Distress and impairment among professional psychologists has received increased attention in recent years. Both current practitioners and student trainees may be impacted by occupational stressors inherent in the field, particularly within the practice of psychotherapy: those related to business, setting and client variables, and a predisposition associated with a therapist's own developmental history and life experiences. Psychotherapists who are new to the field, with less training and expertise, may be at higher risk and are ideal targets for preventative measures specifically combating distress and impairment. However, despite a call throughout the literature for proactive efforts, particularly at the graduate school level, little attention has been given to ways in which such efforts might be put into practice. The current review seeks to remedy this oversight, providing a general summary of preventative and self-care strategies suggested in the literature. It also integrates information currently available into a preventative stress management model for implementation in graduate level programs in clinical and counseling fields. III
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