The Hidden Epidemic: Vicarious Trauma and Burnout in Healthcare Professionals

When we spend our lives in the service of others, we are....Read More

Published on
January 27, 2025
|
By Bobbi McGraw

The Hidden Epidemic: Vicarious Trauma and Burnout in Healthcare Professionals

Have you ever wondered how deeply helping others can affect those who do the helping? Every day, doctors, nurses, and other healthcare professionals dedicate themselves to taking care of others, neglecting their own mental and emotional health in the process. Their efforts to save lives and offer comfort place an unseen cost on them: vicarious trauma. It is a heavy emotional weight that may lead to burnout, fatigue, and even the loss of meaning in one's career if left unchecked. 

In this blog, we’ll explore what vicarious trauma is, how it affects healthcare professionals, and actionable strategies to manage its impact while fostering resilience and balance. 

What is Vicarious Trauma? 

Vicarious trauma takes place when health professionals are consistently exposed to the suffering and trauma of patients. Unlike direct trauma, which is learned directly through experience, vicarious trauma is learned through empathic engagement-being immersed 

in the lives and pain of whom you care about (Trauma Stewardship Institute, 2025). This, with time, will change your outlook, chip away at your emotional endurance, and you will be feeling estranged from the work you once held as so valuable. 

Signs of Vicarious Trauma in Health Professionals:

  • Changes in worldview: Optimism shifts to cynicism or hopelessness.
  • Emotional exhaustion: Feeling drained, numb, or cut off from others.
  • Physical symptoms: Chronic headaches or fatigue, along with other unexplained complaints.
  • Sleep disturbances: Nightmares and difficulty falling or staying asleep.
  • Boundary issues: Letting work pressure intrude on personal life.
  • Withdrawal: Isolating from relationships and activities you once enjoyed.
  • Loss of meaning: Feeling that your work no longer matters or questioning its value.

These are the first steps toward healing and preventing burnout. 

The Intersection of Vicarious Trauma and Physician/Nurse Burnout

Burnout and vicarious traumatization are closely related. The word burnout describes people who experience emotional exhaustion, depersonalization, and reduced feelings of accomplishment. The chronic stress of human suffering would only serve to perpetuate burnout. In a medical or nursing practice where patient loads are high and hours of work are long and emotionally charged, the risks of burnout are multiplied by the influence of vicarious traumatization. 

Newest studies indicate that more than 40% of physicians and also an equal percent of nurses, claim to manifest burnout signs. Without intervention, this could escalate to depression, anxiety, and even cause professionals to leave the medical field (Maslach & Leiter, 2016; Trauma Stewardship Institute, 2025).

Strategies to Manage and Overcome Vicarious Trauma 

Managing vicarious trauma requires a balance of individual practices and organizational support systems. Following are evidence-based strategies to prevent its effects or build resilience: 

1. Five Directions for Managing Vicarious Trauma 

From the Trauma Stewardship Institute by Laura van Dernoot Lipsky, these are really powerful tools for healthcare professionals: 

Create space for inquiry: by frequently asking yourself reflective questions, for example, "Why am I doing this work?" and "How can I make it work for me?" Self-awareness at such a deep level orients your efforts in alignment with your values. 

Select Focus: Balance the attention to vicarious post-traumatic growth (VPTG) and vicarious trauma. VPTG stands for positive changes created through resilience and meaning-making in the work. 

Build Compassion and Community: Shared understanding and healing opportunities are available in peer support groups, chaplain services, and professional networks. 

Find Balance: As Thomas Merton said, "Happiness is not a matter of intensity but of balance and order and rhythm and harmony." Balance professional demands with restorative practices.

Practice Daily Centering: Engage in sustainable self-care 

routines—mindfulness, journaling, or even a brief breathing exercise—to center yourself daily. 

2. Organizational Support and Resources 

Organizations must play an active role in addressing vicarious trauma and burnout by: 

Implementing wellness programs: Regular check-ins, Employee Assistance Programs (EAPs), and mental health resources tailored to healthcare workers. 

Encouraging professional development: Training on trauma-informed care and resilience-building techniques. 

Reducing workloads: Ensuring manageable schedules to minimize fatigue and increase recovery time. 

Fostering a culture of openness: Normalizing conversations around mental health to reduce stigma. 

3. Personal Resilience Practices 

Mindfulness and meditation: Research demonstrates that mindfulness decreases stress and enhances emotional regulation (Kabat-Zinn, 1994). 

Boundaries: Establish firm boundaries between work and personal life, and avoid bringing work-related stress home.

Leisure and hobbies: Engage in enjoyable activities to recharge your energy and creativity. (Pressman et al., 2009). 

Connection: Put resources into family and friends, as well as supportive colleagues, to build an emotional foundation. 

Final thoughts: Reclaiming the meaning in medicine 

Vicarious trauma and burnout are not unconquerable obstacles. With deliberate strategies and support, physicians and nurses can reignite their purpose and passion for the practice. Remember, your well-being is not just crucial for you but also to your patients and communities. 

As we continue to care for others, let’s not forget to care for ourselves. You matter, and your happiness and resilience are key to a long and fulfilling career in healthcare.

Resources and Support:

  • Trauma Stewardship Institute: Website
  • MyOmnia: Call or text 385-298-8152 for a vetted therapist or visit MyOmnia
  • Trauma Exposure Response Wheel: Explore more tools at the Trauma Stewardship Institute.

References

  • Trauma Stewardship Institute. (2025). Vicarious Trauma: The Hidden Cost of Helping Professions. Retrieved from Trauma Stewardship Institute.
  • Merton, T. (1955). Thoughts in Solitude. Farrar, Straus and Giroux.
  • Lipsky, L. V. D. (2009). Trauma Stewardship: An Everyday Guide to Caring for Self While Caring for Others. Berrett-Koehler Publishers.
  • Maslach, C., & Leiter, M. P. (2016). Understanding the Burnout Experience: Recent Research and Its Implications for Psychiatry. World Psychiatry, 15(2), 103–111.
  • Pressman, S. D., Matthews, K. A., Cohen, S., Martire, L. M., Scheier, M. F., & Baum, A. (2009). Association of Enjoyable Leisure Activities with Psychological and Physical Well-Being. Psychosomatic Medicine, 71(7), 725–732.
  • Kabat-Zinn, J. (1994). Wherever You Go, There You Are: Mindfulness Meditation in Everyday Life. Hyperion.
  • Figley, C. R. (1995). Compassion Fatigue: Coping with Secondary Traumatic Stress Disorder in Those Who Treat the Traumatized. Brunner/Mazel.

Recent Posts

Stay Informed

Latest Blogs

Explore insightful articles and expert advice on wellness, mental health, and personal development. Our blogs are designed to inform, inspire, and empower you on your journey to a healthier, more balanced life.