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CLINICIAN'S CORNER
A 46-Year-Old Man With Anxiety and Nightmares After a Motor Vehicle Collision
Murray B. Stein, MD,FRCPC, Discussant
JAMA. 2002;288:1513-1521.
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INTRODUCTION
DR SHIP: Mr M is a 46-year-old man who has experienced physical and emotional symptoms following a recent motor vehicle collision. He lives with his wife near Boston and works as an artist. He has managed care insurance.
Mr M's history includes 3 unrelated motor vehicle collisions. The first occurred overseas in December 1999. At that time, he was a backseat passenger in a taxicab struck by another vehicle. He had a thoracic compression fracture and required a prolonged course of rehabilitation. He recovered from this event except for some back and neck spasms. In June 2001, Mr M was a belted driver when his car was rear-ended. His neck and back pain and spasms returned, and he returned to physical therapy. In late January 2002, he was a belted front-seat passenger in a car struck head-on by another vehicle. The air bag . . . [Full Text of this Article]
MR M: HIS VIEW
DR Z: HIS VIEW
AT THE CROSSROADS: QUESTIONS FOR DR STEIN
Definition and Symptoms of PTSD Epidemiology Relationship Between Trauma and PTSD: Typical Course Risk Factors for PTSD Diagnosis of PTSD in Primary Care Differential Diagnosis of PTSD in Primary Care Barriers to Diagnosis of PTSD in Primary Care The Role of Primary Care Physicians in Treating PTSD Treatment Options Ancillary Treatment Issues Prognosis
QUESTIONS AND DISCUSSION
Author Affiliations: Dr Stein is Professor of Psychiatry In-Residence and Director, Anxiety Disorders Program, Department of Psychiatry, University of California, San Diego; and Chief, Anxiety & Traumatic Stress Disorders Clinic, San Diego Veterans Affairs Medical Center.
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Physical and Mental Comorbidity, Disability, and Suicidal Behavior Associated With Posttraumatic Stress Disorder in a Large Community Sample
Sareen et al.
Psychosom. Med. 2007;69:242-248.
ABSTRACT
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A 46-Year-Old Man With Anxiety and Nightmares After a Motor Vehicle Collision, 2 Years Later
Ship
JAMA 2004;292:2262-2262.
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