Sarah was the witness of an accident where a car struck and instantly killed two pedestrians. She had seen the car hit the girls and had seen the bodies fly and hit the ground.  She thought that she had handled the situation as best as she could. She went to a therapist to talk about the incident and she also talked about it with close friends.  But, as time went on, Sarah’s emotional and physical state was deteriorating. She felt sick often and was generally experiencing a lack of well-being. Two years later, she was having intrusive thoughts about the scene and was feeling physically nauseated often and also anxious and depressed, and sometimes panicky for no apparent reason.

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