As workers we are profoundly affected by the work we do, whether it is by direct exposure to traumatic events (for example, working as an ambulance driver, police officer, emergency hospital worker); secondary exposure (hearing clients talk about trauma they have experienced, helping people who have just been victimized, working as child protection workers) and everything in-between such as witnessing people’s inability to improve their very difficult life circumstances, or feeling helpless in the face of poverty, and emotional anguish. The work of helping requires us to open our hearts and minds to our clients – yet, this very process of empathy that causes us to risk being damaged by their work. Compassion Fatigue (CF) refers to the profound emotional and physical erosion that takes place when helpers are unable to refuel and regenerate themselves. Vicarious trauma (VT) describes the profound shift that workers experience in their world view when they work with clients who have experienced trauma. Helpers notice that their fundamental beliefs about the world are altered and possibly damaged by being repeatedly exposed to traumatic material. Burnout describes the physical and emotional exhaustion that workers can experience when they have low job satisfaction and feel powerless and overwhelmed at work. The clinicians at Sesa have specialized training in these areas.