Things I never learned in graduate school but found out real fast on the job:
· 1 in 3 women is sexually assaulted, but it seems more like 2.9 out of 3. In my work setting, there are weeks when every single one of my female clients is living with some form of sexual assault. I was floored and my spirit bruised.
· Sometimes clients will ask you about yourself and it does not mean they want to blur/destroy boundaries. Sometimes they just want to know that you’re a real person who also has to go out and face life on evenings and weekends.
· This work will change you. Being changed is different from being burned-out. The change should be named. It brings with it some important gifts (strength, courage, depth, gratitude). The burn-out should be avoided: one seasoned clinician said, “Most of the time when someone truly burns out, they will never come back the same.” This has motivated me to pace myself and pay closer attention to my own health and work/life balance.
· The more you work with real human beings with real stories, the less you understand the DSM. And that feels okay—the DSM is a guide, not a legal document.
- Jennifer Andrashko, MSW, LICSW, is an ACSWA member and Behavioral Health Coordinator for a regional health center in rural Minnesota.