HLTHAGE 1CC3 Lecture Notes - Lecture 5: Combat Stress Reaction, Traditional Story, Dsm-5

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Re-experiencing: person must feel as if the event is recurring, think it is happening to you again, flashbacks (dsm suggests this is dissociative), hallucinations, dreams. Avoidance: people will avoid stimuli associated with the traumatic event, may avoid social situations where conversation about the event is a possibility or avoid situations that could trigger those thoughts (similar to phobias) Arousal: increased nervousness and anxiety, trouble sleeping, startle easily, angry outbursts, behaviour may also become reckless or self-destructive. Negative cognitions and moods: inability to recall specifics from the event, estrangements from others, diminished interest in pre-trauma activities, feeling their life is pointless or insignificant (similar to mdd) An inconvenient diagnosis: pressure from veterans" groups let to its inclusion in dsm-3 because army veterans came back from war feeling the symptoms but there was no category of illness for physicians to treat them. Government has to start paying for that treatment.

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