9/11 Ten Years Later

Ten years ago, this photo took my breath away. Just like the pictures of the collapsing towers and the fliers with the smiling faces of lost loved ones. What powerful images of despair, suffering and the staggering losses of 9/11. But there were also stories of rescue, heroism and survival.

At dinner the other night, my 5 year old grandson was amazed by his brothers' conversation about terrorists seizing control of planes and crashing them into the World Trade Center. Being so young, how could they understand the impact? But as adults we know that the world changed dramatically that day.

After the heroic acts of police, firefighters, emergency responders and recovery workers during the disaster, Post Traumatic Stress Syndrome became a public health issue. Survivors with PTSD continue to struggle with intrusive thoughts triggered by a plane overhead, the sound of sirens or nightmares. Flashbacks, depression or anxiety continue to haunt them. And others suffer from chronic health problems or respiratory and allergic reactions from exposure to toxic dust.

Partners, parents and children still feel the void and mourn the loss of family members. For many who were lucky enough to survive the tragedy, there often remain feelings of helplessness, sometimes accompanied by shame, guilt, or a sense of responsibility. In fact, the whole world reacted. And each anniversary of 9/11 triggers frightening memories and painful emotions.

How do you move forward without forgetting? It can help to weather tragedy in the midst of family, friends and community. Like in other traumatic situations, support for discussing the events and sharing feelings can relieve pain and suffering. Putting energy into giving back to others who are struggling can be a source of comfort. And pulling together is a classic coping mechanism. The civility, cooperation, support and goodwill in New York were instrumental in healing the national psyche.

While some people remain vulnerable, others are resilient and can regain psychological balance more quickly. They tend to bounce back to the same strengths, anxieties, hopes and bad habits - and are grateful for a return to normalcy.

Some are too young to remember, others can't forget. Many at yesterday's ground zero memorial were there to find more closure so maybe they could, at last, enjoy a measure of relief. And all over the country, thousands upon thousands gathered to unveil monuments, pay tribute, pledge allegiance and celebrate resilience. May this strength be an example to all of us.

Stress Reaction to Trauma

The first few nights after the emergency landing, Sullenberger couldn't sleep. He questioned his performance, even though all 155 people aboard survived. Initially he had trouble forgiving himself because he thought he could have done something different.

Sullenberger's emotional reaction is very common and normal. What follows are some tips that may be helpful if you or loved ones experience a traumatic event:

Develop stress relievers. If you have endured an extraordinary physical or emotional experience, take time out for yourself. By regular exercise, good nutrition and proper rest, you'll be taking better care of your body. Attend to your mind and your spirit as well. Practice techniques of deep breathing, relaxation or your own form of meditation. Set aside quiet time and do what it is that gives you personal pleasure. Relax and have fun as you bring more balance into your life. Look at it as investing in your emotional bank account. You'll generate positive memories that you can draw on when you need them.

Recognize an acute stress reaction. After an event where you could have died, it's natural to have a greater appreciation for life. Subsequent to a traumatic event, on the other hand, an immediate emotional reaction can turn into Post Traumatic Stress Disorder (PTSD). This is more likely to occur for those who have suffered a previous trauma, a weak support system, a history of addiction or depression. If your symptoms persist - sleep disturbance, sadness, fears, irritability, flashbacks or nightmares – don't hesitate to make an appointment with a mental health professional.