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Helping Ourselves

Self-Care for
Psychologists
Introduction
Growing stressors on psychologists have been widely studied and reported, especially in
response to the pandemic. A recent APA study showed that almost half of U.S. licensed
psychologists (45%) reported feeling burned out in 2022, with similar levels reported in
2020 (41%) and 2021 (48%).

These issues aren’t disappearing anytime soon. In recent surveys of APA members,
burnout and work-life balance are consistently cited as among their top issues of concern.

This timely E-booklet offers a concentrated self-care resource for APA’s collective
membership—whether they are embedded in educational institutions, operating clinical
practices, or conducting scientific research. It offers well-researched tools and strategies
for having greater agency within a host of circumstantial and personal stressors.

With interviews and research from leading psychologists and other experts, it tackles
common challenges psychologists face in creating and sustaining a healthy work-life
balance, with tried-and-true tactics for getting back on course. ●

APA is with you every step


APA offers extensive resources on self-care—from articles to videos, podcasts, and
webinars. Understand the benefits of self-care and how to apply it to your everyday
life. Visit the APA Self-care Resource Hub: www.apa.org/research-practice/self-care

Helping Ourselves: Self-Care Strategies for Psychologists 2


Table of Contents
4 8 9
A Community of Care: The Roots Self-Care Stepping Stones Living Your Values: Psychologists
of Professional Belonging for Psychologists of Color Speak Out
Group connection and “the need to Scan how well you’re doing with life What does it mean to nurture your-
belong” factor into self-care more maintenance using measures derived self and your community when social
than people realize and can drive from the Self-Care Assessment for structures often favor people with
problems as varied as achievement Psychologists (SCAP). more resources, higher social status,
gaps and political polarization. Psy- or a particular skin color? We spoke
chologists share practical methods with leading psychologists about their
for deepening a sense of belong- pursuits and messages related to
ing and connecting to a greater this topic.
professional community.

11 14 17
Essentials of Consultation Groups Making Healthy Habits Life-Proof Juggling Work-Life Balance
Many psychologists seek consultation The roadmap to self-care is well trav- Q&A with work-life expert Ellen Ernst
from other professionals when faced eled, yet many of us have difficulty Kossek, PhD, who identifies man-
with an ethical issue or challenging embedding these tools as part of our agement styles for effectively setting
case, but peer consultation groups daily routine. Experts on habit forma- work-life boundaries.
can provide much more: expanded tion share the behavioral science and
clinical viewpoints, grant funding info, strategy for positive habit formation,
networking strategies, and marketing including habit-stacking, environmen-
or business tips. tal incentives, and starting small for
big results.

18 19 21
Tips for Avoiding Tilt Know Your Boundary Planting the Seeds of
Management Style Financial Health
There are warning signs when work
and/or life are becoming precariously People don’t always demark their People’s “money stories” are a part
lopsided, but solutions may be hard differing life roles in the same manner. of their psychological well-being
to spot in the moment. An industrial/ Identify your boundary-management and often factor greatly in pro-
organizational psychologist shares profile and determine where you can fessional choices and feelings of
strategies for righting yourself in map out improvements. self-worth. Financial psychologists
topsy-turvy times. are studying these cognitive and
emotional biases and their impact on
financial behaviors, including those
affecting psychologists.

24 26
Busting Grant Procrastination Calming the Mind, Energizing
the Body, Connecting with Spirit
Grant-writing and procrastina-
tion seem to go hand in hand, no Top psychologists working in mindful-
matter the discipline or work envi- ness research and body-mind work
ronment. Several savvy scientists examine the “inside job” of self-care
offer practical tools for tackling this that often happens outside the
necessary stressor and ultimately rational-mind approach.
reaping rewards.

Helping Ourselves: Self-Care Strategies for Psychologists 3


A Community of Care
The Roots of
Professional Belonging
By Summer Allen

P sychologists may understand the importance of belonging


better than most, but that doesn’t mean that they don’t struggle
with forming connections and feeling a sense of community in their
professional lives. Whether they work in private practice, academia, or
other settings, psychologists face unique barriers and opportunities
when it comes to belonging.

Trainees and psychologists in new roles can struggle with Allen says that prior to the pandemic there was a grow-
imposter phenomenon and forming connections with men- ing recognition of the importance of loneliness—often linked
tors and peers. Psychologists from marginalized groups often to belonging—but less focus on other components such as
face stigma and discrimination in the workplace. And a culture community connection, community participation, or social sat-
of overwork that often exists in mental health fields can make isfaction. During the height of the pandemic, when people
it hard to maintain relationships inside and outside of work. were not able to connect and engage in the social opportu-
Kelly-Ann Allen, PhD, associate professor and educational nities that traditionally fulfilled their need to belong, the many
and developmental psychologist at Monash University in Mel- facets of belonging became much more salient.
bourne, Australia, has studied belonging since 2010. There are “That absence,” says Allen, “made people reflect more on
different definitions of belonging, says Allen, but they all boil belonging and prioritize it more.”
down to a feeling of being accepted, valued, and comfortable Policymakers also have recognized the vital importance of
within a particular setting. “I can see through my research that belonging in self-care. In May, 2023, U.S. Surgeon General Dr.
a sense of belonging can also relate to a sense of belonging Vivek Murthy released an advisory on Loneliness and Isola-
to a culture, a sense of belonging to a place, or a sense of tion that highlights just how dire the loneliness epidemic is and
belonging to land,” she says. focuses on strategies to advance social connection nationwide.

Helping Ourselves: Self-Care Strategies for Psychologists 4


Clinical psychologists: “There’s been this mass exodus of people
solo and together leaving clinics and practices that are in-person,”
The pandemic ushered in new challenges to self- says Lisa Lovelace, PsyD, founder of the online
care for clinical psychologists who were forced to therapy group Synergy eTherapy, which has been
switch to delivering teletherapy. For those who offering teletherapy since 2016.
derived a sense of belonging from working with Allen has noticed a similar trend with grad-
colleagues in person, uating psychology students who used to start
the shift to working their careers in schools or hospitals with built-in
Studies show belonging from home was a big supervision and colleagues: “I’m seeing more stu-
is linked to a host of change, leading some dents go off into private practice, which private
positive outcomes: to return to in-person practitioners can tell you could be a really isolat-
 Better academic achievement, job therapy as soon as ing experience,” says Allen.
success, mental and physical health. they were able. While many psychologists thrive in private
Others discovered practice—and benefit from autonomy and poten-
 People with strong social networks
that they preferred tially greater income—Lovelace says there can be
may be less susceptible to colds,
providing therapy a steep learning curve to the logistics required to
have stronger antibody responses
to vaccines, and have their wounds remotely. One 2021 set up and run a business—from billing insurance
heal quicker. study found that 21% to finding HIPAA-compliant software. “You don’t
of psychologists sur- know what you don’t know,” she says. And some
 One meta-analysis showed the
veyed planned not to new private practitioners in totally remote prac-
risk of an early death was reduced
offer any in-person tices can struggle with doing it all alone.
by 50% in people who had
strong relationships. services in the future. This may be driving the second trend Lovelace
The issue of has observed: people who first chose to move
belonging as an ele- to solo remote practices and are now looking to
ment of self-care has taken on highly practical join online group practices: “People have tried
overtones as clinicians evaluate whether they being on their own, and they realize that it’s not
want to join group practices or go it alone. for them,” she says. “It’s too isolating.”

