PostTraumaticStressDisorder in afya

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any age, Sx>1/12, occurs post "event" eg sex abuse or disaster
same as shell shock

''features''
re-experiencing - flashback, nightmare, repetitive, distressing intrusive images
avoidance - avoid people, situation or circumstances resmebling or associated with event
hyper-arousal - hypervigilance for threat, exaggerated startle response, sleep disturb, irritability, difficulty concentrating
emotional numbing - lack of ability to experience feelings. feeling detached

from others
depression
alcohol/drug abuse
anger
unexplained physical Sx

''Mx''
single session (debrief) NOT recommended
watchful waiting for mild Sx of <4/52
military personnel have access to military Rx
trauma focussed CBT or eye-mvt desensitisation and reprocssing may be helpful in severe cases
avoid drugs first line - if necessary use paroxetine or mirtazepine

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