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Recognition and Treatment of Posttraumatic Stress Disorder
Jonathan R. T. Davidson, MD
JAMA. 2001;286:584-588.
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The reports on posttraumatic stress disorder (PTSD) in this issue of THE JOURNAL1-3 draw attention to 3 important facts: PTSD is a worldwide problem, reaching alarming proportions in countries torn by violent conflict; it is associated with persistent disability and comorbidity for many people; and treatments can produce a meaningful reduction in distress. These studies, which tell clinicians not to forget about PTSD, provide the opportunity to focus on what is known about PTSD as a medical problem, and its presentation, recognition, and management. Perhaps the 3 main lessons to be learned are that PTSD often presents in medical disguise, it is largely unrecognized, and it can be treated successfully.
A Widespread Health Problem
Posttraumatic stress disorder was first introduced as a diagnosis in 1980,4 but it has been slow to gain general acceptance. It has undergone some diagnostic modifications5-6 but remains in its essential features a disorder in . . . [Full Text of this Article]
Author Affiliation: Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC.
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