Respond to your colleagues by comparing the differential diagnostic features of the disorder you were assigned to the diagnostic features of the disorder your colleagues were assigned.
NOTE( Disorder assigned to me: Anxiety Disorder)
Acute Stress Disorder
There are some key similarities between anxiety and adjustment disorders. However, differences are what separate the two diagnoses and correlate to unique sets of symptoms. For example, repetitive periods of worry or excessive thought are notable in anxiety disorders. Meanwhile feeling triggered or having issues that are triggered by daily events could be indicative of adjustment disorder. It is possible that a patient has both diagnoses (Zelviene & Kazlauskas, 2018).
The DSM-V classifies acute stress disorder as a trauma and stress disorder. The DSM-IV shares specific variables to take into consideration for diagnosing acute stress disorder (ASD). A person must have experienced a reaction of helplessness or horror in response to a sudden traumatic event. Dissociation, loss of consciousness, or memory are also characteristic of the event (Gabbard, 2014). The events may be relived or thought of whether there is a stimulus present or not. The symptoms may begin within a few days and last up to a month (American Psychiatric Association, 2013). This condition could be the pretext for PTSD when symptoms persist for longer periods of time (McDuff, 2016).
When treating ASD there are many forms of therapy that are effective and pertinent. Cognitive-behavioral therapy (CBT) can help patients identify disorganized thinking patterns or beliefs. Meanwhile, group counseling could be effective in the event of trauma caused by family or social situations (Hayes et al., 2017). These forms of counseling are valuable when working to improve child issues. They can also be suggested upon diagnosis of adjustment disorders in adults (American Psychiatric Association, 2013).
In some cases, serotonin reuptake inhibitors SSRIs may be prescribed for a short time to regulate brain chemistry (Pai & North, 2017). Medication could be suggested for these additional problems but is generally not recommended for long periods when treating ASD (McDuff, 2016). The main reason for CBT as an initial form of treatment is that it allows the practitioner opportunity to diagnose other disorders that may be present. ASD is often associated with other psychological problems or could be reflective of more harmful issues like post-traumatic stress disorder (PTSD), bipolar disorder or depression.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental
disorders (5th ed.). Washington, DC: Author.
Gabbard, G. O. (2014). Gabbard’s treatment of psychiatric disorders (5th ed.). Washington, DC: American Psychiatric Publications.
Hayes, J. P., Logue, M. W., Reagan, A., Salat, D., Wolf, E. J., Sadeh, N., & … Miller, M. W. (2017). COMT Val158Met polymorphism moderates the association between PTSD symptom severity and hippocampal volume. Journal of Psychiatry & Neuroscience: JPN, 42(2), 95–102. doi:10.1503/jpn.150339
McDuff, D. (2016). Adjustment and anxiety disorders. Sports.
Pai, A., Suris, A. M., & North, C. S. (2017). Posttraumatic stress disorder in the DSM-5: Controversy, change, and conceptual considerations. Behavioral Sciences, 7(1), 7.
Zelviene, P., & Kazlauskas, E. (2018). Adjustment disorder: current perspectives.
Neuropsychiatric disease and treatment, 14, 375–381.
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