How the experts are helping Torontonians deal with the psychological impact of the van attack

People have shown up at the crash site in tears, leaving a note or flowers, sometimes standing side-by-side with strangers also dealing with shock and helplessness, a type of public coming together experts say can be healing.

Support from friends and family is key, experts say

A woman in front of the public memorial site near the van crash along Yonge Street. (David Donnelly/CBC)

It's a type of public coming together that experts say can be healing.

People showing up at the site in tears, leaving a note or flowers, sometimes standing side-by-side with strangers also dealing with shock and helplessness in the face of a senseless act of violence that left 10 people dead and another 14 injured.

"This is actually a really positive sign, being part of something like that, whether it's in person or online," said Walter Callaghan, a PhD candidate in medical anthropology at the University of Toronto who studies Post Traumatic Stress Disorder (PTSD) in military veterans.

This type of public expression of grief is often seen following a horrific tragedy that occurs in a public places, with people returning to the scene to express their sorrow or sharing their feelings together in other ways, just as they are at Yonge Street and Finch Avenue where the deadly van attack happened on Monday.

Callaghan says many people, not just those who witnessed the crash or have a connection to one of the victims, could be experiencing symptoms such as nightmares, flashbacks or anxiety in public places.

The good news, he says, is that for most people, it's temporary.  

A woman writes a note at a memorial on Yonge Street Tuesday the day after a driver in Toronto drove a rented van down sidewalks, Tuesday, April 24, 2018, striking pedestrians in his path. (Galit Rodan/Canadian Press)

"For most people, by the end of the week they should come back to normal," Callaghan said, particularly if they have a strong social support network, whether those connections are online or in person.

While people may worry they have PTSD, he says that diagnosis is uncommon and only comes following at least a month of severe symptoms.

"If they've got nightmares every single night ... being so anxious and full of fear when they walk down the street, if the sight of a van causes them to panic, that's the time to definitely seek professional, clinical help."

Bobbie McMurrich, the associate executive director of Victim Services, with Dandy, a trauma dog being used to comfort people affected by Monday's attack. (Emma Kimmerly/CBC)

The non-profit charitable agency Victim Services, which supports victims of crime, is providing immediate crisis help for anyone who needs it, hoping to ward off more serious psychological impacts.

"What we're seeing a lot of right now is shock and disbelief," Bobbie McMurrich, the group's associate executive director, told CBC Toronto Tuesday.

McMurrich says witnesses and family members of victims are among those receiving support.

"People are overwhelmed, they're terrified, so our role is to really bring a calming influence to that environment."

In the first 24 hours after the crash, McMurrich says her agency assisted 100 people.

 Normally, Victim Services has three teams, each made up of a social worker and a volunteer, going out to speak with people who need help. With so many people affected, McMurrich says staff have come in on their days off to add one extra team.

McMurrich expects after these first days, people will begin to feel anger and grief, in some cases, only once the funerals happen.

Like Callaghan, she says strong social supports are key to helping people recover.

She says her teams will help everyone. 

"It can be very difficult, but we don't allow waiting lists... we actually make it work for everybody."

About the Author

Lorenda Reddekopp

Reporter, CBC Toronto

Lorenda Reddekopp is a reporter for CBC Toronto.