Although counseling in itself can be a stressful task, counseling complex clients can exacerbate this stress and can lead to burnout. Burnout negatively affects the counselor's personal life, client care, and the health care system. Dialectical behavior therapy (DBT) is a multimodal treatment designed specifically for treating complex clients. The treatment contains counselor supports to protect against burnout. This study used a national sample of 209 counselors to assess whether DBT counselors (n = 87) possess higher levels of burnout than non-DBT counselors (n = 122). The results suggest that despite literature stating that working with complex clients increases counselor burnout, there was no difference in client-related burnout between DBT counselors and non-DBT counselors. However, DBT counselors had higher levels of personal burnout and work-related burnout compared with non-DBT counselors, even after controlling for known covariates. Implications for future research and practice regarding mitigating counselor burnout are discussed.

中文翻译：

---

辅导员承担的成本：比较辩证行为疗法 (DBT) 辅导员和非 DBT 辅导员之间的倦怠

虽然咨询本身可能是一项压力很大的任务，但为复杂的客户提供咨询会加剧这种压力并导致倦怠。倦怠会对咨询师的个人生活、客户关怀和医疗保健系统产生负面影响。辩证行为疗法 (DBT) 是一种多模式疗法，专为治疗复杂的客户而设计。治疗包含辅导员支持以防止倦怠。本研究使用 209 名辅导员的全国样本来评估 DBT 辅导员 ( n = 87)是否比非 DBT 辅导员 ( n= 122）。结果表明，尽管文献表明与复杂客户一起工作会增加咨询师的倦怠，但 DBT 咨询师和非 DBT 咨询师之间与来访者相关的倦怠没有差异。然而，与非 DBT 顾问相比，DBT 顾问的个人倦怠和与工作相关的倦怠程度更高，即使在控制了已知协变量之后也是如此。讨论了有关减轻辅导员倦怠的未来研究和实践的影响。