Coping With Trauma
         From the corporate.dukehealth.org archives. Content may be out of date.
        From the corporate.dukehealth.org archives. Content may be out of date.
    
Although trauma affects people differently, such events as
    this week's terrorist attacks can create strong emotional and
    physical reactions. While reactions could appear almost
    immediately, they tend to occur hours, a few days, and
    sometimes even weeks later. It is common, in fact quite normal,
    for people to experience such reactions if they have
    experienced or witnessed a horrible event. The information
    below can be helpful- to know what kinds of reactions may
    occur, and how to help yourself and your children cope now.
Common Responses to Traumatic Events: These are some
    temporary reactions that may occur following serious events,
    and which may "come and go" with time.
Emotional Reactions
Shock, numbness, feeling "lost in a fog"
Re-playing the images in your mind
Anxiety, fear, or feeling helpless
Irritability, Anger
Extreme sadness
Diminished concentration, lapses in memory
Wanting to withdraw from others
Physical Reactions
Difficulty sleeping, nightmares
Fatigue
Hyper-arousal, "nervous energy", or easily startled
Appetite changes
Headaches
Tightness in chest, difficulty breathing
Tips for Coping with the Aftermath of Traumatic Events
Maintain as normal a schedule as possible, but don't
    "overdo"
Realize that you may temporarily function below your normal
    pace and ability for a little while
Spend time with others, talk to people, share your feelings,
    reach out
Offer assistance in ways that help you combat feeling
    helpless (e.g. donate blood, food, donations)
Maintain physical activities
Get plenty of rest
Continue healthy eating, and beware of trying to numb pain
    with overuse of alcohol and other drugs
Remember that these are normal reactions to traumatic
    events. Usually such reactions to traumatic events will lessen
    with time. However, if you are experiencing reactions that are
    intense and that persist, or interfere with your ability to
    carry on with your life in your usual manner, you may wish to
    seek help.
How to Help Your Children
Children react to trauma in different ways, much like adults
    do. The way children react often depends on their age, what
    information or images they have been exposed to, and how their
    parents and other important adults around them react. Children
    may feel overwhelmed by intense feelings, confused, and not
    know how to deal with this. Child experts state that the
    parents' attitudes and reactions will be the single most
    powerful factor in helping their children cope.
Here are some ways in which parents may help their
    children:
Young children under the age of 7 should be protected as
    much as possible from news of the events. This is so excessive
    worry and anxiety is not created in the first place. Although
    it may not be possible to completely shelter them, it would be
    helpful to minimize their exposure to the details of the
    events. This means young children should not watch television
    coverage, or hear radio reports, or listen to adults talking
    about the traumas and their aftermath.
For slightly older children, say 8-12, parents may not be
    able to shelter them from as much. However, you can limit the
    amount of television coverage your child sees, and watch
    together.
If you talk about the event, be honest and keep discussion
    brief. Wait to see what questions your children may have before
    giving additional information, as they may only want to know
    "so much."
Parents and others need to provide reassurance to these
    children that horrible events like these are extremely rare,
    and convey a sense of security. Let them know you are there to
    take care of them, and reassure them that they are safe.
Maintain normal routines and schedules as much as possible.
    These routines help children feel comfortable and secure.
Acknowledge that these kinds of events can create all sorts
    of feelings. Tell your child it's normal to feel worried, sad,
    and upset. Let your child know it's OK to talk about their
    feelings, and be patient as they do.
Provide "extra" loving, attention, and understanding if your
    child expresses feelings through behavior, like crying, being
    clingy, fearful, having nightmares. If these occur, are
    particularly intense and don't improve within a week or two,
    you should consider consulting their pediatrician or other
    professional.