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Helping Ourselves: Self-Care Strategies for Psychologists 5


For clinical psychologists struggling with iso- that it’s kind of like a built-in friendship system,
lation, Lovelace stresses that self-reflection is a built-in collegial system, a built-in supervision,
key for figuring out what’s their best option for consultation support system.”
increasing connection: “Even if you’re solo and Lovelace suggests methods for enhancing
you want to be a part of some sort of commu- camaraderie within an online group practice:
nity––whether group practice, a consultation
 Use technology for connection. Lovelace
group, or just finding colleagues to chum around
stays connected with the therapists in her
with––you have to know yourself a little bit.
group through group emails, an intranet
There’s not a one-size-fits-all. site, and a private Facebook group for ther-
“Do you want a structured consultation apists to post life updates and personal
group? What and how much do you need? Do photos. “Seeing their families and seeing
you want to pay for it, or do you want to try to find their lives, helps bring people together,” she
other clinicians who are like-minded and kind of says. She also uses the smartphone app
co-work together? Or maybe you really like the Voxer, which allows a group to exchange
idea of a group practice, where you’re part of voice messages asynchronously, to stay in
an organization.” touch with colleagues.
Lovelace says she’s a strong advocate of  Create opportunities for live virtual inter-
group practice for teletherapy providers, pre- actions. Her organization hosts virtual
cisely because it offers many kinds of supports: “grand rounds” where therapists take
“I’m obviously biased,” she says. “But I think turns teaching each other about different
topics. Lovelace also hosts monthly online
consultation sessions.
Getting institutions on board  Get together in person. The Synergy
There are many steps institutions can take to enhance a culture of eTherapy team recently held a summit in
collaboration, and in turn, make researchers feel more widely sup- Minnesota where they did trainings and
ported. The University of Southern California, for example, issues took a cruise on Lake Minnetonka. “We got
explicit instructions for how departments and committees are to con- to feel each other’s energy, and we got to
sider team science and interdisciplinary scholarship when making hug each other for the first time in years,”
tenure and promotion decisions, including soliciting letters from col- she says. Lovelace now plans to hold a
laborators. Allen suggests these other strategies for increasing a summit every year.
sense of professional belonging among academics and the institu-  Join an online consultation group. For
tions in which they serve: remote therapists not wanting to join a
group practice, Lovelace recommends
 Incentivize collaboration. Administrators leading depart-
belonging to an online consultation group.
ments or involved in tenure and promotion procedures can
create protocols that give scientists credit for engaging in
collaborative work. Multicultural peer groups are gaining steam
as a place where psychologists can increase
 Change peer review. Allen suggests changing the peer-re- connection and validation, especially when nav-
view process so that it focuses more on a strengths-based
igating complex dynamics related to culture,
approach that uses volunteer mentors who help authors shape
their ideas into publishable papers. racism, and health inequities. According to recent
research by Gabriela Nagy, PhD, assistant profes-
 Try cluster hiring. Cluster hires, whether around a particular sor of psychology at the University of Wisconsin,
research subject or identity, can enhance a sense of institu- participation in a multicultural peer-consultation
tional belonging among new faculty, particularly when they are
team increased psychologists’ ability to provide
part of interdisciplinary departments.
treatment that “carefully and routinely considers
 Embed inclusivity. Incentivize departments to hire faculty the influence of culture and context on patients.”
from groups that have been underrepresented by developing a
funding pool to recruit exceptional diverse scholars, and ensure Breaking out of the academic silo
that their research is embedded into the curriculum.
Many of the competing demands academic
 Improve funding. Funding agencies can help foster collabora- psychologists face are counter-productive to
tion by sponsoring collaborative grants and grants with multiple establishing or maintaining community connec-
principal investigators. tions both in work and in life.
Pursuing a career in academic psychology
often involves multiple moves. Researchers of

Helping Ourselves: Self-Care Strategies for Psychologists 6


color may struggle with limited diversity in their Luckily, there are many ways psychologists—
program, university, or town. A publish-or-per- and the institutions that support them—can and
ish mentality can threaten work-life balance, are working to build a less isolating culture. The
preventing researchers from pursuing hobbies most obvious, says Thebes, is for psychology
and relationships outside of work. Constant researchers to collaborate with other research-
rejections—from journals, book publishers, and ers, thus expanding their sphere of connection.
grant-funding bodies—can feed into a sense of
not belonging in their field. Connection through
“If we’re feeling rejected, we might be ques- scientific collaboration
tioning, ‘Should I be an academic? Does my work Thebes considers collaboration vital both for
belong in this space? Maybe this isn’t for me,’” researchers and for science itself. He has pub-
says Allen. lished papers about the value of team science
A related barrier is the “lone genius” myth and of seeing science as an inherently rela-
deeply ingrained in the culture of science. “We tional process. And in one paper, Thebes and
have this image of scientists, this lone person his co-authors highlight how research publica-
… they’re sitting in a room and they’re thinking tions authored by teams are more frequently cited
about something great,” says clinical community and have greater scientific impact than those
psychologist Jacob Thebes, PhD, professor of authored by a single person.
psychology in the Child Study Center, Yale School “If you can get there and get the shared
of Medicine. While Thebes stresses that science understanding of a problem, there’s a sense of
has never actually operated that way, the myth camaraderie, team spirit, belongingness that defi-
has shaped many of the structures and rewards nitely happens,” he says, adding: “And you get
of academia. better science, for the most part. Maybe slower
Until recently, labs have mostly operated as science, but better science. I think you get more
research silos led by a single principal investiga- fairness in the whole enterprise.”
tor who applied for their own grants and earned Thebes has some advice for researchers inter-
tenure based on their individual accomplish- ested in engaging in more collaborations inside
ments. This emphasis on individual success can and outside academia:
hamper collaborations that could lead to a greater
 Create a way for collaborators to listen and
sense of professional belonging and community
share their experience. “You don’t own it,”
for researchers. says Thebes. “Everybody shares in owning
“In order to do science, to do creative dis- it. Be a little humble about your perspective
coveries and inventions, we need to put people being the only way to do it.”
together,” advocates Thebes. “A team of people
 If you are a graduate student, postdoc-
that complement one another, maybe even
toral fellow, or early career faculty, look for
overlap, because sometimes people see things a mentor with experience in team science
differently when they’re looking at the same thing.” who has an equitable philosophy about col-
laboration and is willing to share credit.
 Try to engage local community members
in your project, utilizing community-based
APA is with you every step
participatory research methods. They don’t
Interacting with APA is yet another way for psychologists have to be involved in every step for there
to feel accepted and a part of the field. to be mutual benefit.
A recent survey of APA members found that 56% of respondents felt  For long-distance collaborations, try to
that it was very important or extremely important that APA provides schedule time for organic conversations
a sense of belonging. and get together in person when possi-
Here are a few ways APA may help you feel like you belong: ble. “There are real benefits to face-to-face
contact,” he says. “We’re all learning
 Meet colleagues and new friends at the annual convention
that now.” ●
 Join an APA division
 Get advice on how to grow and manage your practice
 Call the Private Practice Helpline

Helping Ourselves: Self-Care Strategies for Psychologists 7


Self-Care Stepping Stones
for Psychologists

▪ Take breaks throughout the workday.


Daily
▪ Take some time for relaxation each day.
Balance ▪ Avoid overcommitment to work responsibilities.

▪ Try to be aware of my feelings and needs.


Cognitive ▪ Monitor my feelings and reactions to patients.
Strategies ▪ Be mindful of triggers that increase professional stress.
▪ Proactively manage the challenges of my professional work.

▪ Spend time with family or friends.


Life ▪ Seek out activities or people that are comforting to me.
Balance ▪ Find ways to foster social connection and belonging in my life.

▪ Connect with professional organizations.


Professional ▪ Take part in work-related social and community events.
Devevlopment ▪ Find ways to stay current in professional knowledge.
▪ Maximize time in professional activities I enjoy.

▪ Cultivate a professional support system.


Professional ▪ Avoid workplace isolation.
Support ▪ Share work-related stressors with trusted colleagues.
▪ Share positive work experiences with colleagues.

