Psychiatry Fast Five Quiz: How Much Do You Know About Acute Stress Disorder?

Stephen Soreff, MD


February 08, 2017

Although they can be serious and concerning, physical, interpersonal, cognitive, and emotional reactions (such as grief, guilt, and anger) are relatively common after traumatic events and may not necessitate consultation with a specialist. Other, more significant symptoms should prompt a psychiatric consultation. These include:

  • Dissociative symptoms (eg, depersonalization, derealization, fugue, and amnesia)

  • Severe persistent problematic symptoms (eg, marked depression and hyperarousal, extreme numbness, and lack of self-care)

  • Exacerbation or reoccurrence of pre-existing psychiatric problems

  • Intrusive re-experiencing (eg, terrifying memories, flashbacks, and persistent nightmares)

  • Substance abuse

  • Aggressive or homicidal behavior

  • In children, aggression, risk-taking, or sexual acting-out

  • Thoughts, and especially plans, of suicide

To learn more about the presentation of ASD, read here.


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