KAREN WALL LMFT

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KAREN WALL LMFT I developed and introduced the acronym B.R.E.A.T.H.E. to discuss seven components of resilience, including breath work. The acronym B.R.E.A.T.H.E.

Remembering the joy in what we do is important and vital. There are many multimedia resources out there that teach self-care, resilience, stress management, and so forth. So, why would I want to be another one on the list?? There is a serious need for more resources that specifically targeting those of you working in jobs and careers, especially healthcare, who face an everyday struggle with keeping alive the original "zest" that drew you to that job or profession in the first place. That is not to say that what I present here is limited to JUST healthcare workers, but applicable to anything you are doing that requires you to keep yourself from losing interest, burning out, and in the most extreme cases, feeling hopeless and ending your life. Here is why I feel my work is unique and applicable on a global scale:

In 2014, while working at a VA facility as the Mental Health Nurse Educator, I came across a book that had just hit the bookstores titled “10% Happier: How I Tamed the Voice in My Head, Reduced Stress Without Losing My Edge, and Found Self-Help That Actually Works- A True Story”. A long-time fan of Good Morning America, I was drawn to the subject matter and am a fan of the author, Dan Harris, who was one of the hosts for the GMA Weekend Edition. Now, I don’t read a lot of hard copy books these days because I don’t have the attention span nor wakefulness to stay with it, so I am a devotee to audio books; however, I picked up this book and started to skim the introduction and the next thing I knew I had read the entire book, cover-to-cover in about 4 hours! I gave my copy to one of our psychologists to give to a veteran on the unit and she came back and asked me if I had more copies because the book was being passed around the unit and everyone wanted it! Twenty copies later, it was like having an inpatient self-help book club in our midst! This was an internal message to me that I had to do more with this and immediately went onto Twitter and tweeted Dan Harris to tell him how much I enjoyed his book and the impact it instantly had on me. He was excited to know that I was planning to “do something” with what I had read and what I had been doing as a psych nurse for over 20 years. To have the author tell me to “go for it” meant everything to me and sent me on my way to what you are holding in your hands! I began doing the groundwork after having a very bright lightbulb go off in my head that gave me the idea for this acronym, which got me thinking about what the letters could represent- voila! Fast forward to 2015…..I had moved to another position in the organization working with older veterans living with dementia and neurocognitive diseases in the Community Living Centers (formerly known as nursing home units). I was approached by nursing leadership to provide training and support to staff on one units with especially challenging family members interfering with care and verbally and emotionally abusing staff. In response, I developed a class to teach resilience. Through my research and memories of personal experiences, I developed and introduced the acronym B.R.E.A.T.H.E. to discuss seven components of resilience that I felt were integral to preventing burnout and job-dissatisfaction, a very common yet under-addressed problem in the workforce. Staff members participated in an interactive discussion of each principle followed by practice of a simple breathing technique. was used because part of the instruction was to teach the students breathe work as an integrated practice into the presentation. The breathing technique used for this instance was based on an easy-to-use, scientifically-supported mobile app developed by the Center for Telehealth and Technology (T2) and the National Center for PTSD. After each section of discussion of a principle, the class was led in a round of breathing. This provided the opportunity for the attendees to practice the technique and commit it to muscle memory, as well as spend a moment to absorb the information they had just received. At the end of the class, the attendees were led through a final breathing exercise and provided with encouraging thoughts and plans for follow up by myself if they so desired. Staff who received the training reported an increased sense of awareness of their internal reactions to challenging family members, and were able to use the principles to redirect themselves and return to focusing on care of the resident. They felt empowered to direct the family member to their supervisor. represents seven principles of self-resilience:

B: BE present
R: REMEMBER your smile
E: ENGAGE your heart
A: ACKNOWLEDGE yourself for ANSWERING the call
T: TAKE time for yourself
H: HEAL from within
E: EMBRACE the moment

https://youtu.be/TV4XIlTMIUo?si=Ffzemsc82aFMk4H3Back in 2011, a massive tsunami (giant wave) hit Japan after an underwat...
04/06/2026

https://youtu.be/TV4XIlTMIUo?si=Ffzemsc82aFMk4H3

Back in 2011, a massive tsunami (giant wave) hit Japan after an underwater earthquake occurred. It basically wiped out a whole city on the coast of the Japan Sea. It wasn't so much the actual events that stood out, but rather what happened in the aftermath, that was so significant that TIME Magazine devoted a special issue on resilience highlighting the Japanese culture in the face of hardship as being an important lesson for the rest of the world.

