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All shook up? Recent spate of negative news puts us on anxiety alert

Feeling a little shaken lately? Like the world is tumbling down around you and you're about to go down with it?

Could be our recent earthquake, plus a pileup of other scary local events, has rattled your anxiety engine into high gear.

Drought, a looming power shortage, the Mardi Gras rampage, Boeing honchos saying, "So long, Seattle," and, of course, the quake: Added together, they're enough to shake up anybody.

Some of us may be under pressure because of the stumbling stock market and the economy's slide. Throw in the risk of severe ego deflation after years of perching atop the "most-livable cities" lists in glossy national magazines, and you could be talking high anxiety. Or not. Actually, with certain exceptions, most of us seem to be doing OK, managing to stay balanced in the face of a string of stressful events.

For instance, CoHear, Bellevue Community Services - a firm that offers mental-health counseling services to about 12,000 employees at eight local companies, including The Seattle Times - says there's been no upsurge in counseling requests that appear related to recent events.

And there's been no sudden jump in calls to East Side Domestic Violence, a crisis line and shelter for battered women, says executive director Linda Olsen, even though some experts believe family-violence increases can reflect wider problems in the community. (Calls have risen steadily during the past year, however.)

However, the Seattle Crisis Clinic noticed an uptick in calls in the weeks after the quake.

Crisis Clinic calls from Feb. 28 (earthquake day) through March 20 averaged 247.6 a day - significantly higher than the average of 212.5 calls per day during the year preceding the quake, said Don Kuch, manager of client services.

The clinic counted 69 quake-related calls, including three people who talked of suicide and five who worried the trauma might make them relapse into substance abuse.

The jump in calls started about three days after the quake, meaning earthquake worries may have taken a few days to sink in, Kuch said. The increase could also reflect other recent bad news, even if not mentioned by callers. It's possible, Kuch said, that a general, underlying stress affects people even if they don't realize it.

As one downbeat story follows another, we keep hearing a new regional refrain: "What's going on here?" It's the talk of the office, the supermarket, the coffee shop. The next quake, the future of Boeing jobs and of our own, the drought that threatens salmon and power - such concerns pepper countless conversations.

Even mental-health professionals and their friends aren't immune. Although the bad news hasn't yet emerged as an obvious issue with CoHear clients, director Brian Whitney said, "I'm hearing it with my friends and neighbors" in daily talk as people try to make sense of what's going on.

For some individuals, however, negative news in the community delivers a more direct hit against emotional coping. The earthquake generated a spate of calls to Group Health Cooperative's office of behavioral-health services. Many came from Olympia, near the quake's epicenter.

Callers "were still feeling symptoms of anxiety after the earthquake," said manager Cindi Smith. Worries, nightmares, fear of noises that might signal another quake - all prompted people to seek reassurance. Mardi Gras violence also concerned a number of callers, Smith said.

"We live in a stressful environment all the time," she said. "More productivity is demanded of us," and other sources of stress, from family to financial matters, abound. For some people, major negative news in the community can be too much to take on top of daily stresses, tilting them into severe anxiety, panic or depression.

Group Health psychologist Sherwin Cotler "debriefed" about six to 10 Olympia residents who were particularly unsettled about the earthquake. In debriefing, a therapist encourages an individual to review the frightening event and describe their feelings at the time and later.

"The people who had the most trouble (after the quake) were in buildings where things started falling," he said. Many feared going back to work in those buildings. Counseling, he said, lessened their fears.

Interestingly, some emotionally fragile individuals seem to take on new strength following a frightening, communitywide event such as a quake or hurricane, experts say. The reason? Possibly because such an event affects everybody, helping those who believe they're isolated in their fears and anxieties suddenly feel a part of the community.

As for all the other negative news that's hit us lately, experts say it's hard to quantify the mental-health impact, but it probably exists.

"We know that stress is cumulative," said Cotler. "My prediction would be that as more negative things happen, we'll see more response. You could see more people who are anxious and depressed and more going to physicians for a number of complaints."

Also possible: a rise in excessive drinking, smoking, eating and pill-taking.

Stress, Cotler said, occurs as the mind and body respond to change - and as each one of us around Puget Sound can attest, we've had plenty of that.