Category Archives: Trauma, Disaster, Resilience

Dogs and Health, a Winning Combination

We know that exercise is good for the heart. We know that having companionship is good for health. But did you know that owning a dog helps relieve stress and lower blood pressure and heart rate? 

Psychology Today Magazine published an article in its April 2006 edition about a research project completed at the State University of New York at Buffalo. In this study, 480 people experienced various stress-inducing tasks. Sometimes, the subject could have their dog present during the task, and in other cases, the dog could not be with its owner. The same was true of the subject’s spouse. Sometimes, the spouse could participate, and the spouse was absent in others. Before, during, and after the experiment, blood pressure and heart rate were carefully monitored and documented. The results of the study were fascinating:

Results:

The tasks required of the subjects were successful in sending heart rates and blood pressure soaring.

When a participant’s spouse was present, blood pressure and heart rate were the highest of all participants, even though the spouse could provide any social support they thought necessary.

Stress response was lowest among those allowed to have their dogs present during and after the task.

It is not surprising that the researchers speculated that those with their dogs present had a better outcome because dogs are comforting and non-critical.

This study coincides with another recent research project, which showed that loneliness and the lack of social support in an individual’s life lead to high blood pressure. A pet, particularly a dog, goes a long way toward providing owners with a sense of responsibility, comfort, and companionship that has real health benefits. 

The mere process of walking a dog leads to the opportunity to speak with people and interact. Children, other adult dog owners, and interested neighbors stop interacting with those walking their dogs. In addition, dogs are always welcoming when their owner returns home from having been elsewhere. This welcome feels very good and reassuring for those who live by themselves and may feel socially isolated.

On Lauging and Laughter

We are living in difficult times. There is the war in Ukraine, two years of coronavirus, domestic political turmoil, rising crime, and changes in the economy. Challenging times like these create a lot of anxiety, worry, and stress. However, as individuals, there is little we can do to solve these problems. One psychologically beneficial coping mechanism is to laugh. Laughter reduces a lot of stress and worry.

When I was a college student many years ago, I wrote a term paper about the Pygmies of the Congo in Africa. While researching the paper, I came across one observation of their way of life that caused me to laugh. The anthropologist who wrote his observations while living with these people was that when something struck them as funny, they would begin laughing until the laughter became so side-splitting that they rolled on the ground. At the same time, tears came rolling down their faces.

When I was a child, I remember that I loved to see Jerry Lewis movies. I would laugh so hard and loud that my laughter spread through the isles of the theater until everyone was laughing at me laughing.

I remember a psychology class I took in college where the professor used a lot of humor in his lectures. One day, he said something that made all of us laugh. I don’t know if it was his joke, something about my mood that morning, or the atmosphere in the classroom, but I couldn’t stop laughing even after the others had. That caused the other students to resume laughing after they had stopped. For fear of being reprimanded, I looked up and was relieved to see the professor laughing along with all the rest of us. Our laughter was purely spontaneous and left me warm feelings about the class and professor that I still remember after these decades.

Whether laughter is medicine is unclear. Studies show that laughter is the best medicine for stress, worry, and many other problems. Psychologist Robert Provine, Ph.D., is the foremost expert on laughter. He states that:

“Laughing more could make you healthier, but we don’t know,” he says. “I certainly wouldn’t want people to laugh more just to avoid dying — because eventually, they’ll be disappointed.”

Of course, that is a joke. Most laughter is not a result of a joke but is a laughable part of being with people. Research on relationships is measurable by the amount of laughter. Problems and conflicts cause people to divorce or end relationships. Yet, one of the most apparent ingredients of any happy relationship is laughter. Laughter may be a symptom of how well a couple is doing. Laughter binds people together. During the beginning stage of a romance, people frequently laugh. It is a time of fun, warmth, joyfulness, and spontaneity. Couples need to laugh a lot more.

Laughing is also very social. It brings people together. It brings people together because it’s contagious. When you hear someone laugh, you also start to laugh. Do you remember how you also yawn when you see someone yawn?

How might a couple reintroduce laughter into their relationship? According to Provine, the most primitive form of stimulating laughter is tickling. Not only does tickling cause laughter, but it also causes the person getting tickled to turn around and start tickling. In addition to couples engaging in tickling and laughing, we love to tickle babies and children because it’s fun to see and hear them laugh and giggle.

