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Vicarious Trauma Treatment in Spokane, Washington

In the realm of emotional well-being, vicarious trauma emerges as a profound and often overlooked phenomenon. While individuals directly exposed to traumatic events are no strangers to its debilitating effects, those who bear witness to such experiences from a distance can also suffer deeply. Vicarious trauma, also known as secondary traumatic stress, affects individuals who provide support, care, or counseling to those who have experienced trauma. This article delves into the symptoms and causes of vicarious trauma, shedding light on the hidden toll it takes on those who stand on the frontlines of compassion.


By We Level Up WA | Author Alex Evans, PharmD, MBA | Editorial Policy | Research Policy

Vicarious trauma, sometimes called secondary traumatic stress, occurs when you’re repeatedly exposed to the suffering and trauma of others. It’s the emotional cost of caring deeply for people who have experienced traumatic events. For healthcare workers, first responders, therapists, social workers, and even family caregivers, this invisible burden can accumulate over time, affecting your mental health, relationships, and overall quality of life.

The weight of carrying others’ pain isn’t just emotionally taxing—it can fundamentally change how you see the world.

Understanding Vicarious Trauma

What is Vicarious Trauma?

Vicarious trauma develops through a cumulative process of absorbing the emotional pain of those you help or support. Unlike burnout, which stems primarily from workplace stress and exhaustion, vicarious trauma specifically results from empathic engagement with others’ traumatic experiences.

When you repeatedly witness or hear about traumatic events, whether as a therapist listening to clients’ stories, a nurse caring for victims of violence, or a family member supporting a loved one through trauma, your brain can begin processing these experiences as if they were happening to you. This can alter your cognitive schemas, which are the fundamental beliefs you hold about yourself, others, and the world.

The process happens gradually, often without your awareness, until you find yourself experiencing intrusive thoughts, emotional numbness, or a profound shift in how you view safety and trust in the world.

Who is Affected?

While mental health professionals were among the first groups identified as vulnerable to vicarious trauma, we now recognize that this condition affects many helping professions and others.

This could include:

  • Therapists, counselors, and social workers
  • Emergency responders (paramedics, firefighters, police)
  • Healthcare professionals, particularly those in emergency medicine, oncology, or trauma units
  • Attorneys and judges working with traumatized clients
  • Journalists covering traumatic events
  • Child welfare workers
  • Domestic violence and sexual assault advocates
  • Family members caring for trauma survivors
  • Teachers working with traumatized children

Even those who engage with traumatic content through media, such as content moderators for social platforms or researchers studying traumatic events, can develop symptoms of vicarious trauma. 

In Washington state, with its robust healthcare, social service, and first responder networks, thousands of professionals face this risk daily.

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Holding Hands
Holding Hands

Symptoms and Effects of Vicarious Trauma

distressed man clutching his head in pain following a traumatic experience

Physical Signs:

  • Chronic fatigue that doesn’t improve with rest
  • Sleep disturbances, including insomnia or hypersomnia
  • Headaches or gastrointestinal issues without medical cause
  • Increased startle response

Vicarious trauma manifests differently for each person, but certain patterns emerge across emotional, cognitive, and physical domains. Recognizing these signs early can be crucial for intervention and recovery.

Emotional Signs:

  • Persistent sadness or unexplained emotional shifts
  • Increased anxiety, particularly about safety
  • Irritability or a shortened emotional fuse
  • Emotional numbness or detachment
  • Feeling overwhelmed by others’ needs

Cognitive Signs:

  • Intrusive thoughts about clients’ or patients’ traumatic experiences
  • Nightmares or disturbing dreams related to others’ trauma
  • Developing increasingly rigid thinking about safety or risk
  • Changes in spiritual or religious beliefs

Life Impacts

The effects of vicarious trauma extend far beyond the workplace, often infiltrating personal relationships and overall quality of life.

In relationships, individuals may withdraw from friends and family, struggle to be emotionally present with loved ones, and experience increased conflict in personal connections. Overprotectiveness, especially toward children, may arise, and interest in both physical and emotional intimacy can diminish. 

Professionally, the impact may show up as reduced empathy or compassion fatigue, increased absenteeism, or even a desire to leave one’s field altogether. Some may find themselves crossing professional boundaries, feeling less effective in their work, or facing ethical lapses in judgment. 

