Prognosis varies many patients recover within months while some have symptoms that persist for years.These include substance use disorder, sleep difficulties, depression, anxiety, and social and occupational dysfunction r1 Comorbid conditions and PTSD complications can cause significant distress.Evidence-based therapeutic modalities include prolonged exposure therapy, cognitive processing therapy, and eye movement desensitization and reprocessing r4 r5.First line treatment is trauma-focused psychotherapy and/or serotonin reuptake inhibitors (eg, paroxetine, sertraline, venlafaxine) According to the DSM-5 criteria, a diagnosis of PTSD requires exposure to a traumatic or stressful event as a diagnostic criterion.Most people who go through traumatic events may have temporary difficulty. Symptoms may include flashbacks, nightmares and severe anxiety, as well as uncontrollable thoughts about the event. Ideally, diagnosis is confirmed by a trained mental health practitioner (eg, psychologist, psychiatrist, clinical social worker), often aided by a semistructured interviewing tool r2 r3 Post-traumatic stress disorder (PTSD) is a mental health condition thats triggered by a terrifying event either experiencing it or witnessing it.

When suspected based on patient history, primary care clinicians can identify probable PTSD with a validated screening questionnaire, such as PC-PTSD-5 (Primary Care PTSD Screen for DSM-5).DSM-5-TR criteria are diagnostic for PTSD r1.Risk factors for PTSD (posttraumatic stress disorder) include occupational exposure to trauma (eg, military personnel, firefighters, police officers) threatened or actual physical or sexual assault being kidnapped or held hostage, a prisoner of war, or tortured experiencing natural or man-made disaster, interpersonal violence, a severe motor vehicle crash, or a sudden medical catastrophic event or witnessing a very stressful or traumatic event.

Dsm 5 current criteria for ptsd