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Stress Reactions May Turn Into PTSD

Everyone watching horrific events - seeing bombings andmangled and bloodied, crying people on television and the Internet - experience trauma. It is normal to have an acute stress reaction, which consists of anxiety, hyper-vigilance, greater startle response, grief and horror for your terrible events experienced by the victims along with their wonder and families about our very own safety which of our own families. These emotions were normal.

Those who have experienced trauma in the past or those who are afflicted by existing post-traumatic stress disorder (PTSDanxiety, ) and depression tend to be more susceptible to the trauma and could experience exacerbations of the past PTSD or any other symptoms.

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

The Usa is fairly late for the game in getting used to living with the cognitive dissonance of dialectical opposites: wanting ourselves to feel safe yet wanting our privacy and freedom to do whatever we want, whenever we want, and how we want. We cringe at encroachments or discussions on our independence: national identity cards, increased screenings at public venues of gathering, profiling - but, we also want to feel more secure. Before, we fear totalitarianism but we are voting more monies to create more shades of "1984" than ever. 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. And even in our own homes, others and Google are mining Big Data for patterns of Internet use that reveal details about an individual user or families.

Obtaining the natural capacity or learning the skills of perspective, understanding to make use of probability/possibility thinking and using reality (quite simply, stating the positive then acknowledging the negative) in order to avoid catastrophizing all contributes to resilience and lessening the chances of these acute stress reactions turning into PTSD.

Alan Manevitz, M.D. is 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 City Presbyterian and Lennox Hill Hospitals, and teaches on the Weill-Cornell Medical School.

Dr. Manevitz has become named amongst the Top Doctors in America by Castle Connolly Medical Ltd., New York City Time’s Super Doctors, New York Magazine’s Best Psychiatrists in New York City, and greatest Doctors of America.

Psychiatrists New York City

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