I find that people are all very different. One of my core values as a doctor is that there are no one-size-fits-all medicines or approaches. Because people are different, the ways in which they get better differ, and the treatments which work best for them are different. That’s why I have concerns about the more extreme “evidence based medicine” fanatics, who see only two classes of treatment – “proven” and “unproven” (as if you can be sure what’s going to work for an individual before you’ve even met them)
One of the significant differences I see between people is that some really need to talk. They want to talk, and encouraging them to talk about their traumatic experiences is a way of enabling them to cope and to improve. Others, however, are quite unlike that. Some, even if encouraged, really do not want to talk about past traumas. I think it’s important to understand these differences between people and to offer them the kind of help which is best for them.
Psychologists have studied the particular issue of talking about trauma post 9/11. Their work was reported today on the BBC news site. What I found very interesting was their discovery that contrary to popular opinion that it’s always better to talk about such things, they found a significant number of the people who did well after that event, had chosen not to talk about their feelings at that time.
So, it appears, it’s good talk……..sometimes, and for some people, but don’t apply that advice indiscriminately.














