Coping with Grief, Burnout, and Uncertainty in 2025: A Therapist’s Reflection

Coping with Grief, Burnout, and Uncertainty in 2025: A Therapist’s Reflection

Coping with Mental Health Challenges in 2025

It was the Facebook post that got to me. In a private group for therapists—a space for support and shared struggles—someone posed a simple yet loaded question: “How’s everyone coping?” The poster, a queer woman living in the South, shared how difficult it has been treating LGBTQ+ clients while also managing her own fears. She admitted that her usual coping skills weren’t enough lately. I sighed in recognition of the weight behind her words.

I asked if I could speak to this friend, and my daughter agreed. She even suggested we all go out for dinner to talk. I smiled and said yes, that it would be nice. Being her mother, I encouraged her to ask them to reconsider. I talked about the importance of honoring commitments, of being accountable and responsible. She shrugged, unsure. Later, I told my husband about the conversation and how I was struggling to find the right words—for the friend, for my daughter, and even for myself.

Therapist Burnout: Recognizing the Signs and Finding Strength

Eventually, I replied to the Facebook post. I shared that I too felt like I was grappling with life and had decided to pause my transgender support group. My cup was empty. Earlier that day, after visiting my father, I even considered taking a two-year break from counseling if he passes away. My father is coping with heart failure and stage 4 kidney failure. When I saw him, he looked tired. Still, he got up and sat with me, letting his fatigue wait. On the table was his pillbox, a reminder of the relentless cycle of illness. Watching a parent near the end of their life is a grief unlike any other. And yet, I have to hold all of this while the world keeps moving. During the pandemic, my motto was “The show must go on.” I got up every morning, focused on my work, my family. I made sure the kids were logged into Zoom classes, wiped down groceries with my husband, anxiously stocked Lysol and hand sanitizer. I watched CNN’s death toll graphs, terrified of losing my parents. When they survived, I thanked God. But my grief had started before the pandemic—watching children in cages, families being separated, feeling the world unravel. That grief still sits in the center of my chest, reignited by new uncertainties and fears.

The Emotional Toll of Grief and How to Navigate It

Grief is like a strong repellant, something people avoid, as if it’s contagious. But it’s inevitable. We all carry it. In Mexico, we celebrate death to cope, to remember that our loved ones mattered. Their lives had an impact. We honor them.

At 3:30 in the morning, I finally broke. Tears streamed down my face as I asked God for more time with my father, for patience with my daughters, for safety for my loved ones here and abroad. I thought about people returning to rubble in Gaza, families reuniting with hostages, the ongoing war in Ukraine, the communities rebuilding after disasters in North Carolina and California. I prayed for them too.

And then I thought about my own commitments. The advice I gave my daughter about her friend suddenly felt heavy. I know so many of us are tired. We worked through the pandemic with so much fear. Where is that sense of resolution I once had? How do I find the strength again? During COVID, I doubled my patient load, extended my hours, poured myself into my work. I don’t know if I have that in me anymore.

I remembered my father’s kidney doctor, how exhausted she looked at his last appointment. Just before the holidays, she admitted to both of us how difficult the year had been for her. I wish I had told her how much her care meant to us. I know I thanked her, but I wish I had said more—that her work had a ripple effect, that she mattered.

Why ‘Échale Ganas’ Matters in Times of Crisis

Maybe I’m not depleted after all. The dictionary defines depletion as “empty of a principal substance, to lessen markedly in quality, content, power, or value.” But that’s not me. My soul is intact. I have not lessened in value. I refuse to use that word to define what I’m feeling. If I feel grief, it’s because I am alive. And if that is true, then so is the possibility of hope and healing.

I know hard times are ahead. My father’s illness will progress. The world will continue to break in ways that shatter us. My work will remain challenging. But I realized that my father doesn’t take his medication just for himself. He takes it for me. Every day, he chooses to keep going despite the pain. It’s the phone calls, the visits, the kindness that matter most.

As my tías and mother always say, “Échale ganas.” It means to give it your all, to push forward with determination. When I was young and complained about homework, my mother would say it. Now, at almost fifty, the words carry a deeper weight. I will give it my best effort, just as my father is doing now. Just as my tía did before she passed, holding on not for herself, but for her family.

These are the seeds we sow, the strength we pass to the next generation. Like the families rebuilding in Gaza, Ukraine, California, and North Carolina, we rebuild, too. It’s an act of love.

Let’s Keep Going: Share Your Story

Let’s share in that strength. Let’s be kinder, more patient. Let’s not give up. Échale ganas. #mentalhealthmatters #therapistthoughts #healingjourney #selfcare #therapistburnout #compassionfatigue #griefsupport #copingwithloss #healingthroughgrief #resilience #EchaleGanas #latinastrength #mexicanheritage #culturalwisdom #innerstrength #2025 #lifein2025 #personalgrowth #mindfulnessmatters #hopeandhealing #keepgoing #therapistlife #personalgrowth #lifechallenges #selfcare #burnoutprevention

CompassionFatigue


Crying, Why We Need To

Crying, Why We Need To

In doing research for this blog post, I consulted with ChatGPT out of curiosity about SEO related to the topic of crying. I was surprised to learn that a common question that is often searched on search engines is, why do I cry? People often look up crying and depression, crying and anxiety, crying in relationships, and why does crying make me feel better. As a therapist having worked with hundreds of patients over the past 25 years, I’ve engaged in a variety of conversations on crying. 

