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2	"Acute & Posttraumatic" Acute & Posttraumatic Stress Disorders
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4	Mandatory Psychological Examination Victims of Assault Victims of Amputation* Suspicious Physical Complaints Prior to Specific Procedures & Surgeries Suspicious ongoing psych care
5	308.3 Acute Stress Disorder Witnessed or experienced events threatening death or serious injury of self or others. Individual has three or more of the following: detachment, reduction in awareness, derealization, depersonalization, dissociative amnesia Re-experience of the event by: Recurrent thoughts, dreams, flashbacks Avoidance of stimuli arousing recollection Increased arousal (insomnia, exaggerated startle response, hypervigilence, restlessness Impairment in social or occupational functioning Lasts >2 days but <4 weeks and occurs within four weeks of the event Not due to effects of substance use or abuse.
6	309.81 Posttraumatic Stress Disorder Criteria Since 1994
7	Criteria Prior to 1994 “Recognizable Stressor that would evoke significant symptoms of distress in almost everyone.” “Stressor is generally outside the range of usual human experience.” Rape, Assault, Military Combat, Natural and Man-Made Deliberate and Accidental Disasters Torture is a common cause MVAs are an occasional cause
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9	Five Diagnostic Possibilities Normal functioning Acute Stress Disorder Posttraumatic Stress Disorder PTSD exacerbating pre-existing condition Malingering
10	Normal Profile
11	Acute Stress Disorder
12	Posttraumatic Stress Disorder
13	Exacerbated Problems
14	Deliberate Exaggeration
15	Basic PTSD Concepts Severity of Stressor Would Produce Symptoms in Most Individuals Personality of the Injured Individual Social Environment of the Trauma and Posttraumatic Period Biological Differences Among Individuals
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17	Nature of the Trauma Deliberate Extreme Prolonged
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19	Treatment Considerations Anxiolytics and Antidepressants Psychotherapy Insist Upon Statements of: Duration and frequency of care Prognosis Anticipated Date of Release and PPD
20	Swiss Army Knife As a means of determining pre-existing condition(s) As test of functional capacity As extended period of observation As a means of summarizing all medical records As a means of coordinating care between providers As a means of determining whether return to work will ever occur As a means of determining if closure can occur
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