- With Mayo Clinic oncologist
Edward T. Creagan, M.D.
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Edward T. Creagan, M.D.
Edward Creagan, M.D.
"The magic of the electronic village is transforming health information. The mouse and keyboard have extended the stethoscope to the 500 million people now online." — Dr. Edward Creagan
The power of the medium inspires Dr. Edward Creagan as he searches for ways to share Mayo Clinic's vast resources with the general public.
Dr. Creagan, a Newark, N.J., native, is board certified in internal medicine, medical oncology, and hospice medicine and palliative care. He has been with Mayo Clinic since 1973 and in 1999 was president of the staff of Mayo Clinic.
Dr. Creagan, a professor of medical oncology at Mayo Clinic College of Medicine, was honored in 1995 with the John and Roma Rouse Professor of Humanism in Medicine Award and in 1992 with the Distinguished Mayo Clinician Award, Mayo's highest recognition. He has been recognized with the American Cancer Society Professorship of Clinical Oncology.
He describes his areas of special interest as "wellness as a bio-psycho-social-spiritual-financial model" and fitness, mind-body connection, aging and burnout.
Dr. Creagan has been an associate medical editor with Mayo Clinic's health information websites and has edited publications and CD-ROMs and reviewed articles.
"We the team of (the website) provide reliable, easy-to-understand health and wellness information so that each of us can have productive, meaningful lives," he says.
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Question
Post-traumatic stress: How can you help your loved one?
How can I help a loved one with post-traumatic stress?
Answer
from Edward T. Creagan, M.D.
You can take steps to help a loved one cope with stress brought on by a traumatic event, whether it's a result of an accident, violence of any kind — such as an assault; verbal, physical, domestic or sexual abuse; or military combat — or another type of trauma.
A person with acute stress disorder (ASD) has stress symptoms during the first month after the traumatic event. If your loved one has symptoms that last longer than a month and make it hard to go about daily routines, go to work or school, or handle important tasks, he or she could have post-traumatic stress disorder (PTSD).
Whether your loved one has ASD or PTSD, assessment and counseling (psychotherapy) by a professional can make a critical difference in recovery. Encourage him or her to talk to a doctor or trained mental health provider.
You can also help through supportive listening — without attempts to "fix" the situation.
- Be willing to listen, but don't push. Make sure your loved one knows that you want to hear about his or her feelings. But if the person isn't ready or willing to talk about it, don't push. Just reassure your loved one that you'll be there if and when he or she is ready.
- Choose a time to talk. When you're both ready to talk, choose a time and place where you'll be free of distractions and interruptions. Then truly listen. Ask questions if you don't understand something. But avoid any urges to second-guess, to give advice or to say, "I know just how you feel."
- Recognize when to take a break. If you sense that the conversation is becoming too intense for your loved one, suggest that you stop for now and take up the conversation again on another day. Then follow through.
- Get help if talk of suicide occurs. If your loved one talks or behaves in a way that makes you believe he or she might commit suicide, respond calmly, but act immediately. Make sure the person is not left alone. Then discreetly remove pills, firearms or any other objects that could be used for self-harm, and get help from a trained professional as soon as possible. If there's immediate danger of committing suicide, call 911 or your local emergency number right away.
Coping with traumatic stress is an ongoing process. You might have many conversations with your loved one over weeks or months as he or she processes the traumatic experience during or after a period of professional care.
You'll be of more help to your loved one if you learn about ASD and PTSD from trusted medical sources and encourage your loved one to follow treatment recommendations.
- Post-traumatic stress disorder. National Institute of Mental Health. http://www.nimh.nih.gov/health/topics/post-traumatic-stress-disorder-ptsd/index.shtml. Accessed May 30, 2012.
- Managing traumatic stress: Tips for recovering from disasters and other traumatic events. American Psychological Association. http://www.apa.org/helpcenter/disaster-tips.aspx. Accessed May 30, 2012.
- Anxiety disorders. In: Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR. 4th ed. Arlington, Va.: American Psychiatric Association; 2000. http://www.psychiatryonline.com. Accessed June 11, 2012.
- Alarcon RD (expert opinion). Mayo Clinic, Rochester, Minn. July 2, 2012.
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