Acute Stress Disorder: What It Is and How to Treat It by Richard A. Bryant PhD

By Richard A. Bryant PhD

Drawing on broad learn and medical event, top authority Richard A. Bryant explores what works--and what does not work--in coping with acute worrying pressure. He reports the present kingdom of the technology on acute pressure ailment (ASD) and provides diagnostic directions in keeping with DSM-5. In a simple, hugely readable sort, Bryant stocks wealthy insights into tips to offer powerful, compassionate care to precise populations, together with people with gentle tense mind damage, army body of workers and primary responders, and youngsters. Evidence-based intervention tactics are defined. Reproducible evaluate instruments and handouts might be downloaded and revealed in a handy eight 0.5" x eleven" size.

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By Richard A. Bryant PhD

Drawing on broad learn and medical event, top authority Richard A. Bryant explores what works--and what does not work--in coping with acute worrying pressure. He reports the present kingdom of the technology on acute pressure ailment (ASD) and provides diagnostic directions in keeping with DSM-5. In a simple, hugely readable sort, Bryant stocks wealthy insights into tips to offer powerful, compassionate care to precise populations, together with people with gentle tense mind damage, army body of workers and primary responders, and youngsters. Evidence-based intervention tactics are defined. Reproducible evaluate instruments and handouts might be downloaded and revealed in a handy eight 0.5" x eleven" size.

Show description

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It was decided not to proceed with this option because it raises problems in terms of directing people toward targeted treatments. As we discuss in detail in Chapter 9, there is now a strong body of evidence supporting exposure-based therapies for people with ASD/acute PTSD, and there is no evidence that these interventions are optimally suited for nonanxiety reactions in the acute phase. Although the narrow fear-focused definition identifies fewer people, it was agreed that this was more clinically useful because it would assist clinicians to direct these people to evidencebased interventions.

In both ASD and PTSD, there is the requirement that the person displays marked arousal, which can be manifest in restlessness, insomnia, irritability, hypervigilence, and concentration difficulties. The key distinction between the symptoms of ASD and PTSD was the former’s emphasis on dissociative symptoms. To meet criteria for ASD, one needed to display at least three of the following five dissociative symptoms: (1) a subjective sense of numbing or detachment, (2) reduced awareness of his or her surroundings, (3) derealization, (4) depersonalization, or (5) dissociative amnesia.

For ASD severity and the independent measures of distress. This shows that nine symptoms performed optimally in achieving sensitivity, specificity, and positive and negative predictive power. In DSM-5, we took the approach of treating each symptom as having equivalent weight because attempts to achieve better predictive accuracy with certain combinations or weightings of symptoms (which is essentially what was done in DSM-IV) failed to improve prediction. 1, we see that approximately 20% of the total sample reported nine symptoms, reinforcing the conclusion that nine symptoms may be the optimal number.

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