated that a general sense of well-being can ultimately be
to check specific thoughts and feelings that emerge, particularly cultivated and sustained not only through the alteration of
when he or she reviews the client appointment list for the day. internal or external life circumstances, but through the inten-
Any feelings of discomfort in anticipation of working with a tional undertaking of life-affirming, happiness-inducting prac-
client may be modified by questioning the validity of those tices that strengthen positive emotionality and positive
thoughts and emotions and identifying any distortions in the character traits (Seligman, Steen, Park, & Peterson, 2005). This
content. Beck contends that in this respect, the mental health theory posits that mental health professionals can successfully
professional is able to develop a skill in detecting a change in cultivate healthy well-being by developing an understanding of
thoughts, emotion, behaviour, and even physiology by address- these principles and increasing evidence-based framework for
ing it in this manner. It is highly advised that mental health positive emotionality and a style of healthy living. Positive emo-
professionals who work with challenging cases are particularly tions and engagement in positive thought statements is strongly
encouraged to do this on a regular basis. A recommended ques- reinforced. The notion that positivity can broaden attention,
tion is: “Am I feeling any negative reaction such as anger, cognition, and creativity, and hence, promote better feelings and
irritation, hopelessness, anxiety?” This would be followed by closeness with others is a highlight of this approach. The aim is
questioning any dysfunctional behaviours such as blaming, to improve personal resources and build resilience in an attempt
demeaning, or controlling a client and predicting any antici- to reduce stress and illness and improve relationships with
pated behaviour on the part of a client in the next session. others. Proponents of positive psychology contend that this
Mental health therapists are advised to make every attempt to leads to greater life satisfaction and a reduction in depressive
intervene and reduce their level of distress. symptomology (Cohn & Fredrickson, 2010). By practicing opti-
The emphasis on monitoring cognitive distortions has been mistic thinking, it is believed that an individual can improve
found to lead to more balanced adaptive and functional think- their quality of life and sense of well-being. In many ways, it
ing concerning therapeutic issues with clients whose progress is serves as an antidepressant and a stress resilience factor
fluctuating (Leahy, 2001). This is particularly so in the matter of (Seligman et al., 2005).
working with challenging cases such as borderline personality
disordered clients, which can be very distressful (Layden, Mindfulness Meditation
Newman, Freeman, & Morse, 1993). Also, the use of a daily
dysfunctional thought record has been useful with self-therapy The concept of mindfulness meditation has enjoyed tremendous
strategies in order to track negative thoughts when experiencing notoriety in recent years with the development of this approach
depression and other negative emotions (Ludate, 2012). This in treating mental health disorders (Kabot-Zinn, 1990; Segal,
involves the use of cognitive rehearsal prior to sessions in which Williams, & Teasdale, 2002). Mindfulness meditation essentially
the therapist may predict a tedious or arduous session. has to do with staying in the moment and focusing on the here
Ludate (2012) notes that cognitive-behavioural therapy and now while practicing ways to act in a non-judgmental
experts have also stressed the importance of a therapist estab- fashion. Engaging in mindful awareness aids an individual
lishing functional belief systems that involve coping or problem- in increasing gentle awareness of thoughts and emotions and
solving strategies. This is recommended as opposed to blaming redirecting stress in a productive way. In essence, mindfulness

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FM Dattilio Mental health professionals’ self-care

