The author began treating sexual abusers in 1978. It was his second job after graduate school. He had no previous training or education about sex offender treatment. Among the impacts of his work were difficulty in trusting people he met, a heightened awareness of being a male in society, and other effects. Eventually he conducted a personal inventory and became able to achieve the necessary balance to continue work in the field. He has worked in prisons, State hospitals, mental health programs, private clinics, and youth programs. He has experienced deaths of colleagues from suicide and murder and has been shunned by other mental health professionals for working with sexual abusers. He has experienced the joys of treatment successes and the frustration and self-blame of treatment failures. He helped develop a questionnaire covering impact issues for clinicians and attended a 1996 conference that included a discussion of caring for caregivers. These experiences indicate the need to consider how to deal with staff impact and burnout before hiring someone for any offender-contact position, to provide an initial orientation and training session, and to maintain an open forum for staff to discuss the impacts of working with sex offenders.