3–4 — Seek Support
At 3–4, you are struggling and it is visible to you, even if you are still masking it in public. Hope flickers in and out; some days feel manageable, others heavy and discouraging. You might be functioning reasonably at work but find yourself emotionally depleted afterward, more irritable, more tearful, or more inclined to withdraw. This band signals that you are at a crossroads: continuing alone will likely deepen the injury; reaching out can change the trajectory.
Triggers at 3–4 often include ongoing moral distress (knowing what safe care would look like but being unable to provide it), repeated invalidation from supervisors, accumulating grief from patient losses, or personal life stress stacked atop professional strain. You may also be influenced by the culture of your workplace—if others are burning out or leaving, your hope may be eroding in parallel.
Actionable steps at 3–4 revolve around connection and shared language. Name your Hope score and share it with at least one peer: “I’m at a 3 today,” or “I feel like I’m in the 3–4 band right now.” This transforms vague struggle into a concrete signal others can respond to. Identify one trusted person—a mentor, colleague, counselor, spiritual guide, or coalition member—and tell them your story without minimizing. Seek structured support: peer-led groups, supervision, therapy, or spiritual direction where moral injury and trauma are taken seriously, not dismissed. Begin documenting patterns: what shifts, assignments, interactions, or policies reliably drop your Hope score? This documentation is not just personal; it can become evidence for change. Ask for small but meaningful accommodations where possible—adjusted assignments, debriefs after difficult cases, or clearer expectations—to interrupt the erosion of hope. In this band, the key move is shifting from isolated coping to shared, witnessed struggle; support starts to rebuild hope.
SEEKING COMMUNITY WITH PEERS
Resources for level 3 and 4
Wednesdays at 1:00 PM EST on Zoom
Hope Triage Class
This is the on ramp to a hope support group dedicated to bringing hope to those in need. This class is specifically designed for individuals who need to unload more baggage than others.I costs $20 per session, we charge you $120 now and recommend you attend all 6 sessions.
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