meditation bolsters a healthier way to cope with life’s daily • Have there been any particular differences in my clients’
struggles. This is another evidence-based approach that has response to me as a therapist in the past 6 months or a year?
enjoyed firm documentation in the professional literature If the answer to these questions is “yes,” then you may want
(Bishop et al., 2004; Christopher & Maris, 2010). to ask yourself what signs of early distress have I seen with
Mindfulness meditation can also be combined with methods myself and what actions can I possibly take in order to address
of progressive muscle relaxation (Jacobson, 1938) and other them effectively. In this particular respect, we can make an
methods of breathing retraining (Siegel, 2010; Singer, 2007). attempt to identify any external stressors with the hope of
reducing the sources of distress via effective coping skills or
Acceptance and Commitment making some decisions about restructuring our life activities.
Therapy (ACT) Perhaps this also involves some practice management issues
that need to be revisited. For example, if you have a full-time
An offshoot of mindfulness-based therapy is ACT (Hayes, home office, you may want to determine if this has been a
Strosahl, & Wilson, 1999). The emphasis in this particular problem for you. Many practitioners believe that there should
approach is a general acceptance and a non-attached and com- be a distinct difference between home and their work environ-
passionate mental observation of day-to-day activity in mind ments and that when one has an office in their home, it is
and body. There is a present focus of awareness with this harder to disengage from their work. This is particularly because
approach that has a more explicit and central focus of values- patients often know where you live and in the event of an
driven behaviour. ACT serves to increase individual’s psycho- emergency, they may simply stop by unannounced without any
logical flexibility by facilitating what one finds most meaningful compunction about your privacy.
in life, despite the natural pain and distress that occurs on a daily Another issue is whether it is always prudent to have a
basis. Recently, the professional literature has focused on the practice in the same vicinity where you reside. Sometimes,
utility of an ACT framework for fostering self-care in mental being removed a town or two over from where you practice can
health trainees (Pakenham, 2014). The results of this research make a significant difference for a mental health professional.
has yielded a better adjustment, strength, and thought suppres- Another issue is taking a look at day-to-day management and
sion, as well as values and acceptance for the subjects who time constraints. Scheduling extended lunch or dinner breaks or
participated. ACT was found to enhance self-care in a popula- walks in between client hours is highly recommended. Attend-
tion of clinical psychology trainees, yielding support for the ing a gym or a health club may also afford professionals a time
utility of the ACT framework for explaining and enhancing to disengage from work. Also, meeting regularly with colleagues
adjustment and self-care. There is research evidence that sup- in order to discuss difficult cases or just the day-to-day stressors
ports this application with mental health professionals (Bond & of the profession can be very helpful.
Bunce, 2003). This is particularly so due to the fact that ACT
offers strategies for “letting go of the control agenda,” which is Choosing clients carefully can also help to reduce stress in one’s
a vital aspect for mental health professionals who traditionally clinical practice. It is advised to avoid taking on too many difficulty
struggle with this issue. It is believed that mental health profes- cases that may encumber a practitioner’s work load.
sionals who can intentionally function in accordance with their
life values and redirect thoughts and emotions in dealing with As mentioned earlier, when the use of some of the aforementioned
psychosocial stressors, are better able to acquire flexibility in interventions or techniques are not helpful, then perhaps considering
coping and strengthening their life satisfaction. This interven- some psychotherapy and/or consultation with a colleague or
tion has also been found to be effective with individuals who are professional for yourself may be a good idea.
experiencing stress-related conditions along with depression,
anxiety, chronic pain, and other serious disorders (Hayes, It is also important to not make self-esteem contingent on
Luoma, Bond, Masuda, & Lillis, 2006). work or work performance. This seems to be common among
many mental health professionals who dig themselves a hole
Some Healthy Tips for Mental Health because their self-esteem and self-worth is contingent on how
Professionals to Follow more available and helpful they can be to others. It is impor-
tant to keep things in perspective and avoid engaging in think-
Make a list of personal indicators that suggest that you may ing styles that will create problems for you in the long run.
suffer from some form of distress with your profession. In the This goes hand-in-hand with not personalising negative events
process, mental health professionals may want to ask them- or challenging situations that might result in less than desir-
selves the following questions: able consequences with clients. Always maintaining realistic
• Have there been changes in my behaviour/attitude in the past expectations and avoiding any sense of a “messiah complex” is
6 months to a year? optimal.
• Have there been any changes in my thinking style in the past It is recommended that professionals set realistic and achiev-
6 months or a year? able goals for themselves and monitor their own progress toward
• Have there been any comments from others about their the achievement of these goals. One should also try to give credit
observations of me, specifically as it relates to family to themselves as much as possible for recognising small gains in
members, friends, or colleagues? the desired direction. A healthy pat on the back once in a while
• Have you noticed any differing reactions from others who is a good thing. Utilising adaptive coping strategies for dealing
know you well? with self-defeating behaviours, particularly when working with

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Mental health professionals’ self-care FM Dattilio

difficult clients, can be useful. This, combined with the use of Fouad, N. A., Grus, C. L., Hatcher, R. L., Kaslow, N. J., Hutchings, P. S.,
humour in realising that events cannot always be taken too Madson, M. B., & Crossman, R. E. (2009). Competency benchmarks: A
seriously and have to be balanced out, is essential. model for understanding and measuring competence in professional
Mental health professionals are also strongly recommended to psychology across training levels. Training and Education in
Professional Psychology, 3, S5–S26.
have some type of a plan for dealing with acute distress situa-
Gilroy, P. J., Carroll, L., & Murra, J. (2002). A preliminary survey of
tions when they arise. A personalised type of emotional
counseling psychologists’ personal experience with depression and
fire drill can often be helpful, particularly when unfortunate treatment. Professional Psychology: Research & Practice, 33,
circumstances arise. All of these fall under the rubrics of assum- 402–407. doi:10.1037/0735-7028.33.4.402
ing a more compassionate attitude toward oneself and giving Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006).
ourselves the same type of support and encouragement that we Acceptance and commitment therapy: Model, processes and
give to our clients. Looking after oneself in terms of rest, diet, outcomes. Behavior Research and Therapy, 44, 1–25.
and exercise, as well as avoiding taking on too many challenging doi:or9/10.1016/j.brat2005.06.006
clients or clients that we just do not want to work with. Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and
Finally, creating a variety of self-soothing or relaxing activities commitment therapy: An experiential approach to behavior change.
New York, NY: Guilford Press.
is an excellent way to effectively balance one’s life. If you work
Jacobson, E. (1938). Progressive relaxation. Chicago, IL: University of
hard, you have to play hard, and if the ratio of pleasure to tasks
Chicago Press.
is not proportionate, then this can be to our detriment. Conse- Kabot-Zinn, J. (1990). Full catastrophic living: Using the wisdom of your
quently, mental health professionals are also urged to come up body and mind to face stress, pain and illness. New York, NY: Bantam
with a list of activities that can be designated as fun or relaxing Dell.
and at the same time feasible. Keyes, C. L. M. (2002). The mental health continuum: From languishing to
It is through these coping strategies that mental health pro- flourishing in life. Journal of Health and Social Behavior, 43, 207–222.
fessionals can anticipate experiencing an optimal success with doi:10.2307/3090197
their career as helping professionals and also affording them- Layden, M. A., Newman, C. F., Freeman, A., & Morse, S. (1993). Cognitive
selves a salubrious style of existence. therapy of borderline personality disorder. Boston, MA: Allyn & Bacon.
Leahy, R. L. (2001). Overcoming resistance in cognitive therapy. New
York, NY: Guilford.
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