It’s always fun to get together with people who also spontaneously laugh. Once the laughter begins, everything that happens is funny.

Do you allow laughter into your life? Just remember, we don’t laugh to solve problems. We don’t laugh to improve our health. We laugh because we do, and it feels great. So, let’s all get together and laugh.

Contact Dr. Schwartz for a consulation and/or psychotherapy

Journaling and Mental Health

For example:

“You have been through a difficult and traumatizing divorce. When all was over, you felt a sense of relief besides exhaustion and some depression. Several months have passed and you continue to feel the lingering effects of having been through something very stressful. A friend of yours suggests you write about the experience of the divorce as a way of feeling better and putting the episode behind you. You do some investigating and discover that there is solid evidence to support friends’ suggestions.”

Were you among the many young people who kept a diary when you grew up? It’s probably something that more females did as compared to males. Research shows it’s something all of us can benefit from in our adulthood. Rather than a diary, it’s called a journal. Writing a journal can have therapeutic benefits and, perhaps, be a way to change one’s life story or narrative. Clinical Psychologist James Pennebaker, University of Texas, is the leading researcher using physical and mental health journaling. He has completed many controlled research studies documenting the benefits of writing daily. Many other researchers, such as Joshua Smith, Ph.D., and Lauren Smith, Ph.D., have further documented the benefits of writing.

Pam Trachta, owner of Through a Different Lens, a consulting business, reports that “When I journal, or when I teach others to, I strive not to be intellectual and logical and articulate, but to feel the wave, the energy behind an event and to summon images of what that wave feels like, acts like, what it’s saying to me and what I would say to it.” Do not worry about grammar, spelling, or sounding literate. Just write.

According to Pennebaker, developing a deeper understanding of an event and the emotions it generates helps the brain digest the information. Pennebaker thinks that your brain turns it into a more easily stored story when you analyze a traumatic event. “Storytelling simplifies a complex experience,” he says. Turning the memory into a story can be painful at first. It can take weeks or months to notice an improvement. Smyth and Pennebaker report that patients often feel worse when they journal. 

Here are some suggestions for how to journal:

1. Write for yourself

2. Write about all the emotions associated with the event.

3. Set aside 30 minutes at a regular time for three or four days in a row when you won’t be disturbed.

4. Explore how the topic relates to other aspects of your life, such as your childhood and relationships.

5. Write continuously and don’t think about spelling or grammar.

Journal writing about traumatic events can be difficult, time-consuming, and careful. Writing about the worst events of your life can dredge up solid emotions, and healing doesn’t follow. For example, journaling therapy doesn’t seem to work by itself with people who are severely depressed or who have post-traumatic stress disorder. Smyth suggests notifying either your health care professional or someone close to you before attempting this exercise. Let them judge if it’s helping or hurting you.

Also, keep your healing journal private. It’s okay to tear up the pages or burn them once you’ve written about the event. Showing them to anyone who isn’t a therapist or healthcare professional could make matters worse–it could be hazardous for a battered woman to show the pages to her spouse.

Some therapists integrate journaling into their therapeutic practice. Journaling is something you can look for in a therapist if interested. You can certainly do something while in therapy to discuss with your therapist if you are experiencing difficult emotions. Remember, one does not have to be in therapy to write a journal.

Psychotherapy help is available. Email Dr. Schwartz at dransphd@aol.com

Pandemic, The Economy, War and Life and Death

Along with American citizens and people worldwide, I am extremely upset about the Pandemic, Ukraine, Russia, and the economy. 

 Many friends, family, and clients say that they believed the Pandemic was over. However, Russia invaded Ukraine, and anxiety rose once anxiety and worry rose again. If these events aren’t bad enough, we have been plagued by rising prices for everything from gasoline, building materials, and food, among many other essential items.

I was born in 1942, in the middle of WW 11. My grandfather’s youngest brother, Uncle Sam, served in and earned the Purple Heart in the first World War. My three uncles served in World War 2. Then, there was the war to establish the State of Israel. Next was the invasion of Israel, the Korean War, Vietnam, invasion of Iraq, Gulf War, and Afghanistan, and more minor wars were between these. And, evermore, nations are gaining nuclear weapons and missiles. In these wars, including the current war in Ukraine, all of us witness acts of destruction. The destruction includes human lives, cities, buildings, and all the things people take for granted in their daily lives.

