National suicide Prevention Hot-line Articles

Understanding Anger in the Aftermath of Trauma and Disaster

Tuesday, January 22nd, 2013

“Is Anyone Else Angry?”

anger and traumaTrauma theorists tell us that while traumatic events are in themselves physically and emotionally assaultive, it is often the emotions suffered after the smoke clears and the media goes home that become painful and disruptive to our recovery. One of these is anger.

Anger in the aftermath of a traumatic event, be it the loss of a child, the destruction of one’s home, a life-threatening diagnosis or the sequel to combat stress is a common and complex response. It can be experienced as a physiological state, an emotion, a way of thinking, a behavioral response or a combination of these.

  • You are not alone if you feel angry about what has happened.
  • Essentially you are suffering. The problem is that when anger persists–it obscures everything else.
  • The ability to make meaning of it and redirect it, keeps it from holding you back and taking more from you.

Understanding some of the feelings and dynamics that underscore anger after trauma may be an important step in your journey forward.

Anger as Residual of Fight/Flight Response

It is to our advantage that our biological arousal system goes into survivor mode in face of danger causing an increase in heart rate, rapid shallow breathing, cold sweats, tingling muscular tension and often-antagonistic behavior.

The problem is that when the danger has passed, our body often remains in a state of hyperarousal, leaving us reacting with anger to what would ordinarily be mildly distressing stimuli.

  • We blow up at the relatives who keep asking if everything is starting to get easier.
  • We storm off the line that feels too long at Starbucks.
  • We find ourselves fighting over everything with our partner.
  • We are driving faster and yelling more than usual.

Because this is a physically driven anger, we need to work from the body out to bring it down. We need to re-set our body rhythms by moving, sleeping and eating well. Moving in any way (exercise, walking, re-building, cleaning, physically helping friends) is crucial.

One widow, who told me she was mad at God after 9/11, started walking and didn’t stop until the tears and …

Finding New Meaning In Life After Trauma:Three Guidelines

Tuesday, September 11th, 2012

This weekend the Wounded Warrior Project came to our town. Many had the opportunity to run the 4-mile race next to veterans and their families. The t-shirt of the young man in front of me read “ New Year’s Eve 5K, Afghanistan. ” Many were wearing shirts that read, “ If you Like Freedom- Thank a Vet.”  The father of a vet wore a shirt that read, “ We’ve got them back-Now Welcome Them Home.”

As of August 12, 2012 there are 49,251 wounded service members, 320,000 suffering with Traumatic Brain Injury and 400,000 with PTSD. We have lost 6,549 of our men and women to war.

On the 11th Anniversary of 9/11, thousands remembered an unprecedented terrorist attack on this country that took the lives of close to 3,000 worldwide and plunged us into war. It was an event shared publically by the world and suffered privately by too many.

How Do We Go On In The Aftermath Of Pain And Traumatic Loss?

The answer offered by well-known author and Holocaust survivor, Victor Frankel is consistent with positive psychology, definitions of posttraumatic growth and the nature of the human spirit to hope.

  • He suggests that we find new meaning in life, something that he recognizes as difficult in face of the tragic aspects of life –pain, guilt and death.
  • Frankl suggests that it is not a search for happiness, but for a reason to be happy despite suffering.

Here are three possible guidelines for finding your way to new meaning in life after trauma:

Meaning by the Hour

In his wisdom, Frankl clarified that finding a new meaning in life does not mean arriving at a single goal that will direct the rest of your life, or make sense of evil. Rather finding new meaning in life should be translated to finding a reason to go on, to having a purpose, to feeling valuable in the hour, the day, the week.

A 14-year-old adolescent girl, who lost her Dad on 9/11, has struggled for these 11 years with shyness, loss of two grandfathers, few friends and the …

Mental Health Day: Suicide Protection Across Generations

Monday, October 10th, 2011

don't jump signSuicide ranks as the eleventh leading cause of death in the United States. We have lost loved ones across the generations.

  • Older Americans are disproportionately likely to die by suicide. Although they comprise only 12 percent of the U.S. population, people age 65 and older accounted for 16 percent of suicide deaths in 2004.
  • Suicide is the second leading cause of death in college students and the third leading cause of death in adolescents.  Every day 14 teens take their own lives.
  •  According to the Centers for Disease Control and Prevention, for the second year in a row, middle -aged adults have the highest suicide rate in the country, surpassing even older Americans.

While there are many factors that contribute to suicide, an important new study identifies two factors that have been associated with increased risk for suicidal thought and behavior across the lifespan – hopelessness and lack of connectedness to others.

Exercise for Depression: Suggestions for Making It Possible

Wednesday, August 3rd, 2011

exercise and healingNumerous studies have identified exercise as a key factor in reducing depression symptoms. A recent study heightens the argument by finding that as compared to age, race, gender, body mass index cholesterol, blood pressure and diabetes, it was the sedentary lifestyle of a depressed person that alone accounted for about 25% of the risk of heart-related deaths. The message is that we need to move because our lives depend on it!

The problem is that when you are depressed often the last thing you want to do is exercise.

Given the despair, lethargy, self-doubt, exhaustion, disinterest in activities and shame experienced with depression, the suggestion to exercise feels like adding insult to injury. “I’m not exercising because I’m depressed.”

Knowing exercise could help, but feeling unable to do so often adds to the self-recriminations and low self-esteem of depression.  In one case, the more the young woman watched other family members exercise – the less possible it felt.

Depression’s Landscape.

Given the recent discussion of the pros and cons of medications and treatments for depression, it seems clear that people need to have information and treatment options. It also seems important to stack the deck toward feeling better with anything that might work for you. If you have wanted to exercise but find it impossible – here are some suggestions.

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Suzanne Phillips, Psy.D., ABPP & Dianne Kane, DSW are the authors of Healing Together: A Couple's Guide to Coping with Trauma and Post-Traumatic Stress. Pick up the book today!

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Recent Comments
  • florida1: Wow…Parents who allow their teens to go to Fla or anywhere else on Spring Break with No Parents...
  • Suzanne Phillips, Psy.D., ABPP: TPG: thanks for responding and expanding this discussion in such a interesting way....
  • TPG: Thanks for this; it’s a look at a subject that is often skirted. Statistics are by their nature general....
  • Lin Agostinacchio: Great advice. Having a list of goals you want to accomplish every day also helps. Physical and...
  • Suzanne Phillips, Psy.D., ABPP: Bruce: Thank you for this comment. You bring to the forefront the challenge of...
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