Adapted from Dorociak, K. E., Rupert, P. A., Bryant, F. B., & Zahniser, E. (2017). Self-Care Assessment
for Psychologists (SCAP) [Database record]. APA PsycTests. https://doi.org/10.1037/t59491-000

Helping Ourselves: Self-Care Strategies for Psychologists 8


Living Your Values:

Psychologists of Color Speak Out


By Tori DeAngelis

What does it mean to nurture yourself and your


community in the face of ongoing discrimina- SHARING OUR STORIES
tion—internal and societal messages that say you One of the traditional ways that Black people
have healed is through testimony service, where
must work extra hard to prove your worth, and
people tell stories of challenging things they
social structures that continue to favor people
have made it through. Someone got laid off
who have more resources, higher social status,
or faced racial harassment on their job.
or a particular skin color? Someone experienced sexual assault, and
“For those of us who are Black, Indigenous, now they’re in a loving relationship. How
and people of color, we often face additional did the people who came before us make it?
forces of racism and oppression that are exhaust- We can utilize some of those strategies and
ing to navigate,” said Hector Y. Adames, PsyD, build on them. There is wisdom that comes from
a professor at The Chicago School of Profes- learning about how people survived difficult
sional Psychology and director of its Immigration, times.
Critical Race, and Cultural Equity Lab (IC-RACE Thema S. Bryant, PhD, 2023 APA President
Lab). “Because of that, it’s vital that we think
deeply about how to take care of ourselves and
each other.”
To illuminate what self-care might look like for
people of color, Adames and other psychologists PASSING IT ON
have amassed a rich set of ideas, pursuits, and I want to always pay homage to those narratives
that helped us survive slavery, to survive Jim
messages related to this topic. Among them: Self-
Crow, to help us survive today. But I’m also
care should incorporate one’s community, values,
allowed to have rest, to have love, to have
and culture, and it may mean challenging prevail-
happiness, to experience joy. My job is to
ing social and cultural norms. make sure that my children learn how to
“The light is not out there—it’s inside of us live lives of joy, too. We know what happens
and our community,” as Adames put it. “We need to our DNA and to our physical bodies with
to tap into that.” I check in by Zoom every day the accumulation of intergenerational and
with a group of colleagues who also do this work. historical trauma. Part of my work is to heal
We send each other inspiration, articles, music, those damaged pieces of myself and actively
and art. I get so much from that connection, and teach my children how to do that as well. By
I encourage my students to do the same. I tell taking care of myself and living in joy, I’m
them, “We are nothing if we are alone, but we passing on healing, I’m passing on reparative
are everything if we are together.” DNA, I’m passing on a mechanism for wellness.
He and other psychologists share thoughts NiCole Buchanan, PhD, Professor, Michigan State University
about what self-care may look like for individu-
als and communities of color. ●

Helping Ourselves: Self-Care Strategies for Psychologists 9


HONORING OUR ANCESTORS
One aspect of self-care is drawing on ancestral healing practices. These may
include making different recipes from our cultures and sharing them with
our communities—or singing, dancing, praying, or connecting with nature.
All ancestral healing methods go back to the idea of knowing who you
are, of honoring where you come from and the people who have poured
themselves into you. For people of color, it’s not that we don’t know what
we need; it’s that sometimes we get disconnected from our inner knowing
because of the day-to-day stressors and oppression that we face. We must
be intentional about reconnecting with our innermost selves.
Robyn Gobin, PhD, Assistant Professor, University of Illinois at Urbana-Champaign

FURTHER CREATING SAFE SPACES


READING A lot of people of color find themselves in spaces where they have to
The self-care prescription:
keep certain parts of themselves hidden to fit in or to be accepted. An
Powerful solutions to essential form of self-care and healing is being in community with other
manage stress, reduce individuals of color, where we don’t have to hide or explain ourselves.
anxiety and increase well- An important consideration is how we can create more safe affinity
being spaces where we can show up as our full selves and feel seen, heard,
Gobin, R.L. connected, replenished, and strengthened for the journey ahead.
Althea, 2019
Robyn Gobin, PhD, Assistant Professor, University of Illinois at Urbana-Champaign
Homecoming: Overcome
fear and trauma to reclaim
your whole, authentic self
Bryant, T.S.
TarcherPerigee, 2023

“We can create a better


world for ourselves”: Radical
hope in communities of color
LIVING BY OUR VALUES
French, B.H., et al. If you look through the lens of the dominant culture, it appears that the only road to
Journal of Counseling success is through individualism and capitalism—doing more and making more.
Psychology, 2023 But we weren’t born thinking, “I need to make a lot of money and have
these great titles. I want people to cite me in journals.” We need to
Rest is resistance: A question whether living by those values is the only means to a successful
manifesto life. Ultimately, we need to ask, “What is a sustainable way of living?
Hersey, T.
How do my own values inform the way I do self-care?”
Little, Brown Spark, 2022
Grace Chen, PhD, counseling psychologist, San Francisco Bay area
Radical healing in
psychotherapy: Addressing
the wounds of racism-
related stress and trauma A FOCUS ON THRIVING
Adames, Hector Y., et al. Black History Month isn’t just about the history of racism in this
Psychotherapy, 2023 country—it’s also a celebration of the contributions of Black Americans.
Self-care is the same: It’s recognizing that we’re trying to manage
Your self-care is made of whatever stressors and trauma we experience, but also that we’re
capitalism: A decolonial
honoring ourselves as whole beings with a lot to celebrate, that we’re
approach to self and
community care. joyful in community, and in solidarity. It’s important for us not just to
Miller, A.E. & Tran, N. survive but to thrive.
Chapter from Decolonial
Grace Chen, PhD, counseling psychologist, San Francisco Bay area
psychology: Toward
anticolonial theories,
research, training, and
practice, Comas-Díaz, et al.
(Eds.),
APA, 2024

Helping Ourselves: Self-Care Strategies for Psychologists 10


Essentials of
Consultation Groups
By Katherine Lee

M any of the casual interchanges that were a regular source


of support among psychologists disappeared during and
after the pandemic, leaving practitioners and clinicians to grapple
in relative isolation with issues such as burgeoning caseloads,
compassion fatigue, and burnout.

It quickly became apparent that reg- Getting this kind of input from
ular meetings with fellow mental experienced clinicians can be
healthcare providers were a neces- invaluable for psychology gradu-
sity, not a luxury, explains Adriana ate students as well, says Gabriela
S. Miu, PhD, ABPP, clinical psy- Nagy, PhD, assistant professor of
chologist at the Atlanta VA Medical psychology at the University of Wis-
Center, who advocates and writes consin, in Milwaukee. It can provide a
about the importance of peer greater context for the training they
consultation groups. receive from their clinical supervisor,
“Peer consultation encourages and “allows for a wider sampling of
psychologists to slow down and different perspectives that they may
reflect on complex cases or pro- not otherwise get,” she says.
fessional issues, challenges them Seasoned pros who are experts
to identify their unchecked biases, in specific disciplines can also ben-
and counters burnout,” according efit from peer groups, adds Nagy.
to Miu. “And by learning about what For example, a clinician with a differ-
others have done to problem-solve ent specialty or life experience may
or to address their in-clinical chal- be able to suggest alternate assess-
lenges, it can help sharpen your own ments, different ways to present
clinical skills,” she adds. information, or other ideas for inter-

Helping Ourselves: Self-Care Strategies for Psychologists 11


Characteristics of a healthy peer consultation group
 Group members have been there for a while; there isn’t a lot of turnover.
 People attend meetings regularly.
 Group size, frequency and format — hybrid, online, in-person — work best for you.
 Members listen, offer constructive feedback, and refrain from personal criticism.
 There are clear agreements about group rules and commitments. “That might be making
sure that we are only using that space to talk about productive, relevant things and not
bashing our colleagues or trash-talking clients. And agreeing that whatever you say in the
group will stay there,” says Nagy.
 The focus of the group suits your needs — whether it’s open-ended or has a particu-
lar focus (such as multicultural issues, mindfulness, depression treatment, or dialectical
behavioral therapy).
 Group operates in an ethically responsible format, according to Ethical Principles of Psy-
chologists and Code of Conduct.

vention. “Even though we might be communicate with authors or how


experts, it can still be useful to hear to make granular or larger decisions
other kinds of insights from our about manuscripts. And if you’re a
peers that maybe we haven’t even researcher, your colleagues’ input
thought about,” she says. may help you fine tune ideas about
“Even the process of preparing your next study or suggest new
to meet with peers to get feedback ways to analyze data you’ve col-
can force us to think things through, lected or conclusions you’ve drawn.
such as whether to bill for a session As international collaborations
that a patient missed or whether in scientific research increase,
to continue working with a patient extended networks of peers are
who develops a problem that may becoming more the norm. Zimmer-
be outside your scope of expertise,” man notes that videoconferencing
says Jeff Zimmerman, PhD, ABPP, a capabilities have made this infor-
clinical psychologist and co-founder mation-sharing and support much
of The Practice Institute, a private easier. And he is noticing an uptick
consulting firm supporting mental in interchange at international con-
health practitioners. ferences: “I recently attended a
Peer consultation groups also Society for Psychotherapy Research
can benefit psychologists who are meeting … and saw how much net-
not clinicians, says Zimmerman. For working was being done,” he said.
instance, he notes, if you’re editing “People were meeting during and
a book, you may find it helpful to outside of the sessions in small,
have input on issues such as how to diverse multinational groups.” ●

