Understanding Sacrificial Helping Syndrome: A Perspective for Early Career Psychologists

By Dr. Denise Renye

As a marin county psychologist with decades of experience working in community mental health, group homes, and private practice, I have observed a recurring pattern among both my clients and colleagues, particularly those who are new to the field of psychology and therapy. This pattern, often referred to as Sacrificial Helping Syndrome (SHS), is characterized by a well-intentioned but ultimately harmful tendency to prioritize the needs of others over one's own well-being. While the desire to help is a fundamental aspect of our profession, when left unchecked, SHS can lead to significant personal and professional challenges.

The Double-Edged Sword of Helping

Helping others is at the core of our work as psychologists and therapists. However, when this desire to help becomes compulsive or unbalanced, it can transform into a double-edged sword. Sacrificial Helping Syndrome manifests when individuals, driven by a deep sense of duty, guilt, or identity as a helper, consistently place others' needs above their own. This behavior is often rooted in the belief that one's worth is tied to how much they can give or sacrifice for others.

In early career psychologists, SHS can emerge as a result of the intense pressure to prove oneself in the field, to be seen as competent, caring, and indispensable. The enthusiasm and passion for the work, while commendable, can sometimes blur the boundaries between professional responsibilities and personal well-being. This is particularly concerning in our field, where emotional and psychological resilience is crucial for maintaining the quality of care we provide to our clients.

Recognizing the Signs of SHS

It is important for early career professionals to recognize the signs of SHS in themselves and others. These signs include:

  • Chronic Overcommitment: Taking on too many clients, projects, or responsibilities without considering one's capacity.

  • Neglect of Self-Care: Regularly sacrificing personal time, rest, and health in favor of work-related tasks or helping others.

  • Difficulty Saying No: Feeling an overwhelming sense of guilt or failure at the thought of setting boundaries or turning down requests for help.

  • Emotional Exhaustion: Experiencing burnout, compassion fatigue, or a sense of detachment from the work.

The Cost of Sacrifice

The cost of SHS is high, not only for the individual experiencing it but also for their clients and colleagues. Burnout can lead to diminished quality of care, reduced empathy, and even ethical lapses. Moreover, when psychologists neglect their own needs, they model unhealthy behavior for their clients, perpetuating a cycle of self-sacrifice and self-neglect.

Breaking the Cycle

Addressing SHS requires a shift in mindset and practice. It is essential to recognize that effective helping does not require self-sacrifice. In fact, the most effective and sustainable help comes from those who maintain a balanced approach to their work and personal lives. Early career psychologists can benefit from the following strategies:

  • Setting Boundaries: Learn to establish and maintain clear boundaries between work and personal life. This includes setting limits on client loads, work hours, and the emotional labor you are willing to invest.

  • Prioritizing Self-Care: Incorporate regular self-care practices into your routine, such as exercise, mindfulness, hobbies, and time with loved ones. Remember, self-care is not a luxury; it is a necessity for sustained professional effectiveness.

  • Seeking Supervision and Consultation: Engage in regular supervision and consultation to gain perspective, receive support, and ensure that your work is aligned with your values and capacities.

Reach out here to benefit from clinical consultation.

As you navigate the challenges of your early career, I encourage you to reflect on your motivations, boundaries, and self-care practices. Remember, the goal is not just to help others, but to do so in a way that is sustainable and fulfilling for you as a professional and as a person. By addressing and preventing Sacrificial Helping Syndrome, you will be better equipped to provide the highest level of care to your clients and to enjoy a long, rewarding career in psychology.

In our profession, the impulse to help is both a strength and a potential vulnerability. By cultivating self-awareness and balance, we can ensure that our helping is both effective and sustainable, allowing us to serve our clients without sacrificing our own well-being.

Having a solid container of clinical consultation can reduce the possibility of SHS. I offer individual and group consultation You can find out more here.