All material copyright Dr Di Shand 2004

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   Trauma Debrief
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What is trauma?

Trauma can be defined as an incident or event involving an Actual or Perceived threat of harm, injury and/or death.

 

Examples

They are many and varied; some of which are rape, physical assault, armed robbery, unarmed robbery, hijackings, combat in war, domestic violence, car accidents, near death experiences like being washed out to sea, near-drowning, shark attacks and other natural phenomena like storms, lightening strikes, volcanoes etc.

 

What to do?

It is very important that after a traumatic experience, the individual or group seeks psychological assistance to work through the frightening experience.

However in the first 24 hrs the person will be in shock, depending on the nature and intensity of the trauma. It is important that at this time the person receives support physically and medically [if necessary] from family members and friends and is kept warm and safe. Debriefing at this time is not usually productive due to the natural defence mechanisms of the body kicking in to play.

 

When to seek psychological intervention and how can it help?

Between 24 and 72 hours after the trauma is considered a good time to see the psychologist.

Debriefing helps survivors deal with the negative and uncomfortable, often very painful feelings and behaviour that comes to the surface after a traumatic event. The survivor will be helped to explore everything that affected him/her during the trauma and be given information and tools to help through the difficult time ahead

At the first session you will be encouraged to ‘tell the story’ to help you deal with the emotional impact it had on you. Using all the senses to see, hear, smell, taste what you experienced will help to reconnect with the ‘images/experience’ and release them over time.

 

How many sessions will be needed?

Rule of thumb says between 4-6 sessions but everyone is different and therefore it depends entirely on the individual and the severity of the trauma. It is however often unrealistic to think one session will suffice as it is a process and needs time to be worked through.

If you don’t seek help it may be that you ‘suppress’ that experience in an unhealthy way and it adds to the emotional ‘straws’ that finally ‘break the camel’s back’ metaphorically. Post Traumatic Stress [PTSD] can then also develop over a period of time and is harder to treat psychologically than the initial traumatic stress.

 

Symptoms of PTSD

There are many symptoms and duration, intensity and severity are important factors to consider. They will still be happening 4-6 months after the trauma. Some of the more common symptoms are mood swings, feelings of fear and/or helplessness, feelings of loss of control, exaggerated startle response, hypersensitivity to potential danger, recurring nightmares, changes in eating and sleeping habits, depression.

Tel: 011 803 4913 for an appointment

 

All material copyright Dr Di Shand 2004