What are the diagnostic criteria for delayed stress response?

summary

Delayed stress response is a delayed mental disorder caused by stressful events or situations, also known as post-traumatic stress disorder. Stressors often have the nature of abnormal panic or disaster, so that patients have deep sadness or grief. There is an incubation period before the emergence of mental symptoms, and the onset is usually several weeks to several months after being stimulated. What are the diagnostic criteria for delayed stress response

What are the diagnostic criteria for delayed stress response?

Acute stress reaction refers to the transient mental disorder caused by extremely serious physical or psychological stress factors. The course of disease lasted only a few hours or days, and the prognosis was good. Typical performance is the initial "at a loss" state, showing varying degrees of disturbance of consciousness, patients may appear poor orientation, can not clearly perceive the surrounding things, narrow attention, difficult to carry out verbal communication. The patient's speech is disorganized or incoherent, which is difficult to understand. Nervous expression, fear, disordered and aimless movements, occasionally impulsive behavior, or running to the field. After recovery, patients may not be able to recall all of them.

Some patients showed psychomotor excitement or inhibition with strong emotional experience. Psychomotor excitability is characterized by excitement, agitation, restlessness and increased speech. The content of psychomotor excitability is related to pathogenic factors, with exaggeration and decreased sleep at night. It used to be called reactive manic state. Psychomotor depression is rare, which is characterized by withdrawal from the surrounding environment, silence, or stupidity, long-time sitting or lying in bed, no emotional expression, similar to sub numb state.

Persistent stress response is a response induced by long-term existence of stressors or long-term exposure to difficult environment. The main clinical manifestations are delusion, including delusion of being killed, being monitored, implicated ideas, distrust of people, etc. The content of delusion is closely related to mental trauma, which is realistic and easy to expose. Some patients are prone to emotional disorders such as sentimentality, depression and crying. Most patients have obvious social function defect, which leads to abnormal work or study, interpersonal communication and social activities. The course of disease generally lasts for 3 months, some up to several years.

matters needing attention

Psychotherapy: psychogenic mental disorders are caused by obvious strong psychological and social stress, so psychotherapy is of great significance. We should strive to establish a good doctor-patient relationship and talk with patients in contact with patients. Analyze the course of the disease with the patient to explain, and guide the patient how to deal with the stimulation. How to eliminate stimulation. At the same time, give strong psychological and social support to buffer the traumatic reaction of patients, so that they can build up confidence to overcome the disease.