Acute stress disorder differential diagnosis

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Simrat Sarai, M.D. [2]

Overview

Acute stress disorder must be differentiated from other diseases that closely mimic a range of acute stress disorder symptoms, including depersonalization, derealization, reduced awareness, and dissociative amnesia or from disorders that doesn't meet criteria for acute stress disorder such as post traumatic disorder, anxiety disorders, depression, dissociative disorders, panic disorder, adjustment disorder, effects of analgesic medications, medical conditions involving coma or impaired awareness, effects of substance abuse, traumatic brain injury (TBI), exacerbation of a preexisting mental condition, and brief psychotic episode.

Differential Diagnosis

Acute stress disorder must be differentiated from the following disorders:

• Post traumatic stress disorder
• Obsessive-compulsive disorder
• Anxiety disorders
• Depression
• Dissociative disorders
• Panic disorder
• Adjustment disorder
• Effects of analgesic medications
• Medical conditions involving coma or impaired awareness
• Effects of substance abuse
• Traumatic brain injury (TBI)
• Exacerbation of a preexisting mental condition
• Brief psychotic episode
• Psychotic disorders