- Section 1 Patients and their treatment
- Section 2 Background to medicine
- Section 3 Cell biology
- Section 4 Immunological mechanisms
- Section 5 Principles of clinical oncology
- Section 6 Old age medicine
- Section 7 Pain and palliative care
- Section 8 Infectious diseases
- Section 9 Sexually transmitted diseases
- Section 10 Environmental medicine, occupational medicine, and poisoning
- Section 11 Nutrition
- Section 12 Metabolic disorders
- Section 13 Endocrine disorders
- Section 14 Medical disorders in pregnancy
- Section 15 Gastroenterological disorders
- Section 16 Cardiovascular disorders
- Section 17 Critical care medicine
- Section 18 Respiratory disorders
- Section 19 Rheumatological disorders
- Section 20 Disorders of the skeleton
- Section 21 Disorders of the kidney and urinary tract
- Section 22 Haematological disorders
- Section 23 Disorders of the skin
- Section 24 Neurological disorders
- Section 25 Disorders of the eye
- Section 26 Psychiatric and drug-related disorders
- 26.1 General introduction
- 26.2 The psychiatric assessment of the medical patient
- 26.3 Common psychiatric presentations in medical patients
- 26.4 Psychiatric treatments in the medically ill
- 26.5 Specific psychiatric disorders
- 26.5.1 Delirium
- 26.5.2 Dementia
- 26.5.3 Organic psychoses
- 26.5.4 Alcohol misuse
- 26.5.5 Substance misuse
- 26.5.6 Depressive disorder
- 26.5.7 Bipolar disorder
- 26.5.8 Anxiety disorders
- 26.5.9 Acute stress disorder, adjustment disorders, and post-traumatic stress disorder
- 26.5.10 Eating disorders
- 26.5.11 Schizophrenia
- 26.5.12 Somatic symptom and related disorders
- 26.5.13 Personality disorders
- 26.6 Changing unhealthy behaviours
- 26.7 Psychiatry, liaison psychiatry, and psychological medicine
- Section 27 Forensic medicine
- Section 28 Sport and exercise medicine
- Section 29 Biochemistry in medicine
- Section 30 Acute medicine
Acute stress disorder, adjustment disorders, and post-traumatic stress disorder
- Chapter:
- Acute stress disorder, adjustment disorders, and post-traumatic stress disorder
- Author(s):
Jonathan I. Bisson
- DOI:
- 10.1093/med/9780198746690.003.0635
Acute stress disorder, adjustment disorders, and post-traumatic stress disorder are all psychiatric consequences of traumatic experiences. Because trauma is so common in medical practice, in the form of accidents, severe illness, and sometimes medical and surgical treatments, these disorders are commonly seen by physicians. An initial severe reaction to a traumatic event such as severe accident is an acute stress disorder and is commonly characterized by dissociation. A more long-lasting emotional reaction to ongoing stress such as a new diagnosis of life-threatening illness is termed an adjustment disorder. An often longer-lasting and more severe psychological reaction associated with repeated mental re-experiencing of the traumatic event is called post-traumatic stress disorder. These trauma-related disorders are not only an important cause of suffering but may also complicate medical care, hence they require recognition and appropriate treatment.
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- Section 1 Patients and their treatment
- Section 2 Background to medicine
- Section 3 Cell biology
- Section 4 Immunological mechanisms
- Section 5 Principles of clinical oncology
- Section 6 Old age medicine
- Section 7 Pain and palliative care
- Section 8 Infectious diseases
- Section 9 Sexually transmitted diseases
- Section 10 Environmental medicine, occupational medicine, and poisoning
- Section 11 Nutrition
- Section 12 Metabolic disorders
- Section 13 Endocrine disorders
- Section 14 Medical disorders in pregnancy
- Section 15 Gastroenterological disorders
- Section 16 Cardiovascular disorders
- Section 17 Critical care medicine
- Section 18 Respiratory disorders
- Section 19 Rheumatological disorders
- Section 20 Disorders of the skeleton
- Section 21 Disorders of the kidney and urinary tract
- Section 22 Haematological disorders
- Section 23 Disorders of the skin
- Section 24 Neurological disorders
- Section 25 Disorders of the eye
- Section 26 Psychiatric and drug-related disorders
- 26.1 General introduction
- 26.2 The psychiatric assessment of the medical patient
- 26.3 Common psychiatric presentations in medical patients
- 26.4 Psychiatric treatments in the medically ill
- 26.5 Specific psychiatric disorders
- 26.5.1 Delirium
- 26.5.2 Dementia
- 26.5.3 Organic psychoses
- 26.5.4 Alcohol misuse
- 26.5.5 Substance misuse
- 26.5.6 Depressive disorder
- 26.5.7 Bipolar disorder
- 26.5.8 Anxiety disorders
- 26.5.9 Acute stress disorder, adjustment disorders, and post-traumatic stress disorder
- 26.5.10 Eating disorders
- 26.5.11 Schizophrenia
- 26.5.12 Somatic symptom and related disorders
- 26.5.13 Personality disorders
- 26.6 Changing unhealthy behaviours
- 26.7 Psychiatry, liaison psychiatry, and psychological medicine
- Section 27 Forensic medicine
- Section 28 Sport and exercise medicine
- Section 29 Biochemistry in medicine
- Section 30 Acute medicine