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After 9-11, most people in places such as South Carolina could not be blamed for believing a terrorist attack was unlikely here. There was not a direct feeling of being endangered.

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Perhaps until the massacre at Emanuel AME Church in Charleston in 2015, South Carolinians also felt somewhat shielded by location from mass shootings. The years since have made matters worse. It seems nowhere is immune.

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That has people worried – if not actually afraid.

Enter Connie Best, director of the Preparedness, Response and Recovery Division of the National Mass Violence and Victimization Resource Center based at the Medical University of South Carolina in Charleston. Best is also a professor in the Department of Psychiatry and Behavioral Sciences and treats patients at MUSC Health.

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If you’re considering staying home because you’re afraid there will be a mass shooting at your local store, church, school, bar, concert or any of the other places that have seen mass violence, Best has some information she’d like for you to consider.

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“In terms of the data, you’re much more likely to die of natural causes than you are murder. And of all the murders in our country, only about 1% are in a mass violence-type incident. That does not lessen the impact for people who are involved in one, but you do need to keep things in perspective.”

Best knows all too well how violence can affect mental health. Last weekend’s double whammy – 22 killed at an El Paso, Texas, shopping center and nine killed in a nightlife district in Dayton, Ohio – horrified people across the country. And it came on the heels of a mass shooting the previous weekend at a California garlic festival that left four people dead.

“When you see the coverage of it, especially right after it happens, it’s very emotional. It’s very distressing. And people go, ‘That’s it. I’m not going to Walmart. I’m not going to a country music concert.’ You just have to give yourself a few days to say, ‘Look – I’m pretty upset right now,’” Best said.

“I think people should always keep their guard up a little bit, but you have to put it in perspective, too. It’s normal for any compassionate person to feel distressed. But don’t jump to making huge changes in your life. Give yourself time to say, ‘What is the likelihood of my being part of a mass shooting? It’s pretty small. Am I going to pay a big price by not doing these things that bring me joy, which I need to do as part of my daily life? To go to the store to get school supplies for my kids?’”

She recommends that people who are anxious or depressed because of the mass shootings do things that help relieve stress, whether it’s a walk, a bike ride or a trip to the beach. “If you find yourself feeling overly sad or irritable, realize that it may be related to these kinds of things. Do something that you find joyful and meaningful. And if it stirs in you a desire to join a particular movement to make sure that you can make an impact in this world, by all means, do that.”

For people feeling fatigued by all of the TV coverage of mass violence, Best said it’s a good idea to tune out the news sometime. “I think sometimes people have to say, ‘I can do this a little bit, but I can’t sit there and watch it nonstop.’ If people are feeling like that, it’s wise to say take a break and go for a walk to process it."

People with extreme anxiety may need to avoid the coverage entirely. But that’s not the case for most people, Best said. “I think it’s foolhardy to say, ‘I’m not going to watch the news anymore because I don’t want to watch any of this.’ I think everybody needs to understand what’s going on in our country, what the issues are and the amount of hate that is out there that prompts these crimes. And I think people need to be educated about the prevalence of it, the parameters of it, so they should not bury their heads in the sand.”

Best concludes that the problem of mass shootings doesn’t appear to be going away anytime soon. So we learn to cope even as we worry. A sad, sad reality.

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