Self Care And Burnout Prevention: Cognitive Behavioral Strategies
#burnout #stressmanagement #cognitivebehavioral #ethics
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Ethics, Burnout & Self Care
Dr. Dawn-Elise Snipes, PhD, LPC-MHSP
Objectives
Identify signs and causes of burnout
Explore techniques for burnout prevention
Burnout is associated with suboptimal care and reduced patient safety. 1, 3, 4
High demands are associated with greater risk of burnout, regardless of level of other work supports. 2
Suboptimal care can negatively impact the public’s view of the profession and deter people from seeking treatment
26% of MAT counselors in one study reported burnout
Depersonalization is characterized by loss of empathy and
Your Brain on Stress
Even mild acute uncontrollable stress can cause
Prolonged stress exposure Anatomical changes in prefrontal nerve cells and amygdala enlargement
Focus, Attention
Self Control of Behavior and Speech
Plan and Organize
Perspective Taking
Cognitive Flexibility
Medical and other Decision Making
Ability to Defer Gratification
Estimating Time
Working Memory
Ethics
In 1996, the National Association of Social Workers updated the NASW Code of Ethics to cover issues of professional impairment (section 4.05).
Social workers who experience these problems should “immediately seek consultation and take appropriate remedial action” by seeking professional help, making adjustments in workload, terminating practice, or taking any other steps necessary to protect clients and others”
Social workers with direct knowledge of another social worker’s impairment should, when feasible, consult with and assist the social worker in taking remedial action
Signs of Burnout
Physical and emotional exhaustion
Insomnia
Impaired concentration or memory
Physical symptoms (heart palpitations, HBP)
Appetite changes
Increased illness
Increases in depression and/or anxiety
Absence of positive emotions
Cynicism and disillusionment
Lack of patience
Lack of resilience (everything is a crisis)
Relationship deterioration
Substance abuse
Forgoing important personal activities
Malasch Burnout Inventory
The Maslach Burnout Inventory (MBI) is the most commonly used self assessment tool for burnout
The MBI explores three components: Exhaustion, depersonalization and personal achievement.
MBI pdf C. Maslach, S.E. Jackson, M.P. Leiter (Eds.), Maslach Burnout Inventory manual (3rd ed.), Consulting Psychologists Press (1996)
Abbreviated MBI from SAMHSA
Causes of Burnout
Excessive workload
Emotionally draining work
Lack of support
Lack of resources
Lack of rewards
Lack of a sense of control/say
Unclear or everchanging requirements
Severe consequences of mistakes
Work/life imbalance
Perfectionistic tendencies; nothing is ever good enough
Pessimistic view of yourself and the world
The need to be in control; reluctance to delegate to others
High-achieving, Type A personality
Poor work/person fit
Value conflicts
Lack of debriefing (See Restoring Sanctuary by Sandra L. Bloom)
Unpleasant environment
Cultural differences
Efficiency Audit
Morale Audit
Individual Interventions
Conduct periodic self-assessments
Engage in pleasurable activities
Exercise
Take breaks during workday
Reduce isolation by maintaining regular supervision and network with colleagues
Describe why you got into the field and visualize that intention (collage, etc)—money, help, adrenaline, status/power
Use psychological flexibility
Cognitive restructuring
Identify the strengths and resources you do have
Practice mindfulness
Journal
Limit your contact with negative people
Connect with a cause or a community group that is personally meaningful to you
Interventions (GODIVA)
Put the PIECES Together
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Very useful and enlightening
Thanks for the video
Another fantastic video! Thank you! I’m a clinical psychologist and this is super helpful. 🙏
I appreciate all your videos Dr. Snipes. I am learning a lot from your psychoeducational topics. Million thanks for your hard work. Elli
Caffeinated Coffee is very CALMING. COFFEE IS A SLEEP AID. SLUMBER comes in FAST. NO TIME to get ready for bed. Exhausted. Not able to take a SHOWER. End Up dosing off. Burning OUT.