On a broader scale, vicarious trauma can shift a person’s worldview, leading to a heightened sense of vulnerability or danger, a loss of faith in human goodness, and growing cynicism toward social systems. People may begin to question long-held beliefs about meaning and purpose, feeling increasingly disconnected from their communities and the world around them.

Without intervention, these effects can compound over time, potentially leading to more severe conditions like depression, anxiety disorders, or substance use issues. The good news is that with proper support and treatment, recovery is not only possible but can lead to greater resilience and professional satisfaction.

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Vicarious Trauma Statistics

This section delves into the often-overlooked realm of vicarious trauma and sheds light on its prevalence through compelling statistics. These numbers unveil the hidden toll that witnessing and supporting others through trauma can have on individuals. By understanding the scope of vicarious trauma and its impact on various professions and caregivers, we can recognize the urgency of addressing this vital aspect of emotional well-being.


85%

Approximately 16% to 85% of professionals in the fields of healthcare, social work, and mental health experience symptoms of vicarious trauma during their careers.

Source: Journal of Traumatic Stress

71%

Among child welfare workers, an alarming 71% reported experiencing symptoms of vicarious trauma, such as emotional exhaustion and intrusive thoughts.

Source: National Child Traumatic Stress Network

75%

Up to 75% of lawyers working with trauma-exposed clients, such as survivors of domestic violence or child abuse, reported significant vicarious trauma symptoms.

Source: American Bar Association

How We Level Up Washington Can Help

At We Level Up Washington, we can help address the unique needs of those experiencing vicarious trauma. Our approach recognizes that healing requires attention to both the personal and professional dimensions of your life.

Our comprehensive support includes:

  • Specialized Assessment: Using validated tools to identify the specific ways vicarious trauma is affecting your life and work
  • Individual Therapy: One-on-one sessions with clinicians experienced in treating helping professionals
  • Group Therapy: Connecting with others who truly understand your experience
  • Professional Consultation: Guidance on creating healthier workplace boundaries and practices
  • Family Support: Resources for loved ones to understand and support your healing process

We offer flexible scheduling options to accommodate the demanding schedules of helping professionals. 

Personalized Treatment Plans

We recognize that each person’s experience with vicarious trauma is unique. Your treatment plan will be tailored to address your specific symptoms, professional context, and personal needs.

Your personalized plan might include:

  • Targeted interventions for specific symptoms like sleep disturbance or anxiety
  • Strategies to restore work-life balance
  • Techniques for maintaining professional effectiveness while protecting your well-being
  • Approaches to rebuild connections with loved ones
  • Methods to reclaim joy and meaning in both personal and professional life

Throughout treatment, we continuously assess progress and adjust approaches as needed, ensuring that your care evolves with your changing needs.

adults connect and share stories in a comforting group therapy session focused on trauma healing

Resilience and Coping

Beyond addressing current symptoms, our programs focus on building lasting resilience to prevent future vicarious trauma. We equip you with practical tools and strategies that can be integrated into your daily life and work.

These include:

  • Mindfulness practices tailored for helping professionals
  • Sustainable self-care routines that fit your real life
  • Boundary-setting techniques for professional contexts
  • Emotional regulation skills for high-stress situations
  • Cognitive strategies to maintain perspective when exposed to others’ trauma
  • Community-building approaches to reduce professional isolation

Our goal isn’t just to help you recover from vicarious trauma but to transform how you engage with your work, allowing you to maintain your compassion and effectiveness while protecting your well-being.

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Treatment Approaches and Therapies

Evidence-Based Methods

Our treatment approaches draw from well-researched interventions, adapted for vicarious trauma.

Cognitive-Behavioral Therapy (CBT): CBT helps identify and modify the distorted thought patterns that often develop through vicarious trauma. Through CBT, you’ll learn to recognize these thoughts and develop more balanced perspectives that acknowledge both the suffering you witness and the resilience and healing that’s possible.

Mindfulness-Based Interventions: Mindfulness practices help ground you in the present moment, creating space between you and the traumatic material you encounter. Our program includes both formal meditation practices and informal mindfulness techniques that can be used during your workday.

Trauma-Focused Approaches: Adaptations of evidence-based trauma treatments like EMDR (Eye Movement Desensitization and Reprocessing) can help process the secondary trauma you’ve absorbed. These approaches help your brain properly integrate traumatic material, reducing intrusive thoughts and emotional reactivity.

