Acute stress reaction: how to properly support a person

The "Accessibility Handbook" tells how to interact with people who have combat experience.
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«"Important: Before using these strategies, remember that you can only touch a person with their permission; you can't approach a veteran from behind; you can't make sudden movements," the warning says. «"Accessibility Guide"».

Man in a stupor

1. Bend the fingers of both hands and press them against the base of the palm. The thumbs should be facing outward.
2. With the tips of your thumb and index finger, massage the person's points located above the eyes exactly in the middle between the hairline and eyebrows, clearly above the pupils.
3. Place the palm of your free hand on the person's chest. Adjust your breathing to match the rhythm of their breathing.
4. A person in a stupor can hear and see. Therefore, speak into his ear quietly, slowly and clearly something that can cause strong emotions (preferably negative ones). It is necessary to provoke a reaction from the person by any means.

Helplessness

1. Ask the person a few simple questions: «What is your name?»; «How are you feeling?»; «Do you want to eat?».
2. Take the person to a resting place, help them get comfortable (be sure to take off their shoes).
3. Hold her hand or place your hand on her forehead.
4. Give them the opportunity to sleep or just lie down.
5. If there is no opportunity to rest, then talk more with the person, involve them in any joint activity (take a walk, drink tea or coffee, help others in need).

Motor excitement

1. Isolate the person from others.
2. Massage the «positive» points. Talk in a calm voice about her feelings: «Do you want to do something to make it stop? Do you want to run away, hide from what’s happening?».
3. Do not argue with the person, do not ask questions, and avoid phrases with the particle "not" in a conversation that refer to undesirable actions, for example: "Don't run," "Don't wave your arms," "Don't shout.".
4. Remember that a person in this state can harm themselves and others.
5. Motor excitement usually does not last long and can be replaced by nervous tremors, crying, and aggressive behavior.

Aggression

1. Minimize the number of people around you.
2. Give the person an opportunity to "let off steam", such as talking out their feelings or "beating" a pillow.
3. Assign her work that involves high physical exertion.
4. Demonstrate kindness. Even if you disagree with a person, do not blame them, but speak out about their actions. Otherwise, aggressive behavior will be directed at you. You cannot say: «What kind of person are you!».
5. Try to "defuse" the situation with jokes.
6. Aggression can be «extinguished» by fear of punishment.
7. Failure to provide assistance to an angry person will lead to dangerous consequences: due to reduced control over their behavior, they may resort to reckless actions and cause harm to themselves and others.

Fear

1. Place the person's hand on your wrist so that they can feel your calm pulse. This will be a signal to them: "I'm here now, you're not alone!".
2. Breathe deeply and evenly. Encourage the person to breathe in the same rhythm as you.
3. If a person speaks, listen to them, show interest, understanding, and compassion.
4. Give a light massage to the most tense muscles of the body (most often the trapezius).

Nervous tremor

1. You need to increase the shaking! First, you need to ask the person if they are not cold. If not, then offer to relieve the nervous shaking, explaining what you are going to do, and get permission to do so.
2. With permission, grab the person by the shoulders and shake them vigorously for 10–15 seconds. Continue talking to them, otherwise they may perceive your actions as an attack.
3. After the reaction is over, the person should be given the opportunity to rest. It is advisable to put them to sleep.
4. You cannot hug a person or hold them close to you, cover them with something warm, calm them down, or talk to them to control themselves.

Weep

1. It is extremely important to support the person verbally and physically. It is undesirable to leave them alone. If it is impossible to provide assistance, it is necessary to ensure that someone is with them, preferably someone close or familiar.
2. It is advisable to use elementary techniques of body-oriented therapy: establish physical contact with a person (with permission, take their hand; put your hand on the person's shoulder or back; stroke their head), this helps the person realize that they are not alone, there is someone nearby, this is very important at such moments.
3. Don't try to calm the person down. Give them the opportunity to cry and talk, to "spill out" their grief, fear, and resentment.
4. Use active listening skills: periodically say «uh huh», «ahh», «yes», nod your head, that is, confirm that you are listening and sympathize; repeat after the person excerpts of phrases that relate to feelings. Your main task is to listen to the person and provide an opportunity for emotions to «come out». Just listen, but do not insist that the person tell you everything - they will say as much as they are ready to express. Sometimes just by actively listening you can help a person cope with grief.
5. Don't ask questions, don't give advice. It's better to say: "I feel how everything is tightening inside you." And don't say: "I understand you," because they may not believe you, because everyone's experiences are different.

Hysterics

1. Remove bystanders and create a calm atmosphere. If it is safe for you, stay with the person alone. If it is not possible to take them to a separate room, turn them towards you with their back to the wall. This will limit the viewing area and focus attention on you.
2. Do something unexpected that can be very surprising. Technique: hold a bottle of water in your hands. The person who is hysterical is usually not alone, but surrounded by others. You tell them: «Raise your hands quickly, I’ll pour you some water.» Then quickly wet the person’s face and hands. This does not cause a negative reaction and usually helps.
3. Speak to the person in short phrases, in a confident, encouraging tone: «Drink some water,» «Wash yourself.».
4. After a tantrum, a decline in strength sets in. Put the person to bed, if that is not possible, then sit them down and give them warm tea.
5. The person's condition should be monitored; they should not be left alone, as they may harm themselves or others.

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