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Last week, my office witnessed an overwhelming surge in clinical needs, reminiscent of pivotal moments in my professional journey when national events inflicted widespread distress: the tragic events of September 11, the contentious 2016 election, the implementation of the Muslim ban, the onset of COVID-19, and the consequential Dobbs decision. In light of the recent 2024 election results, I find myself reflecting anew on the pressing question: How can I best support those grappling with profound distress amid a climate filled with uncertainty and anxiety?
The proximity to a traumatic event—both emotionally and physically—intensifies its effects. Individuals who resided near the Twin Towers or lost loved ones during the events of 9/11 experienced unparalleled shock, fear, loss, and grief. Conversely, those living far from the East Coast, lacking direct ties to New York or the victims, still felt the horror of the event but with a much-diminished personal impact. This reality presents a poignant illustration of how varied emotional responses can be based on one’s connection to a traumatic event.
The same nuanced understanding applies to the aftermath of the 2024 election. While some individuals may feel relatively unaffected by the recent political developments, a vast number of Americans find themselves enduring significant emotional turmoil following November 5th. Alarmingly, many young people are now facing a heightened risk of self-harm and suicidal thoughts, a stark contrast to their emotional states just a week prior. In my practice, young survivors of sexual assault have expressed feelings of betrayal and insecurity in a nation that has seemingly endorsed an adjudicated sexual abuser. Notably, calls to the Trevor Project—a national suicide and crisis hotline for LGBTQ+ youth—skyrocketed by 700% on November 6, showcasing a troubling rise in distress compared to the previous month. Furthermore, discussions around the election surged by an astonishing 5,200%, highlighting the urgent need for dialogue and support.
My approach in the office after November 5th
In my sessions, patients often share their concerns about the election results candidly while others hesitate, unsure if my office is a safe space for open dialogue. They may doubt my understanding of their heightened vulnerability and distress.
For patients coming into my office displaying increased levels of distress, I initiate conversations by inquiring how they are feeling in the wake of the election. If they respond with “fine,” I seamlessly transition to a topic of their choosing. It’s possible they harbor concerns about the election but lack the comfort to voice them. By broaching the subject gently, I relay that the door remains open for them to discuss this topic whenever they feel ready.
This inquiry serves as a means of granting them permission to articulate their feelings. I genuinely seek their perspectives; it’s vital that they know I am open to discussing these sensitive issues.
For those reeling from the election’s impact, I urge them to delve deeper into their emotions. If they express upset over the election, I encourage them to share more details. Together, we explore how they have endured an emotional blow directed at them personally, contributing to their feelings of vulnerability, fear, and isolation.
As they convey their grief, anxiety, or fear, I validate their feelings by acknowledging that the election’s outcome is not only deeply upsetting but also casts a shadow of uncertainty over the future, which can be profoundly frightening. To suggest otherwise would be an act of gaslighting.
I refrain from disclosing my political inclinations; rather, I affirm the harsh reality faced by marginalized groups in this moment. In instances where patients express satisfaction with the election results, my role becomes one of active listening to their concerns—steering clear of imposing my own perspectives.
Some patients have candidly shared an increase in suicidal thoughts, complete with intent and plans. As therapists, we are encountering a unique subset of individuals in distress, and it is crucial that our words are carefully chosen; they serve as our salves and medicines.
What I am saying to patients at increased self-harm risk after the election
If you harm yourself, you inadvertently align yourself with the group that has already inflicted deep wounds upon you.
In this critical moment, the most profound act of resistance is to embrace unwavering self-care and compassion while fostering connections within your community.
This is a time for outreach and solidarity. We are undeniably more vulnerable when isolated. Reflect on who in your life could help alleviate this sense of loneliness.
Though uncertainty looms over the coming days, months, and years, I assure you that you will not face these challenges alone. We will continue to work together, and this office will always remain a sanctuary for you. While my power may be limited, I pledge to utilize what influence I possess to advocate for your healthcare needs and contribute to making your educational environment a safe haven.
Self-Harm Essential Reads
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Some patients have reached out, inquiring about my well-being—and honestly, I find our discussions immensely meaningful. This work has provided a grounding force during these turbulent times. Although the therapeutic relationship maintains a professional boundary, the human connection we establish is authentic and profound. I feel privileged when patients place their trust in me to navigate these sensitive topics. Personally, I feel less helpless when I can foster comfort and connection, one poignant conversation at a time. This seems to me the first essential step for all of us in navigating tumultuous times.
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If you or someone you love is contemplating suicide, seek help immediately. For assistance available 24/7, dial 988 for the National Suicide Prevention Lifeline, or connect with the Crisis Text Line by texting TALK to 741741. To locate a therapist near you, visit the Psychology Today Therapy Directory.
**Interviewer:** Welcome, Dr. [Guest’s Name], and thank you for joining us today. Your insights during this tumultuous time are invaluable. Given the recent surge in distress following the election, what changes have you observed in your practice?
**Dr. [Guest’s Name]:** Thank you for having me. The emotional landscape has certainly shifted dramatically since the election. Many of my patients, especially younger individuals, are expressing feelings of profound anxiety and vulnerability. It’s heart-wrenching to see so many grappling with fear and doubt about their future.
**Interviewer:** You mentioned that some individuals are struggling to articulate their feelings. How do you approach patients who may hesitate to discuss the election’s impact?
**Dr. [Guest’s Name]:** I start by gently inquiring about their feelings post-election. If they respond with “fine,” I let them steer the conversation in a direction that feels comfortable to them, while making it clear that I’m open to discussing the election if and when they’re ready. It’s all about creating a safe space for dialogue.
**Interviewer:** That sounds very compassionate. How do you validate the distress of those who do open up about their feelings regarding the election?
**Dr. [Guest’s Name]:** When patients share their distress, I actively listen and validate their emotions. I acknowledge that the outcomes can be deeply upsetting and foster a sense of uncertainty. It’s important they know that their feelings are legitimate and that we can explore them together.
**Interviewer:** With the alarming rise in mental health crises among young people, particularly in the LGBTQ+ community, what specific messages are you conveying to those at heightened risk of self-harm?
**Dr. [Guest’s Name]:** I emphasize that self-harm doesn’t resolve their pain and can unknowingly strengthen the very forces that have hurt them. It’s vital for them to understand that while their feelings of despair are real, there are healthier paths to cope and heal.
**Interviewer:** It sounds like your approach is both supportive and empowering. What overarching message do you wish to convey to those who feel lost in this unpredictable climate?
**Dr. [Guest’s Name]:** I want them to know they’re not alone. It’s essential to seek support, share feelings, and engage in conversations—even when it feels uncomfortable. Community and dialogue are powerful tools for healing during tumultuous times. Together, we can work through this distress.