APA is with you every step


FURTHER For individual consultation for those in private practice, contact the APA’s Private
READING Practice Helpline. These free, 20-minute sessions offer provider advice on issues
such as practice setup, administrative structure, business decisions, fees, and ethics
Not Going It Alone,
concerns. While these aren’t long-term group meetings, they can connect you with
https://www.apaservices.
org/practice/ce/self-care/
other psychologists with dozens of years in practice.
peer-consult

Helping Ourselves: Self-Care Strategies for Psychologists 12


Making Healthy
Habits Life-Proof
By Emily P.G. Erickson

M any people intend to take care of


themselves—beefing up exercise,
taking time for meditating, joining groups. The
are. We figure if we have a strong intention, we’ll be able to
continue with that,” says Wood. “But research shows that our
intentions shift over time. It’s easy to get derailed.”
Most people don’t really believe this, adds Wood. “We all
like to think we’re in charge.”
routines work for a few days, maybe weeks. The latest reasearch is that habitual behaviors and goal-di-
But then life happens, and well-being goals rected behaviors are actually two different processes that can
interact with and influence each other, but which are not nec-
often go out the window. essarily interdependent. Unlike goal-directed behaviors, which
often involve some deliberation, with habits, you automatically
This is the problem with relying on force of will. “Making repeat a practiced behavior as a result of environmental trig-
thoughtful, conscious decisions takes effort and a lot of plan- gers, says Wood. Related findings in behavioral neuroscience
ning and focus. Most of us have lives where we’re dealing suggest the pair even have distinct brain activation patterns.
with multiple challenges, and we have many things going on,” “Goals might get you started with habits, but it’s the link
says social psychologist and habit expert Wendy Wood, PhD, between the situation and the behavior that keeps you going,
an emerita professor at the University of Southern Califor- and leads to habit formation,” explains health psychologist
nia in Los Angeles. “A constant focus on our weight or on our Martin Hagger, PhD, a distinguished professor at the Univer-
finances or on productivity is just not possible.” sity of California, Merced. For people who want to change their
Luckily, consistent self-care doesn’t require continual focus. habits, it’s important to focus on the link between the two.
It just requires habit. So, changing habits involves shifting awareness from the
“Habits are how we persist,” says Wood. In the face of pres- values that may have originally prompted the habit, to a focused
sures that deplete self-control, Wood’s research suggests that understanding of its mechanics: Do you have a clear behav-
habits tend to take over, which can either work for or against ior in mind? What happens right before the behavior starts?
your goals. What makes it easier or gets in the way? Is it rewarding? How
Fortunately, habits themselves are malleable—with the often does it happen? “It does take a level of awareness and
right methods. A huge body of research on habits, much of planning to rail against automatic processes,” says Hagger.
it conducted by social and health psychologists, reveals
practical tactics for designing self-care habits that stick. Think simple, and start at the top
Not all behaviors are equally
More than mindset good candidates for becoming a
The first thing to know? Evidence habit. “Our recent meta-analysis
shows that the intentions and demonstrated that the more com-
goals that supercharge one-off plex the behavior, the less likely
achievements it is to be formed
aren’t the right as a habit,” said
fuel to power Hagger, a fellow
daily habits. of APA Division
“We think if we 38, Society for
want to go to the Health Psychol-
gym, that it depends ogy. The results
on how committed we suggest that simpler

Helping Ourselves: Self-Care Strategies for Psychologists 14


habits, like snacking on healthy foods, are easier drive us. After all, that’s what we study. We study
to start than more complex ones—such as pri- individuals and their capacity for change—not
oritizing supportive interpersonal relationships. recognizing that contexts have strong effects that
Of course, many desirable behaviors are not often stand in for motivation,” Wood adds.
as straightforward as noshing, yet people still Embedded in particular contexts or envi-
manage to do them habitually. The trick may lie ronments are cues, which can set in motion a
in making them bite-sized. habitual behavior. The more consistent the cues,
“One of the interesting developments in the the more consistent the habits. Interestingly,
area of habits is a recognition that most behaviors research shows that cues are equally effective
are actually behav- whether they are routine- or time-based. In the
ioral categories that study, a sample of 192 adults who got help form-
require discrete actions, ing a nutrition plan were able to stick to it equally
which, put together, well whether the new health habit was cued by
make up the behavior,” something regular in their routine (like breakfast)
The more complex says Hagger. or a time of day (like 9 a.m.).
the behavior, the less likely it For instance, the The best cues are often the ones already
is to be formed as a habit. action of going for a on lock, per a paper Wood co-authored.
run isn’t just one behav- Habit “stacking,” or “piggybacking,” is an evi-
Martin Hagger, PhD
ior. It’s a category that dence-based approach where new habits are
includes gathering tied into an existing routine by adding it after an
equipment, selecting a route, picking a time, and already-set behavior.
more. Each of those component behaviors could “Habit stacking takes advantage of the auto-
be habitual or not, Hagger explains. maticity in an established habit to build a new
An action that can be done without much one,” explains Wood, a fellow of APA Division 8,
thought, such as putting on running clothes after Society for Personality and Social Psychology.
waking, might be habitual. However, choosing ”It’s something that people do naturally,” she
where to run is an action that requires explic- adds. “When you have to take medication, you
itly evaluating factors like road conditions and probably find that you’re most successful if it’s
training goals. right next to your toothbrush, where you can tie
“You’ve got to break down the complex it to an existing routine.”
behaviors needed to achieve that goal into dis-
crete packages, which you could then potentially Friction is your friend
automate some or all of,” he says. The role of friction—how fast, easy, and con-
Focusing on initial behaviors may be especially venient a habit is—tends to fly under the radar
fruitful, Hagger says, pointing to 2022 research on when people discuss the building blocks of habit
habitual instigation that suggests that beginning formation. “Friction in our daily environment mat-
actions are critical for both simple and complex ters much more than most of us realize,” says
habit formation. “The idea is that what becomes Wood. “The two keys to building healthy habits
automated is that link between the cue or the are reducing friction on healthy activities and
triggering situation and the behavior,” he says. increasing it on unhealthy ones.”
“That kind of gets things started and sets in train This is something social media companies
a series of behaviors or behavioral patterns that know well. “A lot of designers and social media
become associated with that initial behavior.” apps try to reduce friction as much as possible,
making it easier and more rewarding to use their
Environmental cues apps,” says Ian Anderson, MS, MA, a PhD can-
and habit stacking didate in social psychology at the University of
“I think it’s really important to understand the Southern California in Los Angeles. Manipulat-
importance of the environment in determining ing friction helps drive habit development—and
the habits we form, and how easy they are to points toward potential solutions.
keep,” says Wood. “Habits develop in certain “If you are unhappy with the way that you’re
ways depending upon the environment that we’re currently using social media, maybe you’re
in. And it’s something that people often overlook.” scrolling too often, then you have to intention-
“As psychologists, I think we are particularly ally disrupt your own habit,” says Anderson, who
prone to believe that our decisions and goals co-authored a paper on building and breaking

