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Psychiatry
- The Psychological Effects of Earthquakes
- What Is Depression, What Are Its Symptoms, and How Is It Treated?
- Cognitive Distortions (Thinking Errors)
Reliving the Moment of the Quake Can Trigger Emotional Collapse!
Psychiatric Effects of Earthquakes Can Be Treated with Medication and Psychotherapy
Psychiatrist Specialist Dr. Şakir Özdemir from OFM Antalya Hospital Department of Psychiatry provided important information about psychological disorders that may occur after major earthquake disasters.
Dr. Özdemir emphasized that repeatedly reliving the moment of the earthquake as if it were happening again can lead to symptoms such as sudden startle responses, fear, anxiety and worry, insomnia, nightmares, loss of motivation, lack of joy, loneliness, hopelessness, and feelings of helplessness.
SUDDEN MENTAL TRAUMA
Highlighting that an earthquake can cause both sudden physical and psychological destruction, Dr. Özdemir stated:
“Uncertainty and unpredictability are situations that people find psychologically difficult to tolerate.
An earthquake is a natural disaster that develops suddenly and rapidly, capable of causing severe physical and emotional damage.
Although it lasts only a few minutes, for the victim, this short duration can feel like an eternity — a period filled with unbearable fear and helplessness.
There is an overwhelming sense of shock and horror as life spirals out of one’s control and into an uncontrollable catastrophe.”
ANGER AND IRRITABILITY IN CHILDREN
Dr. Özdemir noted that children are among those most psychologically affected by earthquake disasters, describing the emotional changes observed in them as follows:
“For children, the psychological effects of such disasters can be more intense and longer-lasting.
They have greater difficulty understanding and making sense of what has happened compared to adults.
Their feelings of fear and helplessness may be deeper, and traumatic symptoms can persist for months after the event.
For example, a 6–7-year-old child who had previously achieved toilet training might start wetting the bed again.
They may also experience irritability, anger, crying fits, sudden startle reactions, and sleep disturbances.”
“ELIMINATING HOPELESSNESS IS ESSENTIAL”
OFM Antalya Hospital Psychiatry Specialist Dr. Şakir Özdemir emphasized that the psychological impact of earthquakes and similar disasters can be successfully treated through medication and psychotherapy.
He added:
“The psychological consequences of earthquakes and other disasters may lead to Post-Traumatic Stress Disorder (PTSD) and Depression.
Symptoms such as reliving the moment of the earthquake, sudden startles, fear, anxiety, insomnia, nightmares, loss of morale, loneliness, hopelessness, and helplessness can appear.
These conditions are treatable with appropriate pharmacological therapy and psychotherapy.
The most important approach when supporting someone affected by a disaster is to make them genuinely feel understood, not alone, and not helpless.
Helping them regain a sense of safety is crucial.
Reducing their hopelessness and providing social support are key factors.
It is also vital for governmental institutions to ensure that the psychological and physical needs of disaster victims are met — both for the present and for their future — in a way that helps them feel safe and hopeful again.”
Depression is a medical condition characterized by symptoms such as low mood, loss of pleasure, lack of motivation, and an inability to enjoy life.
It is not the same as temporary sadness or a short period of feeling down.
Depression is defined as a persistent low mood lasting at least two weeks, significantly affecting a person’s ability to function in daily life.
Symptoms of Depression
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Persistent sadness, loss of interest or pleasure, social withdrawal, and a feeling of emptiness.
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Intense feelings of worthlessness, hopelessness, and guilt.
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Difficulty concentrating and paying attention.
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Irritability, anger, or difficulty controlling emotions.
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Loss of interest in previously enjoyable activities.
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Appetite changes (either increase or decrease), resulting in weight gain or loss.
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Tension, restlessness, or anxiety.
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Headaches, abdominal pain, muscle aches, and generalized body pain.
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Thoughts of death or suicide.
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Insomnia or excessive sleep.
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Fatigue, low energy, and lack of motivation.
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Slowed physical movements and speech.
Risk Factors for Depression
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Major life events and stressors.
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Personality traits that increase vulnerability.
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Genetic predisposition.
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Early loss of a parent or loved one.
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Alcohol or substance abuse.
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Living alone or being divorced.
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History of previous depressive episodes.
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Chronic medical illnesses.
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Use of certain medications.
Treatment of Depression
Depression can be effectively treated with medication and psychotherapy.
In addition to these medical approaches, social support plays a crucial role in recovery.
Early diagnosis, professional treatment, and a supportive environment help individuals regain emotional balance, improve functionality, and rebuild quality of life.
Cognitive distortions are exaggerated and irrational thought patterns that cause individuals to perceive reality inaccurately or incorrectly.
A person evaluates themselves and their surroundings through these dysfunctional thinking styles, which often lead to emotional distress and negative interactions with others.
As a result, both self-perception and relationships can be negatively affected, causing psychological strain.
Types of Cognitive Distortions
1. Overgeneralization:
Drawing broad conclusions based on a single negative event.
2. Personalization:
Taking responsibility for events that are not actually related to oneself.
3. Catastrophizing:
Assuming that the worst possible outcome will happen without considering other possibilities.
4. Mind Reading:
Believing that you know what others are thinking about you without any concrete evidence.
5. Labeling:
Assigning negative or inappropriate labels to yourself or others without sufficient evidence.
6. Arbitrary Inference:
Reaching a conclusion without realistic or adequate proof.
7. Selective Abstraction:
Focusing on a single negative detail of an event while ignoring the broader context.
8. Magnification and Minimization:
Exaggerating the importance of negative events or downplaying positive ones.
9. “Should” Thinking:
Relying on rigid and unrealistic internal rules, such as “I should…” or “I must…”, which often lead to guilt, disappointment, and frustration.
Psychiatrist Dr. Şakir Özdemir emphasizes that recognizing and correcting these thinking errors through cognitive-behavioral therapy (CBT) can significantly improve emotional well-being, problem-solving skills, and overall mental health.
Specialist Dr. Şakir Özdemir
Trakya University Faculty of Medicine
Istanbul Vakıf Gureba Training and Research Hospital – Psychiatry Specialist
Private OFM Hospital, Antalya
Department: Psychiatry
Education: Trakya University Faculty of Medicine
E-mail: sakir.ozdemir@ofmantalya.com
Languages: English
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2008–2010: Cognitive Behavioral Therapy – Prof. Dr. Mehmet Zihni Sungur
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2008–2010: Psychodynamic-Oriented Psychotherapy – Prof. Dr. Doğan Şahin
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2008–2010: Sexual Dysfunction Therapy, CETAD Modules 1-2-3, Supervision (8 weeks)
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2017: Alcohol and Substance Addiction Training – Republic of Turkey, Ministry of Health
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Depression
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Panic Disorders
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Obsessive-Compulsive Disorders (OCD)
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Personality Disorders
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Social Phobia (Social Anxiety Disorder)
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Sexual Function Disorders
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Mood Disorders
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Schizophrenia
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Turkish Medical Association
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Turkish Psychiatric Association
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