By Richard A. Bryant PhD
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Additional info for Acute Stress Disorder: What It Is and How to Treat It
Postconcussive symptoms that arise after mTBI can overlap with both dissociative and arousal symptoms. It is important that the diagnosis does 44 THEORETICAL AND EMPIRICAL ISSUES not overdiagnose acute stress reactions by attributing effects resulting from non-stress-related factors to the ASD response. We return to discuss this issue of differential diagnosis in later chapters. PTSD in DSM-5 In considering the ASD diagnosis in DSM-5, we need to also place it in the context of the PTSD diagnosis, which underwent considerable change in the latest DSM revision.
Emergency responders collecting human remains). B. Presence of nine or more of the following symptoms that began or worsened after the traumatic event(s): Intrusions 1. Recurrent, involuntary, and intrusive memories of the traumatic event(s). 2. Recurrent distressing dreams related to the traumatic event(s). 3. Dissociative flashbacks involving reliving the traumatic event(s). 4. Intense psychological or physiological reactions to reminders of the traumatic event. Negative mood 5. Persistent inability to experience positive emotions (emotional numbing).
In this chapter we review the background to this relatively new diagnosis, outline the reasons for its introduction and definition, and look at the major reactions to its introduction. Diagnostic Systems and Acute Stress One of the major impacts of military understandings of acute stress was that it strongly influenced how the construct was understood in the early psychiatric diagnostic systems. As we have seen, combat stress reaction (CSR) involved a much broader spectrum of responses than what we see in current thinking about PTSD.