Karen Helmes Karen Helmes

5 Ways Your Office Setup Can Save Your Energy

Therapists with hidden illnesses often push through fatigue, pain, or cognitive fog while still showing up with care and compassion. But the truth is—if your workspace doesn’t support you, it will slowly chip away at your energy, your presence, and ultimately your longevity in this field. The goal isn’t just to make it through your day—it’s to sustain yourself within it.

Here are five small but powerful ways to adapt your physical environment to protect your energy, increase comfort, and ensure your practice supports you as much as you support others.

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Karen Helmes Karen Helmes

The Guilt Paradox: Being a Good Therapist Without Losing Yourself

Therapists with chronic or invisible illness often struggle with guilt—toward clients, family, and themselves. In this honest and supportive post, we explore the emotional toll of balancing clinical care with personal limitations, and offer compassionate strategies for self-care, boundary-setting, and practicing with integrity and sustainability. If you're a therapist managing chronic illness, this guide is a must-read for building a healthier, more balanced practice.

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Karen Helmes Karen Helmes

A Therapist’s Guide to Practicing with an Invisible Chronic Illness

I start my day at 6am—not because I’m a morning person, but because that’s when my body and mind are at their best. I don’t see clients past 3pm, ever. Not because I don’t care, but because I’ve learned the hard way that pushing through chronic pain or fatigue doesn’t make me a better therapist—it makes me a burned-out one.

For years, I tried to live by the ‘shoulds’ I was taught: always be available, put the client first, work long hours. But those rules weren’t made for therapists living with invisible illnesses like fibromyalgia, chronic pain, or depression. It’s time we dismantle those ‘shoulds’ and rebuild practices that honor both our calling and our condition."

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