Types of PTSD
There are five main types of reactions to a traumatic event. Not all of these are actual forms or types of post-traumatic stress disorder (PTSD). These reactions include: a normal stress response, acute stress disorder, uncomplicated PTSD, comorbid PTSD and complex PTSD. These stress reaction types are based upon an older understanding of humans’ reaction to trauma and may no longer be used by many researchers and clinicians.
Normal Stress Response
The normal stress response occurs when healthy adults who have been exposed to a single discrete traumatic event in adulthood experience intense bad memories, emotional numbing, feelings of unreality, being cut off from relationships or bodily tension and distress. Such individuals usually achieve complete recovery within a few weeks. Often a group debriefing experience is helpful. Debriefings begin by describing the traumatic event. They then progress to exploration of survivors’ emotional responses to the event. Next, there is an open discussion of symptoms that have been precipitated by the trauma. Finally, there is education in which survivors’ responses are explained and positive ways of coping are identified.
Acute Stress disorder
Acute stress disorder is characterized by panic reactions, mental confusion, dissociation, severe insomnia, being suspicious, and being unable to manage even basic self care, work, and relationship activities. Relatively few survivors of single traumas have this more severe reaction, except when the trauma is a lasting catastrophe that exposes them to death, destruction, or loss of home and community. Treatment includes immediate support, removal from the scene of the trauma, use of medication for immediate relief of grief, anxiety, and insomnia, and brief supportive psychotherapy provided in the context of crisis intervention.
Learn more: Acute Stress Disorder Symptoms
Uncomplicated PTSD involves persistent re-experiencing of the traumatic event, avoidance of stimuli associated with the trauma, emotional numbing, and symptoms of increased arousal. Uncomplicated PTSD is the most commonly diagnosed type of post-traumatic stress disorder when the primary diagnosis is PTSD.
This type of the disorder may respond to group, psychodynamic, cognitive-behavioral, pharmacological, or combination approaches.
Learn more: PTSD Symptoms
PTSD co-morbid (occurring alongside) with other psychiatric disorders is actually much more common than uncomplicated PTSD. PTSD is usually associated with at least one other major psychiatric disorder such as depression, alcohol or substance abuse, panic disorder, and other anxiety disorders. The best results are achieved when both PTSD and the other disorder(s) are treated together rather than one after the other. This is especially true for PTSD and alcohol or substance abuse. The same treatments used for uncomplicated PTSD should be used for these patients, with the addition of carefully managed treatment for the other psychiatric or addiction problems.