Cyclone Alfred is already retraumatising people who’ve lived through other disasters. I’m one of them
- Written by Erin Smith, Associate Professor and Discipline Lead (Paramedicine), La Trobe University
In 2011, as Cyclone Yasi approached the Queensland coast, I sat in my home in the tropical far north of the state and worried what the future would hold. Would my family be OK? Would our home be destroyed? Would my workplace be damaged and my job uncertain? Would my community be devastated?
Now, as we wait for Cyclone Alfred to make landfall, I am watching on from my new home in Melbourne. I am safe. But last night, I couldn’t sleep. I’m having intrusive thoughts, remembering what it was like when Cyclone Yasi barrelled into us. I feel agitated, distracted and anxious. The news coverage of the impending cyclone makes my heart race, so I have turned off the television.
As someone who has researched the impact of disasters for more than 20 years, I recognise what I am feeling now is similar to how I felt all those years ago. Again, I am experiencing the normal range of stress reactions common after living through a disaster, even though I am not directly impacted by this one.
This is known as retraumatisation, where we re-live stress reactions experienced as a result of a traumatic event when faced with a new, similar incident.
As a researcher in emergency responses to a broad range of disasters, I understand why I am feeling like this.
However, many people may not realise the stress they are experiencing right now is related to an earlier disaster or traumatic event in their life. That earlier disaster could be another cyclone, or a different event, such as a flood or bushfire.
Some signs and symptoms of retraumatisation might be:
intrusive thoughts (for example, I keep remembering my fear of the predicted tidal surge of water rushing up at me in the darkness as Cyclone Yasi made landfall)
nightmares and having trouble sleeping
hypervigilance (for example, feeling “on edge” all day)
sensitivity to triggers (for example, the sound of intense wind and windows creaking can trigger intense feelings because they remind me of the night we lived through Cyclone Yasi passing over the top of us)
feeling isolated
thinking about, planning or attempting suicide
panic atacks
using/abusing substances, such as alcohol and other drugs
increase in unhealthy behaviours (for example, being more prone to aggression or violence).
For many of us, Cyclone Alfred is awakening memories and feelings, and the re-emergence of those stress reactions can be confronting. It can feel like re-opening a wound that hasn’t quite healed.
Disaster upon disaster take their toll
We are now beginning to understand the effects of being exposed to multiple disasters – bushfires, cyclones, floods, and let’s not forget the COVID pandemic – that erode our resilience.
This type of multiple exposure influences our feelings of safety, security and even our hope for the future, all increasing the risk of poorer mental health.
For people with post-traumatic stress disorder (PTSD), retraumatisation may cause people to relive their past traumas in intense detail. It can feel like past traumatic events are happening all over again.
What to do now, and in the future
However, there are steps we can take to help build our resilience in the face of multiple disasters.
For now
Right now, it is useful to understand how we respond to trauma. We may notice a range of physical responses (for example, my heart has been racing), psychological reactions (for example, I am feeling more anxious than usual) and social impacts (for example, I cancelled dinner plans last night as I did not want to leave the house).
It is also important to stay connected to our usual social supports, as they can act as a great buffer to stress reactions.
So, even though I stayed home last night, I was on a group chat discussing the Real Housewives of Sydney with friends, which helped reduce both the physical and psychological stress reactions I was experiencing.
For later
In the longer term, it is useful to develop and implement a self-care plan that includes activities to support our emotional, physical and spiritual health.
Self-care means taking the time to do things that help your wellbeing and improve your physical health and mental health. This can help you manage the stress reactions that may emerge as part of retraumatisation. Even small acts of self-care in your daily life can have a big impact.
Today, I made the time to go for a short walk in the park and listened to some of my favourite music. It helped in the moment, but it also helps me in the longer term when I routinely include these small acts of self-care in my daily life.
We also need to consider the first responders and volunteers who will be preparing for Cyclone Alfred, and communities devastated by similar disasters in the past (for example, the 2022 floods in Lismore, New South Wales). With their exposure to cumulative trauma, these groups will need ongoing, focused support.
Most importantly, we need to understand that the way we are feeling is normal. Be patient with yourself and look for small opportunities to take control of your reactions.
I am keeping the television turned off (except when the Real Housewives is on).
Some resources
The website blueknot, from the National Centre of Excellence for Complex Trauma, gives more information about how we respond to trauma. The Black Dog Institute guides you through developing a self-care plan.
If you are a first responder, you can access free treatment and support through a range of providers, including: Phoenix Australia, Fortem Australia and the Black Dog Institute.
If this article has raised issues for you, or if you’re concerned about someone you know, call Lifeline on 13 11 14.
Authors: Erin Smith, Associate Professor and Discipline Lead (Paramedicine), La Trobe University
