Responding to the epidemic of gender-based violence: Reflections & invitations for the 16 Days of Action

By Kristina Fifield, RSW-Clinical Specialist

I’ve been reflecting on our time together at last month’s mini-conference on transforming social work’s role in addressing gender-based and intimate partner violence (GBV/IPV).

If you were able to join us, I’d love to know how the experience felt for you — what stayed, what felt uncomfortable, and what opened or shifted in your body as we co-created and shared space.

Considering where we stand and how we got here

Since becoming a social worker, I’ve witnessed —again and again— how colonial, patriarchal, and misogynistic systems shape not only survivors’ lives but also how we are asked to practice. Survivors of gender-based violence carry the weight of systemic injustices in deeply embodied ways, and our bodies feel those pressures too.

I want to name something many of us hold quietly: the moral injuries that come with doing gender-based violence work. Coercion —both subtle and overt— shapes policy, practice, and the very systems we are expected to work inside. Many of these structures were built on control, risk-aversion, and surveillance, rather than relationship, trust, or self-determination. When survivors are failed by those systems, we witness not just harm but betrayal trauma at an institutional level — trauma that reverberates in survivors’ bodies and in ours.

You’re invited to hold this with me: The work is complex, layered, and often carried out within systems that were never designed to support relational, trauma-sensitive practice. And yet, here you are — choosing to show up, to stay connected, and to reimagine what becomes possible when we practice in ways that honour dignity, relationship, and nervous-system safety.

During the mini-conference, my intention wasn’t simply to share concepts. I wanted to model co-creating space and relational practices rooted in:

  • attunement to our bodies,
  • non-coercion and choice-making,
  • non-attachment to outcome and expectations,
  • curiosity over assumption, and
  • sharing power and honouring survivors as the experts of their own lives.

I’ve also been noticing how much I’ve shifted my practice over time in doing this work. Over the years, I’ve become more aware of how deeply systems influence my nervous system — my privilege, my sense of safety, how I breathe, and how much presence I can access in any given moment.

I often think back to my early years on overnight shifts at Bryony House — working alone, new to the GBV field. I was surviving inside a house full of survivors and their children, witnessing their suffering, their trauma responses, and the ways those responses were often misunderstood. At 23, without internal supervision and witnessing colleagues and their own intense trauma responses, working within an organization in survival mode, and without the resources we desperately needed, the intensity of that environment began to reshape how I related to myself and to others. The threats and encounters with individuals causing harm, the constant holding of pain, and the repetition of misunderstood trauma responses taught me early what it means to work from a place of chronic hyperarousal — and how deeply that lands in the body, mind, and heart.

With time and reflection, I can see how many of us —colleagues, friends, and people who have carried this work for decades— live with chronic hyperarousal or, for some, chronic hypoarousal. These patterns are not simply about the work; they emerge from longstanding absences of systemic support, containment, and resourcing for those who provide care.

Something I continue to witness —and sit with heavily— is the disproportionate responsibility placed on diverse colleagues, particularly those deeply rooted in their own communities. So many are expected to carry not only their professional roles but also community trauma, community expectations, and the realities of living in the same spaces where violence, harm, and systemic inequities continually unfold. So much of this labour is unacknowledged, unsupported, and carried in isolation — despite being directly tied to long histories of systemic oppression and ongoing disproportionate harm.

Holding this, I am increasingly aware of my own privilege in this work — how my identities and social location shape the risks I take, the protections I have, and the ease with which I can move through certain systems. That awareness calls me into ongoing responsibility: to use my voice, to speak up for change, to intervene when silence would reinforce harm, and to show up as an ally who is accountable and grounded in relationship. Allyship, for me, isn’t a role I claim; it’s a practice I commit to — one that requires humility, action, discomfort, and a willingness to take risks for something larger than myself. I learned early in my career that remaining silent about harm becomes a painful moral injury — one that eroded my relationship with myself.

Much of my career has been spent advocating not just for change outside my workplaces, but for the kinds of structures, supervision, and resourcing and supports that could better hold survivors — and better hold the social workers, advocates, and support workers who walk alongside them, especially those whose identities mean they carry additional layers of responsibility, vulnerability, and exposure. This is part of why I believe so strongly in our shared responsibility to be trauma stewards in gender-based violence work.

At its core, I believe the epidemic of gender-based violence is an epidemic of disconnection and disempowerment. Individuals who cause harm are often profoundly disconnected — from themselves, from others, and from their own capacity for accountability. And survivors, in their own ways, often experience disconnection too — not as a failing, but as an adaptive, protective response. Many survivors learn to leave their bodies to survive what is unbearable. Dissociation, numbness, shutting down, or feeling far away from one’s sensations are not signs of weakness; they are signs of a body doing what it must to stay alive.

