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Critical Incident Stress
Stages of Recovery
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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.
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Physical Symptoms 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
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Cognitive Symptoms 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
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Emotional Symptoms Anxiety Fear Depression Irritability Grief Panic
Apprehension Frustration Hopelessness Suspicion Guilt Numbness Intense anger Overwhelmed
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Behavioral Withdrawal Pacing Unable to rest Speech pattern change
Tremors Antisocial acts Emotional outbursts Increase use of substance or compulsive behavior Hyper alert to environment
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Stages of Trauma Recovery
Shock Denial Disruption Reintegration
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Shock Normal protective reaction Feel stunned or dazed
Stress response (flight or fight) Automatic pilot
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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.
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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
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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
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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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