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14 December 2007
Psychological Reactions to Traumatic Accidents

It is common for people to suffer from a range of psychological reactions after a traumatic experience such as a motor vehicle accident or any other life-threatening incident. In the first instance, individuals may feel anxious and apprehensive. They may suffer from such symptoms as sleep disturbance, poor concentration, irritability, and loss of interest in activities.  They may experience intrusive thoughts or images related to the traumatic experience. Such recollections are commonly distressing and individuals will often make efforts to block such thoughts or recollections from their mind. People affected by traumatic accidents may feel sad and withdrawn and may be more detached from others. Having an understanding of such reactions can assist people's psychological recovery. The support of other people including friends and family members can be especially important in aiding psychological recovery from accidents.

Sometimes the aforementioned reactions and other forms of psychological distress can be sufficiently debilitating or long-lasting that it can be worth seeking psychological therapy. This would especially be the case if individuals are suffering persistent nightmares related to trauma, if  they are resorting to alcohol or illicit drugs to manage with painful feelings, if symptoms are persisting beyond a month or two, or if the person has limited social supports. More disruptive psychological reactions following traumatic accidents include such conditions such as  Post-traumatic Stress Disorder or Depression which can further limit people's capacity to work or to interact with others. Clinical psychologists or other psychologists who have received specific additional training have specialized skills and experience in assisting individuals to recover from such conditions. Therapy commonly includes an educational component to help individuals further understand their symptoms. Treatment also typically includes the teaching of strategies to manage anxiety including breathing techniques, relaxation techniques, and other coping skills. Therapy sometimes encourages individuals to deliberately recall aspects of their traumatic experience in a manner that helps to reduce the emotional impact of such recollections. It is not uncommon for people to feel depressed at some stage of their recovery associated with losses such as restrictions from any injuries, the loss of one’s previous sense of wellbeing or a temporary incapacity to continue with work or other interests. Individuals may experience a sense of guilt or shame associated with the accident or their reactions to it. Various therapy techniques can assist individuals to deal with such negative experiences by recognizing and altering any unduly negative patterns of thinking which can contribute to such difficulties. Finally, therapy focuses on other strategies to assist individuals to resume previous routines and interests. Recovery from accidents can be further complicated when individuals suffer from physical injuries and pain. There are a range of pain management strategies which can assist people to cope with such additional difficulties. Individuals sometimes benefit from being involved in a group therapy process where they might meet others who were seeking to cope with similar challenges.

It is important to understand that the vast majority of individuals make a good psychological recovery from traumatic accidents. Even those who have suffered from long-term or severe trauma reactions will commonly recover to the point where their symptomatic distress is relatively mild in the longer term. However, it may take considerable patience to accept slow and gradual progress during the rehabilitation process, especially if physical injuries are involved. Following their recovery from trauma reactions, individuals may have a heightened sense of their own resilience and a deeper understanding of their priorities in life: this commonly includes a heightened recognition of the importance of significant relationships and an appreciation of everyday activities which offer a sense of pleasure and fulfillment.

Posted by Chris at 12:00 AM | Link | 5 comments
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Re: Psychological Reactions to Traumatic Accidents
Sounds as though there is a lot of benefits that can possibly come out of traumatic experiences! That's great to know. I have often wondered if I am vulnerable to traumatic stress reactions. Is there any research available to suggest what the protective factors are to developing PTSD? Cheers Chris,

Wilson
Posted by wilson on December 19, 2007 at 3:05 PM

Re: Psychological Reactions to Traumatic Accidents
This is an interesting and complex question with ongoing research being undertaken. Some people are biologically less likely to experience intense anxiety or recover quicker after marked stress. It helps to be able to accept and acknowledge painful feelings whilst still having a positive outlook. Having good social supports helps reduce the impact of trauma. It helps if one's history has been relatively free of trauma. It can certainly help if people accept some emotional disruption, but seek help early if problems are very intense or persisting beyond several weeks. Early therapy can be protective.
Posted by Chris on December 20, 2007 at 3:50 PM

Re: Psychological Reactions to Traumatic Accidents
That's great to know. Cheers Chris.
Posted by wilson on February 7, 2008 at 7:14 AM

Re: Psychological Reactions to Traumatic Accidents
Hi Chris,

In relation to your trauma research data, how come there are no matched controls to compare the results (improvements) against? Common sense would suggest that a person who suffers a trauma would be upset for a while afterwards and then make a natural recovery. I don't mean to undermine the great work that I am sure that you are doing, but if you are going to do research, it would be better if it were stronger scientifically.

Wilson.
Posted by wilson on April 3, 2009 at 10:40 AM

Re: Psychological Reactions to Traumatic Accidents
Thanks, Wilson, for your question which we are sometimes asked after our conference presentations. This is how I generally reply. Conducting research in everyday clinical service settings is different to conducting research in some other settings such as academic or university settings. For example, in a private practice setting we offer clients the most effective treatments we are aware of, tailored to the client, as quickly as possible. We do not use a control group as that would mean withholding treatment from a sizeable group of clients to compare their (likely lesser) recovery to the treated group. Our clients would generally not like to be in a control group that we did not think would respond as well to the other therapy we offer. Therefore we compare the extent of recovery in our clients to that reported in other research. Many of the people we treat for trauma reactions recover well despite having suffered those reactions for many years before receiving appropriate therapy. Quite a number have received treatments elsewhere that were not particularly effective. Therefore their improvement cannot be attributed to the passage of time alone. There are scientific statistical methods (sometimes involving monitoring the progress of just one client) which help demonstrate significant clinical improvement in response to treatment. Despite all of these considerations, I think it is important to recognize that some research involving many international centres and control groups reflects a gold standard in researching the effectiveness of various psychological treatments, and we would not suggest that our research replaces that work. But we find at conferences that other practitioners greatly value our research as being very useful in demonstrating how many clients respond to treatment in an everyday clinical setting such as our private practice.
Posted by Chris on April 22, 2009 at 2:22 PM

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