Friday, April 14, 2006
Steps in Managing Traumatic Stress
Step One is recognizing the signs of posttraumatic stress. Trauma is so shocking that it causes memories that are impossible to forget or sometimes impossible to recall. Trauma memories often repeatedly come back when you are not trying to think about them. Memories arise as unpleasant thoughts or nightmares. Sometimes you may feel as if you cannot stop reliving the event. The shock of trauma also may create blank spaces in your memory because it is too much for the mind to handle, and so the mind takes a time out. Traumatic stress reactions are normal responses to abnormal events. Most people experience posttraumatic stress reactions for days or even weeks after a trauma. Usually these reactions become less severe over time, but they may persist and become a problem.
Step Two is recognizing the ways of coping with traumatic stress that are natural but don't work, because they actually prolong and worsen the normal posttraumatic stress reactions. The ways of coping that do not work include: Trying to avoid people, places, or thoughts that are reminders; shutting off feelings or connections to other people that are reminders; or being hyper-vigilant or on guard.
Trying to avoid bad memories, trying to shut out feelings or people, or trying to stay always alert may seem reasonable. However, they don't work because trauma controls your life if you run from it.
Step Three, is to get help from a professional specializing in helping people who are coping with traumatic stress reactions or PTSD (Posttraumatic Stress Disorder). Trauma memories cannot be erased, but the stress they cause can become very manageable.