Personality and Mood Disorders Q 87



Five months after the incident the client complains of difficulty to concentrate, poor appetite, inability to sleep and guilt. She is likely suffering from:
  
     A. Adjustment disorder
     B. Somatoform Disorder
     C. Generalized Anxiety Disorder
     D. Post-traumatic disorder
    
    

Correct Answer: D. Post-traumatic disorder

Post-traumatic stress disorder is characterized by flashbacks, irritability, difficulty falling asleep, and concentrating following an extremely traumatic event. This lasts for more than one month. Posttraumatic stress disorder (PTSD) is a syndrome that results from exposure to real or threatened death, serious injury, or sexual assault. Following the traumatic event, PTSD is common and is one of the serious health concerns that is associated with comorbidity, functional impairment, and increased mortality with suicidal ideations and attempts.

Option A: Adjustment disorder is the maladaptive reaction to stressful events characterized by anxiety, depression, and work or social impairments. This occurs within three (3) months after the event. Adjustment disorders involve markedly distressing and impairing emotional and/or behavioral symptoms caused by an identifiable stressor.
Option B: Somatoform disorders are anxiety-related disorders characterized by the presence of physical symptoms without a demonstrable organic basis. The somatoform disorders are a group of psychiatric disorders in which patients present with a myriad of clinically significant but unexplained physical symptoms. They include somatization disorder, undifferentiated somatoform disorder, hypochondriasis, conversion disorder, pain disorder, body dysmorphic disorder, and somatoform disorder not otherwise specified.
Option C: Generalized anxiety disorder is characterized by chronic, excessive anxiety for at least 6 months. Generalized anxiety disorder is one of the most common mental disorders. Up to 20% of adults are affected by anxiety disorders each year. Generalized anxiety disorder produces fear, worry, and a constant feeling of being overwhelmed.