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When a critical incident occurs, it can feel like an emotional earthquake to the survivor, disrupting his or her overall functioning. In cases of prolonged trauma (e.g., childhood sexual abuse or war), there is no immediate “clean-up” effort, resulting in prolonged exposure to trauma. In other cases, such as natural and human-made disasters and acts of terrorism, there are often large-scale responses to intervene immediately following the event. The impact of crisis, trauma, and/or disaster on the mental health of the survivor is dependent upon the type of critical incident, the available resources, the actions of the responders, the physical and emotional state of the survivor, and the survivor’s support systems.

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