Anxiety and Depression Archives - Futures Recovery Healthcare
Collective-trauma

How to Cope in Times of Collective Stress and Cascading Trauma

December 13, 2025 | By: Dr. Tammy Malloy

When a crisis affects an entire community, state, or country, stress can become more than personal. It can feel ambient, like it is in the air you breathe. The draft you provided describes how overlapping events can create sustained strain and unhealthy coping patterns.

At Futures Recovery Healthcare, a luxury rehab in Florida, this kind of long-running stress is often viewed through a trauma-informed lens. The goal is not to “power through.” It is to stabilize, build practical skills, and reduce the load on a nervous system that has been running on high alert for too long.

What is Collective Trauma, and Why can it Feel so Exhausting

Collective trauma is often described as a shared psychological response to events that affect many people at once, including those directly exposed and those impacted through repeated coverage and community disruption. The American Psychological Association informs collective trauma can shape grief, stress, and coping across groups. 

How collective stress shows up day to day

Why it can feel like decision-making is harder than it used to be

Cascading Trauma and The Pressure of “One Thing After Another”

When one disruptive event is quickly followed by another, many people describe it as cascading trauma. Even if each event is different, the body can experience it as a continuous threat with very little recovery time.

Common signs your system is not getting enough recovery time

Coping patterns that can quietly turn into problems

Collective-trauma-and-stress-illustration

How Stressed out is America?

One reason collective stress feels validating to name is that many people are experiencing it. In the APA’s Stress in America findings on stress and decision-making, nearly one-third of adults reported being so stressed that they sometimes struggle with basic decisions, with higher rates among younger adults, especially millennials.

Decision fatigue by generation, as reported in APA findings

A Grounded Approach to Coping with Collective Stress

Coping is not about pretending things are fine. It is about building enough stability that you can respond instead of react.

Start with nervous system basics that support stress tolerance

Use micro-practices to downshift during the day

Harvard Health describes several relaxation techniques that can help counter the stress response, including breath focus, body scan, mindfulness meditation, and gentle movement-based practices like yoga. 

Try rotating a few options so you are not relying on just one tool:

decision-fatigue-and mental-overload

Skills That Work Especially Well During High-stress Periods

Some skills are designed for moments when you feel overwhelmed, reactive, or emotionally stuck. These are the moments when willpower alone usually fails.

Distress tolerance skills for intense moments

A DBT skill like Wise Mind ACCEPTS is built around safe distraction and emotional regulation when distress is high. 

Cognitive tools for loops of worry and self-criticism

CBT tools can help you map the connection between thoughts, feelings, and behaviors so you can disrupt spirals before they take over. 

Body-based regulation when words are not enough

Trauma-informed yoga is one example of a body-centered approach that can support safety, grounding, and reconnection with the present. 

When Coping Becomes a Warning Sign

Sometimes the biggest issue is not stress itself. It is what stress is pulling you toward.

Signals it may be time to consider structured support

These patterns can be especially important to take seriously when stress activates older trauma, or when symptoms begin to interfere with work, relationships, and daily stability.

Nervous-system-regulation-and-grounding

How RESET Aligns with Recovery from Collective Stress

RESET is Futures Recovery Healthcare’s primary mental health program, designed for conditions like anxiety, depression, mood disorders, and trauma-related symptoms. 

For many people, collective trauma and chronic stress do not just “go away.” RESET focuses on stabilization and skill-building so you can regain clarity, regulate emotions, and rebuild routines that support long-term health.

What RESET can support when stress becomes chronic

Levels of care that support real-life needs

RESET includes residential and partial hospitalization options, which can be especially helpful when outpatient support is not enough, but full hospitalization is not required. 

In the context of a luxury rehab in Florida, “luxury” is not just about comfort. For many clients, privacy, structure, and a calm environment reduce external stressors enough to make therapy and skills practice actually stick. 

