00:01
So not everything is
post-traumatic stress disorder.
00:04
There are other disorders
that are related to PTSD.
00:10
For example,
acute stress disorder.
00:13
When a person has
acute stress disorder,
we usually see the responses
within a month of the experience.
00:22
If we are still seeing the responses
after the month,
then we start thinking this
may have moved into PTSD.
00:32
But if a person is in a situation
where there's a car accident,
or they are asked to
leave their building,
because maybe
there's a bomb scare,
and they start having that
hypervigilance, or that anxiety,
or that orienting, or that startle,
we say,
"Well, let's do some debriefing."
And let's understand that,
at that time,
when that was called in
this is the response that was done,
and you start working through that,
so that they can understand that
that event has ended,
and that they are safe.
01:20
Sometimes with children,
we see that there is an
inability to connect with others.
01:26
And that often comes when they have
not been treated well as babies,
and they have a
Reactive attachment disorder.
01:35
It's related to PTSD,
because we're going to see
some of those similar symptoms,
that orienting,
that defensive response.
01:44
But it really is speaking more to
their inability
to connect with others.
01:53
There's also
Disinhibited social engagement.
01:57
Now,
we see this in childhood,
where a child will
engage in interactions
with strangers and other adults
that they don't even know.
02:08
Again, this is going to be
an attachment kind of disorder,
where they're disinhibition,
They don't have an idea that
safety is the people that you know,
instead, they are engaging
in interactions with strangers.
02:26
Most commonly,
what we see with the children
are adjustment disorders.
02:31
Now, adjustment disorders are
maladaptive emotional responses.
02:36
And they usually happen
about three months
after a stressful event.
02:41
For example, parents separating
or getting divorced.
02:45
And it only lasts usually
about six months or so.
02:49
And so we are looking at
this child having a disorder
that is trying to adjust
to a new norm.
02:59
There's one thing
that is related to PTSD
and it's something
that we can be seeing,
I have had the opportunity
to see this a number of time
and to personally witness it.
03:13
It's called
Psychogenic nonepileptic seizures.
03:17
This is when a stress level
in an individual
reaches a point
and the person presents
as though
they are having a seizure.
03:29
They may not fall down.
03:31
But every other thing that
you're seeing with this patient
looks as though
this is seizure activity.