Burnout and Self-Care in Social Work

Burnout and Self-Care in Social Work: Second Edition

A Guidebook for Students and Those In the Mental Health and Related Professions

In the new edition, SaraKay introduces Societal Burnout as an essential component of burnout and illustrates its interaction with personal, professional, relational, and physical arenas of burnout. She also explores the impact of moral distress and dysfunctional leadership in families, work settings and society; addresses differences between depression and burnout from a psychosocial perspective; and shares vital information about our “inner-self” development. This innovative study can be beneficial to all seeking insight and balance in approaching their personal and professional responsibilities, as well as a reliable “emotional sense of direction” for themselves and their families.

Click here for SaraKay’s other books and reviews.
Click here for interviews & reflections about this book.
Click here for essential themes in Edition 2 of Burnout.

Latest Articles

Letter to the Editor: Ms. Rachel is No Mr. Rogers

At this tragic time in the Middle East, where, like previous leaders, Hamas has no concern what-so-ever about the well being of the Palestinians -- how the millions invested in pervasive, underground tunnels could have benefited them!  -- and when Israel, like the US, has a leader devoid of any semblance of character, I was pleased that The Washington Post printed my letter about suffering, traumatized children.

(AP Photo/Gene J. Puskar)

To the editor:

Regarding the Aug. 1 Style article “How Ms. Rachel built her neighborhood”:

Undoubtedly, Rachel Griffin Accurso, better known as Ms. Rachel, is a kind, sensitive talent who well deserves the success of her appealing videos for children. Still, I wish she featured both a Palestinian child and an Israeli child who was taken hostage by Hamas. Accurso says she cares for all children. However, in only featuring a Palestinian child, she seemingly picked a side.

Like Accurso, I adored the comforting messages depicted by “Mister Rogers’ Neighborhood.” During a horrific divorce process, my little girls, who were 4 and 7, watched the show with rapt attention, and I joined them, never wanting it to conclude. When it inevitably did, I would assure my daughters that Mister Rogers would visit us the next day. (On Fridays, I would show them a calendar and point to Monday.) However, Rogers’s decision to invite a man of color to join the talent of his show is in no way analogous to Accurso’s decision to platform only one side of the horrifying Israel-Gaza war.

SaraKay Smullens
Philadelphia

Published in The Washington Post August 7, 2025

You may be interested in my review of the documentary, “Won’t You Be My Neighbor”. https://www.socialworker.com/feature-articles/reviews-commentary/wont-you-be-my-neighbor-mister-rogers-return-visit-fills-urgent-void/

Letter to the Editor: The Meaning and Value of Empathy

The following letter was sent to the New York Times on July 24, 2025.

To the editor:

Your recent article by Jennifer Szalai (July 24, C4) referencing books from the right and left noting dangers of empathy have it backwards. Each ignores the important distinctions of researcher Karen Gerdes, emeritus professor at Arizona State University, which are built upon in my most recent book, “Burnout and Self-Care in Social Work: A Guide for Students and those in Mental Health and Related Professions” (ed 2, NASW Press, 2021),

To bottom line: Sympathy, first noted in the 16th century, offers a welcome break from pity, which emerged in the 13th century, originally offering a positive connotation of feeling sorrow for another’s suffering, but today recognized as condescending. Sympathy is derived from the Greek pre-fix syn, meaning “together” and the word “pathos,” meaning feelings. To sympathize is to experience a heightened awareness of another’s suffering, taking on another’s pain as your own, a dangerous state, leading to burnout. 

In contrast to pity and sympathy, the concept of empathy, only 100 years old, reflects one’s ability to develop boundaries — to separate our lives and challenges from others, and in this way, hear, think, and plan with both caring and clarity... 

Empathy helps to prevent burnout, as well as poor judgement. To offer remembered political examples: Sympathy, caring without boundaries, led to poor screening for criminality of those who entered our country from Cuba, a trend that continued, and was blown out of proportion, contributing to the election of our 47th president.

