Acute stress disorder laboratory findings

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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]

Physical Examination

Appearance of the patient

Patients may be disheveled and unclean and may show the effects of dehydration and failure to care for themselves

Mental status examination

• The mental status examination is used to assess the patient's current mental condition
• Affect and mood
  • Patients may appear anxious, sad, irritable, apathetic, emotionally labile, angry, or calm
• Thought content
  • Individuals may feel helpless, be confused, be in a state of disbelief, have markedly impaired concentration, have lowered self-esteem, or be driven to search for the deceased
• Perceptions
  • Patients may have visual or auditory hallucinations that the deceased person is present; feelings of unreality, flashbacks, numbness, and denial may occur
• Judgment and insight
  • Confusion in combination with preoccupation with those they have lost may be present that impair an individuals’ judgment and insight
• Suicidal or homicidal ideation
  • Suicidal thoughts occur in as many as approximately 54% of survivors and may continue up to 6 months after the death; thoughts or plans of homicide may be present