From Cascading Stress to Stabilization: What Changes First

Collective stress can make it harder to sleep, decide, focus, and cope. When that pressure stacks for months or years, it can also push people toward coping strategies that create new problems. A compassionate, trauma-informed approach starts with stabilizing the nervous system and building skills that work in real life.

At Futures Recovery Healthcare, a luxury rehab in Florida, RESET is designed to help clients move from survival mode toward steadier emotional regulation, clearer thinking, and practical routines that support long-term wellness.

Tammy Malloy, PhD, LCSW, CSAT

Chief Executive Officer

Dr. Tammy Malloy holds a PhD in Social Work from Barry University and is a Licensed Clinical Social Worker (LCSW) as well as a Certified Sex Addiction Therapist (CSAT). With over 20 years of experience in behavioral health, Dr. Malloy specializes in trauma-informed care, family systems, and high-risk behaviors encompassing all addictive disorders.

She has extensive expertise in psychometric assessments for clinical outcomes and diagnosis, with a recent focus on integrating AI technologies into mental health care.

Dr. Malloy is a published researcher, contributing to academic journals on addiction, depression, spirituality, and clinical personality pathology, and has facilitated research for more than a decade. She is a sought-after speaker, presenting at national and international conferences on substance use disorders, co-occurring mental health conditions, and high-risk sexual behaviors.

Passionate about advancing the field, Dr. Malloy is dedicated to teaching, empowering others, and improving quality of life for patients and staff alike.

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Getting Help for Anxiety and Depression Amidst COVID-19

Getting Help for Anxiety and Depression Amidst COVID-19

April 15, 2021 | By: frhdev

Stress, worry, anxiety, fear, and depression. These are all uncomfortable feelings many people experience at one time or another during the course of life. However, COVID-19 has made many who are normally not susceptible to these issues more likely to experience them than ever before. And for those who have any of anxiety, depression, substance abuse issues, and the like, the pandemic has only increased these issues. 

In fact, according to the Centers for Disease Control and Prevention (CDC), the rate of mental health issues including depression, anxiety, substance abuse, and suicidal ideation have dramatically increased amongst all age groups, races, and genders. For the younger adults, there has been a disproportionately large increase in both substance abuse and suicidal ideation since the pandemic began. 

A study by the CDC revealed that in late June 2020, 40% of adults in the United States reported that they were struggling with either a mental health issue or a substance abuse issue. The report also revealed: 

These numbers are alarming particularly when compared to the second quarter of 2019.  When compared to that period of time the following was found: 

There’s no doubt that there has been a significant increase in mental health issues since the pandemic began. Data also reveals the following groups to be most seriously impacted by adverse mental health issues since COVID-19 began:

It’s of little importance whether or not you fit into one of these ‘groups’ experiencing an increase in mental health issues. The fact is that many who have never experienced anxiety or depression—or have leaned on a substance to cope—are now in the grips of a mental health crisis. 

If you or a loved one are struggling with a mental health issue such as anxiety, depression, post-traumatic stress disorder, or substance abuse, Futures Recovery Healthcare is here for you. Offering a residential mental health treatment program for adults as well as three distinct substance and alcohol abuse treatment programs, Futures’ dedicated team works together to address all mental health and substance abuse issues. 

Essential Workers and First Responders: Increased Risk of Mental Health Issues

There’s simply no doubt that even without a pandemic many first responders and essential workers suffer silently with either mental health issues, such as post-traumatic stress disorder (PTSD) and/or alcohol use or substance use disorders. Today, this is even more true than ever before. 

Not only are our healthcare workers on the frontlines dealing with life and death on a daily basis, but COVID-19 has also brought with it more stress for these dedicated workers who sacrifice their own wellbeing on a daily basis. 

For these essential workers, the rate of stress and stressors on the job have increased substantially. From an increased risk of getting infected with COVID-19 and the high rate of mortality of patients hospitalized with COVID to the extended duration of the pandemic and the requirement to function for extended periods of time under such unprecedented stress, many first responders are experiencing the brunt of mental health issues. 