Helping Ourselves: Self-Care Strategies for Psychologists 15


social media habits. “You have to figure out pre- habit. Habits with many sequences take longer
cisely what your cues are and intervene there.” to establish, notes Wood. “The greater the num-
Bedtime scrollers should consider keeping bers of steps in a habit, the harder it is to establish
phones out of the bedroom or at least plugging and the more vulnerable it becomes to disruption
them in across the room, Anderson advises. at any point along the way,” she says.
Electronic notifications can be silenced if work is Researchers are now putting AI to the task of
spilling too much into the private sphere. It may measuring how long it takes to form habits. In one
even be necessary to make friction physical by recent study, machine learning techniques ana-
leaving devices at the office, placing them in lock- lyzed large data sets—one of gym attendance,
boxes, or otherwise not letting them be in the the other of hospital handwashing—to predict
spaces where the habit takes place. habitual behavior. Contrary to the popular belief in
“Make the friction so high that it’s disruptive a “magic number” of days to develop a habit, the
to your routine,” Anderson suggests. study found that it typically takes months to form
the habit of going to the gym, but only weeks to
Embed enjoyment develop the habit of handwashing. Furthermore,
One of the biggest misconceptions about healthy just like our bad habits, good habits stick.
habit formation, say researchers, is that they “Some habits are going to take more time to
require a certain amount of suffering to stick. form just because it’s harder to figure out how to
“We’re really much simpler organisms than make the behavior rewarding for you,” says Wood.
that,” observes Wood. “You won’t do things if
you don’t enjoy them. It sounds like a truism,
but it’s not what people think of when they try
to establish healthy habits. They think of all the
long-term reasons why they should do some-
Most of the time,
thing and the benefits that they’re going to get.
But most of the time, we’re driven by what is
we’re driven by what is
immediately rewarding.” immediately rewarding.
Rewards that support habit development can Wendy Wood, PhD
come in many flavors. Sometimes they’re built
in, other times creativity is required to embed The challenge for psychologists
pleasure into habit. For Wood, running felt like Thanks to their training, understanding the sci-
freedom, but when age-related changes forced ence of habit may be easier for psychologists
her to shift to an elliptical machine, that intrinsic than for most. But applying it can be another
reward went poof. Now she uses her workout story. “I know a lot of psychologists who are bril-
time to watch shows while she’s exercising. “I’m liant at working out the health of other people and
not really loving the elliptical still, but I love what providing advice,” says Hagger. “But they don’t
I’m doing while I’m working out,” Wood says. necessarily apply it to themselves.”
FURTHER
Wood’s approach to making an otherwise “I think psychologists are much better at pre-
READING
ho-hum health habit more satisfying is called dicting, explaining, intervening, managing, and
Harnessing the power of “temptation bundling,” a strategy of pairing a helping others change their behaviors rather
habits pleasurable indulgence with a behavior that than their own,” says Hagger. Sometimes, doing
www.apa.org/
provides delayed rewards. In one study of phys- this for yourself can just feel too much like work,
monitor/2020/11/career-lab-
habits ical exercise frequency, researchers found that he notes.
by educating people about temptation bundling Understanding the science of habit—includ-
The Handbook of Behavior and offering them a free audiobook, the likelihood ing how to optimize behaviors, cues, friction,
Change of their weekly gym visit increased by 14% over rewards, and repetition—can provide psychol-
Hagger, M. S., et al. (Eds.)
multiple weeks. ogists with a workable blueprint for setting up
Cambridge University Press
2020 sustainable self-care practices of their own.
Repeat to lock it in While insight is a useful starting point, Hagger
Good Habits, Bad Habits: Before habits become automatic, they must warns that it’s not sufficient when it comes to
The Science of Making be repeated. Deliberately. But how many times implementing behavior change. Knowledge isn’t
Positive Changes That Stick
Wood, W.
before they stick? a panacea, he notes. There’s just no substitute
Farrar, Straus and Giroux, There’s no absolute formula for how long to for the messy work of mucking about in the habit
2019 expect, but one factor is the complexity of the laboratory that is real life. ●

Helping Ourselves: Self-Care Strategies for Psychologists 16


Q&A with Ellen Ernst Kossek, PhD

Juggling Work-Life Balance


Psychologists have long reported that one of their biggest stressors is striking a happy work-life
balance. The pandemic only upped the pressure: According to APA’s 2022 COVID-19 Practitioner
Impact Survey, 45% of psychologists reported feeling burned out, and only 63% said they were able
to maintain a positive balance.
Ellen Ernst Kossek, PhD, Basil S. Turner Distinguished Professor of Management at Purdue Uni-
versity Mitchell E. Daniels School of Business in West Lafayette Indiana, is a leading researcher and
writer on technology and work-life flexibility. Here, she discusses why it’s important for psycholo-
gists to holistically assess how they blend life roles, manage boundaries between them, and devise
a personal plan that sustains their efforts and well-being.

You have identified specific together to form a typology—such as looking


preferences in the ways people at patterns of relationships between work-life
juggle their life roles. Why is identities, how we synthesize roles to integrate
it important to look at all the and separate them, and how much control we
factors that come into play? have over how we carry out roles. This helps us
Many psychological studies on antecedents of to understand how we manage the permeability
work-life boundary styles focus on single mea- of work-life boundaries, rather than looking at a
sures at a time, such as whether individuals prefer single variable.
to integrate or separate roles. This approach is Some people prioritize family roles; others pri-
called a “variable centered approach,” where oritize work roles as central to their identity. For
researchers examine a single variable at a time as example, a family-centric person with a young
a predictor of outcomes. Since how we manage child or an adult to care for may need the ability to
styles is often clustered together interrupt work for a family task, and to be able to
with other measures, restructure work to disperse hours later or earlier
it’s more effective to in the day. And many people today are dual-cen-
take a person-cen- tric––placing an equally high value on work and
tered approach. family roles. Personal preferences matter, too.
This involves Some hate even the concept of boundaries.
examining Others, interrupt them and you’ve spoiled their
how several day. These values and identities may change
measures according to life circumstances, and we should
cluster regularly reassess our approach.

Ellen Ernst Kossek, PhD

Helping Ourselves: Self-Care Strategies for Psychologists 17


What is the single biggest shift
in work-life issues since the
pandemic hit? How has that
impacted psychologists?
Boundaries became a hot topic when we were all
forced to telework. Some people needed to have
Tips for
Avoiding Tilt!
a physical space away from home to be able to By Stacy Lu
focus, especially if they lived in a shared, small
space. There is also an increased need for focused There are warning signs when work and/or life are becoming
attention on gender roles: If one is multi-tasking precariously lopsided—such as feeling overwhelmed or ineffec-
childcare and work, this may be a recipe for role tive—but solutions may be hard to spot in the moment. That’s
overload and stress. Psychologists are grappling because stress and burnout can impair execution function, so it
with increased telehealth appointments and vir- may be harder to make good choices and to schedule and plan
tual classes, issues that will likely remain. effectively. Instead, we may take on too much work or under-
perform across life domains, deepening our frustration.
How might psychologists know if “It takes mental energy to be intentional about your sched-
they need to change things up? ule. It’s harder to make those higher-order cognitive functions
They can reflect on their overall well-being. Are when you are feeling stressed,” says Chelsea LeNoble, PhD,
they enjoying life? Are they performing effec- assistant professor of industrial/organizational psychology at
tively in their life roles? There are 168 hours in a the University of Central Florida.
week. I ask clients to make a life pie on how they Consider these strategies to help protect against “role creep”
want to spend that time — sleeping, eating, work- when life is topsy-turvy:
ing, TV. Is there time for friends and exercise and
other interests? They may also get feedback from Set physical barriers at home and at work to help you avoid dis-
family and colleagues if their boundary manage- tractions, as mental task-switching further depletes cognitive
ment style is causing conflict. energy. Barriers might include a dedicated home office with a
door to prevent mind-wandering and interruptions. If possible,
Which preferences seem to be faring keep separate phones and laptops for home and work, logging
best in the new work paradigm? off at appropriate times. Turn off unnecessary alerts, and avoid
People who are the most unhappy are those who looking at news or social media except during designated breaks.
have the least control over their boundaries or
have too much work-life task switching. If you’re Enlist allies. Enlist family and colleagues in supporting your
on Facebook during work hours, for example, focus. Communicate goals clearly, often, and in writing, such
you’ll have cognitive task-switching loss and will as giving notice that work emails will go unanswered on week-
waste time getting back on track with work. Do ends. Coordinate with others to be on call for caregiving during
that too often, and you may face job-creep by specified time periods to help ensure uninterrupted work time.
having to catch up on off-hours. If you’re trying to
get high-value work done, it’s important to men- Build in microbreaks. Even 10 minutes of walking, stretching, or
tally self-regulate and maintain your attention. talking to a friend can reduce fatigue, keep the mind clear, and
smooth task transitions. Set alarms to signal when it’s time to
How much does the external finish a task, ending meetings a few minutes early to give ample
environment factor in? space for breaks.
People find a lack of perceived control over their
boundaries to be very stressful. I hope that orga- Develop rites of role transition, such as reading or listening to
nizations will try to support peoples’ preferences, music while you commute. If you’re working from home, even
but they may violate boundaries or set unrealistic small shifts, such as firing down a computer or changing into
expectations. Pushing back may be difficult for psy- loungewear, can signal your brain that it’s time to relax and
chologists, who typically identify strongly with their go off-duty.
work. I think some organizations might take advan-
tage of that: You’re there to serve. These things Leave it at the door. Downtime is vital for recovering from the
are up for negotiation, however. You have to train stress of work. Relaxing and enjoyable activities can improve
family and friends to respect your choices, too. ● sleep quality and make all the difference the following day. If you
need help logging off, sign up for an after-work class or sched-
Contributed by Stacy Lu ule an activity with friends or family.

