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Post: Fireworks can torment veterans and survivors of gun violence with PTSD – here’s how to celebrate with respect for those who served

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Fireworks can torment veterans and survivors of gun violence with PTSD – here’s how to celebrate with respect for those who served
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For those with PTSD, sounds from fireworks can trigger flashbacks. Getty Images / Josep Maria Gerardo / EyeEm For some combat veterans, the Fourth of July is not a time to celebrate the independence of the country they love. Instead, the holiday is a terrifying ordeal. That’s because the noise of fireworks – loud, sudden, and reminiscent of war – rocks their nervous system. Daily fireworks in many U.S. cities in recent weeks have no doubt been interfering with the sleep and peace of mind of thousands of veterans.

This reaction is not unique to veterans with post-traumatic stress disorder, or PTSD. Also affected are millions of others, including civilians, refugees, and first responders. As a psychiatrist who specializes in trauma and PTSD, I urge you not to overdo an act which causes so much suffering for so many of your fellow Americans. What is PTSD?

PTSD can occur when someone is exposed to extreme exposure traumatic experience. Typically, the trauma involves a threat of death, serious injury, or sexual violence. Along with war veterans, it happens to refugees; to victims of gun violence, rape and other physical assaults; and to survivors of car accidents and natural disasters like earthquakes or tornadoes.

PTSD can also happen by witnessing trauma or its aftermath, often the case with first responders and front-line workers .

All this adds up to tens of millions of Americans. Up to 30% of combat veterans and first responders, and 8% of civilians, fulfill the diagnostic criteria for PTSD . And that criteria is not easily met: symptoms of PTSD include nightmares, flashbacks, intrusive trauma memories, difficulty sleeping, avoidance of reminders of trauma, negative emotions, and what we call “hyperarousal symptoms.” Many war veterans suffer from PTSD. For some, the sounds of fireworks can be terrifying. Getty Images / willowpix Fireworks can trigger flashbacks

Hyperarousal, a core component of PTSD, occurs when a person is hyper-alert to any sign of threat – constantly on edge, easily startled and continuously screening the environment.

Imagine, for instance, stepping down the stairs in the dark after hearing a noise; you’re worried an intruder might […]

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