This is the second in a series of blogs examining the stigma surrounding mental health clinicians who live with the same conditions they treat. A variety of viewpoints and experiences will be presented.
I am a Licensed Clinical Social Worker (LCSW) and community-based therapist who lives with ADHD, complex trauma, and depression. After I was asked to write this article about my experience, I mentioned it to my own therapist for feedback. My therapist smiled when I told her about the potential blog article I would write, and she exclaimed “you are a wounded healer.” That got me thinking. So, I did a little research. And I was surprised to find how many of us mental health professionals have our own mental health issues. A 2022 study among professionals in the mental health field found that 80% of respondents had a history of mental struggles, while nearly 50% of respondents were currently diagnosed with a mental health disorder (Victor et al., 2022). This means that half of us therapists may be
living with a diagnosed mental health issue. Most of us therapists are likely covert wounded healers!
The wounded healer
Jung coined the term “wounded healer” to describe healers who are motivated to support others due to their own personal experiences of suffering and trauma (1968). Through life experiences, the wounded healer develops a deep sense of understanding and compassion for fellow humans on their recovery and healing paths. When used skillfully, this extraordinary compassion is a superpower that helps mental health professionals connect with and support others in mental distress. The compassion of the wounded healer can also serve as kryptonite for the mental health professional if used indiscriminately; it can result in overwhelm, limbic transference, and ultimately damage the therapeutic partnership (Mehta, 2024; Grand, 2013). Due to the perceived dangers of self-disclosure among therapists also with mental health stigma, wounded warriors have long been covert. Therapists have largely hidden their experiences with mental health both in the therapy room, and among clinical colleagues.
There has long been a taboo against the explicit use of the wounded healer superpowers among therapists. Self-disclosure is discouraged completely in many psychoanalytic approaches, while humanistic therapies have traditionally sometimes allowed for it (Hill, et al., 2001). But this is slowly changing. The newer peer support approach in mental health is built on sharing stories to support others, and it has certainly been helpful for folks in recovery (White, et. Al., 2020). Today in professional therapy circles, the idea of using self-disclosure to help others may be becoming more mainstream (Warrender, 2020). Some researchers are even proposing the adoption of self-disclosure as a formal therapeutic intervention (Ziv-Beiman, 2013). The most recent publication of the motivational interviewing (a newer humanistic approach to therapy) textbook now emphasizes the importance of therapists’ genuineness and authenticity (Miller & Rollnick, 2023). I think that as a profession (and as a society), we are moving towards transparency about our suffering, mental health, and general human messiness.
My experience as a wounded healer
As a therapist who has always struggled with my own mental health, I identify with Jung’s idea of the wounded healer. My experiences with trauma, mental health suffering, and social exclusion motivate me to serve others with similar life experiences. These experiences have shaped my worldview, and they have informed how I experienced and developed in the world around me from a very young age. This gives me insight and skills in connecting and supporting others with suffering and hopelessness. I can use my past (or
present) experiences as a garden bed to grow empathy with another person, and this skill comes quite naturally for me. In fact, upon reflecting on my employment history over the past few decades, I can confidently say that the role of being a wounded healer in community mental health has been the perfect fit for my skills, talents, and aspirations in this life.
Helping others as a therapist, case worker, or other mental health professional is life changing. I have witnessed the most miraculous of recoveries among those I serve, and I have also witnessed some of the most heartbreaking moments in suffering among those I work with. In all this work, the beauty of humanity shines through. It inspires me to embrace my own imperfections and innate human messiness. As a therapist I can use the anger, pain, and sadness that I carry as fuel. I can transmute these emotions into compassion. If I am skillful others will heal. If I make a mistake in relating to a client through these experiences (and I definitely have), I can apologize and recenter myself. So, I draw upon my past and present experiences with mental health as I would select a crayon. Self-disclosure is one of the colors in the therapy crayon box shared by the client and me. Sometimes we may be using my favorite hues of teal and red-orange, other times we may be creating an art piece using colors within a muted greyscale.
Self-disclosure in social work and therapy
I see self-disclosure language as one of many things I can say in the therapy room that could be, or could not be, helpful. The National Association of Social Work (NASW) reminds social workers to be very intentional and careful when using self-disclose to help a client (2001). For example, in a therapy room after obtaining client permission to disclose, I might share “when my thoughts are going down a spiral like you just described, I notice changes in my heartbeat, breathing, restlessness, etc… What is it like in your body when the thought spiral comes up?” This therapist statement could support the client in developing increased awareness of anxiety symptoms present in the body, and it also models the skill of focused mindfulness of body sensations.
