After sepsis, an ICU stay, major surgery, a serious diagnosis, or any traumatic medical event, it is common to feel differently for weeks or months. Anxiety, sadness, sleep problems, and flashbacks are not signs of weakness — they are signals from a nervous system that has been under enormous stress.
Common reactions
- Anxiety, racing thoughts, or panic attacks
- Depression, hopelessness, loss of interest
- Sleep disturbance, nightmares, or fear of sleep
- Intrusive memories or flashbacks
- Avoidance of hospitals, doctors, or reminders of the event
- Guilt about survival, care needed, or missed work
- Changes in appetite, energy, or memory
For some people these reactions fade in weeks. For others they meet criteria for post-intensive care syndrome (PICS), post-traumatic stress disorder (PTSD), major depression, or a generalized anxiety disorder — all of which are treatable.
When to reach out
Do not wait if any of the following are true:
- Symptoms interfere with daily life for more than a couple of weeks
- You are using alcohol or other substances to cope
- Relationships or work are suffering
- You are having thoughts of self-harm or suicide
Help is available
- 988 Suicide and Crisis Lifeline — call or text 988, 24/7, free and confidential
- SAMHSA National Helpline — 1-800-662-HELP (4357), 24/7, free and confidential treatment referrals
- Veterans Crisis Line — dial 988 and press 1
- Your primary care clinician can screen you and refer you
- Your insurance likely covers therapy — check the behavioral health directory
- Many communities have free peer support groups for ICU survivors, cancer survivors, and family caregivers
For families and caregivers
Family members are also at risk for anxiety, depression, and PTSD after a loved one's serious illness. The same resources apply. Take care of yourself so you can keep taking care of them.
Key takeaways
- Emotional reactions after a medical event are normal and treatable
- 988 is free and confidential, 24/7
- Ask your primary care doctor to screen you
- Families need care too
Source: Substance Abuse and Mental Health Services Administration (SAMHSA).