AMEDD Center & School Soldier & Family Support Branch https://cs.amedd.army.mil/sfsb/spss_prt.asp prt@amedd.army

1. AMEDD Center & SchoolSoldier & Family Support Branchhttps://www.cs.amedd.army.mil/sfsb/spss_prt.aspprt@amedd.army.mil Provider Resiliency Training Resident Course

2. That which is to give light must endure burning Vicktor Frankl, Man’s Search for Meaning, 1963

3. PRT Concepts & Definitions

4. PRT Concepts & Definitions • Provider Fatigue: • Impacts the individual who is exposed to those who have been directly traumatized • Encompasses military-specific operational stressors • Also known as Compassion Fatigue, Secondary Trauma, or Vicarious Traumatization Figley, 2005

5. Attitudes are contagious. Mine might kill you.

6. PRT Concepts & Definitions • Burnout: • Work-related (i.e., systemic stressors) • Gradual in onset with associated experiences of mental, physical and/or emotional exhaustion • Erosion of idealism (ARMY Values) • It may not be trauma related

7. BURNOUT!!

8. PRT Concepts & Definitions • Compassion Satisfaction: • The sense of satisfaction a Provider has when working

9. Questions to Consider • Why are you doing this work? • What do you enjoy most about the work that you do?

10. PRT Concepts & Definitions • Detachment • Allows us to maintain healthy boundaries and remain connected without being overwhelmed by trauma (professional detachment vs. indifference)

11. PRT Concepts and DefinitionsSynergistic Effects Primary Traumatic Stress Operational Stress (Military Unique Component) Secondary Traumatic Stress PROVIDER FATIGUE Burnout

12. Provider Fatigue (PF)Markers

13. Not all pain is gain.

14. PF Markers • Cognitive Markers • Intrusive thoughts • Decreased attention span • Thoughts of harm to self or others • Reduced sense of safety • Suspiciousness

15. PF Markers • Emotional Markers • Powerlessness • Anxiety/Fear • Anger/Irritability • Numbness • Shame

16. PF Markers • Behavioral Markers • Poor sleep • Appetite changes • Hypervigilant • Argumentative • Self-medicating

17. It’s always darkest just before it goes pitch black.

18. PF Markers • Spiritual Markers • Decreased sense of hope/purpose • Anger at God • Questioning of prior beliefs • Loss of compassion

19. PF Markers • Somatic Markers • Rapid heartbeat • Breathing difficulties • Aches and pains • Dizziness • Exhaustion

20. PF Markers • Relational (Social) Markers • Decreased interest in intimacy • Mistrust/Isolation • Overprotection as a parent • Interpersonal conflicts

21. PF Markers • Work Performance Effects • Low Morale • Absenteeism • Interpersonal conflict

22. I expected times like this- but I never thought they’d be so bad, so long, and so frequent.

23. Questions to Consider • How are you able to extend positive, healing energy to others without taking on their pain, distress, and negative energies?

24. Provider Fatigue • Even in the darkest of circumstances, Provider Fatigue can be: • Natural • Predictable • Manageable • Treatable

25. It could be that the purpose of your life is to serve as a warning to others.

26. Resiliency

27. What is Resiliency? • Resiliency is the ability to: • Sustain good health and well-being in stressful conditions • Bounce-back easily from setbacks • Cope well with non-stop change • Overcome adversity • Convert misfortune into good luck • Become stronger and better year after year Siebert, 2005

28. PRT Concepts and Definitions Resiliency: • Resiliency grows through healthy responses to stressors • Resiliency, for many, is a learned inner strength

29. The Resiliency Model: Disruptive Change

30. The Resiliency Model: Attack Mode • Attack Mode

31. The Resiliency Model: Numbness • Numbness

32. Getting Upset Choosing to become a victim, have others solve problems Versus Choosing to Cope, Resile, & Thrive The Resiliency Model: Getting Upset

33. The Resiliency Model:Your choice of Responses RESILIENCY CHART

34. It can turn a lump of coal into a flawless diamond, or an average person into a perfect basketcase.

35. Take Action

36. Resiliency Encouragement • Family of Origin Sayings/Slogans that encourage resiliency: • “You can do anything you put your mind to” • “Just do it” • “Be all that you can be”

37. Resilient Role Models

38. Resiliency Role Model

39. Questions to Consider • Are you a good role model of provider resiliency?

40. Resiliency Strength Building Activities • Manage your health through Self-Care • Be proactive in problem-solving • Increase self-strengths: self-esteem, self-confidence, and self-concept • Develop response choices • Learn good lessons from difficult situations

41. Building Resiliency Through Self-care

42. Questions to Consider • Write the answers to the following questions: • What is distressing, frustrating, or upsetting to you? • What is revitalizing and invigorating to you?

43. Resiliency Building Through Self-Care Physical • Through nutrition • Through exercise • Through good sleep routine

44. Resiliency Building Through Self-Care Mental • Relaxation techniques (meditation, yoga, music, deep breathing) • Hobbies/leisure activities • Through setting goals and making plans of actions

45. Resiliency Building Through Self-Care Emotional • Personal journal writing • Alone time • Acceptance of difficult situations • Finding time for humor

46. Resiliency Building Through Self-Care Social • Increase activities with family and friends • Join a new group activity (through church, intramural sports, etc.) • Find a way to become involved in community programs

47. Resiliency Building Through Self-Care Spiritual • Through prayer • Through reading inspirational/ devotional material • Through fellowship • Through forgiveness

48. Resiliency Building Through Healthy Responses • Self-soothing • Calm oneself emotionally when facing stressful situations • The purpose of calming in an anxious situation is to clear one’s mind for problem-solving & self-evaluating

49. Resiliency Building Through Healthy Responses • Self-evaluating • Why am I anxious? • What am I doing well? • What can I do better? • How can I grow from difficult situations?

50. Questions to Consider • Have you found that one of your worst experiences was also a valuable experience?