Anxiety disorder- PTSD

Question 1

Features

Answer 1

Re-experiencing: flashbacks, nightmares, repetitive and distressing intrusive images

Avoidance: avoiding people/ situations/ circumstances

Hyperarousal: hypervigilance for threat, exaggerated startle response, sleep problems, irritability and difficulty concentrating

Emotional numbing: lack of ability to experience feels, feeling detached from other people

Depression

Drug or alcohol misuse

Question 2

Treatment that isn’t recommended

Answer 2

Single-session interventions (debriefing)

Question 3

Management

Answer 3

Watchful waiting for mild symptoms <4months

Trauma-focused CBT or EMDR if severe cases

Drug treatments should not be used first line

Question 4

Drug treatment

Answer 4

Venlafaxine or SSRI should be tried

Risperidone in severe cases