The questions that I tried to answer is: How is a person diagnosed with PTSD? It seems to me that it is confused with a lot of other emotional or mental disorders. From my experience with stomach issues the diagnosis of Irritable Bowel Syndrome is one that is overdiagnosed to give a name to symptoms that the doctors should really just say..."we have no idea what is wrong with you" and in the same way I wonder if PTSD is the diagnosis (sadly) when doctors really don't know what to say or do to help a person. That said - is there a way to truly diagnosis a person and once done how is it most commonly treated?
There has been a lot of talk about PTSD getting unnoticed or
misdiagnosed as some other mental health disorder. I am no expert but it seems
that being treated for something else would be counterproductive in getting
better or having the support that is essential. In May 2013, in the DSM-5 there
was a revision for PTSD diagnostic criteria. “PTSD (as well as Acute Stress
Disorder) moved from the class of anxiety disorders into a new class of “trauma
and stressor-related disorders” (National Center for PTSD). The DSM-5 is the
Diagnostic and Statistical Manual of Mental Disorders, which is used by
clinical professionals that handle and treat mental health disorders.
From reading the information on the PTSD: National Center for PTSD website, the revision put PTSD in the category
of trauma. Hopefully, this will help clear up some uncertainty of misdiagnosis.
According to this information, “all of the conditions included in this classification
require exposure to a traumatic or stressful event as a diagnostic criterion”
(National Center for PTSD). Rather than before it was in the classification of
anxiety. This puts more focus on trauma that has occurred sometime in life of a
person with PTSD. The first aspect mentioned in the full diagnostic criteria of
PTSD is Criteria A: stressor, under that it reads, “The person was exposed to:
death, threatened death, actual or threatened serious injury, or actual or
threatened sexual violence, as follows: (one required)
1. Direct exposure.
2. Witnessing, in person.
3. Indirectly, by learning
that a close relative or close friend was exposed to trauma. If the event
involved actual or threatened death, it must have been violent or accidental.
4. Repeated or extreme
indirect exposure to aversive details of the event(s), usually in the course of
professional duties (e.g., first responders, collecting body parts;
professionals repeatedly exposed to details of child abuse). This does not
include indirect non-professional exposure through electronic media,
television, movies, or pictures (National Center for PTSD).
Then it follows with other criteria such
as: intrusion, avoidance, negative alterations in cognitions and mood, and
alterations in arousal and reactivity. The criterion also looks at the duration
of the symptoms along with a few other aspects. Through the assessment and
diagnostic criteria, there is probably a lot more that is observed by a
professional. Since there has been much confusion with the diagnosis of PTSD,
the revision of the DSM-5 seems to point to the right direction of more focus
on trauma. Where before it might have been looked at differently to diagnose.
Hopefully, the recent revision can help solve the issue of the confusion that
has happened to people that suffer from PTSD.
There is a variety of ways that PTSD can be treated. On the PTSD: National Center for PTSD website,
there are certain types of counseling mentioned to help with PTSD. “Research
shows that Cognitive behavioral therapy (CBT) is the most effective counseling for
PTSD.” There are a few types of this counseling, cognitive therapy and exposure
therapy. The information on cognitive therapy reads, “Your therapist helps you
understand and change how you think about your trauma and its aftermath. Your
goal is to understand how certain thoughts about your trauma cause you stress
and make your symptoms worse.” Exposure therapy focuses on, “to have less fear about your memories. It is based on the
idea that people learn to fear thoughts, feelings, and situations that remind
them of a past traumatic event (National Center for PTSD).
It was interesting to read about a few different types of
treatments that are used. There are also medications that can be taken. There
can be involvement of group therapy, family therapy, or a therapy called psychodynamic psychotherapy. Depending on the severity of the disorder
and other factors, treatment can last from about three months to years. If you
want to learn more, you can use the link below from the PTSD: National Center
for PTSD website!
-Amy
This website
also references:
American Psychiatric Association. (2013) Diagnostic and statistical
manual of mental disorders, (5th ed.). Washington, DC: Author.