A common response I have noticed is associated with fear. A fear that crying is in some way an indication of losing control or not being able to deal with a situation. That somehow the act of crying denotes a weakness in character. Other patients have noted the cultural shame associated with crying. Crying designates a break in culture that is seen as socially unacceptable. Often, patients have tried to hold back from crying that physically makes them sick or hang on to the lump in their throat rather than release it. A sense of sadness comes over me when I hear a patient relaying a traumatic event in their lives as if relaying the weather forecast, disconnected and detached. Some take months in therapy before they allow themselves to express crying in session. 

A recent journal article in the APA titled, “Window of Opportunity”: Clients Experiences of Crying in Psychotherapy and Their Relationship with Change, the Alliance, and Attachment. This study was done in Italy and Israel and now replicated in the United States. The hypothesis, would positive crying experiences lead to improvement and strengthen alliances in therapy. So they interviewed 124 participants to learn if crying experiences in therapy were linked to improvement. Their findings were yes, participants who reported crying in therapy had greater improvement and felt better understood by their therapist.  This study highlighted for me the importance of spending time exploring with a client their experiences and meaning around crying. The study suggests specifically, spending time processing crying around insecurely attached patients. This leads to greater understanding in therapy, a positive alliance, and treatment progression.  

Finding comfort in crying takes time for most therapists to develop a level of ease. This is because we therapists have our own work to do around this topic. We may have come from households like our patients where crying was simply shut down by our parents and extremely discouraged. It may have induced panic in both ourselves and parents in trying to cope with a situation. Which is why we train for years and why it’s encouraged to speak to a mental health provider who is trained in these areas to help you. This is why it’s so different speaking to a mental health provider vs a friend or family member. Why it helps you in your own treatment to understand crying. Why you cry, what makes you cry, who makes you cry, memories attached to crying, crying and identifying emotions, expanding from old narratives about crying and getting to a place of healing. 

In the poem, Crying by Galaway Kinnell it starts with:

“Crying only a little bit

is no use. You must cry

until your pillow is soaked!

Then you can jump in the shower

and splash-splash-splash!”

The author is asking us to exhaust ourselves in crying, to allow ourselves to empty the pain we are holding so close to us. The pillow denotes a softness that can absorb all that we need to release. A gentleness that we need to extend ourselves so that we can then wash it away and rejoice. A sense of joy and playfulness that we can then transform our sadness to. I love this notion. In the poem’s last lines “Happiness was hiding in the last tear! I wept it! Ha Ha.” 

Simply beautiful, the revelation of happiness hiding in the last tear and releasing it to enjoy it or the moment and laughing reminds me of the healing that occurs in therapy. 

So allow yourself to take the risk, to not assume a loss of control or any of the old narratives you have in your mind about crying. Connect and build a positive alliance with yourself and your therapist for your own healing. 

https://www.poemhunter.com/poem/crying-95/

KATZ, M. et al. “Window of opportunity”: Clients’ experiences of crying in psychotherapy and their relationship with change, the alliance, and attachment. Professional Psychology: Research and Practice, [s. l.], v. 55, n. 3, p. 258–268, 2024. DOI 10.1037/pro0000559. Disponível em: https://research.ebsco.com/linkprocessor/plink?id=138cb841-1dca-3ef0-9872-232d9ea6ee5f. Acesso em: 29 set. 2024.

Experience-er’s

Experience-er’s

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Near Death Experiencers: 

Death is something we all fear. Coming close to dying can happen. Sometimes, some of us have unusual experiences. Things we can’t quite explain, feel comfortable sharing, find it weird or something other people may not understand. As an intuitive person myself, who has had a wide range of psychic experiences, finding a therapeutic space is essential. It is in these spaces that you can connect and find the answers within. Develop your own intuition and self awareness. Using transpersonal psychology, I help many patients understand spiritual growth and transformation. I have a strong clinical interest in working with people who have had the following:

Types of experiences:

Near-death experience : https://youtu.be/aSntDuGkfKg?feature=shared
Extra sensory perception
Precognition
Lucid dreaming
Out of body
Medium
Psychic
Remote viewing
Energy work
Contact Modalities
Consciousness & Contact
ET/UFO/UFA

Theory:

If you are interested in participating in a group please contact me. If you or a family member are interested in individual counseling kindly reach out. My interest is in learning more about individual experiences and gaining a deeper understanding. See the link regarding a Jung perspective on the Ego and near death experiences: https://youtu.be/BPji9B4E-os?feature=shared  The link above is an interview by Evan Alexander and other experiencers. How might these experiences change someone? What does a persons past spiritual or religious experiences help to support these experiences? How to communicate your story to others? Do other people have similar experiences? These are the common questions that are important to integrate into your unique story. How people are responded to when they first confide in a person will make a significant impact in how they later integrate the experience. What might be, how can you make sense of such extraordinary experiences. By making and creating meaning out of your experiences even if they do not fit into the day to day usual experiences is an important part of your therapy. Sometimes these experiences defy science and the ordinary state of mind.

Key Phrases: Near-death experience stories, “NDEs,” “near-death experience research, Mental health, psychology, spirituality.