The concept of vicarious trauma is particularly pertinent for behavioral health caregivers who routinely confront the emotional and psychological impacts of their clients experiences. As these professionals witness the trauma and suffering of those they serve, they may endure secondary traumatic stress, which can lead to significant mental health challenges, including burnout and compassion fatigue. In light of the COVID-19 pandemic, the prevalence of vicarious trauma among healthcare providers has become even more pronounced, exacerbated by the toll of direct exposure to traumatic events in clinical settings (Collins et al., 2023). Furthermore, caregivers with external responsibilities, such as caring for dependents, are likely to experience heightened stress levels, complicating their ability to cope effectively with the demands of their profession (Javangwe et al., 2020). Recognizing and addressing these factors is crucial for developing supportive frameworks that foster resilience and promote mental well-being among behavioral health caregivers.
Vicarious trauma can challenge any caregiver, counselor, pastor, or educator. When hearing about a horrible story about abuse, it is only natural to feel repulsed by the details and pain someone feels. These stories can trigger not only our natural disgust but also potentially things in the past. Compton uses the term absorption vulnerability to describe the indirect trauma. Due to long hours, lack of support, and lack of trauma training, professionals can begin to absorb trauma that can filter into one’s life. This has nothing to do with burnout but has everything to do with the filtering of trauma. This indirect trauma can negatively effect world views, beliefs, relationships at home, as well as cause an existential crisis and impact on faith (Compton, 2024, p.236-237). Absorption vulnerability can also be effected by personal trauma history as well as one’s personal triggers.
It is also important for counselors as co-regulators to the client to also regulate themselves. Sometimes a story by a client can de-regulate the counselor. Sometimes, maybe, despite one’s unconditional positive regard, a counselor can be repulsed internally to a client and their views and what he or she does or says. Counselors hence as human beings can become deregulated . It is important for counselors to utilize the same grounding techniques they use with clients with themselves when such things occur. Hypoarousal requiring activation and hyperarousal requiring settling techniques can be needed. Counselors need to be discreet when grounding themselves because if they do not, they then can become ineffective. They can lose empathy, concentration and basic listening skills to help the client while they face their own issue. Breathwork, cognitive labeling, counting and naming things quietly are all ways a counselor can quietly ground oneself. Sometimes, a glass of water, or tea, or coffee can help, or in other situations having a stress ball to squeeze, or even a short break to stretch. Counselors can discreetly also benefit through encouraging the client to partake in these practices as well. This makes one’s own dysregulation less apparent and less harmful to the client.