The great psychoanalyst, Sigmund Freud, wrote about the issues surrounding war, life, and death after World War 1. 

Freud’s Theories of Life and Death Instincts

Sigmund Freud’s theory of drives developed throughout his life and work. He initially described a class of drives known as life instincts. He believed these drives handled much of our behavior.

Eventually, he believed that life instincts alone could not explain all human behavior. With his book Beyond the Pleasure Principle in 1920, Freud concluded all instincts fall into two major classes: life drives or death drives.

The Life Drive (Eros)

Sometimes referred to as sexual instincts, the life drives deal with basic survival, pleasure, and reproduction. These instincts or drives are essential for sustaining the individual’s life and the continuation of the species.

While we think of life instincts regarding sexual procreation, these drives include thirst, hunger, and pain avoidance. The energy created by the life instincts is known as libido.

Freud proposed Eros was opposed by ego forces (the organized, realistic part of a person’s psyche that mediates between desires). In this latter view, he maintained that life instincts were opposed by the self-destructive death instincts, known as Thanatos.

Behaviors commonly associated with life instincts include love, cooperation, and other social actions. The life drives focus on preserving life, both the individual and the species. This drive compels people to engage in actions that sustain their own lives, such as looking after their health and safety. It also exerts itself through sexual drives, motivating people to create and nurture new life. 

Positive emotions such as love, affection, and social cooperation are also associated with life drives. These behaviors support both individual well-being and the harmonious existence of a cooperative and healthy society.

The Death Drive (Thanatos)

Freud first introduced the concept of the death drive in his essay Beyond the Pleasure Principle. He theorized that the death drive is the drive toward death and destruction, famously declaring that “the aim of all life is death.”

Freud believed that people typically channel their death drive outwards and manifest as aggression toward others. However, this drive can also be directed inwards, which can cause self-harm or suicide.

Freud based this theory on various clinical observations. For instance, Freud noted that people who experience a traumatic event would often reenact that experience. While studying soldiers returning from World War I, Freud observed they had a tendency to repeat the traumatic experiences that took them back to the combat scene.

He noted similar behavior in his 18-month-old grandson, Ernst, who played a game called Fort/Da whenever his mother was away. To deal with his anxiety, his grandson would repeatedly toss away and retrieve a wooden reel with a piece of string tied around it. Freud wondered how “repetition of this distressing experience as a game fit in with the pleasure principle?”

Freud concluded people hold an unconscious desire to die, but life instincts largely temper this wish.

According to Freud, the death drive stands in stark contrast to the drive to survive, procreate, and satisfy desires. In Freud’s view, all living organisms have an instinct” toward death.” in Freud’s view. The compulsion to repeat was “something that would seem more primitive, more elementary, more instinctual than the pleasure principle it overrides.” He further proposed that the death drive extended that compulsion.

As yet another war presents the danger of spreading into a wider conflict. Could Ukraine become the starting point of a third world war? I could not help but ask myself if Freud was correct. Does humanity have a drive towards self-destruction and extinction? What do you believe? I am available for exchanging ideas at

dransphd@aol.com

Trauma and Gaslighting

Gaslighting Quotes That Capture This Emotional Manipulation

  1. “Gaslighting is mind control to make victims doubt their reality.” — Tracy Malone.
  2. “Gaslighting is a subtle form of emotional manipulation that often results in the recipient doubting their own perception of reality and their sanity. In addition, gaslighting is a method of manipulation by toxic people to gain power over you. The worst part about gaslighting is that it undermines your self-worth to the point where you’re second-guessing everything.” — Dana Arcuri.
  3. “It frightens me because I feel vulnerable to attacks, an easy target for gaslighting. Phrases like ‘No, I didn’t say that!’, ‘You don’t remember,’ and ‘You must have forgotten,’ start rattling my brain and making me jittery.” — Ankita Sahani

There are many times of childhood trauma, where family members state it happened a long time ago, and it’s time to get over it. The same people who say that engage in gaslighting the survivor of childhood trauma.

What is meant by gaslighting?

Gaslighting refers to the act of undermining another person’s reality by denying facts, the surrounding environment, or their feelings and memories. Ultimately, the target of gaslighting may doubt their sanity.

