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Stress Reactions May Turn Into PTSD

Everyone watching horrific events - seeing bombings andmangled and bloodied, crying people on TV and the Internet - experience trauma. It is normal to get an acute stress reaction, which contains anxiety, hyper-vigilance, greater startle response, grief and horror for that terrible events felt by the victims as well as their families and wonder about our very own safety and that of our families. These emotions were normal.

Those who have experienced trauma before or people who have problems with existing post-traumatic stress disorder (PTSDdepression, ) and anxiety are definitely more at risk of the trauma and could experience exacerbations of their past PTSD or any other symptoms.

When people are traumatized, they think powerless. That powerless feeling may become maladaptive feelings of helplessness that develop into depression, anxiety and panic. Or we become angry to empower ourselves. In order to help, being proactive is adaptive; that is why there was such an outpouring of spontaneous offers of money, memorials and aid - the desire to do something on 9/11 resulted in lines around the block as people tried to donate their own blood.

The Usa is fairly late for the game in becoming accustomed to managing the cognitive dissonance of dialectical opposites: wanting ourselves to feel safe yet wanting our freedom and privacy to perform whatever we want, when we want, and how we wish. We cringe at encroachments or discussions on our independence: national identity cards, increased screenings at public places of gathering, profiling - but, we also want to feel less risky. We fear totalitarianism but we are voting more monies to create more shades of "1984" than ever before. We are comforted to see the new technologies of face recognition and infrared detection, to have a cooperative citizenry provide the video to help bring the progenitors of these heinous crimes to justice, but at the same time, we realize we are coming under video surveillance "for our own good" by third parties everywhere but in our own homes. As well as in our personal Google, homes and others are mining Big Data for patterns of Internet use that reveal information regarding a person user or families.

Obtaining the natural capacity or learning the skills of perspective, understanding to utilize probability/possibility thinking and making use of reality (quite simply, stating the positive and then acknowledging the negative) to avoid catastrophizing all results in resilience and lessening the odds of those acute stress reactions turning into PTSD.

Alan Manevitz, M.D. is really a Psychiatrist in New York City, where he keeps a private practice. Dr. Manevitz is really a clinical associate professor at Payne Whitney-Weill Cornell Medical Center, an attending psychiatrist at New York Presbyterian and Lennox Hill Hospitals, and teaches on the Weill-Cornell Medical School.

Dr. Manevitz has been named amongst the Top Doctors in the usa by Castle Connolly Medical Ltd., Ny Time’s Super Doctors, Ny Magazine’s Best Psychiatrists in Ny, and greatest Doctors of America.

Psychiatrist New York

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