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case study on acute stress disorder
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Posttraumatic stress disorder (PTSD) and acute stress disorder (ASD) are two stress disorders that occur after a traumatizing experience. PTSD is defined as a disorder that follows a distressing event outside the range of normal human experience and that is characterized by features such as intense fear, avoidance of stimuli associated with the event, and reliving the event. Acute stress disorder is defined as a disorder that is characterized by feelings of anxiety and helplessness and caused by a traumatic event. It also usually occurs within a month of the event and lasts from 2 days to 4 weeks. Dealing with experiences like the Oklahoma City bombing in 1995 and the World Trade Center and Pentagon attacks in 2001 were difficult for people and easily classified as traumatizing experiences. For times like these when a large number of people experience a traumatizing experience and will probably develop PTSD or ASD, there is no precedent for how to treat them. The only tool that can be used at these times is the Diagnostic and Statistical Manual (DSM), to classify the disorder. No real solution exists for a treatment process for an incident of this scale. The three journal articles I will be using show statistical data about how people dealt with these experiences and what percent of them developed PTSD or ASD. They also show how many people showed signs of these disorders but never contacted a professional to help treat it. Even as far away as Brussels, expatriates of the United States felt the effects of the attacks of September 11th.
Empirical Research
The first article was a study done on the Oklahoma City bombing in 1995 and the body handlers who sorted through rubble and human remains to find all the victims of the tragedy. Going through experiences like these will often lead to stress disorders, such as PTSD. This study tests that idea using 51 of the body handlers and a survey to see what they went through psychologically at the time of the event and how that relates to their mindset years later. It also set out to test the idea that age, gender, physical exposure to the bombing, knowing a victim, or having disaster experience would change the likelihood of acquiring an anxiety disorder. It was also predicted that using “positive coping strategies including humor, favorable organizational and managerial factors, social support, level of training and use of rituals” (Doughty et al, 2002) would help reduce the chances of a disorder.
It is important to understand when discussing this topic what exactly Post-Traumatic Stress Disorder (PTSD) is, and how one obtains it. When someone has PTSD, their sense of fear and stress are tampered with; even when not in danger, the person with the disorder may feel as though they are. It is as if the victims are suffering from delayed trauma. Several risk factors can lead to this: experiences with dangerous events/traumas, history of mental illness, physical pain, witnessing the injuries/deaths of others, feeling horror, helplessness, or extreme fear, little to no support after the trigger event, experiencing extra stress after the event...
Post-Traumatic Stress Disorder or PTSD is a psychological disorder that’s brought about after encountering a traumatic experience. This disorder can vary between mild and extreme severity in symptoms and effect on the suffering patient. It’s caused by a hyper-aroused state in the brain, using a magnetoencephalography machine “We could see heightened arousal that was maintained in the PTSD-afflicted men and not in the men who don’t suffer from the illness” (The Globe and Mail, Image of PTSD). Therefore, most commonly the individual will present with suicidal tendencies, making this condition a danger to anyone who is
The article under review is Posttraumatic Stress Disorder in the DSM-5: Controversy, Change, and Conceptual Considerations by Anushka Pai, Alina M. Suris, and Carol S. North in Behavioral Sciences. Posttraumatic Stress Disorder (PTSD) is a mental health problem that some people develop after experiencing or witnessing a life-threatening event, like combat, a natural disaster, a car accident, or sexual assault (U.S. Department VA, 2007). PTSD can happen to anyone and many factors can increase the possibility of developing PTSD that are not under the person’s own control. Symptoms of PTSD usually will start soon after the traumatic event but may not appear for months or years later. There are four types of symptoms of PTSD but may show in different
Posttraumatic Stress Disorder is defined by our book, Abnormal Psychology, as “an extreme response to a severe stressor, including increased anxiety, avoidance of stimuli associated with the trauma, and symptoms of increased arousal.” In the diagnosis of PTSD, a person must have experienced an serious trauma; including “actual or threatened death, serious injury, or sexual violation.” In the DSM-5, symptoms for PTSD are grouped in four categories. First being intrusively reexperiencing the traumatic event. The person may have recurring memories of the event and may be intensely upset by reminders of the event. Secondly, avoidance of stimuli associated with the event, either internally or externally. Third, signs of mood and cognitive change after the trauma. This includes blaming the self or others for the event and feeling detached from others. The last category is symptoms of increased arousal and reactivity. The person may experience self-destructive behavior and sleep disturbance. The person must have 1 symptom from the first category, 1 from the second, at least 2 from the third, and at least 2 from the fourth. The symptoms began or worsened after the trauma(s) and continued for at least one
After the terrorist attacks on September 11th, horrific images of the towers collapsing, survivors fleeing, and the rescue and recovery efforts inundated television viewers. In the weeks following the attacks, numerous news accounts reported increasing general anxiety among Americans, with many individuals reporting sleep difficulties and trouble concentrating. Additionally, much attention focused on the effects on those who directly witnessed and/or were injured the attacks, and whether they would suffer from post traumatic stress disorder, also known as PTSD (4). I will give a brief overview of the definition of PTSD, the neurobiology behind it, and what environmental factors may put certain people at heightened risk for developing the disorder.
