Sunday, January 11, 2009

Acute Stress Disorder

Case Study 10: A 36-year-old man and his young son were driving through an intersection when another car ran through a red traffic light and struck them. The two were trapped in the car until a fire department rescue team freed them. The patient was bruised but not seriously hurt. His son had a broken leg. The first few days after the accident the patient was preoccupied with arranging care for his son and getting the car repaired. A few days later he began having recurrent distressing thoughts and images of the accident. Theses symptoms lasted for several weeks. The memory of his son’s screams after the car was struck seemed particularly vivid. The patient became irritable, had difficulty concentrating, and avoided talking about the accident. He went out of his way to avoid driving down the street where the accident occurred. As time went on he could no longer remember whether the traffic light was red or green when he approached it.


Acute Stress Disorder
-the person experienced, witnessed, or was confronted with an event or events that involved actual or threatened death or serious injury, or a threat to the physical integrity of self or others.
-The traumatic event is persistently reexperienced in at least one of the following ways: recurrent images, thoughts, dreams, illusions, flashback episodes, or a sense of reliving the experience; or distress on exposure to reminders of the traumatic event.
-Marked symptoms of anxiety

I think the man is affected with Acute Stress Disorder. His symptoms match the symptoms of this disorder above. Psychotherapy is the best way to help this situation. The man needs to get closure over the incidence. His anxiety only seems to be increasing.

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