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Five Steps to Coping During Wartime

In the midst of the uncertainties of war, it is important to pay attention to the basics of self-care. Without self-care, we cannot be a benefit to ourselves or anyone around us. Here are some basic recommendations to help you cope with the added anxiety of being at war.

  1. Take Care of Yourself
  • Get adequate rest. (7-9 hours of sleep per night)
  • Eat regular, well balanced meals.
  • Exercise. (Check with your doctor before beginning any program of exercise.)
  • Refrain from abuse of drugs, alcohol, tobacco, and caffeine.
  • Take adequate but reasonable safety precautions.
  • Maintain a normal routine (as much as possible).
  • Keep informed, but limit exposure to news and media. (especially before bedtime)
  • Make time to relax, to celebrate and laugh when you can.
  • Accept your own feelings without judgment

  1. Stay Connected to Others
  • Be with people you care about.
  • Talk about your thoughts and feelings to family and friends.
  • Ask how others are doing (especially children) and take time to listen.
  • Maintain Perspective on Life
  • Remember, you are not alone.
  • Choose to be optimistic. (This situation is not permanent.)
  • Stay in touch with your own values and beliefs.
  • Find reasons for wonder, awe and gratitude.
  • Keep a journal to help get your thoughts and feelings out where you can see them.

  1. Get Involved in the Solutions
  • Find a healthy outlet for stress.
  • Express your creativity or get involved in your favorite hobby.
  • Work to understand the nature of current problems.
  • Be a part of the solution to make something better for someone.
  • Join the worthy efforts of like-minded people.

  1. Get Help when it’s Time: It is time to get help if:
  • You feel overwhelmed or worried most of the time.
  • You feel “stuck” or trapped with no hope of things getting better.
  • The way you feel is affecting your sleep, your eating habits, your job, your
  • relationships, your everyday life.
  • Your mind goes round and round in circles and it's not getting any better.
  • You notice some of the warning signs listed below.

Warning Signs - When to Get Professional Assistance

Warning signs that may require professional assistance include but are not limited to:

Changes in Feelings

  • Anger or irritability
  • Feelings of persistent hopelessness/helplessness
  • Sadness or depression
  • Nervousness, fear or anxiety
  • Emotional numbness
  • Inadequacy or guilt

Changes in Thinking

  • Difficulty concentrating or forgetfulness
  • Confusion
  • Self-doubt
  • Difficulty making decisions
  • Intrusive mental images or nightmares
  • Expectations of certain disaster or doom
  • Thoughts of harming self or others

Changes in the Body

  • Weakness, fatigue or loss of energy
  • Dizziness, headaches and/or back pain
  • Upset stomach, persistent heartburn, GI distress, nausea, vomiting
  • Muscle tension or trembling
  • Rapid heart beat and/or elevated blood pressure
  • Sweating or chills
  • Skin conditions, hives or rashes

Changes in Behavior

  • Changes in activity level
  • Social withdrawal or isolation
  • Restlessness, agitation or pacing
  • Outbursts of anger, impatience, frustration
  • Eating or appetite changes
  • Sleep disturbance/insomnia (too little or too much sleeping)
  • Increased use of alcohol or drugs, caffeine
  • Addictive and compulsive behaviors (eating disorders, self mutilation, compulsive sex, addictive gambling, recklessness and unnecessary risk-taking

Important: These are general recommendations and guidelines for educational purposes only and may not apply to your specific situation. It is recommended that you consult your doctor or a medical professional whenever you have any questions or concerns about the health or well-being of yourself or another person.

©2003 APS Healthcare Bethesda, Inc., all rights reserved

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  Updated: Jan. 12, 2003