Elizabeth is a 26-year-old woman working for a community mental health center as a trauma counselor. She has a large caseload that is primarily made up of sexually abused children and combat veterans. She has come to believe that there is much evil in the world. Elizabeth has not missed one day of work, but has started being late three out of five work days and she tends to leave her clients sitting in the lobby longer than necessary. Elizabeth continues to see all of her clients but finds that her mind wanders during sessions and sometimes she has to ask clients to repeat themselves due to her inability to concentrate.
1. How would you interpret Elizabeth’s symptoms? Do you see signs of burnout?
2. Does Elizabeth demonstrate traits of vicarious trauma?
3. In your opinion, does Elizabeth seem impaired? What, if any, intervention would you recommend for her?
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