For people with high-stress jobs — maybe you’re a paramedic, social worker, firefighter or anyone with challenging deadlines — there are times when your adrenaline is going, you feel really alert and you’re very productive.
But if you stay there all the time without rest, you’re going to burn out, said psychologist Marlene Valter.
Valter is the founder and CEO of AnaVault, a company that supports people with mental health challenges. AnaVault provides resiliency training for all types of demanding professions but, in particular, for peer-support specialists. These are people with lived experience with mental illness who help patients in recovery.
Peers tend to have a lot of trauma in their lives, Valter said. They’ve overcome many challenges to get healthy, and when they want to get back into the workforce, it’s imperative that they can build enough resiliency so they aren’t risking their own mental health.
“But even folks who are usually functioning very well who have been hit with COVID anxiety, depression and hopelessness, they too will have to think about building back up,” Valter said.
Burnout can take a toll on your self-esteem, she said. You’re tired. You can’t concentrate. You’re acting cold and callous toward people you actually care about. You wonder why you hate this job that you know you love. You start freaking out.
The founders of the Painted Brain, a peer-support nonprofit, use their experience with managing their own mental illness to help others.
Oct. 4, 2021
Valter said that the people who are the most vulnerable to burnout, compassion fatigue and vicarious trauma are the ones who are big-hearted and really want to help their community.
“The last thing we need are detached people,” she said. “So how do we save our most wonderfully warm-hearted, empathetic people? That’s who we want in these jobs. So how do we preserve them?”
Valter walks us through the six steps to resilience taught in AnaVault’s training, while the co-founders of the peer-run mental health nonprofit Painted Brain — David “Eli” Israelian, Rayshell Chambers and Dave Leon — share some of the ways they have been able to manage their mental health while supporting others with mental health challenges.
David “Eli” Israelian, co-founder of the peer-run mental health nonprofit Painted Brain, talks about how even if you are resilient, you can still fall; but if you have built a strong foundation, it’s not as big of a drop.
Self-regulation — the ability to manage your emotions and behavior even in the face of trauma — is the foundation of resilience, Valter said.
When we sense danger, the brain activates our sympathetic nervous system, triggering a fight-or-flight response; other parts of our brain shut down so we can cope with the stress in front of us.
“It’s kind of like zebras out on the grassy plains,” Valter said. “They’re grazing. It’s beautiful, warm, relaxing, and they really relax their bodies. Then they see a lion — danger — and they take off immediately.”
As soon as the danger is gone, zebras will go back and relax again, she said. And the human equivalent of that is the way the parasympathetic nervous system shifts our bodies back into relaxation mode when we sense we’re no longer in danger.
“The difference between animals and humans,” she continued, “is when we have that lion show up in our lives, we might take off or we might fight, but then we link memories and emotions and thoughts to that danger. So when we see something similar, we have learned to think that is a dangerous thing.”
Sometimes the new danger is real. Other times, we might be reacting to a past trauma. So the first step is teaching people how to not be impulsive and reactive.
“If you’re always stressed and upset and feeling like it’s dangerous, the part of the brain that shuts down is your judgment, creativity and systematic decision-making,” said Valter.
Sure, you can do some yoga or listen to music for half an hour, but often we don’t have time for that. Valter suggested getting in the habit of taking five to 10 seconds to scan from the top of your head to your toes and relax all the muscles in your body, she said.
Many people think that the part of meditation that helps relax the body is the breathing part, she said, but it’s the relaxing of the muscles. And you can do that throughout the day, 50 times a day.
“Now when you’re facing a stressor, a deadline, a difficult boss or co-worker or family member, you can take five seconds to relax and face the trauma and forever change the wiring of your brain,” said Valter. “This gets you off of an old hamster wheel of anxiety.”
Psychologist Marlene Valter runs resiliency training for peer-support workers, so those with a history of mental illness can protect their own mental health while helping recovery patients. Here are some tips for anyone facing daily stressors.
Oct. 4, 2021
Figure out your purpose. Valter describes this step as brain research and spirituality coming together.
“It’s about the person being free to choose the life they want to live, rather than a life that past ghosts and traumas have patterned them to live,” she said. “It’s up to you to make your code and make your choices, but be thoughtful about it.”
And then if you’re acting in a way that’s against your intention and your code, that’s when you know to stop, relax and think about who you want to be in this situation.
Rayshell Chambers, co-founder of Painted Brain, talks about how finding purpose and positive coping skills has effectively decreased her symptoms of PTSD.
Cognitive reframing and perception change
The third step is about rethinking how you have been looking at certain things in your life — opening yourself up toward a less rigid, more flexible perception of the world.
“You can only change what you have control of,” Valter said. “You can’t change what you don’t have control of.”
It’s not that you shouldn’t still advocate for change, she said, but if you do, it needs to be with intention and passion.
Find your support team, the people who inspire you to be your best and who will give you feedback when you’re not being your best, Valter said.
“It doesn’t have to be the people you work with or your family,” she said. “There’s a group for everybody. ... Find the people who care about you, who make you feel free to be yourself.”
Through peer support, people with experience managing recovery from a mental health challenge help someone in the recovery process. Here’s how to get it if you need it, and how one can become a peer-support specialist.
Oct. 4, 2021
“As you get passionate, but then the realities of the world come in, you have to keep doing the work over and over and run into stressors that you didn’t expect,” Valter said.
It’s important to build grit, so that in these challenging moments, you can relax and figure it out.
Dave Leon, co-founder of Painted Brain, speaks about how he’s created daily healthy habits to manage his depression and learned to not give his depressive episodes too much importance or meaning.
You need to exercise, pay attention to your diet and sleep — the basics.
But Valter said it’s just as important to learn how to practice self-care quickly in the moment when you get triggered by something stressful.
“It’s about facing traumas with relaxation instead of tensions,” she said.
Rest looks different for different people, and rest doesn’t necessarily look like doing nothing, she said.
Distractions — whatever gets you in that relaxation mode — are good for your mental health. One of the biggest causes of burnout is repetition, she said. So it’s helpful to turn your focus toward something you can lose time in and get sent to another place for a while.
“Even if it’s just for a few minutes, the more that becomes a daily routine, where you include these little distractions and happinesses, it makes the work so much easier.”
In the end, Valter said it’s not about living a non-stressful life.
“If you want to be challenged, go for it,” she said. “Just add these parts into your daily routine, and you will be OK.”
Part of Dave Leon’s mental health journey has been trying to master the double bass, which he’s been playing for 25 years. He performs pieces from Bach’s Cello Suites at the Town Center Mall in Yucca Valley.
Ada Tseng is an assistant editor on the Utility Journalism team at the Los Angeles Times. The team publishes stories and information that help people solve problems, answer questions and make big decisions about life in and around Los Angeles. She previously led coverage of Orange County as TimesOC’s entertainment editor, and she co-hosts the Asian American pop culture history podcast “Saturday School.”
Claire Hannah Collins is a former video journalist at the Los Angeles Times. She was born in Hong Kong and lived in Amman, Jordan, until she was 18. Before moving to Los Angeles, she studied photo and video journalism at the University of North Carolina at Chapel Hill.