COGNITIVE FUNCTION IMPAIRED. IS NT THIS WHAT The majority of Humans are experiencing day in and day out around the world of WORK. EXPECTATIONS. UNREAL GOALS. HAVING IT ALL. DOING ALL THE THINGS WE FEEL WE WANT TO HA VE. RUSH through our LIVES at lighting Speed. Vacations are NOT REFRESHING. RUSHING TO and From. Rush to go to SLUMBER. A FAKE SLUMBER helped with medicine to artificially SLUMBER. NO WONDER we have MENTAL U WELLNESS. Then ADD ALL THE AIR POLLUTION, NOISE POLLUTION, WATER POLLUTION CHEMICALS RAINING DOWN ON THE PEOPLE, ANIMALS, & ON OUR FOOD SUPPLIES. LOOK AT ALL THE BEAUTIFUL LAND of TREE FORRESTS BEING CUT DOWN EVERYWHERE. DEVASTATING MANMADE CHANGES. NOT FOR OUR HEALTH. BUT FOR GREED ,POWER, HATE Power, MONEYRICHES POWER. NEGATIVE COMPETITIVE POWERS CREATE FEARS. OUR BODIES ARE ON HIGH ALERT for impending danger situations SCENARIOS. WHOM CAN TRULY TAKE THEIR TIME TO ENJOY THEIR WORK, & HOME LEISURES.. RECHARGE. ENJOY THEIR PERSONAL LIFESTYLES. OR EDUCATION & ADVANCED?????????? EXPLAIN. CAN YOU? PLEASE?
Yes major stress @lorraineamicothemakeupartist
I do not work in your field, but this topic of burnout is equally relevant to anyone who works in a corporate setting. I wish there was an equivalent society that would educate corporate leadership about this topic of burnout. I have been working in the corporate world for 35 yrs. I’ve always believed in getting the job done and my workday would frequently creep beyond 5pm (especially since Covid started). I’m noticing that the certain classes of employees seem to have the opposite problem – they don’t see the necessity to push themselves at all to get the job done. So when it comes to work-life balance, they are more "life" than "work" while I feel the opposite.
And the kicker is that the company I work for touts "work-life" balance for all employees! The contributing factor to burnout is the "flatness" of our organizational structure. Because there is a small pool of employees who do certain job functions, this places higher demands on some individuals. Their scale of "work-life" balance is more often tipped towards "work", and that means they are more burnout prone. Management seems to be blind to this fact, and their response is punitive when it needs to be compassionate. Also, mixing type A-high achieving employees with those who are "non-type A" has had detrimental effects on the workplace morale. It’s especially frustrating to witness management excuse those who are "non-type A" and give them more latitude for NOT delivering at the same rate and standard as those who are type A high achievers.
Practice what you all preach & TEACH. YOU ARE THE EXAMPLE. GUILT.
C-PTSD IS AOT OF PROLONGED STRESS CORRECT?YES, I LIKE YOU DR.SNIPES EXPERIENCE STRESSORS DAILY
When it’s getting worse you can’t just run away.
Tell the truth to your self that you are tired
I want to be a film director and producer!!! Today, I’m working on my mental health problems and issues. Also, my family cut off and my dream house wish list!!😎🐣🐶🐯🙊🐬🐳🐪🦌🦮🐕🦺🦜🦚🦃🐲🐁🐉
A PART OF SELF CARE IS TO TAKE A BREAK OR VACATION IF NEEDED..SELF CARE & SELF LOVE IS IMPORTANT AS WE GET MORE STRESSED
1:27:00 morale audit section
Treatment compliant??? Easy?
Your Amazingly Funny please don’t get so personal, please calm down, hehe your funny.
I FEEL I GET REALLY VALID PROFESSIONAL ADVICE TRAINING& EDUCATION HERE ..LIKE IM BACK IN COLLEGE TAKING ALL THE PSYCHOLOGY CLASSES AVAILABLE TO ME .. I ADMIRE AND CONSIDER DR.SNIPES EXCELLENT a EXCELLENT TEACHER & GREAT MENTOR ON YOUTUBE
Great teaching thank you Doc Snipes 🙌🏻☀️
Last night, a girl was telling me about her sexual assault by a man who disregarded her boundaries. This rant from her gave me a bizarre response that was icky and upset me.
is these video copy righted
Great,,,, really an amazing and highly informative:::: watch your programs interestingly…… love you from India🌹🌸🌾🌻💤
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Excessive work LOAD.
