Episode #22: Trauma Stewardship with Elizabeth Shain MM, MT-BC, NICU-MT

In this episode we sit down with Elizabeth Shain, MT-BC, NICU-MT to speak about Trauma Stewardship. This is of paramount importance in today’s society. It is an in depth discussion on caring for ourselves as we care for others.

Trauma Stewardship is being fully present with others in their pain, trauma, and suffering without taking it on as our own. It is a long-term approach to tending to our own wholeness so we can be helpful to others in our full integrity. 

  • term founded by Laura van Dernoot Lipsky, the founder and director of The Trauma Stewardship Institute.

Primary Trauma: when you yourself survive something that fundamentally changes your worldview. (E.g., losing a parent to cancer, natural disasters, chronic illness

Vicarious Trauma: exposure to someone else’s trauma over time also known as: compassion fatigue, empathic strain, and secondary trauma.

16 warning signs of the Trauma Exposure Response:

  1. Sense of doom/hopelessness

  2. Feeling the weight of systemic oppression (“I can never do enough”)

  3. Remaining in a state of hypervigilance/hyperarousal

  4. Decreased creativity/increased need for structure

  5. Inability to embrace complexity

  6. Minimizing your own suffering

  7. Chronic exhaustion/new onset of physical ailments

  8. Inability to listen/deliberate avoidance

  9. New onset of dissociative moments

  10. Feeling a sense of persecution

  11. Guilt

  12. Fear

  13. Anger and Cynicism

  14. Inability to empathize/numbing/feeling overwhelmed and overstimulated

  15. New onset of addiction/relapse of former addiction

  16. Grandiosity/inflated sense of one’s work (work = identity)


Steps towards Trauma Stewardship 

Step 1: Explore our own values and purpose, feelings and emotions, and past experiences and the meaning we continue to make of them.

  • Regularly check in with yourself.

  • Notice where you are holding pain and suffering in your body

Step 2: Seek support from others

  • Seek peer supervision from clinicians who are doing similar work.

  • If your work environment is unhealthy, you may need to do some serious reflection about whether or not you can continue in that environment long term.

Step 3: Create healthy boundaries and practice self-care.

  • Create a mental compartment for your work.

  • Create a routine that helps you put that work away each night.

  • Find practical ways to care for yourself throughout the day.


Sources:

Trauma Stewardship: An Everyday Guide to Caring for Self While Caring for Others by Laura van Dernoot Lipsky, the founder and director of The Trauma Stewardship Institute

The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma by Bessel VanDerKolk, 

In the Body of the World by Eve Ensler


Other podcast episodes that compliment this episode: 

Episode #1: Trauma Informed Care - A Review and Call to Action

Episode #6: Clinical Strategies Through the Lens of Trauma-Informed Care

Episode #9: Attachment - What Is It and Why Is It Important?

Episode #11: 5 Ways to Care for Your Physical Wellness Everyday

Episode #12: Music and Trauma-Informed Care

Episode #14: Polyvagal Theory and Music Therapy

Episode #16: Stress Cycle, Connection and Rest

Episode #20: The Importance of Rest and How to Make It Happen! 

The Music Therapy Podcast 

Episode #15: Transitions Series - Part 1: How Transitions Affect Me, Others, and Us

Episode #17: Transition Series - Part 2: Strategies and Music for ME!