Part of our work, then, is honouring that wisdom and supporting survivors in reconnecting at a pace that feels safe, consensual, and chosen — never forced.

I hold onto the hope that through relational practice, collective care, and tending to our own nervous systems, we can contribute to a different way forward — one rooted in connection, compassion, curiosity, accountability, and possibility.

A question that often emerges

One question that surfaced more than once after the training —and one I’ve been asked many times— is:

“If we truly practice non-coercion and shift toward trauma-sensitive relationships, does that mean we will have no boundaries with survivors?”

I don’t think this question reflects individual uncertainty. I think it reflects the conditions and systems we practice within. Many of us are carrying the cumulative weight of this work. These systemic stressors shape our bodies. They create environments where risk-aversion feels like survival—and often shows up as coercion, not because we intend harm, but because our bodies are trying to stay “safe” in systems that do not hold us.

From a decolonial perspective, it’s also essential to acknowledge how colonial and patriarchal frameworks continue to shape social work and GBV practice—structuring the policies we follow, the resources we access, and the ways we are taught to respond to survivors. Anti-oppressive and decolonizing practice asks us to question these inherited systems, resist the impulse to control, and intentionally co-create ways of being that honour relationship, respect, sovereignty, and self-determination.

So, a trauma-sensitive, relational approach is not boundary-less. It creates clarity without control. It centers consent, collaboration, and shared humanity. In this frame and practice, boundaries are not walls. They are containers for safety—flexible enough to be responsive, steady enough to build trust, and grounded enough to support survivors’ agency, voice, and choice.

The nervous system realities we hold with survivors

Survivors often share that they struggle to trust their perceptions, their bodies, and others’ intentions. Systemic oppression, institutional betrayal, and repeated trauma shape not just someone’s story—they shape their nervous system. These forces can erode interoception, narrow the window of tolerance, and heighten external vigilance, because threat has been real, ongoing, and often unaddressed by the very systems meant to offer support. Our bodies respond to this, too. You are invited to reflect: Can you regulate your own body in these moments? How might modelling regulation support co-regulation with survivors?

Even with experience and training, our nervous systems absorb the conditions we practice within — chronic underfunding, crisis-driven workloads, exposure to trauma, and the emotional labour of holding so much for others. From an anti-oppressive and decolonial perspective, it’s also important to name that these nervous system realities are not individual failures—they are shaped by colonialism, racism, misogyny, ableism, and the broader social conditions that produce both violence and burnout.

This is why our embodied awareness is essential.

Tending to our breath, pace, and presence is part of ethical practice. It supports us in showing up with clarity rather than reactivity; with boundaries rooted in care rather than fear; and with enough inner steadiness to avoid replicating the coercive dynamics survivors already navigate. Attuning to our own bodies is also part of accountability—ensuring we do not unconsciously reproduce harm while working inside systems that make coercion feel like the “safe” or efficient choice.

Embodied awareness becomes both a protective practice and a relational offering. It is one way we honour survivors’ autonomy, dignity, and self-determination while honouring our own humanity within this work.

Calls to action: Turning inward

During the 16 Days of Action for Violence Against Women, you are invited to turn inward. Some questions for inquiry I hold in my own practice are:

  • How does my body show up in GBV work, in ways that either open or close space for connection?
  • What does co-regulation look and feel like between me and others?
  • How do I notice when a survivor is within or outside their window of tolerance—and what is my role in supporting them there?
  • What happens in me when there’s a rupture, and can I stay present long enough for repair?

This kind of embodied self-connection is relational. It grounds us, protects us, and is ethically necessary when we are walking beside others who carry trauma. Our bodies hold the history of our systems, our fears, and our patterns, and when we bring attention to them, we bring attention to the relationships we are in.

I also want to name honestly: this work asks us to enter the unknown and the uncomfortable, over and over. It asks us to sit with complexity, contradiction, and the places where we don’t yet have answers. And it asks us to look at ourselves in relation to others.

I have caused harm in my relationships with survivors — not from intention, but from conditioning, fear, overwhelm, and systems that live in my body. Returning to these truths is part of my commitment to relational practice and accountability. It is a reminder that fostering trauma-sensitive relationships is not a destination — it is an ongoing practice.

