Anxiety disorders - 2

Question 1

Acute stress d/o vs PTSD

Answer 1

Acute Stress D/O:
Within 1month since traumatic event
Symptoms- 3days to 1 month
Mx - *debriefing, *counselling (drugs rarely needed)

PTSD:
Symptoms >1month
Mx- v difficult, long time needed
1. Trauma focused psychological intervention therapy
2. Systemic desensitisation
3. Eye movement desensitisation and reprocessing (EMDR)
4. Cognitive processing therapy (CPT)
5. Prolonged exposure
6. SSRI if required

Symptoms:
Nightmare, flashbacks
Avoidance
Hypervigilance
Agitated
Amnesia
Survivor guilt

Question 2

Adjustment d/o

Answer 2

Anxiety within 3 months of stressor
Symptoms (distress, social/occupational impairment) usually last <6months

*Symptoms do not meet the criteria for another mental disorder (MDD, bereavement etc)

Mx: Non-pharmacological (counselling, relaxation)