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PTSD SYMPTOMS GET READ AS PERSONALITY FLAWS
The Diagnostic Manual Sorts PTSD Into Four Symptom Groups
What Those Groups Contain Is Rarely What You Expect
You Might Picture Flashbacks And Nothing Else
Flashbacks Belong To One Group Out Of Four
Anger And Recklessness Fill Another Group
Both Of Those Happen In Front Of Other People
Colleagues And Family See The Behavior And Not The Criteria
This Part Covers The Four Groups And What Observers Call Them
THIS NEWSLETTER IS FOR INFORMATIONAL PURPOSES ONLY. NOTHING IN THIS CONTENT CONSTITUTES MEDICAL, PSYCHOLOGICAL, OR PROFESSIONAL ADVICE. ALWAYS CONSULT A QUALIFIED HEALTHCARE PROFESSIONAL BEFORE MAKING ANY HEALTH RELATED DECISIONS.
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THE FOUR SYMPTOM GROUPS 🔁
The Manual Labels Each Group With A Letter
Criterion B Is Named Intrusion Symptoms
Intrusion Covers Recurrent And Involuntary Distressing Memories
The Group Also Includes Distressing Dreams About The Event
Dissociative Reactions Such As Flashbacks Belong There Too
Criterion C Appears Under The Heading Avoidance
Avoidance Means Keeping Away From Distressing Memories And Thoughts
External Reminders Include People And Places And Conversations
Criterion D Is Named Negative Alterations In Cognitions And Mood
That Criterion Covers Exaggerated Negative Beliefs About Oneself
Distorted Blame For The Event Belongs To The Same Group
Markedly Diminished Interest In Activities Is Included
Feelings Of Detachment From Others Are Listed As Well
Criterion E Is Marked Alterations In Arousal And Reactivity
The List Opens With Irritable Behavior And Angry Outbursts
Reckless Or Self Destructive Behavior Follows
Hypervigilance Is Another Item In The Same Criterion
Problems With Concentration Complete The Group
All Four Groups Must Begin Or Worsen After The Event
A Clinician Checks Each Group Against What A Person Reports
Several Of Those Items Describe Behavior Other People Can See
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THE PERSONALITY WORD FOR EACH GROUP 🙈
PTSD Is Assessed Through A Psychiatric Evaluation
That Evaluation Is The Most Important Component Of Diagnosing PTSD
The Assessment Considers Personal History And Collateral Information
Collateral Information Means What Other People Report
The Clinician Administered PTSD Scale Has 30 Items
A Structured Interview Records The Behavior A Person Describes
Managers And Family Members Watch The Same Behavior
They Reach A Different Conclusion About It
A Flashback Happens With No Visible Cause Nearby
Observers Call That Reaction Dramatics
Avoidance Keeps A Person Away From Places And Conversations
A Manager Sees Flakiness Rather Than Avoidance
Canceled Plans And Missed Meetings Appear Deliberate
Detachment From Others Appears In The Criteria
A Partner Reads It As Not Caring
Diminished Interest In Activities Belongs To The Same Group
Colleagues Describe The Person As Uninterested
Irritable Behavior Is Typically Verbal Or Physical Aggression
The Manual States That Directly
A Supervisor Records Aggression Rather Than A Symptom
Dramatics And Flakiness Describe A Person Not An Event
Each Label Names A Personality Flaw Instead Of A Diagnosis
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WHAT THE DIAGNOSIS REQUIRES ⚖️
Having The Symptoms Is Not The Same As Having The Diagnosis
Duration Of The Disturbance Is More Than 1 Month
The Disturbance Must Cause Significant Distress Or Impairment
Social And Occupational Functioning Are Named In That Criterion
Symptoms Present For Less Than 1 Month Have A Different Name
Acute Stress Disorder Lasts From 3 Days To 1 Month After Exposure
Full Criteria Can Be Met Long After The Event
The Manual Names A Specifier Called With Delayed Expression
It Applies When Full Criteria Are Not Met Until At Least 6 Months
Some Symptom Onset May Occur Sooner Than That
A Delay Of Months Makes The Cause Harder To Identify
The Behavior Is Then Judged Without Its Cause
Coworkers Decide What Kind Of Person They Are Watching
One American Government Count Shows The Consequence
The Government Accountability Office Reviewed Misconduct Separations
91,764 Servicemembers Were Separated From 2011 Through 2015
57,141 Of Them Had A Diagnosis In The Prior Two Years
That Is 62 Percent Of Those Separated For Misconduct
PTSD Was Among The Diagnoses That Office Counted
13,283 Of The 57,141 Received An Other Than Honorable Characterization
That Status Makes Them Potentially Ineligible For Health Benefits
A Person Read As Unwell Is Referred For Care
Someone Read As Difficult Is Disciplined Instead
