- Julie Barris | Crisis Counselor | Therapist-in-Training
- 6 days ago
The toll of Secondary PTSD can be just as heavy as firsthand trauma, especially for caregivers and professionals who carry the emotional weight of others’ pain. Without proper support and boundaries, the toll of Secondary PTSD can quietly erode a person’s well-being, leaving them overwhelmed, disconnected, and emotionally exhausted.

You didn’t experience the trauma yourself—but why does it feel like you did?
When we think about Post-Traumatic Stress Disorder (PTSD), we often picture combat veterans, survivors of violence, or those who’ve endured life-threatening events. But trauma doesn't always knock directly on your door. Sometimes, it creeps in through someone else’s—through the stories we absorb, the pain we witness, and the people we love.
This is the world of Secondary PTSD—a quiet, consuming form of trauma that affects those who support, care for, or work closely with people who’ve endured traumatic experiences. And unlike its better-known counterpart, secondary PTSD often goes unspoken, unseen, and untreated.
What Is Secondary PTSD?
Secondary PTSD, also known as vicarious trauma or compassion fatigue, occurs when someone develops trauma-related symptoms as a result of exposure to another person’s trauma. This is commonly seen in mental health professionals, emergency responders, nurses, social workers, and even loved ones of trauma survivors.
Imagine listening, day after day, to heartbreaking stories of abuse, war, loss, or violence. Over time, these stories begin to lodge themselves in your psyche. You might feel anxious, emotionally numb, avoidant, or overly alert. You may start having nightmares or flashbacks—not of your own memories, but of someone else’s suffering.
You’re not weak. You’re not overly sensitive. You’re human—and you’re absorbing more pain than the body or brain was ever meant to carry.
When Caring Hurts
For many, the hardest part of secondary PTSD is the guilt. You might tell yourself: “It wasn’t my trauma. I have no right to feel this way.” But that guilt only deepens the damage.
In fact, studies show that secondary trauma can mirror the symptoms of direct PTSD—including intrusive thoughts, mood swings, hypervigilance, depression, and burnout. Yet many who suffer feel they must push through for the sake of their clients, loved ones, or patients.
This constant emotional labor leads to chronic fatigue, emotional detachment, and a loss of joy—especially in the very work or relationships that once brought purpose.
Self-Care Isn’t a Luxury—It’s Lifesaving
The antidote to secondary trauma isn’t to stop caring—it’s to care for yourself just as fiercely. Self-care in this context goes far beyond bubble baths or days off. It’s about deep, sustainable habits that protect your mental and emotional reserves.
This might look like setting emotional boundaries, getting supervision or consultation, practicing mindfulness, debriefing after difficult sessions, or attending therapy yourself. It’s recognizing when you’re over-capacitated and learning how to step back before burnout takes hold.
Rest, reflection, and regulation are essential—not selfish. They’re what allow you to keep showing up with integrity and compassion, without losing yourself in someone else’s story.
Final Thought:
If you can absorb trauma secondhand, shouldn’t you deserve healing firsthand?
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