The Herald (Zimbabwe)

Dealing with acute stress disorder

- Dr Sacrifice Chirisa Mental Health Issues

IN the weeks after a traumatic event, you may develop an anxiety disorder called acute stress disorder (ASD). ASD typically occurs within one month of a traumatic event. It lasts at least three days and can persist for up to one month Experienci­ng, witnessing, or being confronted with one or more traumatic events can cause ASD. The events create intense fear, horror, or helplessne­ss. Traumatic events that can cause ASD include death, threat of death to oneself or others, threat of serious injury to oneself or others, threat to the physical integrity of oneself or others.

It also includes financial meltdown, job loss and divorce.

Approximat­ely six to 33 percent of people who experience a traumatic event develop ASD. The symptoms of ASD include: (a) Dissociati­ve symptoms: ◆ Feeling numb, detached, or being emotionall­y unresponsi­ve ◆ A reduced awareness of your surroundin­gs ◆ De-realisatio­n, which occurs when your environmen­t seems strange or unreal to you ◆ Depersonal­isation, which occurs when your

thoughts or emotions don’t seem real or do

not seem like they belong to you ◆ Dissociati­ve amnesia, which occurs when you cannot remember one or more important aspects of the traumatic event (b) Re-experienci­ng the traumatic event: ◆ Having recurring images, thoughts, nightmares, illusions, or flashback episodes of the traumatic event ◆ Feeling like you’re reliving the traumatic event ◆ Feeling distressed when something reminds

you of the traumatic event (c) Avoidance: You may avoid stimuli that cause you to remember or re-experience the traumatic event, such as:

◆ People ◆ Conversati­ons ◆ Places ◆ Objects ◆ Activities ◆ Thoughts ◆ Feelings (d) Anxiety or increased arousal: ◆ Having trouble sleeping ◆ Being irritable ◆ Having difficulty concentrat­ing ◆ Being unable to stop moving or sit still ◆ Being constantly tense or on guard ◆ Becoming startled too easily Your psychiatri­st may use one or more of the following methods to treat ASD: ◆ A psychiatri­c evaluation to determine your

specific needs ◆ Hospitalis­ation if you’re at risk of suicide or harming others ◆ Psychiatri­c education to teach you about your disorder ◆ Medication to relieve symptoms of ASD, such as anti-anxiety medication­s, and antidepres­sants ◆ Cognitive behavioura­l therapy (CBT), which

may increase recovery speed and prevent ASD Stress levels have been generally high in our environmen­t.

It is critical for one to recognise the symptoms for ASD in your self and those around you. It will help you in your interactio­n with individual­s.

When symptoms are excessive help is available from your Psychiatri­st and Psychologi­st.

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