Sincerely,
SaraKay Smullens

Sent to the New York Times, July 24, 2025

A full examination (not written only for those in mental health professions) of the warning signs of burnout, where in our complex lives they occur, the differences between depression and burnout, and the importance of empathy.

Letter to the Editor: To be continued

I am pleased that The Philadelphia Inquirer gave life to a portrait of my mother. How she would have thrived with the opportunity of an education.

Together in hometown, Baltimore, undated

To the editor:

Wherever my mother traveled, if she saw grass, she looked for a four-leaf clover. From my earliest years, I realized her search was symbolic. What she yearned for was a different life, a different husband, freedom. That was not to be, but she kept on looking for hope, for magic. She died more than 15 years ago after a valiant battle with cancer. Her last words to me were, “To be continued.” The source of my mother’s vicious adversary was never medically found, but to me, it was her broken heart. As I stood at her grave, I promised I would find a four-leaf clover and bring it to her.

My mother died a few days before a long-scheduled trip, but I felt compelled not to cancel. In profound mourning, I endured events feeling like I was not really there, only watching myself. But one morning, I spotted a four-leaf clover among the weeds. As a caretaker haphazardly approached, pushing his lawn mower, I asked if I could take the clover home with me, very briefly explaining why. At lunch, one of our hosts asked me to pass the clover to her, assuring its “safe return to me.” As days passed, my low-key requests for this promised return were ignored.

When Jewish family members visit the grave of one beloved, we note our visit by leaving a small stone at the graveside. My plan was to place the clover beneath a stone, where it could remain until it was no more. The next time I visited my mother’s grave, as I left the stone, I shared the story of the missing clover and said I would keep on looking. Inside of me, I felt the words — spoken by my mother once again — to be continued. Life has taught me everything is … until or unless, mercifully, some things are not.

Published in The Philadelphia Inquirer July 18, 2025

Events

SaraKay has presented her findings and spoken regularly at many conferences and conducted many workshops through the years. She has also been invited to book clubs and private gatherings. Additionally, she has appeared on television and radio shows.

