Traumatic Stress Disorders

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As psychiatrists, we practice holistic medicine. Our traumatized patients depend on us to uncover their emotional pain delicately, to understand its effects on their minds and bodies, and to recognize and draw on their unique strengths and vulnerabilities as we promote recovery.

The first half of the 20th century saw 2 world wars, indiscriminate aerial bombing of civilians, the dropping of the atomic bomb, and the Holocaust-all of which created intense trauma for soldiers and civilians.Yet it was not until the American intervention in a post-colonial civil war in Southeast Asia that the psychiatric community in the 1970s formally described what we now call PTSD.

In preparing DSM-IV, we worked hard to avoid causing confusion in forensic settings. Realizing that lawyers read documents in their own special way, we had a panel of forensic psychiatrists go over every word to reduce the risks that DSM IV could be misused in the courts.

When counseling trauma victims and patients with PTSD, do you ask them to retell the trauma or do you think this prolongs it?

Colonel David M. Benedek, MD-a psychiatrist-takes a brief look at the emotional fallout of war in veterans returning from Iraq and Afghanistan and points you to the "The Clinical Manual for Management of PTSD."

David Osser, MD, and his colleagues from Harvard Medical School summarize key aspects of the Psychopharmacology Algorithm for PTSD.

In this blog, Dr Pols reviews The Politics of War Trauma: The Aftermath of World War II in Eleven European Countries, by Jolande Withuis and Annet Mooij (eds).

Which treatment was found to be detrimental to patients with PTSD? What is the Brøset Violence Checklist used for? These questions and more in this week's quiz.

Results from a study published in the Journal of Psychopharmacology suggest that MDMA combined with psychotherapy may be a safe and effective treatment for symptoms of post-traumatic stress disorder.

Any effort to develop a diagnostic manual for world-wide use must grapple with the question of cross-cultural applicability. The description and diagnostic criteria for schizophrenia must work as well in East Timor as in the US or France. In this piece I choose PTSD to show the complexity of the cultural issue for DSM-5.

Mental health organizations have reacted strongly to recent statements by BP that reimbursement of stress-related claims caused by the oil spill is improbable. In fact BP has said that none of the $20 billion escrow fund will be distributed to mental health needs.

The latest information released by the US Army reveals that last year American soldiers attempted suicide at the rate of about 5 /day. There were 160 successful suicides last year and during June the rate was 1/day. Military research has reported that one in 10 Iraq veterans may develop a severe case of PTSD.

The effects of the BP oil spill are sure to reach beyond the environment. Psychiatrists warned that the spill may have long-term psychological consequences on residents, mental health workers, and cleanup volunteers.

By teaching those with PTSD to manage the stress and pain associated with the disorder's recurring horrors and disturbances, Edna Foa , MD has earned a spot on Time Magazine’s top 100 list of the most influential people in the world.

Positive results from a new study on the drug 3,4-methylenedioxymethamphetamine (MDMA)--also known as ecstasy--may give new hope to returning war troops with posttraumatic stress disorder (PTSD).