Motor tension, anxiety ...

The motor tension, anxious expectations, increased search systems can now pull together with that of PTSD with generalized anxiety disorder. Here we must pay attention to the acute onset and phobic symptoms, greater specificity for PTSD, in contrast to generalized anxiety disorder. Differences in the stereotype of flow can differentiate PTSD from panic disorder, which sometimes is very difficult and gives rise to some authors consider PTSD variant of panic disorder. The development of physical symptoms for mental reasons (F68.0) distinguishes acute onset of PTSD after trauma and lack of bizarre complaints to her. From the simulation disorder (F68.1) PTSD distinguishes between a lack of nesoglasovyvayuschihsya anamnestic data, the unexpected structure of symptoms of antisocial behavior and chaotic lifestyle of premorbid, more typical of the simulation cases. Violations of the adaptation of PTSD features a large scale pathogenicity stressor and the subsequent presence of the characteristic playing injured. In addition to these nosologic units, the violation of adaptation necessary to differentiate from the states are not caused by mental disorders. Thus, the loss of loved ones without much heavier circumstances may also be accompanied by a transient deterioration of social and occupational functioning, which, however, remains within the expected reaction to the loss of a loved one and therefore not considered a violation of adaptation. Treatment Based on the leading role of increased adrenergic activity in the maintenance of PTSD symptoms in the treatment of disorders have been used successfully blockers such as propranolol and clonidine. The use of antidepressants was shown in the severity of clinical manifestations trevozhnodepressivnyh, tightening and endogenizatsii "depression, it also helps to reduce repetitive memories of trauma, the normalization of sleep. There is an idea that, for a limited group of patients may be effective inhibitors of monoamine oxidase. With considerable disruption of behavior for a short time can be achieved plegirovanie sedative neuroleptics. Drug therapy should always go hand in hand with a resolution psychotraumatic situation and psychotherapy. Crisis intervention, possibly soon after the injury, to prevent chronization of delayed reaction and its manifestations. For the same has been successfully used short-term psychodynamic psychotherapy aimed at correcting the personality structures responsible for individual susceptibility to Poststress disorders. The most frequently used a combination of situational defense, emotional support and cognitive therapy techniques, preferably in a group environment. Psychotherapy should focus on the dynamics of phase disorder, with a predominance of gentle, supportive approach in the acute period and an increase in the elaboration of traumatic material in later stages of establishing a trust relationship with the doctor, the revaluation of the traumatic situation, self-audit patient and his perception of the world.