New York State Medical Treatment Guidelines for Post-Traumatic Stress Disorder and Acute Stress Disorder in workers compensation patients

The guidelines provided by the New York State Workers Compensation Board offer general principles for the management of Post-Traumatic Stress Disorder (PTSD) and Acute Stress Disorder. These directives aim to assist healthcare professionals in determining appropriate strategies for addressing the psychological impact of traumatic events, encompassing both PTSD and Acute Stress Disorder, as part of a comprehensive care plan.

Healthcare practitioners specializing in the management of PTSD and Acute Stress Disorder can rely on the guidance from the Workers Compensation Board to make well-informed decisions about the most suitable approaches for supporting individuals affected by these conditions.

It is crucial to emphasize that these guidelines are not intended to replace clinical judgment or professional expertise. The ultimate decision regarding the management of Post-Traumatic Stress Disorder and Acute Stress Disorder should involve collaboration between the patient and their healthcare provider.

Post-Traumatic Stress Disorder and Acute Stress Disorder

Post-Traumatic Stress Disorder (PTSD) and Acute Stress Disorder (ASD) are psychological conditions that may affect individuals who have gone through or witnessed a distressing or terrifying incident.

Common types of trauma linked to PTSD and ASD encompass experiencing an actual or potential severe injury, life-threatening situations, physical or sexual assault, or other extreme social or natural occurrences. The diagnosis of PTSD and ASD requires exposure to significant trauma, as outlined in the DSM-5. Acute Stress Disorder is identified when symptoms persist for 3 to 30 days following a traumatic event, while a PTSD diagnosis is considered if symptoms endure or arise beyond the 30-day mark.

PTSD manifests through various symptoms, and although these signs are prevalent, the actual diagnosis of PTSD is relatively uncommon. The symptoms encompass re-experiencing or flashbacks of the event, unwelcome and intrusive memories, nightmares, frightening thoughts, avoidance of settings reminiscent of the traumatic event, and restlessness. Individuals may also exhibit heightened arousal, hypervigilance, tension, stress, difficulty sleeping, anger management challenges, negative thoughts about oneself or the world, distorted feelings like guilt or blame, trouble recalling key aspects of the traumatic event, loss of interest in enjoyable activities, and a sense of alienation or detachment from friends and family.

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