The first large occurrences of PTSD were in the 1910’s. During World War I, PTSD was common amongst veterans of trench warfare. It was referred to as “shell-shock”, which was originally believed to be caused by the sounds of artillery fire, according to Nancy C Andreasen. World War II had even more cases due to the use of more weapons, bombs, and smaller squads, which caused less social interaction. It was then that the government realized that PTSD in veterans, or more commonly called “combat exhaustion”, can effect anybody, not just the weak minded. The Vietnam War experienced the most victims, however. Each battalion had a mental heath therapist, which helped immensely through the early years of the war. However, the citizens questioned the legality of the war, and soldiers were disgraced. They returned home and recieved no appreciation, and a loss in socialization. Roughly one in three soldiers had post-traumatic stress disorder, and 15 percent still had the condition 20 years later. More recent events have also spiked PTSD cases; terrorism. 9/11 caused global fear for everyone, but also caused over ten thousand cases of PTSD in first responders and bystanders. Research and treatment improved vastly over the years, with treatments working on patients who have access to
The diagnosis of Post –Traumatic Stress Disorder (PTSD) involves clusters of symptoms. They include persistent re-experiencing of the trauma, avoidance of traumatic reminders/ general numbing of emotional responsiveness, and hyper-arousal (American Psychiatric Association, 2000). In order for the possible diagnosis of PTSD the individual needs to have exposed to a
Post-Traumatic Stress Disorder is a real mental illness that needs to be taken more seriously. Post-Traumatic Stress Disorder, also known as PTSD, is a mental illness that can develop with people who have experienced a traumatic event in their lives. There are some people that believe PTSD is not a real illness, and that it is an excuse for someone’s behavior. That idea is incorrect. PTSD can severely affect the way a person lives in a real way. It is not a disability that is new to society however it has been recently acknowledged. The Gale Encyclopedia of Psychology states, “Post-traumatic stress disorder has been classified as an anxiety disorder in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders since 1980.” (505).
When most people who are aware of PTSD think of the disorder, military soldiers and veterans are the first to come to mind as those who suffer from it. However, as mentioned in the introduction, PTSD is universal. It does not discriminate based on career, gender, location or so forth. A person becomes more susceptible to developing PTSD if he or she has been directly exposed to the trauma as a victim or a witness. Examples of events that can lead to a person developing PTSD are traumatic car accidents, natural disasters, violence – including domestic and warfare, rape, sexual abuse, school shootings, or any other event that causes the person to feel out of control and in danger. Other factors that increase the likelihood of developing PTSD are whether or not the person was seriously injured, the length of the event, if the person believed a loved one or self were in imminent danger and were helpless in avoiding or protecting themselves or others from the trauma. Yet there are even more contributor...