On the other hand, as a therapist I could say to a client, “I have had a really hard time lately staying focused when listening to others, my ADHD symptoms are acting up for some reason and my mind keeps wandering when others talk more than 5 minutes.” This type of sharing is likely to damage the therapeutic alliance, cause the client to feel like a burden, and it may lead to a pattern of a role reversal in the client-therapist relationship. In social work, we are always told to ask ourselves “Whose needs are being met here?” when using the powerful tool of self-disclosure (Reamer, 2006). I think this is good advice. I also think that self-disclose can and should be used more than we think in therapy. It can humanize the therapist, it can create a strong therapeutic connection, it can make the session feel
more natural, and it can model our compassionate messiness for others striving to accept themselves. We might make a mistake when using this skill, but we might make mistakes when we use any skill. Skills take practice, and so we learn carefully and honestly. When we make mistakes, we apologize and repair.
I was told just the other day by a newer client who spoke in an astonished tone, “did you just say that you also have ADHD!?” Initially I felt a surge of anxiety, worry and self-consciousness. Did I make a mistake? Was that too much information, too early, and too personal? Was this statement self-serving, for my benefit somehow?
After a pause they continued, “you mean to tell me that you are neurodivergent?… I have never had a therapist or any other professional tell me that… This is beautiful, this tells me that I am in the right place – that you would share that with me, and you can understand some of this stuff.” After the client explained how they were processing this information, I felt relieved. I was happy to hear that this particular utterance from this wounded healer was helpful and not harmful in this particular context.
Common Humanity
Kristin Neff and Chris Germer have identified common humanity as one of the three key principles in Mindful Self-Compassion (2020). For me, the principle of common humanity is my guiding light in the fog of therapy. I can trust that I and the client are two humans, sitting together, sharing space and time, in our humanity. It is important that I set my intentions on helping the client heal, that I hold them with compassion. I need to act as skillfully as possible and collaborate with the client when selecting our therapeutic color pallet. Through all of this, I need to stay attuned with myself, the client, and the relationship.
As a wounded healer I can draw on personal experiences with mental health to build connection, compassion, and community with others. As a professional, I have been trained in many skills and theories that can help along the way. When I can integrate my professional training and life experiences in mental health, I show up as my best self for the sake of helping fellow travelers on the path of recovery and healing.
Hill, C. E., & Knox, S. (2001). Self-disclosure. Psychotherapy: Theory, Research, Practice, Training, 38(4), 413.
Jung CG. (1968) The Archetypes and the Collective Unconscious. Princeton University
Jesse is a Licensed Clinical Social Worker (LCSW) and certified brainspotting therapist at brainspottingonline.xyz. He has over 15 years’ experience working with folks in community mental health settings. During his career as a community focused social worker, Jesse has served as a community support specialist, intake specialist, supervisor, manager, academic advisor, professor, trainer, and even executive director of a small nonprofit. Jesse has been trained and continues to grow in a variety of helping and therapy approaches. He is an active member of the Motivational Interviewing Network of Trainers (MINT), he is a Certified Self-Compassion in Psychotherapy (SCIP) therapist, and he is a candidate to become a Brainspotting Consultant. Jesse maintains the website www.intrinsicchange.com that features free learning resources for helpers. He maintains an active blog Change Talk which provides in-depth discussion of compassion, equity, and other topics related to the helping professions. He also manages a blog specifically about therapy Brainspotting Blog at brainspottingonline.xyz. Jesse currently provides therapy to individuals in mental health and substance use recovery through Wisconsin Community Services (WCS) and remotely through his private practice using brainspotting, motivational interviewing, and mindful self-compassion in Wisconsin and Missouri. He regularly offers trainings in motivational interviewing, cultural humility, and mindful self-compassion to organizations in the Milwaukee area.
Here are some specific examples of what partnership with us can look like. Every plan is customized — this is just a starting point.
