Reactions following a serious incident

Experiencing a serious incident can evoke strong emotional and physical reactions. Such responses are natural and often subside once you have had the opportunity to reflect, understand, and process what has occurred.
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In the immediate aftermath, it is common to feel as though the event is unreal. Some individuals experience gaps in memory or a sense of emotional numbness. Over time, however, memories may return with greater clarity, sometimes triggering intense emotional reactions.

Intrusive memories or vivid images may surface, both when awake and during sleep, and may feel so real that it seems as if the situation is happening again. Feelings of anxiety, restlessness, and vulnerability are frequent, as is difficulty concentrating. Physical symptoms such as trembling, sweating, palpitations, muscle tension, and headaches may also occur.

Symptoms and sleep

Startle responses can become heightened, and fear of new accidents may arise. Sleep disturbances are common, but symptoms often lessen when you talk about your experiences. If sleep difficulties persist, temporary use of sleep medication may be appropriate.

Feelings of guilt or anger may also emerge. Survivors sometimes struggle with guilt for having lived through an ordeal when others did not, or regret that they could not have acted differently. Irritability or anger towards others may occur as part of this emotional process.

People cope in different ways. Some prefer solitude, while others seek closeness and support. Many begin to question the meaning of life or reconsider their values in the wake of the event.

Practical Support and Recovery

Talk to others about what happened, preferably with those who shared the experience. Recounting the event multiple times can help reduce intrusive thoughts and nightmares. 

Writing down your thoughts and feelings may also provide relief. Revisit the site of the incident if and when you feel ready, ideally accompanied by someone you trust.

Children need caring adults who listen, explain what happened, and help them re-establish a sense of normalcy through everyday activities and play.

Returning to Everyday Life

Physical activity is an effective way to relieve stress. For most people, resuming work and daily routines supports recovery, though it is advisable to set lighter demands on yourself initially.

Those close to you may also find comfort and understanding when they learn that strong reactions are a normal part of the recovery process. However, if your reactions remain intense or persist over time, you should contact your health centre, general practitioner, or occupational health service for further support.