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Appalachia Health News tells the story of our health challenges and how we overcome them throughout the region. 

Emotional Healing From Floods Can Take Just as Long as Rebuilding

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Rachel Taylor stands on her front porch in White Sulphur Springs. Her dog's paw prints are visible on either side of the door where he tried to get in during the flood.

Rachel Taylor stands on the front porch of her little yellow house in White Sulphur Springs. The front door is pasted with paw prints where her dog tried to get in during the flood.

Across the street, nestled between two battered houses, is an empty lot marked by a cross with an array of flowers and photos. It’s a memorial for a family washed away by the flood.

The dog? He survived the flood and is now with family in Kentucky. Taylor’s across-the-street neighbors, the Nicelys, did not.

“When I start feeling overwhelmed with this, I just look across the street at that memorial and I think, there’s nothing that we have lost that can’t be replaced or mended,” she said.

Taylor gestured at her gutted living room. She and her husband spent seven years renovating this 1930s Craftsman house, room by room. They were just about done with renovations when their house was flooded a few weeks ago.

“You know, the first couple of days it was very intense. It was kind of crisis mode. Maybe that’s the way I would describe it, because you didn’t really have time to think about it and process it,” said Taylor.

Once the full extent of the damage set in, Taylor said she developed severe nausea and carsickness to the point of not being able to drive.

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Credit Kara Lofton / West Virginia Public Broadcasting
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West Virginia Public Broadcasting
A memorial for the Nicely's sits across the street from Rachel Taylor's White Sulphur Springs home.

“Talking to different people, they said, ‘That’s probably your nerves – you know, the stress level.’ You don’t realize your body is just having a response to this, [which] isn’t normal for you,” she said.

Taylor has flood insurance that will allow her to rebuild, but she said her family will likely move out of the neighborhood once the home is restored or ready for sale.   

“I think the words we use when we talk about it are ‘I don’t know if I have it in me,’ ‘I’m not sure if I can do it again,’ things like that. And then we just say, ‘Well, we’ll take it one day at a time.’”

Experts say this kind of response is normal following natural disasters.

“It’s a physical aspect of the stress response – it will affect the body’s ability to concentrate, to rest and to be able to function,” said Marcie Vaughn, leader of the state-funded West Virginia Crisis Response Team. “Cognition is slowed and impaired,” she added.

In addition to Vaughn’s team, church disaster-assistance teams and the organization Hope Animal Assisted Crisis Response offered material and emotional support to victims, trying to be “a meaningful presence.”

“From the behavioral health perspective, we find we are more in need after the 10th, 12th day, just because immediate needs of food, clothing and shelter take precedence,” said Vaughn.

In the first few days following the flood, Vaughn said her team split their time between helping people replace lost psychiatric medications and looking for signs of mental distress in people at shelters or feeding stations.

“We see fatigue, problems with cognition,” said Vaughn. “You have individuals who walk into a supply center and they have no idea what they need.”

A 2012 study published in the journal of Social Psychiatry and Psychiatric Epidemiology found that while most people bounce back a few months after a disaster, if you don’t address ongoing stressors – such as lack of a home, financial challenges and repeated exposure to the trauma – people will continue to struggle.

“As the fatigue sets in and the frustration, we see an increased need for behavioral health intervention,” said Vaughn.

But their work becomes hardest, she said, when national organizations and media have lost interest and real, tough problems persist, but only the local folks remain to extend helping hands.

Appalachia Helth News

Appalachia Health News is a project of West Virginia Public Broadcasting, with support from the Benedum Foundation.


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