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Triumphing
over trouble
We give you some tips on how to cope with
your emotions and what to tell your friends and family about
traumatic events you deal with in your military life.
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A
medic from 1st Health Support Battalion takes a break
and gathers his thoughts after treating severely injured
locals at the Banda Aceh Hospital as part of Operation
Sumatra Assist.
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Photo by CPL Belinda Mepham.
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The
cleaning up of Banda Aceh has begun but workers face
a huge task. Many ADF personnel – some with more than
20 years’ service – say Operation Sumatra Assist has
been their most challenging deployment.
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WHAT
you see and do on deployment and exercises are some of the
hardest experiences to tell others about.
It’s one thing for your family and friends to see and hear
on TV the political upheaval in East Timor, the bombings
in Iraq or the devastation and death toll of the Boxing
Day tsunami.
It’s quite another to experience it first-hand. Is there
a right or wrong way to deal with your emotions in these
circumstances? No.
Everyone will react differently to the same event, sometimes
immediately, sometimes a significant time after the incident.
Common
reactions
Common
emotions in the early stages after a traumatic event can
include the following:
-
shock, which leaves you stunned or dazed or acting on
“autopilot”. You may have trouble taking in information
and responding to your environment but can get the job
at hand done competently;
-
irritability or moodiness. You may be especially anxious
or nervous, feel down or even depressed;
-
behavioural changes, for example repeated vivid memories
that can leave you sweating, increase your heartbeat or
avoiding activities or people that remind you of the event.
You could find it difficult to concentrate, sleep, make
decisions, or become more easily confused;
-
greater conflict with family, friends and co-workers which
strains relationships. You may feel isolated or withdrawn;
and
-
physical symptoms of extreme stress, such as headaches,
nausea and chest pain.
Pre-deployment
briefings and psychological screening can help people acknowledge
what they will or have encountered.
However, highly threatening and long-lasting events, or
those involving loss of life and substantial property loss
often take longer to resolve.
The more stress an individual is living with before the
traumatic event (such as a personal or health problem),
the more difficult it is likely to be to cope with the new
trauma.
Acting
on agony
If
you know, or even just feel, that something isn’t quite
right, a number of things can be done to help restore emotional
and psychological wellbeing following a traumatic experience.
These
things include doing the following:
-
monitor your level of re-exposure to the event;
-
communicate your experiences: talk to people, write a
diary, draw, paint, exercise;
-
give yourself time to heal. Anticipate that this will
be a difficult time and try to be patient with changes
in your emotional state;
-
ask
for support. Speak to others who have experienced the
same event or something similar, seek professional help
or others who you usually rely on for support;
-
eat
well, avoid caffeine, nicotine, alcohol and drugs and
get plenty of rest;
-
establish
routines, such as eating meals at a regular time; and
-
avoid
major life decisions if possible.
Talking
tips
Talking
to your family or friends about what you’ve been doing,
what it’s been like and what you’re feeling is not always
easy. How do you begin to try to make people at home understand
without distressing them too much? Try
these things:
-
prepare: write a list of things you want to say on the
phone. Think about how “best to put things” and write
out key phrases. Also make a list of things you want to
avoid saying which may cause unnecessary anxiety;
-
remember
their perspective: the people you talk to may only know
as much as they have heard, seen or read in the media
and they may be feeling overwhelmed or compassioned-out.
If they seem disinterested, focus on what you’re doing
and other aspects of the ADF’s presence there as a lead-in
to talking about what you want to talk about. Try to focus
on your feelings and how you are reacting to the experiences.
For example, you may have been struck by the sight of
a child and this triggered thoughts about your own children,
thoughts that upset you. These are the important things
to talk about with your partner, friends and family at
home;
-
be conscious of things changing at home to compensate
for your absence: your flatmate may have a cat, your best
friend may be socialising with other people much more,
your partner may have rearranged the bedroom. Wait until
you return to decide whether these changes are good or
not; and
-
check how you’re communicating with others: 60 per cent
of communication is through non-verbal language such as
facial expressions, hand actions, body posture and touch.
When you use the phone, email or write a letter, be careful
to clarify jokes and other subjects that may be ambiguous
to another person who is anxious and preoccupied with
your safety.
For
events that you believe are too distressing or upsetting
to discuss while you are deployed, consider keeping a diary
or journal. This can help you understand your reaction.
It’s a record to share with others later or just keep for
yourself. If you really need to talk to someone while on
deployment, you can always approach the unit chaplain or
medical/psychological support team. There are also a range
of services in Australia to access (see box at right).
–
Information for this article is based on DPE’s web site
http://defweb2.cbr.defence.gov.au/dpedhs/
and www.defence.gov.au/dpe/dhs
where more information on managing reactions to major
disasters and trauma can be found.
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SUPPORT
RESOURCES
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All
Hours Support Line – A confidential telephone
triage support service for ADF members and their
families is available 24 hours a day, 7 days a week.
Phone freecall 1800 628 036 or 612 9425 3878 outside
Australia.
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| Local
medical centres – Your local medical officer can
provide immediate assistance and referrals as required.
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| Psychology
support section – A 24-hour emergency service
can be accessed through your local Duty Officer/Officer
of the Day. |
| Defence
Community Organisation – This group provides 24-hour
assistance in crisis situations in all military locations
and will help with referrals if required.The after-hours
service can be accessed through your local Duty Officer/Officer
of the Day. |
| Chaplains
– Most units have chaplains who can provide support
and referrals. |
| National
Welfare Co-ordination Centre – The centre provides
a freecall information and referral service for families
of deployed Defence personnel. This is to provide
timely, accurate information, reassurance and support
and referral to other family support agencies. Phone
1800 801 026 24 hours, 7 days a week. |
| Lifeline
– If you, or a friend, need to talk to someone about
a problem immediately, call 131 114 for the cost of
a local call. |
Vietnam
Veterans Counselling Service – This service is
available to veterans of all deployments and their
families 24 hours a day.
Phone 1800 011 046. |
| Defence
Civilian Employment Assistance Program – Confidential
counselling for Defence civilians. During working
hours call 1300 36 6789 or for after hours crisis
telephone counselling call 1800 451138. |
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