Post-traumatic stress disorder (PTSD) is a common health problem in individuals who encounter a severe trauma or life threatening event. It can occur from war, natural disaster, rape, and many other life-threatening events. However, how do health care professionals know how to diagnose and treat someone with PTSD? It is difficult to diagnose someone with PTSD, but once diagnosed, nurses are extremely involved in the care of these individuals. Post-traumatic stress disorder is especially common in military veterans who experienced a traumatic event in combat. It is important for nurses and other health care members to recognize and understand how to treat a military member with PTSD.
Post-Traumatic Stress Disorder, also known as PTSD, is an anxiety disorder that can develop after a traumatic event (Riley). A more in depth definition of the disorder is given by Doctor’s Nancy Piotrowski and Lillian Range, “A maladaptive condition resulting from exposure to events beyond the realm of normal human experience and characterized by persistent difficulties involving emotional numbing, intense fear, helplessness, horror, re-experiencing of trauma, avoidance, and arousal.” People who suffer from this disease have been a part of or seen an upsetting event that haunts them after the event, and sometimes the rest of their lives. There are nicknames for this disorder such as “shell shock”, “combat neurosis”, and “battle fatigue” (Piotrowski and Range). “Battle fatigue” and “combat neurosis” refer to soldiers who have been overseas and seen disturbing scenes that cause them anxiety they will continue to have when they remember their time spent in war. It is common for a lot of soldiers to be diagnosed with PTSD when returning from battle. Throughout the history of wars American soldiers have been involved in, each war had a different nickname for what is now PTSD (Pitman et al. 769). At first, PTSD was recognized and diagnosed as a personality disorder until after the Vietnam Veterans brought more attention to the disorder, and in 1980 it became a recognized anxiety disorder (Piotrowski and Range). There is not one lone cause of PTSD, and symptoms can vary from hallucinations to detachment of friends and family, making a diagnosis more difficult than normal. To treat and in hopes to prevent those who have this disorder, the doctor may suggest different types of therapy and also prescribe medication to help subside the sympt...
There are hundreds of different kinds of psychiatric disorders listed in the Diagnostic and Statistical Manual of Mental Disorders, 4th ed. (DSM-IV). One of them is called Post-traumatic stress disorder (PTSD). Based on the research, post-traumatic disorder usually occurs following the experience or witnessing of life-threatening events such as military combat, natural disasters, terrorist incidents, serious accidents, or violent personal assaults like rape (Harvard Women’s Health Watch, 2005). The purpose of this paper is to discuss the risk factors, pathophysiology, clinical manifestation, diagnostic criteria and tests, treatment, prognosis and future research and approaches to treat this psychiatric illness of post-traumatic stress disorder.
There are many different causes of PTSD such as sexual abuse, sudden death of a loved one, and war. Trauma affects people in different ways, some can develop it from watching a fellow soldier being killed, and some can develop it from losing their jobs or a divorce. Being diagnosed with PTSD is a difficult process because there are many other psychological disorders whose symptoms can overlap and are very similar. An important fact to remember is that PTSD doesn’t just affect the person suffering; it can also have secondhand effects on their spouses, children, parents, friends, co-workers, and other loved ones. Although there is no direct cure, there are many treatment and alternative treatment options to assist them in moving forward after a trauma.
Post-traumatic stress disorder (PTSD) is a mental illness that develops after exposure to an event that is perceived to be life threatening or pose serious bodily injury to self or others (Sherin & Nemeroff, 2011). According
result of the lifestyle and activities that the terrorists are involved in, this process is known to be hazardous and stressful. “The variables that may be of importance in contributing to mental illness many include: terrorist lifestyle, terrorism effect, terrorist group conflict, interrogation effects, and the effect on the individual of the conditions of imprisonment(incarceration)” (Jones and Moran, 2003, p. 702). PTSD is one of the primary variables they focus on in the article. Most of the general public attributes PTSD to be associated solely with military personal. PTSD has been diagnosed in non-military individuals. A recent study conducted in the Middle East in “20007 studied 1500 children specifically 600 Palestinians, 450 Israeli