But, not only are those in the general population and essential workers suffering from a significant increase in mental health issues, so too are those who have had COVID-19. Recent research is showing an increase in anxiety, depression, and dementia for patients who have had COVID-19. 

This recent study from the United Kingdom published in a November issue of The Lancet found that 18% of those individuals who had been diagnosed with COVID-19 suffered from a mental health issue within three months of their diagnosis. This is double the risk of their non-COVID diagnosed counterparts.

It’s clear, not only from the recent research but also from daily life that the increase of both mental health issues and substance abuse issues during COVID has significantly increased. And as we near the end (hopefully) of the pandemic, there will be many in need of treatment for mental health issues associated with COVID-19 and the pandemic. 

Many who have not previously struggled with a mental health issue are not sure if they are truly suffering from anxiety, depressions, PTSD, etc. It’s important to understand some of the signs of stress and ways to get help. 

Symptoms of Unhealthy Stress:

For some who are experiencing high levels of stress, they have healthy coping skills in place which serve them well; for others, the ongoing levels of stress and exposure to life and death situations may lead to stress-related disorders such as PTSD or even secondary traumatic stress. Secondary traumatic stress is when an individual has stress reactions or symptoms due to exposure to another person’s traumatic experience. 

Symptoms of Secondary Traumatic Stress: 

It’s important to keep an eye on your own mental health. This is particularly true for first responders, essential workers, and those in the groups who are experiencing significantly higher rates of mental health issues during this pandemic. If you are experiencing a few of these symptoms for longer than a day or so, it’s vital to seek help. 

The increase in stress and related mental health issues from COVID-19 is so significant the Anxiety and Depression Association of America (ADAA), developed several COVID-related stress scales which help to diagnosis an individual with what is now being called COVID Stress Syndrome

What is COVID Stress Syndrome? 

COVID Stress Syndrome is related to experiencing one or more of the five constructed COVID Stress Scales. These five COVID Stress Scales are as follows:

  1. Danger and contamination fears
  2. Socioeconomic concerns
  3. Xenophobia (dislike or prejudice against people from other countries)
  4. Traumatic stress
  5. Continual checking

These factors are all interrelated and are helpful in determining the level of stress from the pandemic. According to the ADAA, 16% of adults in the general population are suffering from severe COVID Stress Syndrome. Severe cases include higher levels of anxiety and depression, more distress when isolated, stockpiling or panic buying, and avoiding public places. 

The study of COVID Stress Syndrome is just beginning and more information is needed to effectively diagnose and treat those with this syndrome. However, for many, mental health treatment and self-care techniques will provide substantial help and relief from the associated symptoms of not only COVID Stress Disorder but also help for anxiety and depression. 

Coping Tips for First Responders and Essential Workers

When it comes to first responders and essential workers coping with the associated stressors of the pandemic can seem neverending. From stress on the job to the worries at home, life may seem like endless stress. And while some of the tips to cope are similar to those coping tips for the general public, there are more specific tips for this group. 

It’s vital to reach out for help if you are feeling overwhelmed by the stressors in your life. Futures offers programs in our substance abuse treatment programs that are tailored to meet the needs of first responders. This program, which has helped many first responders, is the Hero’s Ascent First Responders Track. In addition, Futures has a unit solely dedicated to mental health treatment. 

For those who aren’t on the frontlines, the following tips can help you to feel better and help for anxiety and depression-related feelings:

If you or someone you love has been struggling even more during the COVID pandemic or if you think you are experiencing COVID Stress Syndrome reach out for help. Whether it’s an increase in substance or alcohol use or the onset or increase in symptoms of anxiety and depression help is available. 

Contact Futures for help with an alcohol or substance use disorder as well as a mental health concern. Our dedicated, compassionate team is here for you. Reach out today online or call us at 866-804-2098 and learn more about how we can help or schedule a tour

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