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Clinical detection, diagnosis, and differential diagnosis of post-traumatic stress disorder.
Psychiatr Clin North Am. 1994 Jun; 17(2):351-83.PC

Abstract

This article has reviewed the detection, diagnosis, and differential diagnosis of PTSD. Recognition of particular effects of traumatic stress on patients' communications and adjustments in interviewing technique facilitate the expression and detection of PTSD when it is present. The phenomenologic boundaries between PTSD and a number of clinical syndromes and disorders are explored in detail. Delineation of PTSD from other disorders even when they co-occur with PTSD is almost always possible with effective rapport and knowledge from clinical research. An understanding of the role of traumatic stress in the origin of several disorders aside from PTSD assists in differential diagnosis, particularly when PTSD is present along with another trauma disorder. To avoid an undue, misleading proliferation of diagnoses (illusory comorbidity), the clinician should move beyond simply a cross-sectional enumeration of symptoms, to conduct a careful exploration of the patient's longitudinal history and thus understand fully which features are secondary to traumatic stress.

Authors+Show Affiliations

Blank AS
Readjustment Counseling Service, Department of Veterans Affairs, Washington, D.C.

MeSH

Adaptation, PsychologicalArousalCombat DisordersComorbidityDiagnosis, DifferentialHumansMental DisordersPersonality AssessmentPersonality InventoryPsychometricsPsychophysiologic DisordersSomatoform DisordersStress Disorders, Post-Traumatic

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

7937364

Citation

Blank, A S.. "Clinical Detection, Diagnosis, and Differential Diagnosis of Post-traumatic Stress Disorder." The Psychiatric Clinics of North America, vol. 17, no. 2, 1994, pp. 351-83.
Blank AS. Clinical detection, diagnosis, and differential diagnosis of post-traumatic stress disorder. Psychiatr Clin North Am. 1994;17(2):351-83.
Blank, A. S. (1994). Clinical detection, diagnosis, and differential diagnosis of post-traumatic stress disorder. The Psychiatric Clinics of North America, 17(2), 351-83.
Blank AS. Clinical Detection, Diagnosis, and Differential Diagnosis of Post-traumatic Stress Disorder. Psychiatr Clin North Am. 1994;17(2):351-83. PubMed PMID: 7937364.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Clinical detection, diagnosis, and differential diagnosis of post-traumatic stress disorder. A1 - Blank,A S,Jr PY - 1994/6/1/pubmed PY - 2001/3/28/medline PY - 1994/6/1/entrez SP - 351 EP - 83 JF - The Psychiatric clinics of North America JO - Psychiatr Clin North Am VL - 17 IS - 2 N2 - This article has reviewed the detection, diagnosis, and differential diagnosis of PTSD. Recognition of particular effects of traumatic stress on patients' communications and adjustments in interviewing technique facilitate the expression and detection of PTSD when it is present. The phenomenologic boundaries between PTSD and a number of clinical syndromes and disorders are explored in detail. Delineation of PTSD from other disorders even when they co-occur with PTSD is almost always possible with effective rapport and knowledge from clinical research. An understanding of the role of traumatic stress in the origin of several disorders aside from PTSD assists in differential diagnosis, particularly when PTSD is present along with another trauma disorder. To avoid an undue, misleading proliferation of diagnoses (illusory comorbidity), the clinician should move beyond simply a cross-sectional enumeration of symptoms, to conduct a careful exploration of the patient's longitudinal history and thus understand fully which features are secondary to traumatic stress. SN - 0193-953X UR - https://www.unboundmedicine.com/medline/citation/7937364/Clinical_detection_diagnosis_and_differential_diagnosis_of_post_traumatic_stress_disorder_ L2 - http://www.diseaseinfosearch.org/result/9703 DB - PRIME DP - Unbound Medicine ER -