Fourth of July festivities can trigger anxiety in Vets

Boom! Crackle! Boom! Crackle! The sky lights up with a series of colors and flashes, then the a roar of “oohs and ahs” from the crowd—this, the fireworks on the 4th of July, is something that is certainly very thrilling for Americans, but not for many of its heroes—Veterans coping with PTSD.

“It’s upsetting to  most Veterans with PTSD.  It’s something they try to avoid,” said Dr. Jeffrey Fine, Director of the PTSD program at VANYHHS.   Dr. Fine said the reaction “can range from a startle to a full blown anxiety attack and flashback of combat.”  That’s why, Dr. Fine explained, many Veterans keep noise-canceling headphones at hand.  Over the years, “some Veterans have acclimatized and have learned how to successfully minimize their reaction to fireworks like TV and sudden noises.”

Clinical Psychologist Dr. Wendy Katz also treats many patients with PTSD.  She said many Veterans dread it.  “The flash of light, fire crackers, can sound to them like mortar attacks. “ They are often also embarrassed by their exaggerated startled reaction in front of friends and family.  “I worked with one Veteran who took cover with his young son at this kind of celebration,” said Dr. Katz.  “It’s very complicated for them since it’s supposed to be the birthday of freedom.”

Families can help ease the anxiety, said Clinical Psychologist Dr. Michael Kramer, a PTSD specialist. If a Veteran has a strong negative reaction, he/she can have the support of his family and friends by anticipating a possible reaction and preparing.   For example, if it is discussed, they can plan on where they will stand when they go out, make a point to stay close to exits and come up with a  back-up plan if the Veteran has a bad reaction.”  Dr. Kramer also recommended that patients avoid going out to see Fireworks “if they predictably have strong negative reactions to fireworks, loud noises, and crowds.”

Dr. Fine agreed and also noted that, “It’s a matter also of personal choice about how much a Veteran wants to risk having to deal with a bad reaction balanced with the reluctance to isolate themselves from the center of action.”