Disasters,
no matter in
what form,
bring about destruction, injury, illness, and even death. People
must physically react to disasters to survive and save lives.
Beyond this level, victims along with local, state, and national
emergency services, must band together to restore communities
to at least a minimally functioning entity. But there are other
things to consider. Amidst all of this commotion and danger
how do people cope emotionally? How do they deal with the sadness
of losing a home or a loved one? How do they deal with the helplessness
that they may be feeling? The anger? The depression? How do
you help children cope? And then when all is said and done,
how do they let it go and move on? These questions are just
as important as any other concerning post disaster survival.
Below are various tips to help deal with disaster, loss, and
the death of loved ones.
RESPONSES TO DISASTER
COPING WITH DISASTER
POST TRAUMATIC STRESS DISORDER (PTSD)
COPING WITH LOSS AFTER A DISASTER
HELPING OTHERS GRIEVE
HELPING CHILDREN COPE WITH DISASTER AND
LOSS
HELPING CHILDREN GRIEVE
Here
are some common responses to disasters:
Disbelief
and shock
Fear and anxiety about the future
Disorientation, apathy and emotional numbing
Irritability and anger
Sadness and depression
Feeling powerless
Extreme hunger or lack of appetite
Difficulty making decisions
Crying for no apparent reason
Headaches and stomach problems
Difficulty sleeping
Excessive drinking or drug use
Normally these symptoms decrease gradually, but everyone progresses
through them at a different pace. Therefore one should not
be compared to others' progress in coping with disasters.
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What
You Can Do
-Talk about your feelings. Not expressing your
feelings will keep you from being able to work through
what happened. By talking with others, you will relieve stress
and realize that other people share your feelings.
-Get plenty of rest and exercise. Remember to
eat well. Avoid excessive drinking and risk-taking activities.
-Spend time with your family. If you have any
children, encourage them to discuss their concerns and
feelings with you.
-As soon as it feels comfortable, go back to your
usual routine.
-Do things that you find relaxing and soothing.
-Recall other times you have experienced strong
emotions and how they were resolved.
-Do something positive that will help you gain
a greater sense of control (for example, give blood,
take a first aid class or donate food or clothing).
-If you feel overwhelmed by the disaster, ask
for help. Its not a sign of weakness. Talk with
a trusted relative, friend, social worker, or clergy member.
If you have strong feelings that wont go away or if
you are troubled for longer than four to six weeks, you may
want to seek professional help. People who have existing mental
health problems and those who have survived past trauma may
also want to check in with a mental health care professional.
Being unable to manage your responses to the disaster and
resume your regular activities may be symptoms of post-traumatic
stress disorder (PTSD), a real and treatable illness.
Help is available.
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Post
Traumatic Stress Disorder
According
to the National Mental Health Association, "Post-traumatic
stress disorder (PTSD) is an extremely debilitating condition
that can occur after exposure to a terrifying event or ordeal
in which grave physical harm occurred or was threatened."
PTSD is triggered by traumatic events, including military
service during times of war, rape, assault, or natural or
manmade disasters. The traumatic event is often re-experienced
over and over again within flashbacks, dreams, nightmares,
memories, or frightening thoughts, and is usually triggered
by an object or event that resembles the original event. Anniversaries
of the event can also trigger symptoms. People suffering with
PTSD may have difficulty sleeping, experience depression,
anxiety, irritability, and anger. They may also feel emotionally
numb and have feeling of guilt. To be positively diagnosed
as PTSD, these symptoms must occur for more than a month.
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Coping With Loss After a Disaster
There are really no words to
describe exactly what it feels like to lose a loved one. It
is one of the most difficult ordeals that a person will have
to go through in their lifetime, and it oftentimes brings
about feelings of guilt, denial
and disbelief, anger, confusion, deep sadness,
humiliation, despair , shock, yearning, and emptiness. Add
the chaos and destruction of a disaster, and these feelings
may increase in intensity. The processes of grieving (outwardly
expressing your loss through physical actions, such as crying)
and mourning (accepting ones death often through traditional
family and religious practices) after an individual's death
vary from person to person. Some people may be very emotional,
while others may show no emotions at all. Still others may
express their feelings of grief and loss in physical ailments,
such as stomach upsets, anxiety attacks, and sleep disturbances.
In extreme cases, people have even been known to become suicidal.
Grief
is a natural emotion to experience after the loss of a loved
one. It is a vital process in mental health maintenance. One
should not try to suppress grief, but allow the grieving process
to occur. Below are several tips to help cope with loss and
grief.
Maintain your health. Eat regularly. Eat the right
foods. Get plenty of rest. See your physician on a regular
basis. Be aware of the potential of dependence to drugs possibly
prescribed to you to help with anxiety, relaxation, or sleep.
Find and surround yourself with caring people. Friends
and relatives that have been through similar circumstances
and that have gone through the grieving process can often
be one of the biggest supports during times of loss. Grief/Loss
support groups also have been known to be effective when working
through the grieving process.
Express
your feelings. Don't be afraid to tell others how you
are feeling. Talking about the sources of your grief and how
you are feeling may be painful, but, in the long run, it is
highly effective when working through the grieving process.
Make
the effort to continue to live your life. Grief has a
tendency to trap people within their past as memories of their
loved one rule a majority of their thoughts. While this is
natural, don't forget that you must continue to live your
present life, as well.
