Professionele zelfzorg voor psychische hulpverleners

Een ondergeschoven kindje in de ggz
01/07/2022
Patrick Adrichem
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Volume 57 , Issue 7

Samenvatting

Professional self-care for mental health
professionals
P. Adrichem
During the first Covid-19 outbreak the mental and physical health of mental health professionals deteriorated. However, emotional exhaustion and burn-out amongst mental health professionals is not a typical Covid-19 phenomenon. This article highlights the importance of professional self-care, mainly from a schema-focused perspective. Various vulnerability factors for developing emotional exhaustion and burn-out amongst mental health professionals, like the influence of common early maladaptive schemas, are discussed. The intense interpersonal nature of working in mental healthcare turns out to be an optimal breeding ground for re-enactments of these early maladaptive schemas, associated with occupational stress and work dysfunctions. A work culture that values self-awareness, openness and interpersonal connectedness is promoted. From a systemic perspective the vulnerability cycle is presented for use in supervision and intervision.

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  • Samenvatting
  • Uitputting in de ggz
  • Vatbare ggz-professionals
    • Gemeenschappelijke blauwdrukken
    • Discipline-specifieke schema’s
  • Adviezen voor verbetering
    • Verbinden: het zelf en de ander
    • Een gezonde werkcultuur
    • De kwetsbaarheidscyclus
  • Tot besluit
  • Literatuurlijst
  • Over de auteur
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In tijden van toegenomen regeldrukte en een hoge werkdruk, een zorgstelsel dat bij tijd en wijle piept en kraakt en daarboven op de naweeën van een coronapandemie, is goede zelfzorg door ggz-professionals noodzaak. Maar de praktijk blijkt weerbarstiger. Dit artikel belicht het onderwerp professionele zelfzorg in de ggz hoofdzakelijk vanuit het referentiekader van de schematherapie. Afsluitend wordt een model vanuit de systeemtherapie belicht om professionele zelfzorg binnen teams te bevorderen.

Tijdens de coronapandemie verschenen in de media steeds meer berichten over een hoge werkdruk in de gezondheidszorg en in toenemende mate ook in de geestelijke gezondheidszorg (ggz). Tijdens de eerste coronagolf deed het Trimbos-instituut onderzoek naar de impact van corona op psychische hulpverleners (Van Bon-Martens et al., 2020). De conclusies waren niet mals: een flink deel van de ggz-professionals kampte met een verminderde psychische en lichamelijke gezondheid.

Met name de psychische gezondheid ging erop achteruit; bijna een kwart van de hulpverleners voelde zich psychisch ongezond. Voor alle ggz-professionals (psychologen, verpleegkundigen, sociaal-maatschappelijk werkers en jeugdhulpverleners) steeg de gemiddelde werkdruk ten opzichte van vóór de crisis. Meer dan de helft van de ondervraagden kon niet de zorg leveren die nodig was. Bijna een derde van de hulpverleners rapporteerde (veel) meer slaapproblemen en meer dan de helft verlangde hulp en ondersteuning, onder andere bij het bewaken van de

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