Tragic Events and Health :Tragic Events and Health Dr Dhananjay Gambhire MD (Psy) DPM Consultant Psychiatrist


Tragedy :Tragedy Greek word Means songs of loss or death Practically used to any significant loss. Major blow to personal asset. Death of loved one


Mental Health Physical Health :Mental Health Physical Health A state of emotional and psychological well-being in which an individual is able to use his or her cognitive and emotional capabilities, function in society, and meet the ordinary demands of everyday life A strongof the health of localized population is their height|weight, which increases with improved nutrition and health care. This is also influenced by the standard of living and quality of life.


Slide 4:“A state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.”WHO A combination of physical, emotional, social and most importantly mental well-being is necessary to achieve overall health


Natural :Natural Disaster Tsunami Earthquake Death due to old age


Man made :Man made Divorce Homicide Terror strike


Reactions to Tragedy :Reactions to Tragedy Normal Reaction Grief Bereavement Depression Post Traumatic Stress Disorder Psychotic Breakdown


Stages of death and dying :Stages of death and dying Shock and denial


Anger :Anger Why me Irritability Crying spells Hitting Abuses


Bargaining :Bargaining Negotiate with god in return of cure


Depression :Depression Withdrawn Hopelessness Suicidal Sleep difficulty


Acceptance :Acceptance Fear not death remember those who have gone before you and those who will come after


Bereavement :Bereavement State of being deprived of someone by death Protest Searching Despair Detachment Reorganize


Grief :Grief Subjective feeling precipitated by death of loved one Few wks-work Few months-establish equilibrium New relationship-6 mths 1 yr


Post Traumatic stress disorder :Post Traumatic stress disorder Persistent reexperiencing Avoidance of stimuli associated with trauma Hyperarousal Disturbance in social and occupational settings


Depression :Depression Sadness of mood Suicidal ideas Decreased interest in pleasurable activities In food intake Sleep Crying spells Panic attacks


Psychotic Breakdown :Psychotic Breakdown Irrelevant talk Self care Sleep Wandering behavior Disorganized thinking


Slide 18:Suicide Accidents Vulnerable to infections Anxiety Panic Noncompliance with medicines


Slide 19:What to Do


Support, Encouragement to discuss the event :Support, Encouragement to discuss the event


Follow all cultural maneuvers after death :Follow all cultural maneuvers after death Rituals of mourning Disposing body Religious ceremonies Unite families Community expression Visits Prayers Protect surviors from isolation and vulnaribity


Sunlight :Sunlight


Exercise Talk—be part of crowd :Exercise Talk—be part of crowd


Laugh :Laugh


Slide 25:Nutrition


Slide 26:Monitor Alcohol and smoking


Diary Writing :Diary Writing


High mental Activity :High mental Activity


Relaxation techniques :Relaxation techniques Art of living Siddh samadhi yog Brahm vidya Yoga Meditation Breathing Exercises Pranayam


Family therapy :Family therapy Identification with parents Bondage with relatives


Psycho education :Psycho education Psychological health expert. Group or single meeting Type of Illness Natural course Outcomes Treatments Available


Group therapy :Group therapy Group of 5 to 10 peolple Suffering from similar condition Sharing of experiences Moral support


Medicines :Medicines Sleeping pills Antidepressant med Antianxiety Med Multivitamins Blood Tests


Slide 34:I hope this presentation made a diff to you by giving you information about preparedness to tragedy and will help you to help the needy


Thank you :Thank you