Narrative Therapy: This approach helps you reclaim your personal and professional narrative from the effects of vicarious trauma. By externally examining the stories you’ve developed about yourself and your work, you can identify where vicarious trauma has influenced your perspective and create new, more empowering narratives.

two hands holding close-up, representing supportive care, therapy, and holistic treatment approaches

Holistic Care

Recognizing that vicarious trauma affects the whole person, our treatment includes holistic treatment that addresses physical, emotional, and spiritual well-being:

  • Somatic (body-based) techniques to release trauma held in the body
  • Stress management workshops focusing on practical daily tools
  • Sleep hygiene interventions to improve rest and recovery
  • Nutritional guidance to support mental health
  • Movement therapies like yoga or tai chi adapted for trauma recovery
  • Creative expression through art, writing, or music to process experiences

These approaches work synergistically with our evidence-based therapies to promote comprehensive healing.

Ongoing Support

Recovery from vicarious trauma isn’t a one-time event but an ongoing process. We provide resources and support for sustained well-being:

  • Consultation services for organizations seeking to create trauma-informed environments
  • Alumni groups to maintain connection with others who understand your experience
  • Refresher sessions to reinforce skills during high-stress periods

Our commitment to your well-being extends beyond your formal treatment period, ensuring you have the support you need to maintain resilience throughout your career.

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About We Level Up WA

Our clinical team brings specialized expertise in trauma-informed care, with specific training in vicarious trauma and the unique needs of helping professionals.

Many of our team members have backgrounds in the very fields our clients come from—healthcare, emergency services, mental health, and social work—providing a deep understanding of the professional contexts in which vicarious trauma develops.

Our Washington facility offers a safe, confidential environment specifically designed to promote healing and restoration. We also offer flexible scheduling options, including evening and weekend appointments, to accommodate the demanding schedules of helping professionals.

Taking the First Step

If you recognize the signs of vicarious trauma in yourself or a colleague, reaching out for support is an act of professional responsibility and self-care. The skills and compassion that make you effective in your work deserve to be protected and nurtured.

At We Level Up Washington, we understand that seeking help can feel challenging, especially for those accustomed to being the helper rather than the helped. Our intake process is designed to be respectful, confidential, and attuned to the unique concerns of helping professionals.

To begin your journey toward healing and renewed resilience, call our confidential helpline at 509-348-4077 to speak with a specialist who understands vicarious trauma.

Remember that addressing vicarious trauma doesn’t mean you need to step away from your important work. Instead, it means gaining the tools and support to continue making a difference while protecting your well-being. Your commitment to helping others is valuable—and so is your health and happiness.

Get help. Get better. Get your life back. We’re here when you’re ready to take that first step.

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We Level Up WA is an advanced mental health center that offers customized therapy programs to meet the unique needs of each individual. Our highly trained professionals deliver personalized, evidence-based treatments to address specific challenges and goals. With state-of-the-art amenities, including outdoor relaxation spaces, our facility promotes holistic healing.

We strongly emphasize creating a compassionate and supportive environment, empowering clients to actively participate in their recovery journey. At We Level Up WA, we aim to foster lasting mental well-being and guide individuals toward personal growth and transformation. Take a crucial step towards a brighter future by choosing our center, where you’ll receive cutting-edge treatments and nurturing care.

Frequently Asked Questions

Where in Spokane, Washington can you find vicarious-trauma treatment?

We Level Up Washington offers specialized vicarious trauma treatment in Spokane, with both in-person and telehealth options available. Our Spokane location provides comprehensive assessment, individual therapy, group support, and resilience-building programs specifically designed for helping professionals and caregivers experiencing secondary traumatic stress.

Where in Seattle, Washington can you find vicarious-trauma treatment?

There are a number of providers in Seattle, but for comprehensive treatment consider We Level Up Washington, in Spokane. We Level Up Washington provides dedicated vicarious trauma treatment services for healthcare workers, first responders, therapists, and other helping professionals. Our facility offers evidence-based therapies, mindfulness training, and professional consultation to address the unique challenges of vicarious trauma.

Where in Coeur d’Alene, Idaho can you find vicarious-trauma treatment?

For comprehensive treatment consider We Level Up Washington, in Spokane – just a short drive across the state line. We Level Up Washington provides dedicated vicarious trauma treatment services for healthcare workers, first responders, therapists, and other helping professionals. Our facility offers evidence-based therapies, mindfulness training, and professional consultation to address the unique challenges of vicarious trauma.

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