“…Symptomology can be divided into four broad categories: (a) avoidant behaviors, such as escalated absenteeism from work, withdrawal from family members, social isolation from friends, and/or avoidance of sexual intimacy with partner(s); (b) arousal symptoms, displayed in hyper arousal for the safety of self and loved ones, increase in stress-induced medical conditions and illnesses, general fearfulness, and/or heightened suspicion of others; (c) changes in cognitive schemas, evidenced by engagement in dysfunctional coping skills, decrease in clinical service provision and general work ethic, intensified pessimistic worldview, apathy or negative change in spiritual beliefs; and (d) intrusive imagery through aversive daydreams, mental images, or nightmares (Aparicio et al, 2013;Barrington & Shakespeare-Finch, 2013;Branson et al, 2014;Ilesanm & Eboiyehi, 2012;Mairean & Turliuc, 2012;Mishori, Mujawar, & Ravi, 2014;Possick et al, 2015;Sansbury, Graves, & Scott, 2015;Vrklevski& Franklin, 2008;Wies& Coy, 2013).Research indicates that intrusive imagery is the most commonly endorsed symptom of vicarious trauma (Branson, 2011;Bride et al, 2004). Additional professional symptoms are increased cynicism and/or misplaced anger toward clients, decrease in quality service provision due to avoidance of client disclosures of trauma, poor ethical decision making, and ultimately, practitioners leaving the field altogether due to the rigors of the work (Iqbal, 2015;Pryce et al, 2007;Shepard, 2013).…”