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Critical Incident Stress

Critical Incident Stress. Stages of Recovery. What is Critical Incident Stress?. A natural reaction of a normal person to an abnormal event. Such an extraordinary event can produce physical, emotional, cognitive and behavioral responses immediately or delayed. Fatigue Sleep disturbance

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Critical Incident Stress

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  1. Critical Incident Stress Stages of Recovery

  2. What is Critical Incident Stress? A natural reaction of a normal person to an abnormal event. Such an extraordinary event can produce physical, emotional, cognitive and behavioral responses immediately or delayed.

  3. Fatigue Sleep disturbance Appetite disruption Muscle tremors Hyper vigilance Startle response Rapid heart rate Sweating/chills Gastrointestinal distress Sexual dysfunction Difficulty breathing Dizziness Headaches Grinding of the teeth Physical Symptoms

  4. Memory Impairment Intrusive thoughts Anomia (word loss) Difficulty making decisions Hypervigilance Poor attention span Poor concentration Nightmares Mental confusion Disorientation of time, place or person Cognitive Symptoms

  5. Anxiety Fear Depression Irritability Grief Panic Apprehension Frustration Hopelessness Suspicion Guilt Numbness Intense anger Overwhelmed Emotional Symptoms

  6. Withdrawal Pacing Unable to rest Speech pattern change Tremors Antisocial acts Emotional outbursts Increase use of substance or compulsive behavior Hyper alert to environment Behavioral

  7. Stages of Trauma Recovery • Shock • Denial • Disruption • Reintegration

  8. Shock • Normal protective reaction • Feel stunned or dazed • Stress response (flight or fight) • Automatic pilot

  9. Denial • Normal protective reaction • Disconnected from event • Feels like your in a movie • “I can’t believe….”, “It’s not happening” • Replay scene or watch repeatedly on T.V.

  10. Disruption • Can no longer deny reality • Initial stress response waning • May have onset of symptoms • Loss becomes more prevalent including loss of routine, perception of safety • Flashbacks • Return to previous stages for short periods

  11. Reintegration • Proof that “time heals” • Able to make sense of event or apply meaning to it • Symptoms abate • Return to routine • Generate positive, life changing behaviors

  12. Points to Remember • We go through a normal process. It is the event that is abnormal. • If possible do not make major decisions during this time. • Seek professional help to assist through process or manage symptoms especially sleep and appetite disturbance. • While you can’t speed up recovery time, you can delay it. Watch use of substances.

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