Understanding Survivor’s Guilt And Finding Peace

Medically reviewed by April Justice, LICSW
Updated March 23, 2024by BetterHelp Editorial Team
Content warning: Please be advised, the below article might mention trauma-related topics that could be triggering to the reader. Please see our Get Help Now page for more immediate resources.

Survivor’s guilt is a psychological phenomenon that usually manifests as guilt for having survived when others did not. Trauma-related guilt may be significant and difficult to manage, appearing regularly among those who have lived through traumatic events like accidents, acts of violence, natural disasters, and pandemics. 

Individuals grappling with the question of why they survived and others did not may feel a deep sense of unfairness and persistent intrusive thoughts. In many instances, the psychological burden mirrors that of post-traumatic stress disorder.

By identifying survivor’s guilt symptoms and recognizing its potential impact on overall mental health, society can pave the way for more effective therapeutic strategies and self-help practices, ultimately aiding in peace and restoration for many people.

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Are you processing and living with survivor’s guilt?

Understanding survivor’s guilt: Survivor’s guilt definition

Survivor’s guilt, also sometimes known as survivor syndrome, is an intricate psychological construct frequently arising among individuals who have weathered a traumatic event. Survivor’s guilt is considered a symptom of post-traumatic stress disorder (PTSD) in the diagnostic and statistical manual of mental disorders (DSM-5), an official guide or manual of mental disorders. Survivor’s guilt occurs in many different traumatic events, which can range from life-threatening situations like natural disasters or violent incidents to instances of extreme hardship. Secondary trauma caused by indirectly experiencing a traumatic event is also possible, including witnessing the aftermath, and may also result in survivor’s guilt.

A deep sense of unfairness, helplessness, self blame, or unworthiness often pervades the thoughts and feelings of those experiencing survivor’s guilt. They may feel guilty for surviving when others did not, for what they had to do to survive, or for not doing enough to save others.

These feelings of guilt can be intense and may extend beyond the confines of life-threatening circumstances. For instance, survivor’s guilt is also common among those who have outlived their peers or family members or those who have succeeded beyond the socioeconomic status of their community. These individuals might grapple with why they are thriving when others around them are not, leading to a variant of what is sometimes referred to as survivor syndrome.

Recognizing the symptoms

For those experiencing guilt because of their survival, a variety of symptoms may emerge. Common signs of survivor’s guilt may include intrusive thoughts about the traumatic event, difficulty sleeping, social withdrawal, and a reduced interest in activities that were once sources of joy. Experiencing guilt after trauma or life threatening situations is the most significant symptom of survivor’s guilt. 

Survivor’s guilt can also often evoke more subtle, nuanced symptoms. The person may feel guilty for surviving or believe they somehow hold responsibility for the tragic event. Sometimes, survivors feel guilty at not doing enough to stop the situation. When survivors feel guilty about their own survival, they may think that someone else deserved to live or escape instead. Survivors may also experience feelings of sadness, emotional numbness, or disconnection from others. They may also experience mood related symptoms. 

Such signs may not be immediately associated with survivor’s guilt, making them less noticeable but no less significant. Self-awareness and open dialogue about mental health may be helpful for the individual and those in their support network. Recognizing these symptoms can be the first step for an individual who wants to seek professional help and start a healing journey. Professional help can also be a way to determine if the symptoms you experience are from survivor’s guilt or another condition. 

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The impact of survivor’s guilt on overall mental health: Post-traumatic stress disorder

When left unaddressed, survivor’s guilt can significantly impact one’s mental health. The lingering emotional stress from this guilt can escalate, potentially leading to conditions like depression, anxiety, or post-traumatic stress disorder.

However, help is available to manage these symptoms and resolve these feelings of guilt. With the right support and treatment, those experiencing survivor’s guilt and processing their trauma may move on and lead healthy, happy lives. You can seek professional help in managing your symptoms and recovering. 

Finding peace: Management strategies and therapeutic approaches for survivor guilt

For individuals who experience survivor’s guilt, various therapeutic strategies and mechanisms may help with the healing journey. Professionals commonly use cognitive behavioral therapy (CBT) and trauma-focused therapy to help individuals manage and move beyond their guilt. 

In conjunction with professional help, self-help strategies can be effective tools alongside therapy. Journaling, mindfulness exercises, social support, and physical activities may provide outlets for emotional release, aiding in healing. These strategies typically encourage individuals to confront their feelings, which may promote understanding and acceptance. 

Social support may also play a significant role in the healing process. Discussing experiences in support groups or with trusted friends and family can provide a sense of community and understanding, easing possible feelings of isolation. 

Last, professional guidance often plays a role in navigating survivor’s guilt. Many mental health professionals possess the skills and knowledge to guide individuals through their journey and address survivor’s guilt in a safe and supportive manner. Professionals may reference information from sources such as the Diagnostic and Statistical Manual of Mental Disorders, the American Psychiatric Association, and others when determining appropriate diagnoses and treatments. They may also be able to review further research to ensure their methods are as up to date as possible. 

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Are you processing and living with survivor’s guilt?

Seeking mental health support online for traumatic events

For individuals grappling with survivor’s guilt, online therapy can provide a safe environment that bypasses potential obstacles like geographical constraints or scheduling conflicts. The ease of access often allows those struggling to start their healing journey from the comfort of their own space, which can be especially helpful for those who may be social withdrawal social withdrawal, a common symptom of survivor’s guilt. You can find a cognitive behavior therapist who suits your needs online. 

One study aimed to determine whether guided online cognitive behavioral therapy is equal to face-to-face treatment for mild to moderate post-traumatic stress disorder (PTSD). A summary of the study’s results showed that “PTSD symptoms improved equally after online or face-to-face treatment at 16 weeks” and that the two counseling methods were similar in efficacy. For those living with survivor's guilt and related conditions like PTSD, online therapy may offer an effective, available, and budget-friendly path toward healing and mental well-being.

Takeaway

Exploring survivor’s guilt, understanding its complex psychological underpinnings, recognizing its significant symptoms, and seeking professional help can all be helpful steps after a traumatic event. Whether individuals feel guilty due to survival in traumatic situations or prosperity beyond their peers, experiencing guilt can lead to profound challenges.

Alongside traditional therapies like CBT and trauma-focused therapy, online therapy has proven effective in addressing survivor's guilt. With increased awareness, compassionate support, and appropriate professional help, it is possible to work through survivor's guilt to find peace and resilience.

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