🇯🇵 After the tsunami hits, how does Japan recover so quickly and calmly?In this video, we explore the real lessons from Japan’s response to tsunamis—how co...

Aloha, friends! I was thinking the other day, as I sometimes do, about what people think of some of my posts here that a...
04/06/2026

Aloha, friends!

I was thinking the other day, as I sometimes do, about what people think of some of my posts here that are a bit more on the "non-academic" side of things. As you'll find out going through the 7 Principles, the "R" is for "remembering your smile". We get caught up in the (incorrect) belief that work is to be a serious thing in our lives. Well, sure, it's pretty serious, but who says we have to get through a workday looking like we're constipated or have eaten sour grapes?? One of the rapidly-growing ideas in mental health is being able to have fun or find the humor in our jobs, whatever that may be. I"m reminded of a recent YT video I saw for an audition for AMerica's Got Talent; the hopeful contestant was a stand up comedian AND a Licensed Funeral Director and Embalmer! A good friend of mine is a professional stand up comedian AND a Licensed Clinical Psychologist! I could keep going, but I think you get the punchline.

Being able to normalize things with the use of humor and laughter can really change the whole perspective of the experiencer dealing with a stressor. Contrary to popular belief, even the worst moments can offer up a momentary thought of something not so horrible. So, let's start our journey through B.R.E.A.T.H.E. together..... see you in the sandbox!

So, one of my hobbies is digital (cell phone) photography, especially sunsets and sunrises. One of the beauties of livin...
04/06/2026

So, one of my hobbies is digital (cell phone) photography, especially sunsets and sunrises. One of the beauties of living in NM is that the view is actually the view and not a building, like in big cities. I took this one some time back. Does it look like it was painted? When I took it, I didn't know it would do this, but was pleased when it did! Just a thought.

Good morning!

04/06/2026

Hello, friends!
It's been a busy and somewhat sad couple of months (my mom passed away from complications due to Alzheimer's Disease). So, WOW, talk about a timely example of applying the B.R.E.A.T.H.E. principles to a life situation! Here we go....! Let's start (again) with some basics about ourselves and relationships in our lives. One thing we do know is that one cannot avoid relationships because that would mean crawling into a hole forever and never interacting with anyone. And because we are engaged in some kind of relationship with anyone around us, here is what we do know-
1. “We share this earth with fellow humans” (from "When Others Make Your Life Difficult" by David Miller, 2014).
2. When people feel out of control of their world, they tend to revert to their instinct to survive.
3. We cannot prevent people from reacting in a negative way to crisis and community disasters, but we can anticipate that it will happen and be prepared.
4. We cannot prevent feeling bad and weary, but we can use our skills to keep us going with hope.

What are your thoughts about these facts? Do they sound familiar to you? Do you feel like any of them are not true? What would these have to do with our ability to "bounce back" from bad experiences or feelings- in other words, be resilient?

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01/14/2026

WHAT IS ZEST?

“Zest is a positive trait reflecting a person’s approach to life with anticipation, energy, and excitement.” (Peterson, Park, Hall, & Seligman, 2009, p. 161).

Work satisfaction has been a major driving force in organizational behavior studies as far back as 1935, with Hoppock referring to “positive perspective” as an important factor affecting work satisfaction (Hoppock, 1935). In their book, FISH (Lundin, Paul, & Christensen, 2000), the importance of love of work is linked to enjoyment and commitment. “When we choose to love the work we do, we can catch our limit of happiness, meaning, and fulfillment every day” (P. 9). The use of positive psychology principles in teaching workers how to avoid deflation of their zest for work has been shown to increase their sense of self-worth, and restore their zest for their work, even in the face of the challenging family member, patient, co-worker, and so forth (Seligman, et al, 2005).

