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Model of Psychological Response to
Trauma and Traumatic Bereavement Event Disbelief
Outcry
Heroism Shock
Denial
Disorientation Rage
Anger
Blame Sadness
Despair
Guilt Anxiety
Intrusions Isolation
Loneliness
Depression Coming to Terms with New Realities Reclaiming Life Reconstructing
a New Life Numbing Avoidance Hyper-vigilance Searching for Meaning 0 to 7 days 2 to 5 Years TIME Source: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, Mental Health Response to Mass Violence and Terrorism, 2004