YES - Death is Trauma
After a trauma, people may go through a wide range of normal
responses.
Such reactions may be experienced not only by people who
experienced the trauma first-hand, but by those who have witnessed or heard
about the trauma, or been involved with those immediately affected. Many
reactions can be triggered by persons, places, or things associated with the
trauma. Some reactions may appear totally unrelated.
Here is a list of common physical and emotional reactions to
trauma, as well as a list of helpful coping strategies. These are NORMAL
reactions to ABNORMAL events.
Physical Reactions
Aches and pains like headaches, backaches, stomach aches
Sudden sweating and/or heart palpitations (fluttering)
Changes in sleep patterns, appetite, interest in sex
Constipation or diarrhea
Easily startled by noises or unexpected touch
More susceptible to colds and illnesses
Increased use of alcohol or drugs and/or overeating
Emotional Reactions
Shock and disbelief
Fear and/or anxiety
Grief, disorientation, denial
Hyper-alertness
or hyper vigilance
Irritability
restlessness, outbursts of anger
or rage
Emotional swings
like crying and then laughing
Worrying or ruminating
intrusive thoughts of the trauma nightmares
Flashbacks
feeling like the trauma is happening now
panic, feeling out of control
Minimizing
the experience
Attempts to avoid
anything associated with trauma
Tendency to isolate oneself
Feelings of detachment
Concern over burdening others
with problems
Emotional numbing
or restricted range of feelings
Difficulty trusting
and/or feelings of betrayal
Difficulty concentrating
or remembering
Feelings of self-blame
and/or survivor guilt
Shame
Diminished interest
in everyday activities or depression
Unpleasant past memories resurfacing
Loss of a sense of order
or fairness in the world; expectation of doom and fear of the future
Helpful Coping Strategies
Mobilize a support system
reach out and connect with others,
especially those who may have shared the stressful event
Talk about the traumatic experience
with empathic listeners
Cry
Hard exercise
like jogging, aerobics, bicycling, walking
Relaxation exercise
like yoga, stretching, massage
Humor
Prayer and/or meditation
listening to relaxing guided imagery; progressive deep muscle relaxation
Hot baths
Music and art
Maintain balanced diet
and sleep cycle as much as possible
Avoid over-using stimulants
like caffeine, sugar, or nicotine
Commitment to something
personally meaningful and important every day
Hug those you love
pets included
Eat warm turkey
boiled onions, baked potatoes, cream-based soups,
these are tryptophane activators,
which help you feel tired but good (like after Thanksgiving dinner)
Proactive responses toward
personal and community safety
organize or do something socially active
Write about your experience
in detail, just for yourself or to share with others
People are usually surprised that reactions to trauma can
last longer than they expected. It may take weeks, months, and in some cases,
many years to fully regain equilibrium. Many people will get through this
period with the help and support of family and friends. But sometimes friends
and family may push people to "get over it" before they're ready. Let
them know that such responses are not helpful for you right now, though you
appreciate that they are trying to help. Many people find that individual,
group, or family counseling are helpful, and in particular, EMDR (Eye Movement
Desensitization and Reprocessing) is a phenomenally rapid and wonderful therapeutic
method. Either way, the key word is CONNECTION ask for help, support,
understanding, and opportunities to talk.
The Chinese character for crisis is a combination of two
words -- danger and opportunity. People who fully engage in recovery from
trauma discover unexpected benefits. As they gradually heal their wounds,
survivors find that they are also developing inner strength, compassion for
others, increasing self-awareness, and often the most surprising -- a greater
ability to experience joy and serenity than ever before.
Written by Patti Levin, LICSW, PsyD
David: Please let everyone know that I give permission for
my fact sheet to be used by anyone, either as a whole, or in part, as long as
my name appears somewhere on it for credit. [Specifically,] its OK to make
unlimited copies [of this document] for educational and non-commercial uses in
a disaster situation, provided no fee is charged. People can also contact me by
email or by telephone (617) 227-2008. Warmly, Patti 13 September 2001
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