Resilience: How Do We Get It?

So what is resilience? We all want it, and we want to teach it to our children. But are there only a lucky few who inherit it?

Resilience is the ability to lead a healthy life, both physically and mentally, despite living through horrific circumstances, says Petros Levounis, M.D., M.A., chair of the Department of Psychiatry at Rutgers New Jersey Medical School. While there’s a genetic component, he said the thinking is changing around the idea that only some people are born with the ability to stay mentally strong in the face of war, natural disaster, rape, terrorism, chronic poverty and other traumas.

“Humans are far more resilient in general than we think, than we have assumed in the past,” Levounis said. “People who have been subjected to absolutely traumatic situations very frequently come out on other side and do quite well.”

There are some who may suffer more after a traumatic event -- people with depression or anxiety disorders are at a higher risk of developing posttraumatic stress disorder (PTSD). But PTSD is not the opposite of resilience, Levounis explained. “PTSD doesn’t mean you are weak. We now know that developing PTSD is associated with compassion and imagination and creativity.”

“Staying healthy both physically and mentally is paramount. Not only exercise and nutrition, which pretty much everybody knows, but also sleep hygiene. Sleep is the neglected stepchild of physical health. Keeping your mental health intact, your social life, your sexual life, your intellectual life, and for some your spiritual life—these build resilience,” Levounis said.

He added that parents who impart those healthy lifestyle habits to their kids will be helping their children be resilient, too.

By Mary Brophy Marcus, health writer, APA

Talking to Kids about the Earthquake in Japan

By Adair Parr, M.D.

Our hearts and condolences go out to the people of Japan and the families involved in the earthquake and subsequent tsunami in Japan last week. 

Everyone has seen the live images, captured on cell phones and video cameras, coming from Japan.  They are vivid, dramatic, compelling, and scary.  We have all watched the coverage on television and online as more and more photos and videos circulate showing the massive tsunami wave rolling over the sea wall, shaking houses and buildings, fires, explosions,  and the massive destruction afterwards.  The subsequent explosions of the nuclear reactor and news of a nuclear reactor meltdown near Sendei, Japan are also extremely disturbing. 

Our 24 hour news cycle enhances the impact of these images which can be traumatizing for viewers of all ages.  Media has a particularly powerful influence on children and adolescents, and the pictures it shows shapes a child’s perception of the world.  Young children watching images of disaster believe that the event is happening in real time, and they’re in danger.  At such times, helping children feel safe and protected in their own home and community is important.  Parents should keep in mind the following tips when viewing photos and videos during and after disasters:

• Be vigilant!  Not all sources of media provide warnings about upcoming traumatic images.
• Viewing traumatic images may be re-traumatizing.
• Limit children’s exposure to media coverage of the event.
• Co-view media coverage of the trauma and discuss content with children and adolescents.
• Encourage children to draw, write, play music, and exercise in ways to express their feelings about the traumatic events.
• Maintain structure and family routines. 

HealthyMinds.org has more information on how to talk to your children about disasters.

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“What do I tell my kids?” Tips for talking to children about the Gulf Oil Spill

By Molly McVoy, M.D.


I did a quick Google search of kids and the Gulf oil spill, and I found everything from “Why are they killing all the birds and sea turtles?” to resources for environmentally minded children on how to start an environmental action plan of their own.


The oil spill in the gulf coast has many worried, from children through adults. The resources for how to talk to them are varied and sometimes confusing. Below are some basic tips for talking to children about the oil spill threatening the gulf coast.


Talking to your children about disasters can be challenging. Children ask tough questions and it can be difficult to know how best to answer them. However, times like this, during disasters, can be a golden opportunity with your children. When current events are scary or confusing, it can be a great opportunity for parents to show their children that there are people to help them and the country get through them.


The best advice I can give for talking to children about anything, but disasters in particular, is this - be honest, be simple and repeat, repeat, repeat. Don’t force your child to talk about the oil spill, but, if they ask, tell them the truth in language that fits with their age. Children know if they’re being told the truth, so answer them as simply and straightforwardly as you can. But, being a child, they will likely ask again and again (and again!). It’s okay if you have to repeat yourself, it’s the open dialogue and the reassurance that children are looking for during times of crisis.


So, as Bill Cosby said of fatherhood “You just need a lot of love and luck - and, of course, courage.”

Coping During Disasters

By Gabriela Cora, M.D., M.B.A.


The earthquake in Haiti hit the most impoverished nation in the Western hemisphere. A land already struck by hurricanes, the loss of life in the thousands magnifies the catastrophe exponentially. What to do onsite and what to in the States when family members worry about loved ones?

Aside from the physical devastation caused by natural disasters, the psychological short and long-term impact may be even more damaging. Keeping up to date with the latest news while not overdoing this all day long will help you cope with the situation. 


Additionally, taking control of simple habits, accepting help, eating, drinking clear water and having some sleep will help through the difficult aftermath. One particularly challenging area is keeping children safe both physically as well as psychologically. As an adult in charge of your own children or caring for other children during a disaster, it’s most important to provide for physical safety, keep them busy helping out others, if they can, and allow them to share their fears and worries. 

Visit Switchboard Miami for additional hotline assistance, available in Creole.

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