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Emergency
Preparedness in event of Disaster:
Trauma
& Stress Management:
The
aim of this section is to identify necessity of trauma struck
people in the event of a disaster. Also provided is some
information on what problems (Psychological
problems) results in the event of a disaster. Here
is a list that needful to be done:
To
offer time and space wherein
people affected by the
earthquake can share their
feelings that they carry
without inhibitions and fears.
To
mobilize a team of skilled and
semi-skilled counselors who
can in turn create a
difference in people’s
beliefs and thus enhance their
self worth.
To
enthuse in people a sense of
faith and self-confidence by
providing them with skills to
relate to people with empathy
and sensitivity.
To
address issues of faith and
myths around such calamities.
To
reach out to Individuals,
families, institutions and
organizations to anchor
themselves in themselves and
to mobilize their efforts in
proactive ways.
 Disaster
and trauma relief help in Gujarat:
Manthan
Centre of Counseling is co-coordinating an effort to offer
free counseling facilities to provide emotional help to the
people who have been traumatized by this devastating
earthquake. The details about these camps are given below
For
further Inquiries, contact Manthan
at:
Manthan Centre for Counseling
807, Aditya, Nr. Mithakali Six
Roads,
Navrangpura Ahmedabad - 380009
Tel.: +91-79-6409301
email: manthan@icenet.net
---------------------
Gift from Within:
Gift from Within is a private, non-profit organization
dedicated to those who suffer post-traumatic stress disorder (PTSD),
those at risk for PTSD, and those who care for traumatized
individuals. Go to http://www.sourcemaine.com/gift/
---------------------
Trauma Information:
The Trauma Information Pages site concentrates on emotional
trauma, including Posttraumatic Stress Disorder (PTSD) and
disaster mental health response, whether following individual
traumatic experience(s) or a large scale natural disaster. Go
to http://www.trauma-pages.com/
---------------------
What
psychological problems can result from disaster experiences?
The psychological problems that may result
from disaster experiences include:
-
Emotional reactions: temporary feelings
(i.e., for several days to a couple of weeks) of shock,
fear, grief, anger, resentment, guilt, shame,
helplessness, hopelessness, emotional numbness (difficulty
feeling love and intimacy, or in taking interest interest
and pleasure ion day-to-day activities )
-
Cognitive reactions: confusion,
disorientation, indecisiveness, worry, shortened attention
span, difficulty concentrating, memory loss, unwanted
memories, self-blame
-
Physical reactions: tension, fatigue,
edginess, difficulty sleeping, bodily aches or pain, being
startled easily, racing heartbeat, nausea, change in
appetite, change in sex drive
-
Interpersonal reactions in relationships
at school, work, in friendships, in marriage, or as a
parent, such as: distrust, irritability, conflict,
withdrawal, isolation, feeling rejected or abandoned,
being distant, judgmental, or over controlling
What
severe stress symptoms can result from disasters?
Most disaster rescue workers only experience
mild normal stress reactions, and disaster experiences may
even promote personal growth and strengthen relationships.
However, as many as one in three rescue workers experience
some or all of the following severe stress symptoms, which may
lead to lasting post-traumatic stress disorder (PTSD), anxiety
disorders, or depression:
-
Dissociation (feeling completely unreal or
outside yourself, like in a dream; having
"blank" periods of time you cannot remember)
Intrusive re-experiencing (terrifying memories, nightmares,
or flashbacks)
-
Extreme attempts to avoid disturbing
memories (such as through substance use)
-
Extreme emotional numbing (completely
unable to feel emotion, as if utterly empty)
-
Hyperarousal (panic attacks; rage; extreme
irritability; intense agitation)
-
Severe anxiety (paralyzing worry, extreme
helplessness, compulsions or obsessions)
-
Severe depression (complete loss of hope,
self-worth, motivation, or purpose in life)
Who is at
greatest risk for severe stress symptoms?
Rescue workers who directly experience or
witness any of the following during or after the disaster are
at greatest risk for severe stress symptoms and lasting
readjustment problems:
-
Life threatening danger or physical harm
(especially to children)
-
Exposure to gruesome death, bodily injury,
or bodies
-
Extreme environmental or human violence or
destruction
-
Loss of home, valued possessions,
neighborhood, or community
-
Loss of communication with/support from
close relationships
-
Intense emotional demands (such as
searching for possibly dying survivors, or interacting
with bereaved family members)
-
Extreme fatigue, weather exposure, hunger,
or sleep deprivation Extended exposure to danger, loss,
emotional/physical strain
-
Exposure to toxic contamination (such as
gas or fumes, chemicals, radioactivity)
Studies also show that some individuals have a
higher than typical risk for severe stress symptoms and
lasting PTSD, including those with a history of:
-
Exposure to other traumas (such as severe
accidents, abuse, assault, combat, rescue work)
-
Chronic medical illness or psychological
disorders
-
Chronic poverty, homelessness,
unemployment, or discrimination
-
Recent or subsequent major life stressors
or emotional strain (such as single parenting)
Disaster stress may revive memories of prior
trauma, as well as possibly intensifying pre-existing social,
economic, spiritual, psychological, or medical problems.
How
can you manage stress during a disaster operation?
Here are some ways to manage stress during a
disaster operation:
Encourage and support your co-workers
and build up morale of everybody in workplace.
Take care of yourself physically, with regular
exercise and eating frequently in small quantities
Take a break when you feel your stamina,
coordination, or tolerance for irritation diminishing
Stay in touch with family and friends
Defuse briefly whenever you experience
troubling incidents, and after each work shift
How
can you manage stress after the disaster?
After the disaster:
-
Attend a debriefing if one is offered, or
try to get one organized, 2 to 5 days after leaving the
scene
-
Talk about feelings as they arise, and be
a good listener to your co-workers
-
Don't take anger too personally -- it's
often an expression of frustration, guilt, or worry
-
Give your
colleagues recognition and
appreciation for a job well done
-
Eat well and try to get adequate sleep in
the days following the event
-
Maintain as normal a routine as possible,
but take several days to "decompress" gradually
How
can you manage stress after returning home?
After returning home:
-
Catch up on your rest (this may take
several days)
-
Slow down -- get back to a normal pace in
your daily life
-
Understand that it's perfectly normal to
want to talk about the disaster, and equally normal not to
want to talk about it; but remember that those who haven't
been through it might not be interested in hearing all
about it -- they might find it frightening, or simply be
satisfied that you're back safely
-
Expect disappointment, frustration, and
conflict -- sometimes coming home doesn't live up to what
you imagined it would be -- but keep recalling what's
really important in your life and relationships so that
small stressors don't lead to major conflicts
-
Don't be surprised if you experience mood
swings; they will diminish with time
-
Don't overwhelm children with your
experiences; be sure to talk about what happened in their
lives while you were gone
-
If talking doesn't feel natural, other
forms of expression or stress relief such as journal
writing, hobbies, and exercise are recommended
Taking every day one-at-a-time is essential in
disaster's wake. Each day is a new opportunity to fill up:
-
Focus Inwardly on what's most important to
you and your family today;
-
Look and Listen to learn what you and your
significant others are experiencing, so you'll remember
what is important and let go of what's not;
-
Understand Personally what these
experiences mean to you as a part of your life, so that
you will feel able to go on with your life and even grow
personally.
Source:
http://www.ncptsd.org/facts/disasters/fs_treatment_disaster.html
& various
Internet sites as mentioned
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