One’s caseload can contribute to stress in many different ways. The size of one’s caseload can be directly linked to levels of stress. As caseload size increases, there are more things to manage and do. This can elevate levels of stress. Second, the type of caseload that one carries can have an impact on levels of stress. Some clinicians work with severely traumatized individuals and/or groups. This can make daily work more difficult. Finally, caseload can have a direct impact on the amount of paperwork and documentation that must be completed. Increased paperwork that is the result of larger or difficult caseloads can cut down on the amount of time one has to perform direct service. Clinicians may end up feeling like they have to make compromises with client care. These dilemmas, too, can add to one’s stress.