Acute stress disorder medical therapy: Difference between revisions
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==Overview== | ==Overview== | ||
==Medical Therapy== | ==Medical Therapy== | ||
{{Family tree/start}} | {{Family tree/start}} | ||
{{Family tree | | | | A01 | | | |A01='''Basic principles of intervention after emotional trauma include the following:''' }} | {{Family tree | | | | A01 | | | |A01='''Basic principles of intervention after emotional trauma include the following:''' }} | ||
Revision as of 22:43, 16 January 2016
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Acute stress disorder Microchapters |
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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
Medical Therapy
| Basic principles of intervention after emotional trauma include the following: | |||||||||||||||||||
| Reduce stress by all possible means | |||||||||||||||||||
| Ensure that survivors have a safe environment | |||||||||||||||||||
| Promote contact with loved ones and other sources of support | |||||||||||||||||||
| Support self-esteem; help patients understand that their reaction to the trauma is a normal reaction to an abnormal situation, not a sign of weakness or psychopathology | |||||||||||||||||||
| Help survivors focus on immediate needs, such as rest, food, shelter, social supports, or a sense of belonging to a community | |||||||||||||||||||
| Promote coping mechanisms | |||||||||||||||||||
| Help patients reframe any destructive cognitions | |||||||||||||||||||
| Administer medication (eg, beta-blockers, alpha-agonists, benzodiazepines, or nonactivating selective serotonin reuptake inhibitors [SSRIs]), if needed, to decrease arousal | |||||||||||||||||||
| Avoid increasing stress - Avoid prompting discussion of issues that cannot be resolved; avoid abreaction in groups and the resulting contagion effect; respect defenses, and do not force reality on people who cannot handle it yet; keep in mind that debriefing may be harmful | |||||||||||||||||||
| Discuss the experience with patients who want to talk about it, and avoid pressuring those who do not wish to discuss it | |||||||||||||||||||
| Identify persons at high risk - Screen for physical causes of psychiatric problems (eg, dehydration, head trauma, infection, metabolic abnormality, or toxins) | |||||||||||||||||||
| Have faith in the normal healing processes' | |||||||||||||||||||