Arthur Evans, CEO of the American Psychological Association (APA), says viewing the world as unsafe can be a symptom of trauma. I think for a lot of people, the idea of having a mental health challenge is there's something inside of me that's wrong," he said. "And I think the idea of trauma helps people to understand that, no, this is something that is happening to me and how I'm responding is a natural response." For Lanny Langstrom, the early months of the pandemic were filled with stress. "I was desperately trying to stay away from, like, this thing that I thought was going to kill me at any second," he said. He recalls worrying that if he died from COVID, his 6-year-old daughter might not remember him. He was so stressed that he eventually called a mental health hotline, and they suggested he seek therapy " something he'd never done before. To his surprise, his therapist told him his symptoms were consistent with trauma. These feelings of anxiety and stress are becoming increasingly common in the pandemic, Evans said. "We absolutely are experiencing a mental health tsunami," he said. "And we expect that it will grow even more ... so we haven't even crested this tsunami yet." A survey by the APA found a significant increase in the demand for mental health treatment in 2021. Trauma usually presents months, sometimes years after an event, says Tamar Rodney ... at Johns Hopkins University School of Nursing. She said that even as the pandemic eased, there was still a risk for trauma-related effects.