Selected Presentations Include:
  • Presentation for Temple University Osher Lifelong Learning Institute
  • Speaker: SSWLHC 2021
  • Webinar: PA Patient Safety Authority (PAPSA): “Examination and Addressing Healthcare Professional Burnout, From Burnout to Resiliency”
  • Webinar: American College of Medical Quality (ACMQ): “Examination and Addressing Physician Burnout, From Burnout to Resiliency”
  • Webinar: Hospital Association of Rhode Island (HARI): “From Burnout to Resiliency”
  • SKMC Faculty Quality Leadership (QIPS): “Examination and Addressing Physician Burnout”
  • SKMC Student Physician Leadership (PEL): “Avoiding Burnout: Reigniting the Fire”
  • Webinar Connecticut Hospital Association: “From Burnout to Resiliency”
  • “Beyond Burnout: The Creation of a Fulfilling Marriage Between Self-Care and an Emotional Sense of Direction,” The Inaugural Mary Ann Komaran Symposium, Royal Alexandria Hospital of Alberta, Canada
  • Webinar: Child Hub for South East Europe, “The Journey From Compassion Fatigue to Compassion Satisfaction”
  • Care Gathering at the Philadelphia County Medical Society (to highlight the   epidemic of suicides among physicians and medical students)
  • The National Meeting of the National Association of Social Workers
  • “From Compassion Fatigue to Compassion Satisfaction: A Concentration on the Development of a Reliable Emotional Sense of Direction,” Tuttleman Educational Seminar, Magee Rehabilitation Hospital
  • “Beyond Burnout, Its Prevalence and Toll: The Creation of a Fulfilling Relationship Between Self-Care and an Emotional Sense of Direction,” NASW-PA
  • “Beyond Burnout, Its Prevalence and Toll: The Creation of a Fulfilling Marriage Between Self-Care and an Emotional Sense of Direction,” 30th Annual Social Work Symposium, Mayo Clinic, Rochester Minnesota
  • “The Overlooked “Self” in Self-Care: Alleviating and Preventing Burnout in Group and Therapist with Common Sense and Individualized Creativity,” AGPA
  • “A Committed and Fulfilling Marriage Between Self-Care and An Emotional Sense of Direction,” NASW-PA
  • “Achieving an Emotional Sense of Direction: A Response to Pervasive Societal Burnout,” NASW National Conference
  • The William J. Neff, Sr. Symposium: Prevention of Crimes Against Older Adults: Avoiding Burnout of Care Givers
  • “Safety and Self-Care.” NASW-PA Philadelphia Division at the University of Pennsylvania School of Social Policy and Practice
  • Webinar: “Facing the Demons Head-On: The Impact of Burnout” NASW
  • Suicide and Depression in the Medical Profession, Pennsylvania Medical Society
  • Numerous discussions on the film, The Tale, with Jennifer Fox
  • Webinar for students at California’s Brandman University: focus individual, professional, and societal burnout
  • The Athenaeum
  • Jewish Family and Children’s Service
  • Goucher College Book Fair
  • Jewish Family and Children’s Service Viewing of THE TALE: with Jennifer Fox
  • American Group Psychotherapy Association Presentation: with Jennifer Fox
  • Rhode Island Hospital Association, With Stanton Smullens
  • American Council of Graduate Medical Education, With Stanton Smullens
  • Pennsylvania Patient Authority, With Stanton Smullens
  • Jefferson Medical School Students, With Stanton Smullens
  • Jefferson Hospital Departmental Quality Improvement Directors, With Stanton Smullens
  • SP2 Celebrates Inaugural Inductees at Alumni Hall of Fame Ceremony
  • NASW 2018 Conference: Intensive: From Compassion Fatigue to Compassion Satisfaction: The Road to An Emotional Sense of Direction
  • Panel Discussion With Jennifer Fox, writer and director of THE TALE
  • "The Meaning of Friendship" at Penn’s Village
  • An Introduction to the LiveWell Program: A Peer-Led, Guided Self-Care Wellness Program for Depression
  • The National Meeting of the National Association of Social Workers
  • The University of Pennsylvania School of Social Work (now the School of Social Policy and Practice)
  • The American Group Psychotherapy Association
  • Care Gathering at the Philadelphia County Medical Society (which highlighted the suicides of physicians and medical students)
  • The William J. Neff, Sr. Symposium: Prevention of Crimes Against Older Adults
  • Pennsylvania Chapter Of The National Association Of Social Workers 
  • Various Book Clubs, Organizations, and Living Rooms discussions
  • Child Hub for South East Europe, The journey from compassion fatigue to compassion satisfaction: addr essing burnout with an emphasis on the self in self-care
  • The American Group Psychotherapy Association Annual Meeting
  • Mayo Clinic, Full-day Symposium on Burn Out and Self-Care
  • AmeriCorps Alums: Philadelphia Chapter
  • Royal Alexandra Hospital System, Edmonton, Alberta, Canada
  • Magee Hospital
  • Dr. Guy Freed Educational Seminar: Tuttleman Family Foundation, Magee Hospital
  • Discussion Group: The Positive Agers: for those over age 50
  • Various book clubs and discussion groups
A photo of Sarakay Smullens

SaraKay Smullens

Social Worker, Life Activist, Educator, Psychotherapist

SaraKay Smullens, LCSW, ACSW, BCD, DCSW, CGP, CFLE, whose private and pro bono clinical social work practice is in Philadelphia, is a certified group psychotherapist and family life educator. In addition to her clinical emphasis, a long-standing professional priority has been to bring social work awareness and psychological insights to the public at large, and through this process join those devoted to addressing and alleviating divisiveness and rage in families, work settings, and society through education, advocacy, and activism.

