Witnessing trauma and working with people in distress takes a toll on the helpers, across many professions. While medical professionals may have been the first to recognize the cumulative effects of stress, there is a growing awareness of potential harm among all first responders.

The expectation that we can be immersed in suffering and loss daily and not be touched by it is as unrealistic as expecting to be able to walk through water without getting wet.

Rachel Naomi Remen, Kitchen Table Wisdom, 1996

The key to managing stress is to recognize its different sources and engage in self-care strategies to restore balance.

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