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After something terrible happens: the first month for families

Most people recover from traumatic events without treatment. What families do in the first weeks affects which group someone ends up in.

A person sitting quietly by a window, looking out.

Content warning

This page discusses suicide and self-harm. If you are struggling right now, support is available at any hour.

The instinct after a crisis is to do something significant. The evidence points the other way: ordinary, steady and unhurried is what supports recovery.

What the first weeks normally look like

Intrusive memories, poor sleep, jumpiness, irritability, tearfulness and a sense of unreality are common in the days and weeks after a traumatic event. For most people these reduce over roughly a month without any formal treatment. Their presence is not a sign of a disorder; their persistence past a month is a reason to seek assessment.

What helps

  • Restore the ordinary. Meals, sleep times, school, work where possible. Routine is the intervention.
  • Practical support over emotional excavation. Meals cooked, forms handled, lifts given.
  • Let them talk if they want to, and let them not. Both are normal, and neither should be pushed.
  • Manage exposure. Repeated news coverage, group chats and footage extend the event rather than processing it.
  • Reconnect with people. Social support is one of the strongest predictors of recovery.

What to avoid

Do not require a detailed account of what happened. Pressing someone to narrate a trauma before they are ready is exposure without support. Avoid alcohol as a sleep aid, which fragments sleep and slows recovery. And do not assume that someone who seems fine is fine; delayed reactions are common, particularly in the person who held everyone else together.

When to seek help

  • Symptoms still at full strength after about a month.
  • Function not returning: not working, not leaving the house, not sleeping.
  • Increasing use of alcohol or other substances.
  • Thoughts of suicide, at any point.

If someone is in immediate danger, call 995. National mindline 1771 and Samaritans of Singapore on 1767 are available 24 hours.

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