Connecting with others after trauma Published Jan. 7, 2010 By Maj. Mitzi Mitchell 48th Medical Operations Squadron ROYAL AIR FORCE LAKENHEATH, England -- Some servicemembers experience significant traumas over the course of their military career, whether its in combat situations, a severe accident or a physical or sexual assault. Although responses to traumatic events vary significantly from person to person, research has shown most stress-related reactions, such as sleep problems and nightmares, are short-term in duration. However, sometimes reactions persist and should be addressed to prevent long-term problems. A number of strategies are effective for coping with trauma. Most importantly, connecting with others can help reduce feelings of distress. Many people find it is easiest to connect with family, friends, or others affected by the same traumatic event. Sometimes people are reluctant to talk because they are concerned they will become a burden or upset others. If you tend to be a private person, decide carefully with whom to talk to. Ask others if it is a good time to talk and let them know you appreciate them listening. While people often want to help but do not know how, begin by telling them what you need or how they could help. Start by talking about practical things and then talk about painful thoughts and feelings when you are ready. Although informal social support is very helpful for coping with stress, seek immediate professional assistance when any of the following symptoms occur: suicidal or homicidal thoughts, intentions, or plans; hallucinations or delusions; severe depression; and alcohol or drug abuse. Other reactions to trauma, feeling detached from others, persistent crying or sadness, etc., do not necessarily warrant immediate attention, but professional assistance should be sought if they last longer than one month or impact work or social functioning.