Healthcare workers/law enforcement/first responders experience high stress in caring for patients and families. While trying to provide safe, compassionate, and thorough care, they also have to deal with the family members and loved ones of patients who provide challenges. Due to a variety of stressors as the family member or loved one, the front line staff becomes the easy target of anger, hostility, and even verbal and emotional abuse. As a result, they do their work with an air of constantly looking over their shoulder. When the staff is left to feel disempowered due to the potentially litigious backlash from trying to assert themselves, they begin to lose sight of the meaning in their work life, and start down the road to burnout and "just making it through the day to get their pay" (Frankl, 1959). This sense of lost dignity and self-worth will ultimately seep into their everyday work and be passed on to the patient/customer/client, who will in the end suffer decreased engagement, sub-optimal care, and worse, because the staff caregiver is literally “afraid” to even touch the resident, knowing the family member/loved one is going to come behind them and consistently criticize, interfere, and in some cases abuse the staff. Some of the worse-case scenarios are of workers quitting, leaving the profession, acting out, and we have seen the very worse already since the start of the pandemic- su***de.

Resources:

1. Frankl, V. (1959). Man’s search for meaning. Boston, MA: Beacon Press.
2. Lundin, P., Paul, H., & Christensen, J. (2000). FISH: A remarkable way to boost morale and improve results. NY: Hyperion.
3. Peterson, C., Park, N., Hall, N., & Seligman, M. E. P. (2009). Zest and work. Journal of Organizational Behavior, 30, 161-172.
4. Seligman, M. E. P., Steen, T. A., Park, N., & Peterson, C. (2005). Positive psychology progress: Empirical validation of interventions. American Psychologist, 60, 410-421.

01/14/2026

ZEST!

Why did I decide to make such a big deal about resilience and work, especially healthcare workers like me?? My long career, as well as the recent years of pandemic chaos, has really illustrated what people go through when there is enough negativity and stress placed on them at work to cause them to shut down in every way, even quitting a profession they loved.
One word that really says a lot to me when I think of resilience and work is "ZEST". We all know that the definition of zest is usually associated with cooking when we add the "zest of one lemon/orange/etc." to give an extra special flavor to something. Years ago, there was even a bath soap called Zest, that proclaimed its ability to kickstart your day after taking a bath with it!
Zest is a word that became one of my go-to terms when deciding how to share what I could with others about how NOT to lose their Zest for their work. I've been an RN for 33 years, and an LMFT for 8 years, and have seen and experienced many things that should have made me run from the scrubs! What kept me going was knowing that I knew in my heart that what I was doing was worthwhile and the way I was going to survive was to rethink how I would keep the Zest in my own work.
Let's get this journey started to find and remind ourselves, and others, of the importance of retaining and regaining that ZEST for what we do every day in the face of chaos!

01/14/2026

Hi everyone! I'm sharing a pledge I made to get the word out about the signs of emotional distress. Give an Hour is a non-profit with whom I've partnered to provide pro bono therapy for military, veterans, loved one, disaster crisis. I invite you to look at this so you can be aware of what to look for. I hope you will make the pledge too or at least share with others. We are still climbing that hill up to access to mental health services for people, so every bit of information that gets shared is a plus. Also, considering Domestic Violence Awareness Month, remember that abuse is not JUST physical... it also happens emotionally, verbally, psychologically, financially, socially, and is often very subtle. It does not happen only in families or relationships either, but in the workplace under the other names of bullying, lateral violence, and so forth. The pandemic has really illustrated the effects of the lack of support in the workplace and for the workplace that has caused many to leave their loved professions, burn out, and sadly commit su***de. There are many reasons why people stay in an abusive situation, and it's not easy to "just leave" or "just quit". It's not as simple as that and runs much deeper than what we see on the surface. Sometimes the best thing is NOT to give advice, but to give unconditional love and presence. The rest will come.
Thank you for caring and sharing, and B.R.E.A.T.H.E.- ING!
I love you all!
Karen

giveanhour.org

01/14/2026

Good morning, friends! I hope you are having a good day so far. I am getting ready to do some postings that will introduce my work, so I look forward to sharing with you soon. In the meantime, remember to B.R.E.A.T.H.E .!

Hello, friends! I have been away from this page for awhile to take care of some big family and personal health issues. I...
01/14/2026

Hello, friends! I have been away from this page for awhile to take care of some big family and personal health issues. I'm back and looking forward to rebooting things, especially with my B.R.E.A.T.H.E. Resilience work. i"m going to repost some of the earlier content here to get us all caught up. Thanks for your patience and support.

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