Causes and Risk Factors for Post-Traumatic Stress Disorder: The Importance of Right Diagnosis and Treatment

• Main Author: Sunil J. Wimalawansa
• Format: Article
• Language: English
• Published: Manipal College of Medical Sciences, Pokhara 2013-12-01
• Series: Asian Journal of Medical Sciences
• Subjects: neurons; psychiatry; homeostasis; structure-function; behaviour; psychotherapy
• Online Access: https://www.nepjol.info/index.php/AJMS/article/view/8537

Post-traumatic stress disorder (PTSD) is a serious debilitating syndrome with significant personal, social, and economic consequences. People with PTSD experience one or more major symptoms that include flashbacks and paranoia, difficulty in interpersonal relationships, and problems engaging in work and activities of daily living. In severe cases they can harm themselves or the others; but these events are preventable by appropriate therapies. PTSD is a well-characterized serious psychological and behavioural abnormality that occurs after exposure to one or more acute severe stressful events. It often occurs among soldiers returning from battlefields and the civilian victims of war. However, it also occurs in non-war situations, such as terrorist attacks or serious accidents; sexual abuse, rape, or other violent acts; and school or workplace bullying, harassment, or retaliation. Nevertheless, the diagnosis of PTSD is made too infrequently, particularly in the post-conflict periods in developing countries. This is in part because of inadequate awareness but also due to limited resources and expertise. Consequently, the resources for clinical care and research are diverted to other forms of behavioral issues, such as adjustment disorders. The treatment of PTSD needs to be well coordinated so that all stakeholders work synergistically using the resources necessary for the prolonged treatment and follow-ups. PTSD is underdiagnosed, and even misdiagnosed or mislabeled as depression or adjustment disorders. The failure to make a timely diagnosis or mislabeling of PTSD likely will harm victims and their families and may lead to negative outcomes, including suicide. The provision of appropriate, well organized, individualized, cost-effective treatment plans should alleviate PTSD symptoms and enable those with the disorder to return to their normal productive lives.