Recommendations and tips for adults and caregivers. Take care of yourself first

Psychological First Aid is a world-known and evidence-based supported intervention that utilizes five main principles: 

1) promote a sense of safety, 

2) promoting calming, 

3) promoting a sense of self-efficacy and community efficacy; 

4) promoting connectedness, and 

5) instilling hope.

This list of practical recommendations is compiled by practitioners in the field of mental health to support families who are presently living in a state of war.  

Following these recommendations and adapting them based on your individual circumstances might help you to promote your own sense of safety which is an important prerequisite to promoting safety in children. Feeling safe will help you to model adaptive coping strategies for your children. It might be hard to cope with stress at the beginning. However, the more you practice or strive to practice these recommendations the more you create opportunities for yourself to build habits and automatically use these coping strategies under stress. 

At the same time please remember to follow these recommendations during ordinary times as well. These self-care habits will help you to be more resilient and prepared to cope with other stressful situations in life and prevent unnecessary stress. 

Physical Safety

Find a place in your house/neighborhood that provides shields during air raid sirens. It is possible to find information on how to equip a house (safety rule - 2 walls rule) in your city administration reports published by the city administration you reside in.  

Follow official instructions given by authorized staff (police, firemen, municipality leaflets, etc.) rather than the ones given to you by neighbors or friends online, as they don't always know the real situation. Avoid panicking. Don't use elevators if you need to get up/downstairs. In case of bombing and no place to hide the middle floor of your building might be your safest place. 

Psychological Safety

Here is an example of a Google Calendar schedule that can be used to cope with the war stress:

Emotional Safety

Information Safety

In the day of technology and instant connection, we cannot imagine not knowing something in real-time. This brings an overload of information and our brain has a limited capacity to process and then cope. Additionally, t instant reporting brings not only emotionally disturbing content but also passes on the emotions of those who create it. The time spent on social media steals our experience and capacity of being present with people who are around us, from the experiences we have in the present and our sense of connectedness with ourselves and others.  Many young adults have a tendency to develop a symptom “fear of missing out” which steals the sense of peace and control much needed during the war time. 

These few suggestions can help you to regain control over what you take in and how this impacts your body, mind, and spirit.

Limit time spent on watching the news live. If possible read the news but also at specific times, giving yourself a break. Some might use the news as a backdrop –being afraid/not comfortable with silence is a normal sign of trauma. Instead of news, use music that helps you to relax, be in touch with your body, connect with your soul or re-gain control (e.g., classic music, music of past good times, religious/worship music, or other genres that brings you comfort). 

Pick and choose whether you have resources at this time to engage with people who are hard to convince about the reality of war in your country or other countries with ongoing wars. This might mean that you need to unsubscribe from certain groups, people or don’t check their messages. 

Give the benefit of the doubt before spreading the news. Check the information and source to filter fake news. Sometimes your friends will post them. If you suspect that this is not real, check with them before getting upset or spreading it (e.g.,  posts with kids who need to be adopted – the law is still present and you can’t just go and take a child).  

Seek social support

If you need social connection, don't hesitate to write/call your loved ones and talk even about tiny things or discuss any topics. 

If you prefer to remain silent, don't call anyone but please remain available to be able to calm your loved ones and friends people down in case they are looking for you or want to be updated on your life. 

Limit your time on social networks since many people are stressed and any phrase can trigger comments that might hurt you and increase psychological stress. Avoid reading analysis of the current situation, especially forecasts about the future, as they provide polemics and additional stress (unfortunately, no one really can predict our future even in peaceful times). It is better to concentrate on the aspects of life you can control (such as cooking, physical training, and hygiene, supporting the people near you, etc.). Do not start any phrases with "if" as long as you cannot change the current situation.

Seek out professional support

As soon as possible reach out to your leading specialists. It is important to provide a safe, developmentally appropriate, culturally responsive recovery environment. Any therapy for a child should be uninterrupted, whether with a therapist or a parent or both. In the situation of military events, external resources and training opportunities are very limited. Therefore, whenever possible, it is important to keep in touch with the leading specialists of the child. Take consultations from time to time which can guide you to better assist your child’s needs. As soon as possible try to include therapy sessions in the daily routine of the child. Take care of both your own emotional state and the child's. Try to expand and develop social and everyday life skills through learning in a natural environment.    

Balance structured and unstructured activities. You need both of them. The intervention should be aimed at expanding the motivation of the child in the conditions in which the family is currently living. Continue to follow your individual development plan, if you have one available. Your therapist might consider it necessary to adapt it to the new conditions. If there is no therapy plan, you need to identify the primary goals to work on and build a plan on how to achieve them. Emphasize communication skills through learning in an unstructured environment, play activities, and self-care/self-reliance skills.

Working in teams is especially important in such stressful situations because the number of tasks usually increases, and to avoid burnout, it is helpful to share responsibilities. Including parents in teams also helps because they know their children best. They might have information that can inform your practice. Good teamwork helps everyone to be on the same page and to provide consistent intervention in multiple settings.

Overall, during any war conflict, working with a specialist off-line can be challenging, first of all due to logistics. However, it is important not to interrupt therapies if possible, thus:

  1. Try to keep in touch with your specialists online, if they are available. Don’t hesitate to try online sessions. Otherwise ask for supervision.

  2. Implement more activities with your child which used to be implemented by his/her specialists, if possible. Not only will it occupy you both but will also help to generalize skills. It is usually easier for parents to follow a ready-to-do program than to invent something on their own. However, it is possible to develop a new plan together virtually.

  3. If your main specialists are not available, ask them to suggest you other specialists who are available to teach or have online experience. Your previous specialists should transfer a report, the program and probably some educational materials to the new therapist/supervisor. 

Written on 4/10/2022

Written by

  • Anastasiia Iun

  • Julia Lamm

  • Kateryna Kuzubova

  • Irina Grigoryeva

  • Daria Kobenko

  • Olena Gayevska