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Posttraumatic Stress Disorder (PTSD)

Crystal H. Chavez, MD and Fozia Akhtar Ali, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Posttraumatic stress disorder (PTSD) is an anxiety disorder defined as a reaction that can occur after exposure to an extreme traumatic event involving death, threat of death, seriou...

DIAGNOSIS

HISTORY

Diagnosis is based on DSM-5 criteria: 
  • Criterion A: exposure to trauma (≥1 of the following):

    • Direct experience of a traumatic event

    • In-person witnessing of a traumatic event

    • Learning o...

TREATMENT

Combination psychotherapy and pharmacotherapy, initiated soon after the trauma, result in better prognosis. 

MEDICATION

First Line

  • Depression, panic attacks, startle response, sleep disruption:...

ONGOING CARE

PATIENT EDUCATION

National Center for PTSD: www.ptsd.va.gov 

PROGNOSIS

  • Varies significantly from patient to patient

  • In 50% of cases, the symptoms spontaneously remit after 3 months; however, ...

REFERENCES

1
Brosbe MS, Hoefling K, Faust J. Predicting posttraumatic stress following pediatric injury: a systematic review. J Pediatr Psychol.  2011;36(6):718–729. [View Abstract on OvidMedline...

ADDITIONAL READING

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Association; 2013. 

CODES

ICD10

  • F43.10 Post-traumatic stress disorder, unspecified

  • F43.11 Post-traumatic stress disorder, acute

  • F43.12 Post-traumatic stress disorder, chronic

ICD9

309.81 Posttraumatic stress disorder 

SNOMED

  • 47...

CLINICAL PEARLS

  • Treatment is often best accomplished with a combination of psychotherapy and pharmacotherapy.

  • Symptoms usually wax and wane over the years.

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