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April 2018

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COMMUNITY<br />

COPING with Psychological Trauma<br />

by Jessica J. Ruiz, Psy.D.<br />

On February 14 the City of Parkland was forever transformed<br />

following a tragic school shooting at Marjory Stoneman Douglas<br />

High School. This traumatic event shook the fabric of a peaceful<br />

community and spurred a variety of responses from all of those<br />

affected. Understanding trauma, the effects on those impacted<br />

by traumatic events, and the importance of developing healthy<br />

coping strategies can lessen the psychological impact of trauma<br />

and in many cases, prevent the development of more severe<br />

and long-lasting post traumatic reactions.<br />

What is Trauma?<br />

Trauma is the psychological response to an event that threatens<br />

our physical and/or psychological safety. Some common<br />

traumatic events<br />

include being<br />

exposed to physical<br />

or sexual abuse,<br />

natural disasters,<br />

vehicular accidents,<br />

terrorist attacks, and<br />

war. Most individuals<br />

will experience at<br />

least one significant<br />

traumatic event in<br />

their lifetime. While most individuals will not develop long-lasting<br />

post-traumatic symptoms, some studies indicate that 10 to 20<br />

percent of individuals exposed to extremely stressful events may<br />

go on to develop Acute Stress Disorder and/or Post Traumatic<br />

Stress Disorder (PTSD).<br />

What are Common Responses to a<br />

traumatic event?<br />

Individual responses to traumatic events can vary and manifest<br />

themselves differently in children, teens and adults. Some<br />

people report feeling scared and fearful, unpredictable shifts in<br />

emotions, irritability, anger, grief, and depression. Additionally,<br />

some physical reactions include feeling “keyed up,” jumpy,<br />

and hypervigilant. This physiological arousal can also affect<br />

sleep, appetite, and concentration. These symptoms can last<br />

from a few days to a few months before noticing a return to<br />

previous levels of functioning. However, if these symptoms do<br />

not improve, or worsen, and are<br />

severe enough to interfere with<br />

work, school, family, and other key<br />

areas of life, professional help from<br />

a trauma-informed therapist may<br />

be useful.<br />

• Intense fear and feeling unsafe<br />

• Avoiding places and situations<br />

associated to the event<br />

• Hypervigilance, panic<br />

• Difficulty sleeping, nightmares<br />

• Intrusive thoughts, memories and/<br />

or images of the event<br />

• Deep sadness, grief, survivor’s guilt<br />

• Unpredictable emotions, irritability, rage/anger<br />

• Feeling numb, detached, social isolation<br />

• Risky behaviors, substance use<br />

• Headaches, stomach aches<br />

What can you do to cope with trauma?<br />

There are many things you can do to cope with the effects of<br />

trauma. First, consider coping strategies that have worked for<br />

you in the past when faced with stressful events and also be<br />

open to trying something new. Some helpful tips include:<br />

• Understand that what you and your family members are<br />

feeling are normal reactions to an abnormal event<br />

• Return to your daily routines as soon as possible<br />

• Try to not avoid places and situations that remind you of the<br />

event as this could actually increase anxiety and delay<br />

recovery<br />

• Be patient and compassionate with yourself and those<br />

affected<br />

• Try to find activities that bring a sense of relaxation and calm<br />

• Exercise and participate in recreational activities<br />

• Seek out opportunities to connect with others<br />

• Avoid unhealthy coping strategies such as alcohol and<br />

drug use<br />

• Recognize if you need professional assistance<br />

Where can I go for help?<br />

If you have been affected by trauma and are seeking<br />

professional assistance, locating a professional<br />

that is trauma-informed and has experience<br />

working with individuals affected by trauma<br />

is important. P<br />

Jessica J. Ruiz, Psy.D. is Chief Psychologist<br />

& Director of Clinical Training for Behavioral<br />

Health Associates of Broward, Counseling<br />

Centers of Goodman JFS.<br />

18<br />

APRIL <strong>2018</strong>

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