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Post-traumatic stress disorder in primary care practice
1Southwest Washington Medical Center, Vancouver, WA, USA. jlmarnp@pacifier.com
Purpose:
To provide clinicians in primary care settings with guidelines on evaluation, diagnosis, and management of post-traumatic stress disorder (PTSD).
Data Sources:
Research-based articles in the medical and psychiatric literature, review articles, and diagnostic criteria.
Conclusions:
PTSD is a disorder where psychological and physiological reactions are closely related. Populations at risk include survivors of motor vehicle accidents, natural and man-made disasters, torture, and childhood sexual abuse, as well as combat veterans.
Implications For Practice:
Patients with a history of recent trauma should be targeted for early screening and intervention. Effective treatment of PTSD is a three-stage process consisting of stabilization of symptoms, processing of traumatic perceptions, and integration of trauma into the patient's world- and self-view.
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