when do symptoms develop?
can be months to years after event
when is it considered acute and chronic?
acute within 3 months, chronic after 3 months
biological basis for PTSD?
low cortisol
hippocampal atrophy
increased activity of amygdala (fear or stress response of amygdala)
symptoms?
involuntary re experience (nightmares and flashbacks) avoidance hyper arousal emotional numbing and detachment dissociation
management ?
CBT trauma focused
EMDR
drugs ?
PM
Paroxetine
Mirtazipine