Classroom wellbeing auditClassroom teachers assess their current wellbeing supports, identify specific strengths and gaps, and actively engage with research-based strategies to create an action plan for supporting student wellbeing in the classroom. This audit is more than a checklist—it’s a mirror that reflects how your everyday choices shape the mental health and wellbeing of everyone in your classroom. By pausing to rate, reflect, and plan, you will:
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Specialized mental health skill-building workshopsThis goes beyond basic literacy to provide staff with practical skills and techniques for managing specific situations and promoting positive mental health within the school. Examples
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Adult SEL developmentJust as students benefit from developing social-emotional skills, so do adults. Adult SEL focuses on educators understanding their own emotions, managing impulses, setting goals, showing empathy, building healthy relationships, and making responsible decisions. Examples
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Integration of mental health into curriculumEmbedding mental health education within the regular curriculum normalizes these topics, reduces stigma, and equips all students with foundational knowledge and skills related to their emotional well-being. Rogers’ understanding of key mental health concepts can inform curriculum development. Examples
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Mental health literacy trainingThis partnership focuses on equipping school staff with a foundational understanding of mental health concepts, common disorders in children and adolescents, and the importance of early identification and intervention. Examples
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Trauma-Informed practicesTrauma-informed practice recognizes the widespread impact of trauma and understands potential paths for recovery. In a school setting, this means understanding that students (and staff) may have experienced trauma and that these experiences can affect behavior, relationships, and learning. Training helps staff recognize the signs of trauma, respond in a way that avoids re-traumatization, and create a safe and supportive environment. It also includes understanding secondary trauma or compassion fatigue that educators may experience when working with individuals who have experienced trauma. Examples
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Mindfulness and stress reduction workshops for staffMindfulness involves paying attention to the present moment without judgment. Stress reduction techniques are practical strategies designed to lower physiological and psychological responses to stress. Training in these areas equips educators with tools to manage the inherent demands and pressures of their job, cultivate a sense of calm, and increase their capacity to be present and responsive. Examples
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Building resilience (CLE)Resilience is the ability to adapt well in the face of adversity, trauma, tragedy, threats, or significant sources of stress. Training in resilience helps educators identify their strengths, develop positive coping mechanisms, cultivate optimism, and build strong support networks. Examples
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Enhancing school climate – for the staffSchool climate refers to the quality and character of school life. A positive school climate for staff is characterized by trust, respect, collegiality, collaboration, and a sense of belonging. Consultation focuses on identifying areas for improvement and implementing strategies to foster a more supportive and positive environment. Examples
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Needs assessment and strategic planning (CLE)A systematic process of gathering information about the current state of staff wellbeing within the school, identifying key stressors, and understanding the needs and preferences of the staff. This data then informs the development of a targeted and effective plan for implementing wellbeing initiatives. Examples
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Developing supportive policies and practicesExamining existing school policies, procedures, and unwritten norms to identify those that may contribute to staff stress or hinder wellbeing. Consulting on modifications or new policies that actively promote a healthy work environment. Examples
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Consultation on school mental health systemsThis involves leveraging Rogers’ understanding of best practices in mental health care to advise schools on the development and implementation of comprehensive systems that support student and staff well-being. Examples
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Integrating wellbeing into existing structuresEmbedding wellbeing initiatives within the school’s existing operational framework rather than treating them as separate, add-on programs. This ensures long-term sustainability and demonstrates that wellbeing is a priority. Examples
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Leadership coachingCoaching specifically designed for school administrators and team leaders. This focuses on developing their leadership skills related to supporting staff wellbeing, creating a positive team culture, and effectively managing workplace dynamics that can impact stress levels. Examples
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Individual wellbeing coachingA confidential and supportive partnership between a trained coach and an individual staff member. The coach helps the staff member identify their wellbeing goals, explore challenges, develop strategies, and build self-awareness and resilience. This is particularly helpful for staff experiencing high levels of stress, burnout, or those seeking to proactively enhance their wellbeing. Examples
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Instructional coaching with a wellbeing lensIntegrating conversations and support around wellbeing into existing instructional coaching cycles. This recognizes that teacher wellbeing is intertwined with their classroom practice and provides a holistic approach to support. Examples
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Peer coaching programsTraining selected staff members to serve as peer coaches for their colleagues. This leverages internal expertise and fosters a culture of mutual support within the school. Peer coaches can provide a confidential and relatable source of support, sharing strategies and offering encouragement. Examples
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