One of the most transformative shifts for me has been learning to befriend fear — to meet the sensations in my body with curiosity instead of judgment. This practice has changed how I show up with survivors and families. It helps me respond rather than react, stay present rather than collapse, and meet rupture with openness rather than defensiveness. And in doing so, it deepens the relational space where trust, repair, and growth can happen.

We are living in a time where violence, polarization, and extremism are intensifying. These conditions have an impact on our bodies, mind and heart. They pull us into urgency, fear, and reactivity. Befriending yourself—your breath, your heartbeat, your limits, and your rhythms—is not separate from your work. It is the work.

It will shape how you meet survivors.
It will shape your capacity to remain relational when things become nuanced or uncomfortable.
It will shape your ability to repair when harm happens.

Tending to your own nervous system is activism, too. Try maybe noticing your breath, noticing your body, or simply asking, “What do I need in this moment?” Allow feelings to move through you without judgment, expanding your capacity to be present for yourself and others.

Calls to action: Being in community

The 16 Days of Activism invite us to connect — to ourselves, to each other, and to the communities we are part of. Being together, witnessing one another, and holding space can be a quiet yet powerful form of care and resistance.

Consider attending a community gathering or vigil in your area. Joining an event reminds us that we are not alone and that collective presence matters. December 6, the National Day of Remembrance and Action on Gender-Based Violence, is a moment to pause, reflect, and act in solidarity with survivors.

You’re also invited to take one small daily action. It might be a pause, a conversation with a colleague, reading a survivor’s story, supporting a local organization, or resting when your body asks for it. Small actions shift culture and have meaning.

Sharing gratitude

I hold deep gratitude for the NSCSW, and for Robert Wright’s powerful opening remarks, which grounded the day with truth, clarity, and courage. I am grateful for every survivor and community member who spoke, and for the honesty, vulnerability, and wisdom you brought into the room.

A very special acknowledgment to the survivors and families I have the honour and privilege of walking alongside in your journeys. You shape my practice, my ethics, and my understanding of what relational social work truly is. You continue to teach me what accountability, presence, and connection look like in real time.

Deep gratitude to Alec for stepping up in your leadership role and naming the role of social workers in this moment — with clarity, courage, and care. Your willingness to hold complexity and to push our profession forward matters.

And an especially heartfelt thank you to Tyler. It has been an absolute joy to co-create this work with you. Your steadiness, humour, insight, and commitment to relational practice make this work feel possible.

Our time together on November 24 felt like a beginning — I hope it is the first of many opportunities to come together and co-create a relational response to the epidemic of gender-based violence.

You are invited to notice this:
You bring gifts.
You carry wisdom.
You matter here.
I appreciate you.
We’re in this together.


Kristina Fifield (she/her), MSW, RSW, CCTP, Certified EMDR Trauma Therapist

Kristina is an intersectional feminist social worker who supports survivors and families impacted by gender-based and family violence. Her therapeutic practice is deeply rooted in principles of intersectionality, equity, trauma-informed care, and social justice-driven community healing.

Kristina participated in the Mass Casualty Commission Public Inquiry and co-authored a report for the commission highlighting systemic issues related to GBV for marginalized survivors. In 2023, she was appointed to the Progress and Monitoring Committee to represent the gender-based violence and advocacy sector.

Kristina advocates for the elimination of the abusive use of non-disclosure agreements (NDAs). She co-facilitated NDA Informed training across Canada and continues to bring awareness to the abusive use of NDAs through an intersectional GBV lens. She believes that silencing survivors of GBV with NDAs is an injustice that requires government leaders to act.

Her work on the advisory committee for the LEAF’s Accountability Project and co-leading the GBV Advocacy Coalition in Nova Scotia underscores her commitment to promoting accountability for GBV.


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NS social workers lead the call for systemic change at GBV/IPV conference

FOR IMMEDIATE RELEASE
Nov 25, 2025

KJIPUKTUK (HALIFAX, NS) – In advance of the International Day for the Elimination of Violence Against Women, social workers, survivors, and government representatives gathered in downtown Halifax on November 24 for a pivotal conference that underscored social work’s critical responsibility in dismantling the normalization of gender-based and intimate partner violence, and championed the empowerment of survivors. 

Throughout the conference, social workers were called to the forefront as agents of systemic change. Speakers emphasized that violence and trauma are deeply tied to political decisions and structural inequality. Social work professionals were urged to advocate for survivor-centered practices and to challenge systems and policies that perpetuate harm. The message was clear: true recovery and justice for survivors depend on the willingness of social workers to disrupt cycles of powerlessness and disconnection.