CLARIFYING…
I was very burnt out so I quit my drug counselor job last week, now I’m happy! Probably had the worst supervisor ever, a PhD psychologist with malignant narcissism
Thanks doc snipes you re my Angel.braaaavaaaa
This is our FAMILY THERAPIST.
THANK YOU DR. .SNIPES FROM YOUR FAVORITE SEXY ASS DJ’S 🚬🔥🔥🚬🔥🔥🚬🚭🚬🔥🔥🚬🎼🎶🎶☔💋🎸🎸☔🎶🎵🎵🕷️😎😎🕸️🎵⚖️⚖️🎧⚖️🎧🎧🎧🕷️🕸️🕷️🎵⚖️⚖️💯🔥💯🔥💯🙏🙏🙏🙏📸🤳🎶🎼
I’ve got no money, tax write off. Thanks for the donation.
very informative, wished i found this earlier
Today, after twenty nine years of procrastination, I’m starting my own you tube business! I’m going to write a book/screen play! Also, I’m curious about being a Psychiatrist who heals people with holistic healing like acupuncture and tai chi!!!😂❤
You guys are the best.
Thank you sweetie for the video
Courageous CONFIDENTec to Speak UP. 👍👍👍👍👍
Thumbs up!! Please keep the power point slides forever. They make it easier to relax and not be distracted by note taking. Your videos are always very informative, practical, in plain language and helpful when I don’t have a therapist. Thanks and I pray God blesses you abundantly.
Bravo, the finance industry really needs this, god bless you – and your bliss.
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Hi Dr. Snipes!!! Brilliant video!!! I’m trying to look on the bright side of life to reduce stress management problems.😂❤❤
Thank you @lorraineamicothemakeupartist
I remember as a kid, I watched a movie Chitty Chitty Bang Bang! The bad guy said, I smell children! He reminds me of my dad!
Demanding LOAD.
😅 hi my name is Tavis I have autism, I just recently figured that out maybe two years ago it helps to know what my issue is and it’s better and really helpful to learn thank you
Deeply grateful for this! Where can i get a download of the slides in this presentation if this is possible?
Thank you again ❤️🙏🕊
Everyone should listen to this
God bless you and your family and friends forever in Jesus name
The problem with the National AASW Code of ethics is sometimes not everyone initially identifies their personal problems are impacting on their work as stress and burnout can sneak up on us. O get where they are coming from with the codes of ethics though.
I used to be an educator. I just couldn’t take the parents anymore and my care for the kids was sub par. I don’t understand how parents can not understand that treating the people who care for their kids like crap means that person no longer cares about your kid! So many kids with developmental delays and parents who just didn’t care. Burn out was so bad for me. I stopped working and am now changing careers. I am so done. The worst part is that I am a damn good educator and kids love me.
What is the best interests for the CLIENT ?????
ALL KINDS OF EMPLOYMENTS, & RELATIONSHIPS, ALL KINDS OF BURN OUT, COMPLETE EXHAUSTION, WORN DOWN & OUT.
Insights into burn-out that have helped me a lot: Careful with over-identification with outcomes. Do good work, but you can’t expect every effort to be successful. Careful with taking on more than your share of the burden of achievement of the desired outcomes. My job is to notice when to inform and assist, even if that happens repeatedly, even continuously with your most challenging situations.
In other words, be at peace that your best efforts may fail and that those you work with may fail utterly. Allow people the permission to fail and you will give them more room to succeed. Make sure that your ruler of self-success is based on effort and not outcome.
Excellent presentation💯👍🏾
I think i am facing this for a second time . Being in college. Facing financial issues and a lifestyle change. My spouse is a retired piano tuner and blind. He has anxious attention. i have anxiety and MDD. I am aware of my surroundings. I am also sight impaired. a lot of comorbidity going on there. My neighbor who is also handicapped she needs a person for light chores and I get a bit of pocket money. I am concerned of our country and Democracy. Being able to vote. This video scenario prepares me mentally for what I will be in for with the field of Psychology. i want to be a online therapist. I am listening to you for good advice and wisdom, knowledge. thank you for what you do you are helping me as a student.