TonioTimeDaily

"RAINN[8] identifies five main coping strategies during the outward adjustment phase:

• minimization (pretending 'everything is fine')
• dramatization (cannot stop talking about the assault)
• suppression (refuses to discuss the rape)
• explanation (analyzes what happened)
• flight (moves to a new home or city, alters appearance)

Other coping mechanisms that may appear during the outward adjustment phase include:

• poor health in general.[4]
• continuing anxiety
• sense of helplessness
• Carelessness of themselves or others around them (they could not protect themselves against the attack so they lose self care)
• hypervigilance
• inability to maintain previously close relationships
• experiencing a general response of nervousness known as the "startle response"
• persistent fear and or depression at much higher rates than the general population[11]
• mood swings from relatively happy to depression or anger
• extreme anger and hostility (they are very hateful towards the ones that are closest to them [12]). Some survivors may even say "I HATE PEOPLE" or "I HATE THE WORLD".
• sleep disturbances such as vivid dreams and recurring nightmares
• insomnia, wakefulness, night terrors[13]
• flashbacks
• dissociation (feeling like one is not attached to one's body)
• panic attacks
• reliance on coping mechanisms, some of which may be beneficial (e.g., philosophy and family support), and others that may ultimately be counterproductive (e.g., self harm, drug, or alcohol abuse[14][15])."

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