SaraKay's activist roots began in her hometown, Baltimore, where as a child she witnessed the evils and degradation of the Jim Crow laws. While in undergraduate school at Goucher College, then a women’s college located in Baltimore, she successfully led a two-year campus coalition to end segregation in Towson, Maryland, the Baltimore suburb where Goucher College is located. A graduation award for this initiative led to an introduction to John F. Kennedy at the Democratic Convention in 1960, and subsequent employment at the Democratic National Committee, where she became a regional coordinator for young Democrats. It was President Kennedy who recommended social work to her as a profession.

In graduate school at Catholic University’s National Catholic School of Social Service in Washington, DC when President Kennedy was assassinated, she transferred to the University of Pennsylvania to complete her degree, where her scholarship and stipend were continued. The enormous impact of this year at Penn is documented in her fourth book, a second edition of Burnout and Self-Care in Social Work: A Guide for Students and Those in Mental Health and Related Professions, Work (publication date, October, 2021, NASW Press). The edition adds the dangers of societal burnout to the concentration on the personal, professional, relational, physical, and societal arenas in our lives where burnout is found — and the causes, warning signs, and evidence based self-care approaches to alleviate their danger and toll, The second edition also offers a fuller explanation of the differences between burnout and depression; and the impact of dysfunctional leadership in every facet of our lives, and democracy as a whole.

When Lynne Abraham became Philadelphia’s first woman District Attorney, she offered SaraKay an extraordinary pro bono opportunity: With the input of psychiatric consultation, she worked with staff to carefully select first offenders in domestic violence cases where there were no fatalities. In lieu of incarceration individuals and their families were offered intensive group psychotherapy, augmented by individual, couple, and family therapy and family life education. Her pro bono practice continues.

A best selling author. SaraKay’s articles and commentaries have appeared in peer-reviewed journals, newspapers, magazines, and blogs. Her articles about domestic abuse contributed to the reform of brutal, archaic Pennsylvania divorce laws. Her investigation of invisible patterns of emotional abuse, always part of physical and sexual violence, led to their independent codification. It also led to the founding of the Sabbath of Domestic Peace, an initiative focused on the involvement of Philadelphia clergy, identified as “a missing link,” in addressing the epidemic of domestic abuse and violence.

SaraKay’s professional papers and memorabilia are divided between the Archives of the University of Pennsylvania, Goucher College, and the John F. Kennedy Presidential Library. A recipient of numerous awards, in 2019 SaraKay was one of five graduates of the University of Pennsylvania School of Social Policy and Practice inducted into its Inaugural Hall of Fame.

 
      
The outline of a trophy encased in a circle

Awards and Honors

  • Society for Social Work Leadership’s 2021 Kermit B. Nash Award
  • Lifetime Achievement Award from the Pennsylvania chapter of NASW
  • NASW Media Award
    Best Magazine Article
  • Woman Leader of Distinction Award The Eastern Region Women's Ministry Pennsylvania Baptist State Convention
  • Honored Author, Diamond Jubilee Borrowers Ball
    The Free Library of Phildelphia
  • Louise Waterman Wise Award
    American Jewish Congress,
    Pennsylvania Region
  • Peace Medal, Women’s International
    League for Peace and Freedom
    Maryland Chapter
  • NASW Media Award
    "What I Wish I Had Known: Burnout and Self-Care In our Social Work Profession."
    The New Social Worker
 
   
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Professional Credentials and Memberships

  • Academy of Certified Social Workers
  • Authors Guild
  • Fellow, Pennsylvania Society for Clinical Social Work
  • National Association of Social Workers (NASW)
  • Pennsylvania Chapter, NASW
  • National Council on Family Relations (Certified Family Life Educator)
  • American Group Psychotherapy Association (AGPA), Certified Group Psychotherapist
  • Pennsylvania Chapter, (AGPA)