PTSD and Related Disorders
3 important questions on PTSD and Related Disorders
Adjustment Disorder AD
addition to anxiety disorder category in DSM
can be diagnosed at any time after someone was exposed to a stressful or traumatic event (bankruptcy, failure etc.)
Advantage of AD as diagnosis
general nonspecificity has made it possible for clinicans to have a diagnosis that acknowledges the distressing and debilitating functional impairment of patients who require mental health treatment but do not meet criteria for other psychiatric diagnosis
Disadvantage:
nonspecificity has made it difficult to design epidemiological surveys, longitudinal studies, or clinical treatment trials concerning people with this disorder.
can be diagnosed at any time after someone was exposed to a stressful or traumatic event (bankruptcy, failure etc.)
Advantage of AD as diagnosis
general nonspecificity has made it possible for clinicans to have a diagnosis that acknowledges the distressing and debilitating functional impairment of patients who require mental health treatment but do not meet criteria for other psychiatric diagnosis
Disadvantage:
nonspecificity has made it difficult to design epidemiological surveys, longitudinal studies, or clinical treatment trials concerning people with this disorder.
Why would we want to add a sub syndrome diagnosis? Why wouldn't we?
clinical utility by characterizing people with clinically significant post-traumatic reactions who fail to exceed PTSD thresholds and for whom diagnosis of AD has been too nonspecific.
Arguments against however are that AD is the appropriate diagnosis for such individuals
it over- pathologizes normative reactions.
Not likely to appear in DSM 5
Arguments against however are that AD is the appropriate diagnosis for such individuals
it over- pathologizes normative reactions.
Not likely to appear in DSM 5
Proposed there may be two subtypes of PTSD
ongoing dissociative reaction (avoidance strategy to reduce awareness of aversive emotions such as extreme anxiety)
hyperarousal reaction
hyperarousal reaction
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