Helping Ourselves: Self-Care Strategies for Psychologists 18


Know Your Boundary
Management Style
As part of her seminal work researching and writing about work-life issues, Purdue University Dis-
tinguished Professor Ellen Ernst Kossek, PhD, identified several modes for demarking and sustaining
differing life roles. These boundary management styles factor in particular sets of psychological,
physical, and emotional circumstances, such as fragmentation, boundarylessness, and autonomy.

Use this chart to help identify your boundary-management profile and determine where you can
map out improvements.

Integrators Separators Cyclers Role Firsters

Blend home and work, Alternate between periods


Tend to have a dominant
often allowing spillover of high work-life
Have strict boundary life role, be it worker,
and interruptions. Some integration followed by
controls throughout their family member, leader, or
enjoy this blend, while periods of more rigid
days, with defined blocks other life priority, that
others simply have little separation, prioritizing
of time for each role. spills over into their other
boundary control due to different life domains as
roles.
conflicting responsibilities. needed.

Reliable, focused,
professional. Some Engaged and highly
A can-do attitude research shows that being flexible. Better able
Strong ability to focus and
and high degree of fully focused on one to fully engage in life
Pros flexibility. Available domain for periods of time roles during
less susceptible to
work-life conflict.
when needed. can enhance concentration separation from
and reduce work-family work.
conflict.

May find it hard to


Task switching can lead to Can be rigid and Peaks and valleys may
clock off. Risk
mental overload and unadaptable. More likely affect recovery and lead to
sacrificing career or
Cons exhaustion. Raises the risk to feel stressed by burnout, exhaustion and
personal life to satisfy
of overwork and poor interruptions or a change “ball dropping” in other life
demands of the
work-life balance. of plans. roles during peaks.
dominant role.

One identity is clearly


Tend to place equal
Often dual-centric, Tends to value one dominant; cross-role
importance on work
Career-family valuing both work and role over another at interruption behaviors
and non-work roles;
non-work equally but different times of the often reflect crossover
identity unsure how to prioritize.
strive for focused
year or month. “creep” to support main
mindfulness for each.
identity.

Adapted from: Managing work-life boundaries in the digital age, Organizational Dynamics,
Kossek, E. E. (2016); and Flex Styles Assessment, Purdue University.

Helping Ourselves: Self-Care Strategies for Psychologists 19


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Planting
the seeds of
financial health

By Tori DeAngelis

M oney is a big source of


angst for most people:
APA’s 2022 “Stress in America”
survey finds that 83% of Americans
cite inflation as a significant source
of worry—the largest of any major
stress category. Psychologists face
money stresses of their own.
A recent survey found that more than half of psy- because we want to help people, not primarily
chologists working in academic health centers because we want to be financially well off,” Brad
pegged salary as a source of stress, while other Klontz said. “But I think it’s important to challenge
data show that psychology faculty make less that notion.”
than any other type of faculty, including those Improving one’s financial self-care requires
in other social sciences. Meanwhile, most prac- thoughtful self-analysis—and sometimes out-
tice students leave school with large debt loads, side help—to examine, challenge, and ultimately
and private practitioners regularly confront diffi- change aspects of your money script that do not
cult financial decisions such as whether to use serve you. Here are some tools to help you nav-
insurance, join managed-care plans, or raise igate this important self-care arena:
their rates.
Getting a handle on these stressors isn’t Learn your money patterns
easy, and part of the reason is psychological, The psychology of money is complicated, based
say experts in financial psychology, an emerg- on family and intergenerational history, personal
ing field of study and practice that examines the experiences and personality traits, and how you
social, emotional, cognitive, and cultural factors subconsciously integrate these factors into your
that influence how people make financial choices. actions (or inactions) around money.
There are various approaches and terminology Brad Klontz identifies four basic money
used in the field, including: behavioral finance, scripts that can influence peoples’ approaches
which looks at cognitive and emotional biases to finances:
and their impact on financial behaviors; financial
 Money vigilance, or keeping a keen eye on
psychology, which uses psychological principles
your financial situation and regularly adjust-
to study, design and implement client-centered ing it to save more than you spend;
interventions; and financial therapy, which inte-
grates cognitive, emotional, behavioral, relational,
 Money status, or conflating self-esteem
with income and possessions;
and financial aspects of well-being to promote
patients’ quality of life.  Money worship, the belief that money is
“You can know all the right things to do, you the key to happiness;
can increase your financial literacy, you can read  Money avoidance, the belief that money
all the ‘how-tos of financial health,’” said Ashley is bad and wealthy people are greedy
Quamme, a marriage and family therapist and or corrupt.
certified financial therapist in Evans, Georgia.
“But if you have a psy- Interestingly, recent research suggests that
chological blockage many psychologists are money avoiders—people
or issue that is imped- who wish that money issues would evaporate so
ing your ability to take they can focus on their primary purpose of help-
A lot of us are drawn action, it will domi- ing people. While psychologists in the study came
to the field primarily because nate the way you deal from a range of backgrounds, those who held
we want to help people, with money.” these views tended to share certain commonal-
not because we want to be That may be true, ities: They often grew up in poorer families where
financially well off. especially for psy- money was shared, or in families that saw money
chologists and other as inherently corrupting. They then “self-se-
Brad Klontz, PsyD
helping professionals, lected” into fields that held similar views.
noted Creighton University psychologist Brad Financial therapy practitioners say the first
Klontz, PsyD, who along with his father, Creigh- step in financial self-care is to take an honest look
ton University psychologist Ted Klontz, PhD, and at one’s financial beliefs and where they might
colleagues, conducted foundational research on have come from. It shouldn’t be a huge stretch to
the topic in 2008. Since then, the field has grown do this work because psychologists are already
to include several arms that straddle cognitive taught to think in this way, Klontz noted.
theory, individual therapy, and financial planning. “We’re trained to become aware of how our
It also includes budding research devoted to clin- biases, culture, family, and experiences impact
ical, experimental, and survey studies, and the our beliefs about the world and about relation-
peer-reviewed Journal of Financial Therapy. ships,” he said. “We just need to do the same
“A lot of us are drawn to the field primarily thing with money.”

