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"Has Been 5"

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Posted
From the book DSM-IV, word for word

309.81 DSM-IV Criteria for Posttraumatic Stress Disorder

A. The person has been exposed to a traumatic event in which both of the following have been present:

(1) the person experienced, witnessed, or was confronted with an event or events that involved actual or threatened death or serious injury, or a threat to the physical integrity of self or others (2) the person's response involved intense fear, helplessness, or horror. Note: In children, this may be expressed instead by disorganized or agitated behavior.

B. The traumatic event is persistently reexperienced in one (or more) of the following ways:

(1) recurrent and intrusive distressing recollections of the event, including images, thoughts, or perceptions. Note: In young children, repetitive play may occur in which themes or aspects of the trauma are expressed.

(2) recurrent distressing dreams of the event. Note: In children, there may be frightening dreams without recognizable content.

(3) acting or feeling as if the traumatic event were recurring (includes a sense of reliving the experience, illusions, hallucinations, and dissociative flashback episodes, including those that occur upon awakening or when intoxicated). Note: In young children, trauma-specific reenactment may occur.

(4) intense psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event.

(5) physiological reactivity on exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event.

C. Persistent avoidance of stimuli associated with the trauma and numbing of general responsiveness (not present before the trauma), as indicated by three (or more) of the following:

(1) efforts to avoid thoughts, feelings, or conversations associated with the trauma

(2) efforts to avoid activities, places, or people that arouse recollections of the trauma

(3) inability to recall an important aspect of the trauma

(4) markedly diminished interest or participation in significant activities

(5) feeling of detachment or estrangement from others

(6) restricted range of affect (e.g., unable to have loving feelings)

(7) sense of a foreshortened future (e.g., does not expect to have a career, marriage, children, or a normal life span)

D. Persistent symptoms of increased arousal (not present before the trauma), as indicated by two (or more) of the following:

(1) difficulty falling or staying asleep
(2) irritability or outbursts of anger
(3) difficulty concentrating
(4) hypervigilance
(5) exaggerated startle response

E. Duration of the disturbance (symptoms in Criteria B, C, and D) is more than one month.

F. The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.

Specify if:
Acute: if duration of symptoms is less than 3 months
Chronic: if duration of symptoms is 3 months or more

Specify if:
With Delayed Onset: if onset of symptoms is at least 6 months after the stressor


I will cast no stones!

Dave Barker
 
Posts: 12768 | Registered: Tue 12 November 2002Reply With QuoteEdit or Delete Message
"Has Been 5"

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Sound Off Forums
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Warning do not post on this topic. This is for moderator posting only. There is no possible discussion
If you have questions or comments please go to Open Discussion.
http://forums.military.com/eve/forums/a/tpc/f/4230026980001/m/7790084090001


I will cast no stones!

Dave Barker
 
Posts: 12768 | Registered: Tue 12 November 2002Reply With QuoteEdit or Delete Message
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There may be cases where PTSD or Acute Stress Disorder (ASD) may need to be differentiated. There are also cases where TBI can be confused with PTSD and ASD.

The best advice to those who have experienced trauma is to seek competent clinicians as quickly as possible to intervene and be of assistance to both servicemembers and veterans as well.


"There are those who believe there are two types of people in the world: Those who believe there are two types of people; and those who don't." John Mahoney...
 
Posts: 8088 | Registered: Mon 23 February 2004Reply With QuoteEdit or Delete Message
"Has Been 5"

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Thanks OldAFcop for bring that to my attention. As a result of the above post, we now have a topic on Acute Stress Disorder.
http://forums.military.com/eve/forums/a/tpc/f/4230026980001/m/4790050981001


I will cast no stones!

Dave Barker
 
Posts: 12768 | Registered: Tue 12 November 2002Reply With QuoteEdit or Delete Message
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Here's a useful definition of PTSD Criteria for Members to consider:

DSM-IV Diagnostic Criteria ASD:
The person has been exposed to a traumatic event in which both of the following were present:
the person experienced, witnessed, or was confronted with an event or events that involved actual or threatened death or serious injury, or a threat to the physical integrity of self or others-
the person's response involved intense fear, helplessness, or horror-
Either while experiencing or after experiencing the distressing event, the individual has three (or more) of the following dissociative symptoms:
a subjective sense of numbing, detachment, or absence of emotional responsiveness-
a reduction in awareness of his or her surroundings (e.g., "being in a daze")-
derealization-
depersonalization-
dissociative amnesia (i.e., inability to recall an important aspect of the trauma)-
The traumatic event is persistently reexperienced in at least one of the following ways: recurrent images, thoughts, dreams, illusions, flashback episodes, or a sense of reliving the experience; or distress on exposure to reminders of the traumatic event.
Marked avoidance of stimuli that arouse recollections of the trauma (e.g., thoughts, feelings, conversations, activities, places, people).
Marked symptoms of anxiety or increased arousal (e.g., difficulty sleeping, irritability, poor concentration, hypervigilance, exaggerated startle response, motor restlessness).
The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning or impairs the individual's ability to pursue some necessary task, such as obtaining necessary assistance or mobilizing personal resources by telling family members about the traumatic experience.
The disturbance lasts for a minimum of 2 days and a maximum of 4 weeks and occurs within 4 weeks of the traumatic event.
The disturbance is not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition, is not better accounted for by Brief Psychotic Disorder, and is not merely an exacerbation of a preexisting Axis I or Axis II disorder.

The Surgeon General statement on Anxiety Disorders:
The anxiety disorders are the most common, or frequently occurring, mental disorders. They encompass a group of conditions that share extreme or pathological anxiety as the prin****l disturbance of mood or emotional tone. Anxiety, which may be understood as the pathological counterpart of normal fear, is manifest by disturbances of mood, as well as of thinking, behavior, and physiological activity.
Types of Anxiety Disorders
The anxiety disorders include panic disorder (with and without a history of agoraphobia), agoraphobia (with and without a history of panic disorder), generalized anxiety disorder, specific phobia, social phobia, obsessive-compulsive disorder, acute stress disorder, and post-traumatic stress disorder (DSM-IV). In addition, there are adjustment disorders with anxious features, anxiety disorders due to general medical conditions, substance-induced anxiety disorders, and the residual category of anxiety disorder not otherwise specified (DSM-IV).


"There are those who believe there are two types of people in the world: Those who believe there are two types of people; and those who don't." John Mahoney...
 
Posts: 8088 | Registered: Mon 23 February 2004Reply With QuoteEdit or Delete Message
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