My wife was recently involved in a head-on collision with a drunk driver. Although we are taking steps to get her back in physical shape, I am also concerned with her mental well-being. Just last night, we were coming home through the area where the accident occurred, and she became very nervous, started hyperventilating and just appeared shaken. I want to be supportive, but I cannot place myself in her shoes and understand completely what is going on. Any suggestions? Our attorney suggested counseling, but we don't know where to start.

Don

Some people who have experienced physical or psychological trauma -- and car accidents can certainly be considered both -- become anxious or even panic when they encounter situations that remind them of the traumatic experience. Such symptoms may result from the nervous system's going into the "fight or flight" stress response to real or perceived danger.

Victims of motor vehicle accidents may become afraid to drive again or to even enter a car, fearing a repeat of the trauma. Some may develop nightmares or intrusive memories of the accident or its aftermath. In severe cases, they may develop some form of post-traumatic stress disorder.

Since your attorney recommended counseling, you might ask him or her for a referral to a psychologist or other therapist experienced in working with trauma survivors -- especially victims of motor vehicle accidents. Such a professional could assess what's going on with your wife and suggest the best course of treatment, if intervention is warranted. Fortunately, there are several effective treatments available.

Good luck.