Emotional Responses
- Shock or denial
- Anger or irritability
- Feelings of hopelessness
- Depression
- Fear and anxiety
- Mood changes
- Numbness
- Guilt
- Grief
Behavioral Responses
- Changes in activity level
- Social withdrawal or isolation
- Restlessness, agitation or pacing
- Eating or appetite changes
- Sleep disturbance/insomnia
- Increased use of alcohol or drugs
- Inability to relax
Cognitive Responses
- Forgetfulness
- Difficulty making decisions
- Difficulty concentrating
- Dreams or nightmares of the event
- Confusion
- "Flashbacks" of crisis event
- Self-doubt
Physical Responses
- Fatigue or loss of energy
- Headaches and/or back pain
- GI distress, nausea, vomiting
- Muscle tension
- Trembling
- Rapid heart beat
- Sweating or chills
- Dizziness
- Exaggerated startle response
- Weakness
Steps You Need to Take if Symptoms are Significant
- Symptoms are usually significant when they interfere with usual activities, change behavior in significant ways, or they persist for more than two weeks.
- Seek medical advice for any physical symptoms that are new especially if you are having health problems and have not had a medical evaluation for these symptoms.
- If you are unable to escape feelings of panic, guilt, depression or stress, or these symptoms are extreme or prolonged, contact a professional mental health provider for advice.
- Seek help or advice from a qualified mental health professional if a child or an adult begins thinking or feeling guilty or suicidal
