Resilience in Practice: A Systematic Review of Coping Factors for Therapists With Lived Experience of Mental Ill Health

Abstract

Therapists with lived experience of mental ill health (MIH) bring unique insights and empathy to their practice. However, this dual identity creates significant challenges as they balance personal wellbeing with professional responsibilities. This systematic review explores coping strategies and resilience factors to support therapists with MIH. The review adhered to PRISMA guidelines and included studies using qualitative, quantitative, and mixed-methods approaches. Eligible studies focused on coping strategies and resilience mechanisms for therapists with MIH. Databases searched included Web of Science, MEDLINE, ASSIA, CINAHL, Embase, and APA PsycINFO, with additional forward and backward citation searches. Data synthesis employed a thematic narrative approach to identify recurring themes. The search and screening process resulted in 14 eligible studies of various designs. Key coping strategies identified were personal therapy, support systems, self-care practices, and reflective techniques. Personal therapy provided a safe space for therapists to process challenges and enhance their professional empathy. Support systems, including peer networks and nonjudgmental supervision, fostered resilience, although stigma and systemic barriers often reduced their accessibility. Reflective practices, such as journaling and supervision, were essential for promoting self-awareness and professional growth. Despite these strategies, therapists faced challenges in managing dual identities and navigating workplace stigma. The studies highlighted the professional value of lived experience in enhancing therapeutic relationships, but systemic support and organizational change were often lacking. This review emphasises the importance of systemic and institutional support in fostering resilience for therapists with MIH. Addressing stigma, providing resources for self-care and supervision, and integrating lived experiences into professional practice are critical. Future research should explore diverse populations and longitudinal perspectives to deepen understanding and inform inclusive practices. Enhancing support for therapists with MIH will ensure their sustained contributions to the mental health field.