Kristina Fifield, Registered Social Worker and Clinical Specialist in trauma therapy, shared a quote from Dr. Judith Herman — “No intervention that takes power away from the survivor can possibly foster her recovery, no matter how much it appears to be in her immediate best interest” — and explained that, “As social workers, our duty is to create safe, empowering relationships with survivors and avoid recreating harmful dynamics.”

Tyler Colbourne, Professional Development Consultant with the Nova Scotia College of Social Workers (NSCSW), highlighted the importance of incorporating a “non-harming” approach into daily practice, stating, “Practicing compassion, kindness, and patience toward ourselves and others is fundamental for genuine healing.”

The conference challenged attendees to examine why many survivors do not feel supported by services labeled “trauma-informed” or “survivor-centered.” Conference speakers and participants alike called for a renewed commitment to practices and policies that empower and truly center the voices and experiences of survivors. Relationship-building, critical reflection, and the use of gender-inclusive language were identified as essential professional responsibilities.

As the event concluded, participants affirmed that social workers are uniquely positioned to confront systems of harm, promote non-violence, and create safer, more just communities. The conference served as a powerful reminder: the profession of social work must lead ongoing efforts to ensure that violence is neither normalized nor tolerated in any form.

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About us:

The Nova Scotia College of Social Workers serves and protects Nova Scotians by effectively regulating the profession of social work. We work in solidarity with Nova Scotians to advocate for policies that improve social conditions, challenge injustice, and value diversity.

For more information or to arrange interviews with NSCSW spokespersons, contact: Rebecca Faria, communication coordinator for NSCSW (902-429-7799 ext. 227, [email protected]). 

Year-end office hours


As we approach the end of the year, we offer a special thank-you to our members for your continued dedication to the social work profession, and to your communities. 


Please note that our regular office hours are slightly modified in December:

  • We are holding a staff event on the afternoon of Friday, December 12, so the office will close early that day at 11:30 a.m. We’ll be available again in the morning on Monday December 15.
  • The College’s office will close at noon on Wednesday, December 24, 2025. We will reopen on Friday, January 2, 2026.

We do not expect these brief closures to affect the annual renewal period, as the registration renewal deadline is January 31, 2026. However, if you have not already completed your renewal, we encourage you to do so as soon as possible as a gift to your future self.

NSCSW staff occasionally work remotely, so if you need to visit us in person, we strongly recommend that you make an appointment first to confirm whether a staff member can be present and able to assist you when you arrive. If you need step-by-step assistance, a video call may also be an effective way to get help; please email us to request a video appointment on Zoom or Teams.

Thank you for your patience and understanding! We hope the last weeks of 2025 will offer you all opportunities to rest, recharge, and prepare for what’s next; we look forward to seeing you in the new year.

Award Nominations Open: Recognize Outstanding Members of our Community

Many members of our professional community have demonstrated considerable dedication, innovation and generosity during the last year.

Here’s one way for you to recognize your colleagues for their service. We’re seeking nominations for the following awards:

  • Ron Stratford Memorial Award
    • community leaders who are not social workers may be nominated for this award
  • Diane Kays Memorial Award
  • David Connor Williams Memorial Award
  • Freda Vickery Award
    • this award is offered biennially in even-numbered years, alternating with the Ken Belanger Award in even years

Awards will be presented at an appreciation gala dinner during National Social Work Month. Both recipients and their nominators are invited to attend in person.

» Read the award criteria

Looking for inspiration? Check out prior recipients of our awards!

Questions? Contact Tyler Colbourne at [email protected].

To submit your nomination for one of NSCSW’s awards, please complete the form below, no later than January 18, 2026.

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Healing in the crossfire: Clinical social work in a genocide

By Beth Toomey, MSW, RSW-Clinical Specialist

When watching the news is not enough

In October 2023, like many around the world, I watched the escalating violence in Gaza with shock and incomprehension. As a trauma therapist, I also carried a professional awareness: conflict brings more than physical devastation—it inflicts lasting psychological wounds. Gaza stands at the heart of the Palestinian struggle, and once again its people were engulfed in the disorienting fog of trauma. At the time, the war felt very far away, and I could not see how a rural Nova Scotian social worker might offer meaningful assistance.

In late winter 2024, a colleague contacted me about Healing for Gaza (HFG), a charitable, non-profit initiative fiscally sponsored by HEAL Palestine, a registered U.S. 501(c)(3) organization. HFG was founded in January 2024 as a non-political, non-religious emergency mental health initiative designed to provide accessible, evidence-based, culturally responsive, and trauma-informed psychotherapy for Palestinians affected by displacement, fear, and trauma.