Postpone
major life changes. Give yourself time to adjust to the
changes that a loss of a loved one can bring, before you continue
with other changes, such as getting married, having a child,
moving, or changing jobs.
Be
patient. Realize that working through the loss of a loved
one can take a long time, but the constant pain will dull,
and eventually fade. Memories may bring back painful feelings,
but these will gradually go from being a frequent occurrence,
longer intervals between occurrences.
Seek
professional help if necessary. If your grief seems unbearable,
seeking professional help is a valid way to assist you through.
Many people see professional assistance as a weakness, but
in all actuality, it is one of the biggest sources of strength
that one can tap into. There are a wide variety of people
to choose from - from pastors, priests, and/or church elders,
to grief counselors, psychologists, and psychiatrists - all
of which can offer a therapeutic environment to aid in working
through grief and loss.
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Helping
Others Grieve
Sometimes others in our life are grieving. Below are some
tips to be a supportive individual during this difficult time.
Allow
them and encourage them to share their feelings and memories
of their loved one.
Offer practical help. Try to ease your loved one's
burden by relieving some of their day to day activities, such
as cooking meals, baby-sitting, and running errands.
Dont
offer false comfort. It is understandable that you may
not know how to react to the situation, but it doesn'tt
help the grieving person when you say it was for the
best or youll get over it in time.
Instead, offer a simple expression of sorrow and take time
to listen. Sometimes, all that is needed is a hug and a shoulder
to cry on.
Be
patient. Remember that it can take a long time to recover
from a major loss. Make yourself available to talk, offer
comfort, or provide a distraction from the situation, such
as going to the movies, or going for a walk.
Encourage
professional help when necessary. Do not be afraid to
suggest professional help if you feel that your loved one
is not working through their grief.
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Helping
Children Cope with Disaster And Loss
The time after a disaster can
be just as stressful for a child as it is for an adult. Their
view of the disaster varies with age, as does their way of
coping with the situation that they have been thrown into.
Because of their age, children may not be able to fully understand
the complete extent of has happened, and what may presently
be happening around them. They may realize that their life
and the lives of their loved ones have been put in danger,
but may not realize that the disaster could not only injure,
but kill members of their friends and family.
Children experience the same
feelings of helplessness and lack of control that disaster-related
stress can bring about. Unlike adults, however, children have
little experience to help them place their current situation
into perspective. Adults need to be aware that, although they
may not understand exactly what is going on around them, children
sense the anxiety and tension in adults around them. It is
important for adults to support children through these trying
times by encouraging them to share their feelings, and being
there to listen to their concerns. Children need much reassurance
about situations, as well as a return and maintenance of their
routine. Please keep in mind that depending on their age,
children may cope with disaster differently.
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Children deal with
death in many different ways, and not necessarily in the same
manner as adults. Here are some common ways children might
respond to a death:
-Sadness
-Denial, shock and confusion
-Anger and irritability
-Inability to sleep
-Nightmares
-Loss of appetite
-Fear of being alone
-Physical complaints such as stomachaches and
headaches
-Loss of concentration
-Guilt over failure to prevent the loss
-Depression or a loss of interest in daily activities
and events
-Acting much younger for an extended period or
reverting to earlier behaviors (e.g., bed wetting,
baby talk or thumb-sucking)
-Boisterous play
-Withdrawal from friends
-Sharp drop in school performance or refusal to
attend school
-Excessively imitating or asking questions about
the deceased or making repeated statements of wanting
to join the deceased
-Inventing games about dying
-Profound emotional reactions (e.g., anxiety attacks,
chronic fatigue or thoughts of suicide)
Tips for Helping Children and Adolescents Grieve
-Children will express their grief in a variety of ways and
may appear to be unaffected by the death.
-Preschoolers have difficulty understanding that death is
not temporary
-Children between the ages of five and nine begin to experience
grief more like adults.
-Dont
push children to talk about their feelings. Children, like
adults, need time to grieve and be upset. Let them know you
are ready to listen, and provide reassurance and validation
of their feelings when they express them.
Here are some issues to consider when helping
a child overcome loss:
-
Be aware that children are concrete thinkers. Give them honest,
simple answers to their questions without overloading them
with information. To lessen their confusion, avoid expressions
such as passed on or went to sleep.
-
Children commonly express their grief through physical activities.
Observe their activities and behavior, and understand and
support their play and actions as their language
of grief. Offer reassurance.
-
Death is often a common fear among children. Allow them to
openly express that fear and validate what they are feeling.
Offer them words of comfort appropriate for their age, and
share positive, happy memories of the person who died.
-Children
need the freedom to choose if or how they want to remember/memorialize
a loved one, how they want to grieve that loss. Help the child
plant a tree or dedicate a place in memory of the person who
died.
-
Make sure that you include your children within the family
grieving process. Although they may be young, they need to
feel included, especially since they will most likely be the
most confused over this new traumatic situation. Children
grieve the person and the changed behavior and
environment of family and friends. Keep regular routines as
much as possible.
-
Children are repetitive in their grief, meaning that their
grief may appear to be cyclical emotion. They may go through
a rough period, appear to be on the upswing, only to dive
back into their grief. This may happen throughout their childhood
and adolescence. Respond patiently to their uncertainty and
concerns. It can take a long time to recover from a loss.
Make time to listen and talk about their feelings, especially
when they encounter a strong reminder of their loss, such
as an anniversary of a death or an encounter with an object
or place that triggers a memory.
Source:
National Mental
Health Association
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