Helping Ourselves: Self-Care Strategies for Psychologists 22


There are a variety of tools that can help. Working with financial professionals can help
Here are a few: the 32-item Klontz Money Scripts people fill these gaps and clarify their financial life
Inventory-Revised, which can help determine both psychologically and practically, she said. She
one’s general approach to money. The Money recommends working with one or more of these
Attitudes Test, provided by the private company professionals, who have the highest level of train-
IDR Labs as part of their personality assessment ing in their respective areas for these purposes:
tools. And the money genogram, provided by the
investment firm Hartford Funds and others, which Certified financial planners, who look holis-
helps people trace their money beliefs through tically at people’s money situations, including
their family tree and history. taxes, investments, insurance, estate planning,
Finally, the Financial Therapy Association cash flow, and more.
offers resources, such as webinars and work-
shops on relationships and money, that can aid Accredited financial counselors, who help
one’s journey toward financial health. individuals meet short-term, concrete goals like
creating spending plans and managing debt.
Question your beliefs
Once people have a handle on their personal Certified financial behavior specialists,
money beliefs and how they differ from other who use the theory and tools of financial
potential approaches to money, they can begin psychology to help people achieve financial
to challenge them, Ted Klontz said. well-being. This certification is offered through
He and Brad also draw on the transtheoreti- the Financial Psychology Institute and requires
cal psychology model “stages of change” to help candidates to meet specific educational and
clients gradually change their stances toward continuing education requirements in behav-
money. The framework recognizes that change ioral finance and financial behavior.
doesn’t happen overnight, and that people must
often undergo a series of psychological steps in Certified financial therapists, who help indi-
order to create new attitudes and actions, in this viduals address behaviors, thoughts, cultural
case around money. This work is interwoven with factors, and feelings around money. (People
individualized guidance on good money man- can earn this certification through a self-
agement—basics like balancing a budget and study program offered through the Financial
understanding cash flow. Therapy Association.)
As people work through their ambivalence
about money, they come to see the possible “pro” These professionals can help you stop bury-
sides of a more proactive approach, Ted Klontz ing your head in the sand and become more like
noted. And gaining stronger financial health can those who are “money vigilant”—who under-
help practitioners be more present with patients stand their cash flow and save for their future,
and provide them with good financial role-mod- Brad Klontz added. In fact, he’d like to see all
eling, allowing them to pursue important life goals psychologists—including those just out of grad
FURTHER that they couldn’t achieve otherwise. school—create a “financial freedom fund” where
READING they regularly and automatically put at least 10%
Get help of their earnings into a retirement fund.
Psychology of financial
While people can do some of this financial And while it may go against some deep-
planning: A practitioner’s
guide to money and behavior self-analysis themselves, it also helps to work with seated beliefs, financial self-care doesn’t mean
Klontz, B., et al. professionals, noted University of Georgia Profes- you’ll become calloused or jaded in your work—
Wiley, 2023 sor Kristy Archuleta, PhD, an international expert quite the opposite, Klontz added.
in financial therapy. That’s because most people, “We can actually help people and take care of
Psychology of financial
including psychologists, lack financial knowledge ourselves financially without hurting anyone,” he
planning: Practitioner’s toolkit
Klontz, B., et al. except what they’ve learned in their families—and said. “As a matter of fact, the better our financial
Wiley, 2023 often, that’s not a lot. health, the better we’ll serve our clients.” ●

The financial health of


mental health professionals APA is with you every step
Britt, S. L., et al.
Journal of Financial Therapy, Laurel Road offers a full suite of tailored financial solutions—specifically designed for
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Helping Ourselves: Self-Care Strategies for Psychologists 23


Busting Grant Writing
Procrastination
By Katherine Lee

O ne of the biggest universal stressors on researchers and


academics in fields whose work is powered by funding is
the onerous process of writing grant proposals.

“Writing a grant is overwhelm- parcel of grant writing, says Gold-


ing—federal grants especially,” says stein. “How do you even begin a
Allan Goldstein, MD, professor of process that’s that long, especially
surgery at Harvard Medical School when there’s no guarantee that it will
and chief of pediatric surgery at yield anything, and you have com-
Massachusetts General Hospital. peting obligations?” he notes.
According to Goldstein, who co-au- Other demands on time often
thored an article on strategies for include family, student loans, other
grant-writing success, larger fed- aspects of your work such as bench-
eral grants such as the National work or teaching, and, if you’re a
Institute of Health (NIH)’s R01 grant clinician, patient care. “Writing a
can take as much as 100 hours of grant doesn’t get you anything if at
writing and require extensive ancil- the end of the day it’s unsuccessful,”
lary documents. “It’s just endless—it notes Goldstein. “Meanwhile, seeing
takes a lot of time to put all of that patients gener-
together,” he says. ates revenue, and
And after all that work, success especially for young
isn’t guaranteed. According to the people who need to
NIH, the success rate for R01 grants pay their loans and Grants aren’t just
in 2022 was just 21 percent. Suc- start their careers, about money. They’re also
cess rates were even lower after it’s very challenging about being able to do work
the pandemic, when the number to take time away you know is important,
of grant submissions surged, likely from clinical activ-
because researchers had more ity and commit it to
being able to better serve
time to stay at home and work on grant writing.”
communities you care about,
grants, says Mark Pepin, MD, PhD, Stressors not- or addressing problems and
resident physician at Brigham and withstanding, grant challenges in our world.
Women’s Hospital, Boston, Mas- writing is a neces- Betty Lai, PhD, author of the 2023 book, The Grant
sachusetts. “The pandemic led to sary, and potentially Writing Guide: A Road Map for Scholars
a lot more grants being submitted rewarding, part of
at a very specific window of time, doing research. The bottom line,
which meant that the rate of funding says Pepin: “It’s tough but worth it;
dropped precipitously,” notes Pepin. getting grants is essential for this
It’s understandable, then, that career and it allows us to do what
procrastination is often part and we love.” ●

Helping Ourselves: Self-Care Strategies for Psychologists 24


Pepin and Goldstein suggest trying several proven strategies
to overcome procrastination in grant writing:

 Give yourself ample time to write and revise. “If you more comfortable you get with it.” Plus, he notes, there’s
start early, you can finish early, and that allows you to the practical benefit garnered from submitting, say, 5 to
have a finished product that you can then run by col- 10 grants a year: Once you receive feedback on a grant
leagues and get feedback,” says Goldstein. that was not successful, you can take the feedback from
the reviewers and use it for the next grant.
 Assemble a good team of collaborators. It’s difficult
to write a grant alone, so it’s helpful to collaborate with  Reframe rejected grants as progress. View unsuccess-
others, such as a biostatistics expert, computational biol- ful grants not as failures, but as a stepping stones for the
ogist, or epidemiologist assigned to do various parts of next success, advises Goldstein. “You have to almost
the grant. “Collaborators can also refine what you write expect a grant not to be funded the first time around, and
based on their own expertise in that area,” says Goldstein. hope that there will be useful comments that will make it a
better grant the next time you submit it,” he suggests.
 Seek advice from a good advisor or mentoring team.
Seasoned advisors can help you understand what has  Keep your self-worth out of it. Remind yourself of who
already been investigated and what experiments have you are as a whole person, rather than just as a scien-
failed so that you don’t repeat those mistakes. They also tist, researcher, or academic, says Pepin: “I think part
can advise you on writing a compelling research ques- of growing as a scientist is figuring out how to separate
tion that will appeal to a reviewer and a grant-funding my identity as a person from my performance on a grant
agency and that is appropriate within the scope of the review; it’s a reminder for me to focus on the things that
funding timeline. (This can be particularly helpful for ear- bring value on an individual level, like spending time with
ly-career researchers who often lack training on how to my family.”
write successful grants, which can lead to procrastination,
says Pepin.)  Talk to colleagues. “Applying for a grant is one of the
most common things we do in academia,” says Pepin.
 Apply a lot. The more you apply, the easier grant writ- “Talking about my frustrations and anxieties with my
ing will become, and the more likely your grant is to be colleagues is one of the most helpful things for my
funded, says Goldstein. “Fear of failure is a factor in grant well-being—just learning that I’m not the only one that’s
writing,” he explains. “The more you do something, the feeling this way.”

Helping Ourselves: Self-Care Strategies for Psychologists 25


Calming the Mind,
Energizing the Body,
Connecting with Spirit
By Stacy Lu

When Matt Hersh,


PhD, needs to regain
equilibrium amid a hectic
day, he pauses to take
a breath, using powerful
diaphragmatic breathing
which he describes as “low,
slow and through the nose.”

