Keywords: psychological trauma, critical incident stress debriefing, post-traumatic stress disorder, stress management, crisis counselling
Unwinding the mind: re-positioning management of critical incident stress, post-traumatic stress and prolonged duress stress
Given estimates that 1% of our communities suffer from post-traumatic stress , we need to continue to improve management of trauma. There are conflicting findings over the effectiveness of managed interventions [2-5]. Some reasons for equivocal findings may include how trauma events are perceived by those encountering such events  or presence of a family history of psychiatric disorders [6,7]. Most approaches to managing post-traumatic or prolonged duress stress use cognitive behaviour models . These try to help sufferers process the traumatic experience and deal with the fears engendered by recall of the trauma . Sufferers are taught biofeedback strategies to regain some physiological management over their response to the situation. When these approaches fail, thought disruptive approaches such as eye movement desensitisation  are suggested. This paper suggests that those managing stress continue to refine their strategies. Some refinements include repositioning conceptual understanding of what may mentally happen after a traumatic event and ensuring that people have basic personal management skills to cope with flashbacks and intrusive thoughts.