"All of the trauma work that we do, hour after hour, day after day, week after week, contributes to inner changes in the self of the therapist. It's an inevitable part of the work, because we're entering into a very dark world, and if we're open emotionally, in the way we need to be to be effective helpers, we're going to be impacted." Laurie Anne Pearlman. Vicarious traumatization "the cumulative impact of trauma clients' stories and reenactmentś" can carry enormous emotional costs for therapists. This video series describes the pervasive effects of vicarious traumatization, and what can be done to counteract those effects. In addition, seven clinicians specializing in trauma work relate their experiences with vicarious traumatization in very human terms.