26
A mindfulness meditation teacher and a thera- serenity. “We’re in a more stressful world than
pist with a practice in Waltham, Massachusetts, ever, constantly task-switching and balancing
Hersh says the technique is “a nervous system multiple demands. It’s quite exhausting for the
reset. A lovely cascade of mind-body effects part of the brain that handles stress responses,
starts happening within three to five breaths. the prefrontal cortex,” says Christopher Willard,
Breathing is the gateway toward better health PsyD, a therapist in Cambridge, Massachusetts.
in so many ways.” One natural counterbalance to these pres-
Hersh began practicing multi-faceted self- sures is the practice of mindfulness or other
care, including breathwork and meditation, attention exercises, says Willard, an author who
after a grueling bout with cancer. The benefits teaches mindfulness to medical students at Har-
of such a holistic approach to wellness are well vard Medical School.
documented. Research shows, for example, that Mindfulness can be described as the aware-
mental stress is a major factor in many bodily ness that arises from purposefully paying
diseases, including cardiovascular disease, attention to the present moment and accepting
diabetes and chronic pain. Numerous studies what is happening without judgment. Mind-
show that exercising fulness techniques have proven to have many
the body is a pivotal positive psychological effects, and many clini-
component of human cians now incorporate some aspect of this work
health. Clinical stud- into their practices. In fact, in one 2020 survey,
I see mindfulness ies even extend to the 82% of therapists reported using mindfulness
and other reset practices as state of our spiritual- practices at least sometimes with their patients.
an emotional disinfectant ity, documenting its The science is there. The neurobiology of
between clients. association with pos- mindfulness is the subject of multiple studies,
Christopher Willard, PsyD
itive mental health many of which explore how it influences stress
and resiliency. pathways in the brain, potentially promoting
Psychologists may have a particular need well-being and reducing symptoms of anxiety
for holistic interventions, Hersh says. In fact, he and depression. MRI scans have shown that
recently published a book, The Thriving Thera- mindfulness meditation can reduce the size of
pist: Sustainable Self-Care to Prevent Burnout the amygdala, the seat of the “fight or flight”
and Enhance Well-Being, to fill what he saw as stress response in the brain, and increase the
a critical need among those whose focus is on thickness of the prefrontal cortex, a brain region
helping others. associated with concentration and awareness.
“As psychologists, we may have had aspira- Studies on mindfulness also report an increase
tions from an early age to be the helper in the in grey matter density in brain regions involved
world, but we are as human as the next person. If in learning, memory, and emotion regulation.
we are not taking care of ourselves in appropriate Willard describes mindfulness as a vital tool
ways, we tend to be more at risk for compas- for psychologists to adopt into their own daily
sion fatigue, empathy absorption, and burnout,” lives as well: “I see mindfulness and other reset
Hersh says. “We may focus more exclusively on practices as an emotional disinfectant between
a cognitive approach to mental health—think dif- clients,” he says. “At the end of the day, we can
ferently and things will get better. But we feel, we also leave that emotion residue behind by taking
move, we are connected to others. Mind, body, a few breaths on the stoop or in the car before
and spirit cannot be separated,” he says. we walk in the door.”
Though psychologists may share similar chal- Hersh also employs what he calls a “zoom-in/
lenges, many also are experts on how to achieve zoom-out” mindfulness practice to calm and
self-care in these vitally important and interre- clear his mind between patients. He says he
lated domains. Following, several psychologists gently observes a nearby object in its entirety,
offer their strategies to help their peers approach like a tree outside the window. He then zooms in
holistic well-being. to inspect a leaf or branch and zooms out to per-
ceive the whole again. “There is something very
Nurture a peaceful mind calming about observing both the whole and a
Many aspects of modern life may be taxing our nuanced detail of something. And the ability to
brains to the point where we must consciously zoom in and zoom out at will is an amazing mind-
work to maintain cognitive health, let alone fulness and attention regulation skill,” he says.

Helping Ourselves: Self-Care Strategies for Psychologists 27


Engage in joyful movement Pick a joy choice—Move your body in a way
The benefits of physical exercise on mental health that feels good and is doable in that moment.
are well-known, but experts now think it may be If a grant deadline prohibits you from getting
even easier to reap its good effects. to bootcamp, for example, perhaps a walk around
According to the U.S. Department of Health the neighborhood will do. “You’re reaffirming suc-
and Human Services, optimal levels of exercise cess, not rigidity,” says Segar, adding: “Self-care
could be as little as 150 minutes of moderate-level becomes a personal necessity instead of some-
aerobic activity per week, such as walking, gar- thing on a to-do list.”
dening, or vigorous house work. The guidelines
also call for some kind of muscle strengthening Lean into your faith
activity a couple of days a week, such as lifting The role of spirituality in health and well-being
light weights or doing push-ups and crunches. has been a topic of growing interest in psy-
Yet per the Centers for Disease Control and Pre- chological research and practice. While it’s
vention, only about a third of Americans met difficult to quantify the effects of spirituality
these guidelines in 2020. on mental health in absolute terms, it is widely
Having a more open mindset about a vari- acknowledged as being an important source of
ety of activities can help, says Michelle Segar, connection and life satisfaction. It also can be a
PhD, behavioral scientist at the University of source of strength for psychologists, who, in a
Michigan and author of The Joy Choice: How to 2015 survey in Counseling and Psychotherapy
Finally Achieve Lasting Changes in Eating and Research, identified it as a key part of their self-
Exercise. Knowing that many daily activities count care, supporting their resiliency, work efficacy
as “exercise” can make fitness feel achievable and sense of identity.
and boost consistency. Having a rigid workout “We can lean into whatever our faith may
schedule can even be counterproductive and a be. That may be connecting with others in
turnoff, she says. your belief system, whether
Competing external demands often derail it’s a cultural practice or a
best-laid fitness, which can lead to stress and community ritual or going on
self-blame—and worse health behaviors in other a pilgrimage. These all bring
areas, such as eating habits. Perfectionists or meaning and balance to
driven high-achievers who lean towards all-or- our lives,” Christopher
nothing thinking may be particularly prone to Willard says.
exercise guilt. That might include psychologists, Nature, in par ticu-
suggests Segar, adding: “People who go for ter- lar, can be a source of
minal degrees and top-level positions tend to be spiritual inspiration.
very achievement oriented, so that means that Writers, philosophers
the criteria for success are even more tipped in and researchers have long
the favor of achievement.” linked time spent in the out-
“We have been socialized to think about self- doors with self-transcendence,
care behaviors in very prescriptive ways because conjuring a positive connection
that’s how the research is done. There are so to the vast world beyond our
many things we’re supposed to be doing: eating personal boundaries.
that, doing that. It’s hard to change your belief “You can go out and look
system, even when there’s a new recommenda- at the stars, for example, and
tion out,” Segar says. feel like you are being taken
Instead, research suggests that being flexible care of in such moments, helped by
and tapping a range of options leads to more sus- God, nature, or a universal energy,”
tainable behaviors. To promote that open-ended Hersh says.
thinking, Segar has developed a cognitive short- In a profession that can often be
cut she calls POP: solitary, it’s important to take time to connect
Pause—Recognize what’s pressing on you with others, adds Mindy Shoss, PhD, a psychol-
from your external environment that might ogy professor at the University of Central Florida:
impede your fitness plans; “I enjoy talking to working moms with shared
Options—Consider many ways to make prog- struggles. We can validate each other’s experi-
ress, no matter how incremental; ences and be supportive of each other.”

Helping Ourselves: Self-Care Strategies for Psychologists 28


Contemplative practices such as daily medi-
tation can also inspire a sense of transcendence
Breathing into stillness and connectedness. Of particular interest to
A practice rooted in ancient movement traditions, including yoga psychologists are practices centered around
and tai chi, controlled breathing can quickly usher a person from a loving-kindness meditation, an ancient practice
state of anxiety to relaxation. One technique to try is diaphragmatic with Buddhist roots that focuses on compassion
breathing, the “low and slow” breathing Hersh describes. and gratitude. Multiple studies suggest that it can
Breathing from the lower belly engages the diaphragm, which increase positive emotions, purpose in life, and
optimizes oxygen exchange. Some researchers theorize that this connection to others.
type of breathing stimulates the vagus nerve, a main component of In this practice, the meditator conjures up
the body’s parasympathetic nervous system, which regulates mood, thoughts of another person and silently repeats
heart rate, immunity and digestion. mantras invoking well-being for that person, such
Breaths should be steady and relaxed at a rate of about four per as, ‘May you be happy. May you be peaceful. May
minute, for five to 10 minutes. Breathing through the nose helps to you be healthy.’ The meditator then expands
regulate breath rhythm, as well as to moisturize and regulate the these thoughts to include themselves, the com-
temperature of the air intake. munity, and the world at large.
Steady diaphragmatic breathing is a great tool for dealing with As Hersh says, “It’s a way of thinking that pro-
acute stress, anger or fear, as it signals your body that you are in a motes being in touch with our own and others’
safe space, promoting the opposite of the “fight-or-flight” response. humanity, and the world beyond what we can
Instead, it eases you into a relaxation response, a physical state of see empirically. It can fuel our sense of spiritual-
deep rest. Over time, diaphragmatic breathing can reduce levels of ity and connection. We are all in the same boat.
the stress hormone cortisol, and is being used widely as a non-phar- Let’s be aware of each other. Let’s take care of
macological treatment for everything from depression to insomnia each other.”
to PTSD. For an example, see this guided loving-kind-
ness meditation by University of California,
Berkeley Greater Good Science Center. ●

Helping Ourselves: Self-Care Strategies for Psychologists 29


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