Since its inception, HFG has delivered more than 1,500 psychotherapy sessions to children, parents, and frontline workers. What initially began as a handful of individuals has evolved into a global network of over 120 psychotherapists, psychologists, psychiatrists, interpreters, clinical coordinators, advisors, and volunteers responding to what international health organizations describe as an unprecedented mental health crisis. Patients are referred either through partner NGOs on the ground or can sign up directly through an online link shared via social media platforms such as Instagram.

When I was invited to apply, I gave the decision careful thought, contemplating the challenges of such a complex situation. Palestinians were living without reliable access to food, water, basic infrastructure, and health services. The need for trauma care was urgent, the scale of the emergency unprecedented. Despite the unknowns, I felt compelled to contribute. Over time, the experience has proven deeply positive—broadening my perspective and allowing me to learn and benefit alongside those I have supported.

Since joining HFG, I have received intensive training in cultural competence and in providing remote support in war zones. I have participated in regular supervision with international colleagues and conducted weekly sessions with clients. The work has been a steady reminder of how essential mental health care is for people living in crisis. There is no “post-trauma” in this context.

HFG is a structured and well-organized initiative, with patient safety at its core. Monthly supervision sessions bring together clinicians from around the globe to share expertise. Clinical coordinators, who serve as the first point of contact, play a vital role in matching clients with clinicians and interpreters, safeguarding confidentiality, and ensuring that therapy continues even amid bombardments, blackouts, and displacement.

For those of us providing care, the work extends beyond clinical intervention—it involves bearing witness to extraordinary suffering, grief, and loss, as well as to the resilience and courage that persist in the midst of soul-crushing devastation. To do this work, therapists must be able to both witness and hold space for unspeakable pain without being consumed by it. HFG leadership, under the direction of Dr. Alexandra Chen (founder & executive director), ensures that its clinicians and interpreters have the professional support, supervision, and internal resources necessary to accompany patients week after week through such profound encounters.

Clinical social work as an act of hope

Over the last 16 months, I have delivered regular psychotherapy sessions to Palestinians displaced to Egypt. They include students working to complete high school and transitioning into university, adults rebuilding their lives, and frontliners evacuated for life-saving medical care whose families remain trapped in Gaza. Arabic is their first language, and this has been my first experience delivering trauma therapy through a translator. Initially, I wondered whether clinical and relational depth could emerge in a three-person virtual setting across two languages.

What makes this possible are HFG’s bilingual connectors—clinically trained interpreters fluent in both Arabic and English—who enable non-Arabic-speaking clinicians and Palestinian clients to communicate fluidly, each in their own language, without losing the intimacy or immediacy of the therapeutic exchange. Unlike in many humanitarian contexts where interpreters rotate frequently, HFG assigns interpreters long-term to a specific clinician–patient pairing.

What surprised and encouraged me was how naturally a safe, collaborative therapeutic container evolved. Over time, trust has grown, communication has become fluid, and the interpreters became an integral part of the therapeutic alliance.

My clients experience a variety of trauma-based symptoms—but they also show remarkable resilience and insight. As a certified EMDR therapist and consultant, as well as a practitioner of Somatic Experiencing, I use an integrated, evidence-based framework. EMDR in particular has demonstrated measurable effectiveness in reducing trauma symptoms, even in this cross-linguistic, virtual context. With careful pacing and cultural attunement, relief is possible. These individuals are reclaiming agency and rebuilding their lives—even in the midst of genocide.

This experience reaffirms what I have long believed: clinical social work is a powerful tool for advancing both healing and social justice. It addresses not only psychological symptoms but also the systemic and collective wounds that shape human suffering. In our clinical social work practice, we can affirm both dignity and the right to heal.

Healing for Gaza marked its first anniversary in July 2025. Since its work began, the organization has provided clinical care to approximately 150 patients and has now delivered more than 1,500 psychotherapy sessions. A similar number of patients are still waiting to begin therapy as the humanitarian crisis deepens.

HFG continues to accept applications from qualified mental health practitioners who wish to support Palestinian children, adults, and frontliners in need. For those considering it, I can say that being part of HFG has been both professionally enriching and personally meaningful—an opportunity to make a tangible difference in people’s lives.


Beth Toomey, MSW, RSW-Clinical Specialist, is the founder and clinical director of East Coast Psychotherapy & Trauma Clinic Inc. in Cape Breton, Nova Scotia. She specializes in trauma resolution with adults and first responders, serves as a treating clinician and consultant within Unama’ki Indigenous mental health and addiction initiatives, and volunteers with Healing for Gaza.


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