The trauma of childhood abuse can have long-lasting repercussions that affect your understanding of yourself and the world around you. For many, the effects of abuse show up in dysfunctional interpersonal relationships resulting from attachment disruptions at pivotal points of childhood development. By examining the impact of childhood abuse on interpersonal relationships and the role of therapy in healing, people can better understand their experiences and the possibilities for recovery.

One result of childhood trauma can be dissociative disorders:

Dissociative disorders involve the inability to distinguish between thoughts, memories, surroundings, actions, and identity. People with dissociative disorders escape reality in involuntary and unhealthy ways and cause problems with functioning in everyday life. In one case, a patient dissociated when she had to move from her apartment after many years. Any stress can set off this disorder. 

The Impact of Childhood Abuse on Interpersonal Relationships

In the absence of secure attachments, survivors of childhood abuse often develop dysfunctional attachment styles that disrupt your ability to interact with others in healthy ways. Emotional abuse, neglect, and sexual abuse are more strongly associated with interpersonal distress in adulthood than physical abuse. However, it is essential to remember that any abuse survivor can experience profound interpersonal difficulties, including:

  • An inability to trust: The ability to trust others is a critical part of forming and maintaining healthy relationships. However, when someone has experienced childhood abuse, that ability is often diminished or even removed altogether. As a result, you may be reluctant to engage in honest and open relationships for fear that you will be betrayed or harmed. Staying closed off, guarded, or hypervigilant can make it difficult for others to feel close to you, and you deny yourself the opportunity to form healthy and meaningful bonds. The lack of trust also affects all insecure attachment styles.
  • Avoidant attachment: Some people who do not experience the benefit of secure attachment in childhood must avoid attachment to others altogether. Avoidant people are unable to trust others. It also arises due to extreme self-reliance. Many abuse survivors learned that they could not rely on others to meet their attachment needs early. Those with an avoidant attachment may decide to ignore those needs or attempt to meet them yourself. In adulthood, this typically translates to social avoidance or the formation of emotionally distant relationships in which you remain unresponsive to the needs of others.
  • Ambivalent attachment: Survivors of childhood abuse develop a weak attachment style. People with an ambivalent attachment style desire intimacy. However, they are ever watchful of change in the relationship, sometimes to the point of paranoia, “frustrated and resentful, particularly if you feel misunderstood or vulnerable.
  • Disorganized attachment: People who experience this style are deeply fearful of relationships. However, they crave emotional closeness. You are at once afraid of intimacy and of being alone. As a result, you may lash out if you feel ignored or unloved while being reluctant to show affection for others. These patterns create significant barriers to forming and maintaining healthy relationships. 

People who experience childhood abuse are vulnerable to developing mental health disorders that compromise emotional and behavioral stability, including depression, anxiety, PTSD, and borderline personality disorder. These illnesses present additional challenges to engaging in healthy interpersonal relationships, leading to re-traumatization that creates further emotional damage.

Contact Dr. Schwartz at

dransphd@aol.com

It’s Enough to Make You Pull Your Hair Out

Do you remember a time when you were reading or studying for a school exam or writing a term paper and were quite unconsciously twirling, twisting, and pulling your hair until the strands fell out?

I have worked with people with Trichotillomania. They are also known as “trichsters,” but nothing is humorous about this disorder. It is a disorder also known as hair-pulling. “Trichotillomania is repetitive twisting and twirling of the hair. The hair loss is usually in a well-defined area with shortened, broken-off hairs and early regrowth of hair. The scalp is the most commonly involved site, but eyelashes and eyebrows may also be involved. The hair loss can also be patchy and poorly defined.”*

Some 2.5 million Americans experience this disorder. Hair pulling often begins during childhood or adolescence. For example, studies show that boys who pull out their hair start around the age of 8, while girls begin around twelve years of age or with the onset of puberty. By far, the highest percentages of people with this disorder are women, and they are 4 times more likely than males to engage in hair-pulling.

The ancient origins of the word, Trichotillomania come from Greek root terms meaning “hair,” “pulling,” and “mania,” or madness. Actually, there is nothing mad or crazy about this little-understood disorder. Today, psychiatry and medicine define it as an impulse control disorder. The implications are that it is medical in nature and specifically neurological in origin.

