"RAINN[8] identifies five main coping strategies during the outward adjustment phase:
minimization (pretending 'everything is fine')dramatization (cannot stop talking about the assault)suppression (refuses to discuss the rape)explanation (analyzes what happened)flight (moves to a new home or city, alters appearance)Other coping mechanisms that may appear during the outward adjustment phase include:
poor health in general.[4]continuing anxietysense of helplessnessCarelessness of themselves or others around them (they could not protect themselves against the attack so they lose self care)hypervigilanceinability to maintain previously close relationshipsexperiencing a general response of nervousness known as the "startle response"persistent fear and or depression at much higher rates than the general population[11]mood swings from relatively happy to depression or angerextreme anger and hostility (they are very hateful towards the ones that are closest to them [12]). Some survivors may even say "I HATE PEOPLE" or "I HATE THE WORLD".sleep disturbances such as vivid dreams and recurring nightmaresinsomnia, wakefulness, night terrors[13]flashbacksdissociation (feeling like one is not attached to one's body)panic attacksreliance on coping mechanisms, some of which may be beneficial (e.g., philosophy and family support), and others that may ultimately be counterproductive (e.g., self harm, drug, or alcohol abuse[14][15])."---
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