PTSD was classified as an Anxiety Disorder in the DSM-IV, consequently fear/anxiety was regarded as the core feature of the presentation of PTSD. This remains the case today, however the DSM5 reclassified PTSD into its own category and has outlined variations in the individual expression of the overall disorder, or
The diagnosis of PTSD has seen several iterations over the decades. These differences reflect factors such as socio-cultural and political changes, as well as developments in evidence-based understanding of trauma and its sequalae. What follows is a brief summary of the changes in the formal psychiatric diagnostic criteria, although long
Why should you know about the freeze response? 1. The freeze response (tonic immobility) is common amongst PTSD sufferers who have been sexually assaulted 2. When tonic immobility has been present during trauma, medications may not be effective In a recent study published in Acta Obstetricia et Gynecologica
USA Veterans Affairs and Department of Defence (VA/DoD) release new Evidence-based Clinical Practice Guideline (CPG) for the Management of Posttraumatic Stress Disorder and Acute Stress Disorder https://www.healthquality.va.gov/guidelines/MH/ptsd/ Some of the guidelines, with a Cognitive Processing Therapy perspective: Recommendation 11. emphasises trauma focus and structure in the treatment of PTSD. [blockquote1]
In their 2016 review Psychotherapy Versus Pharmacotherapy for Posttraumatic Stress Disorder: Systemic Review and Meta-Analyses to Determine First-Line Treatments, Lee and colleagues concluded that their study findings supported use of trauma-focused psychotherapies over nontrauma-focused psychotherapy or medication as first-line interventions. Recently at The American Society of Clinical Psychopharmacology (ASCP) 2017
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