*Symptoms:

  • Constant tugging, pulling, or twisting of hair
  • An increasing sense of tension is present before the hair pulling
  • Sense of relief, pleasure, or gratification is reported after the hair pulling
  • Hair pulling leads to an uneven appearance
  • Bare patches or diffuse (all across) loss of hair
  • Hair regrowth in the bare spots feels like stubble
  • Some individuals may develop a bowel obstruction if they eat the hair they pull out
  • Other self-injury behaviors may be present
  • People suffering from this disorder often deny pulling out their hair

*(Information is from U.S. National Library of Medicine)

Many mental health specialists define this disorder as impulse control because those with this disorder cannot resist the urge to pull their hair. The impulse to tear one’s hair is so overpowering that it cannot be controlled. Once the habit has reached those dimensions, there is no way to resist the urge. The result is that bald spots emerge on the scalp. 

The presence of these bald spots becomes a source of great distress, particularly for teenage girls when they are at the height of concern about their appearance. In fact, the impact on one’s appearance and its social consequences have the most significant impact on the social and emotional adjustment of people with this disorder.

One of the most essential facts for sufferers and their loved ones to know about this behavioral disorder is that it is not a bad habit. People can learn to control or alter patterns with little difficulty. The overwhelming urge to pull hair places it outside of the category of a learned and bad habit.

It is said that there are two types of Trichotillomania: one in which the individual is aware that they want to pull their hair and another: in which the person is so involved and absorbed in an activity that they are unaware of what they are doing.

Among those who know they want to pull their hair, there is a feeling of extreme distress, depression, and anxiety, leading them to pull their hair out. The result is a feeling of relief or an end to the emotional numbness experienced by these individuals. However, there is no awareness that they have started to pull their hair for other people. Among the second group, the process of hair-pulling seems to be much less open to attention much of the time, until sometime after it has started. In all cases, once the person attempts to stop the behavior, the worse it becomes.

Reports about the prognosis of this disorder are that most children will outgrow it within a year. However, if this does not happen, it can and does last into adulthood.

There is no one accepted and proven treatment for this disorder. The commonly tried treatments are medication for depression, psychodynamic psychotherapy, cognitive-behavioral therapy, and behavior modification. One form of behavior modification is referred to as reverse habit conditioning. The patient is made aware of the behavior and when it will happen and then explores alternative coping mechanisms to the hair-pulling.

Surviving the Colorado Wild Fire

Coping with Disaster

It was Friday, New Year’s Eve morning, December 31, 2021. The sun was shining, but the wind was gusting. I was walking my dog when I noticed a cloud of smoke in the distance. I thought nothing of it because it appeared to be a grass fire. After my dog completed her business, we headed back to my condo. It was astonishing how fast the smoke covered the neighborhood. As I sat at my desk, I noticed my eyes became irritated, and the smell of smoke filled the apartment. When I looked out my window, it shocked me to see black smoke throughout the entire neighborhood. Soon, there was a pounding at my door. The police politely but firmly ordered me out of the condo when I opened it. My neighbors were also in the corridor. All of us went back inside to gather a few things, and we left the condominium complex. 

These same neighbors drove us to Erie, away from the fires and smoke. We were on the way to my daughter’s house as they did the same. As we drove, we somberly viewed the dark smoke and flames. All of us were grateful to have escaped what turned out to be a major disaster.

We learned later that the county lost 1,000 homes were in flames. So miraculously, only two fatalities resulted from something that could easily take thousands of lives. However, the shock and trauma were unbearable.

I lived with my daughter- and son-in-law for four days and was ready to go home. 

The drive home was more shocking than the escape from the thick smoke. As we passed neighborhoods close to the condominium where I live, what came into clear view were entire neighborhoods burned down to the ground. In many places, there was nothing left standing. Just four days ago, beautiful, suburban homes occupied the spaces where, now, there was nothing but ash. I could not help but think, which has the feel and look of war. The only element missing from the total disaster was bombs and gunshots.

Miraculously, only two people died in the raging fire. Of course, any death is a tragedy, but it could have been worse.

In addition to the loss of life and homes, people lost valuables irreplaceable. Among these are family heirlooms, diaries written by grandparents and great-grandparents, and invaluable photographs, among many others.

When I arrived home, more than a little shaken from all that happened, I immediately understood that I was fortunate. My condominium community, with its two buildings and many apartments, was intact. The corridors had the smell of smoke, as did my unit. However, there was no destruction of my apartment and possessions. More than that, my family escaped with their houses spared and their lives intact.

