This article will discuss the symptoms, diagnosis, and treatment of ASD.
Symptoms
According to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), the handbook used by mental health professionals to diagnose mental disorders, the symptoms of acute stress disorder fall into categories of intrusion, negative mood, dissociation, avoidance, and arousal.
Intrusion Symptoms
Recurrent involuntary and distressing memories of the eventRecurrent nightmares related to the eventFlashbacksIntense distress or bodily reactions to reminders of the event
Negative Mood
Ongoing negative mood and inability to experience positive emotions
Dissociative Symptoms
Altered sense of surroundings, such as feeling dazed or slowing of timeAmnesia or inability to recall important details of the event
Avoidance Symptoms
Avoidance of upsetting memories and thoughts associated with the eventAvoidance of people, places, or situations that bring memories of the event
Arousal Symptoms
Difficulty sleepingIrritability and aggressionHypervigilance or feeling on high alertDifficulty concentratingHeightened startle response
Risk Factors
Although it is normal to experience a psychological response immediately after a traumatic event, in many people the symptoms go away within a few days.
Certain risk factors can increase the chance of developing acute stress disorder. When those symptoms continue to last beyond a month, they can lead to post-traumatic stress disorder (PTSD).
Risk factors for ASD and PTSD can be thought of in terms of the trauma itself, pre-trauma factors, and post-trauma factors.
Traumatic events that are very severe, cause bodily injury, or involve a mass trauma are more likely to cause acute stress disorder. People who have a history of previous trauma, or a pre-existing diagnosis of a mood or anxiety disorder, are more likely to develop ASD.
After a trauma, a lack of social support or an environment of blame can also contribute to increased risk of developing ASD.
Diagnosis
The diagnosis of acute stress disorder, like that of other psychiatric disorders, is based on criteria listed in the DSM-5.
For more mental health resources, see our National Helpline Database.
According to the diagnostic criteria, ASD is diagnosed when a person experiences nine or more of the previously listed symptoms that occur and resolve within one month of experiencing or witnessing trauma, and last for longer than two days.
The experience of trauma could be from directly experiencing injury or assault, witnessing trauma occurring to someone else, or hearing of a traumatic event occurring to a family member or close friend.
Trauma could also be experienced by repeated exposure to details of traumatic events in a job, such as first responders or police officers.
Treatment
The primary treatment method for acute stress disorder includes a variety of trauma-focused psychotherapies, including cognitive behavioral therapy (CBT).
People with ASD can also benefit from social support from loved ones and community resources.
The benefit of medications for ASD is unclear at this time, although they can be helpful when symptoms continue beyond one month, as in PTSD. Certain medications may help to treat the symptoms of anxiety associated with ASD.
Coping
Experiencing acute stress disorder can affect a person’s day-to-day life, making it difficult to perform activities and work without constantly being reminded of and distressed by the trauma. It is completely normal to have an initial psychological response to trauma, and for many people, symptoms get better with time.
People who are distressed after a traumatic event can benefit from the support of loved ones and by joining support groups. In general, making time for sleep, eating a healthy diet, exercising, and doing enjoyable activities can be helpful.
Avoiding caffeine and using relaxation techniques such as breathing exercises can be helpful for those experiencing difficulty sleeping.
A Word From Verywell
If you or a loved one is experiencing psychological distress after a trauma, know that you are not alone. These feelings are a very common response to trauma.
Experiencing symptoms of acute stress disorder may feel like you are losing control, but this often gets better with time. Leaning on loved ones for emotional support and seeking professional help through therapy can help you feel better.
