This week, we move into an exploration of the next “family” of disorders; Anxiety, OCD and Trauma. In past versions of the DSM, OCD and PTSD were grouped under the umbrella of Anxiety Disorders. This is no longer the case in the DSM-5. The DSM-5 now has three different categories for these disorders; Anxiety Disorders, Obsessive-Compulsive and Related Disorders, and Trauma and Stress-Related Disorders. This separation of the categories is for clinical reasons regarding the disorders themselves, as well as for reasons regarding prevalence, incidence, etc.
So, anxiety is no longer clinically conceptualized as being the same as OCD or Trauma. Meaning that the trauma-related disorders are no longer seen as being the same as anxiety. That is, trauma is not clinically the same as anxiety. This has significant implications to treatment, as well as to a clinical awareness that people with PTSD are not “worried” the way that people with anxiety are; the experience of trauma is quite different than the experience of anxiety. The changes to the DSM 5 reflect this awareness.
Using the readings and powerpoint, answer the following:
1. If the DSM 5 separated OCD-related disorders and trauma-related disorders from anxiety disorders, presumably there was a reason. What was the reason? How are OCD and related disorders, and trauma-related disorders different from anxiety disorders? (Hint: try to complete this sentence: anxiety is about the , while trauma is about the . You can find the answer in the PPT.) What does Stein et al 2014 have to say about the distinction between the disorders?
2. Using the Zoladz article and the power point, explain the 5 diagnostic criteria for PTSD. Name each criterion and explain it. What does Zoladz report in regard to risk factors for PTSD?
3. What do we know about any linkage between PTSD and violence? Is there one? What data does available research provide? Use the Barrett et al reading regarding PTSD, SUD and violence, as well as the VA.gov weblinks. Is the research contradictory? What does the research tell us about those with PTSD who also have a comorbid SUD dual-diagnosis?
This is anaother link to explore
https://www.ptsd.va.gov/professional/treat/cooccurring/assessing_risk_violence.asp