Everyone I have spoken to about this wildfire states, almost uniformly, that the past year has been dreadful and has left all of us in a state of shock. Among those shocking things are the pandemic, political instability that threatens our democracy and freedom, economic volatility partly caused by the Coronavirus, and the vast numbers of hospitalizations and deaths because of this disease that remains ongoing. As part of this calamity, we must include the need to isolate ourselves in our homes to halt the spread of the disease.

Understanding the emotions and normal responses that follow a disaster or other traumatic event can help all of us cope with feelings, thoughts, and behaviors.

Recovering emotionally from disaster

*From The American Psychological Association, 2013

Disasters such as hurricanes, earthquakes, transportation accidents, or wildfires are typically sudden and overwhelming. Many people have no outwardly visible signs of physical injury, but there can be an emotional toll. It is common for people who have experienced disaster to have strong emotional reactions. Understanding responses to distressing events can help you cope effectively with your feelings, thoughts, and behaviors and help you along the path to recovery.

What are common reactions and responses to disaster?

Following a disaster, people frequently feel stunned, disoriented, or unable to integrate distressing information. However, once these initial reactions subside, people can experience a variety of thoughts and behaviors. 

Typical responses can be:

  • Intense or unpredictable feelings. You may be anxious, overwhelmed, or grief-stricken. You may also feel more irritable or moody than usual.
  • Changes to thoughts and behavior patterns. You might have repeated and vivid memories of the event. These memories may occur for no apparent reason and may lead to physical reactions such as a rapid heartbeat or sweating. It may not be easy to concentrate or decide. Sleep and eating patterns also can be disrupted. Some people may overeat and oversleep, while others experience a loss of sleep and appetite.
  • Sensitivity to environmental factors. Sirens, loud noises, burning smells, or other environmental sensations may stimulate memories of the disaster, creating heightened anxiety. These “triggers” may accompany fears that the stressful event may repeat. 
  • Strained interpersonal relationships. Increased conflict, such as frequent disagreements with family members and coworkers, can occur. You might also become withdrawn, isolated, or disengaged from your usual social activities.
  • Stress-related physical symptoms. Headaches, nausea, and chest pain may occur and require medical attention. Disaster could affect preexisting medical conditions-

related stress.

How do I cope?

Fortunately, research shows that most people are resilient and can bounce back from tragedy. It is common for people to experience stress in the immediate aftermath. Still, most people can resume functioning as before the disaster within a few months. It is important to remember that resilience and recovery are the norms, not prolonged distress.

There are several steps people can take to build emotional well-being and gain a sense of control following a disaster, including:

  •  Survivors need time to adjust and expect that this will be a difficult time in the lives of survivors. Allow yourself to mourn the losses you have experienced and try to be patient with changes in your emotional state.
  • Ask for support from people who care about you and who will listen and empathize with your situation. Social support is a crucial component of disaster recovery. Family and friends can be vital resources. You can find support and common ground from those who’ve also survived the disaster. You may also want to reach out to others not involved who may provide more significant support and objectivity.
  • Communicate your experience. People need to express what they feel in whatever ways they feel comfortable, such as talking with family or close friends, keeping a diary, or engaging in a creative activity.
  • Find a local support group led by appropriately trained and experienced professionals. Support groups are frequently available for survivors. Group discussion can help survivors realize they are not alone in their reactions and emotions. Support group meetings can be beneficial for people with limited personal support systems.
  • Engage in healthy behaviors to enhance your ability to cope with excessive stress. Eat well-balanced meals and get plenty of rest. If you experience ongoing difficulties with sleep, you may find some relief through relaxation techniques. Avoid alcohol and drugs because they can be a numbing diversion that could detract from and delay active coping and moving forward from the disaster.
  • Establish or reestablish routines. Routines can include eating meals regularly, sleeping and waking regularly, or following an exercise program. Build positive ways to have something to look forward to during these distressing times, like pursuing a hobby, walking through an attractive park or neighborhood, or reading a good book.
  • Avoid making major life decisions. Switching careers or jobs and other essential decisions tend to be highly stressful and even harder to take on when someone is recovering from a disaster.

When to seek professional help?

Persistent feelings of distress or hopelessness and you feel like you can barely get through your daily responsibilities and activities, consult with a licensed mental health professional such as a psychologist. Psychologists have the training to help people address emotional reactions to disasters such as disbelief, stress, anxiety, and grief and make a plan for moving forward.