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People & Culture – Organisational Wellbeing Trauma & Stressor-related Disorders Mental Health Tip Sheet People who experience trauma- and stressor-related disorders have been exposed to a potentially traumatic or stressful event. Most people have some emotional reactions to trauma and will recover over time. However, a small number may experience serious problems, which affect their ability to function in social situations, at work or in other important roles. Posttraumatic Stress Disorder (PTSD) Posttraumatic stress disorder is a psychological response that may develop in some people after experiencing a potentially traumatic event such as combat, assault, sexual assault, natural disaster or an accident. It is a complex disorder that people can experience differently. Note that Posttraumatic Stress Disorder is diagnosed if symptoms last for more than one month. Acute Stress Disorder (ASD) When people experience a potentially traumatic or stressful event, and present with a high number of symptoms of PTSD between two days and one month after the event, they may be diagnosed with Acute Stress Disorder (ASD). Therefore, the main distinction between PTSD and ASD is the timing and duration of the symptoms. In addition, people with ASD may experience an altered sense of reality or feel they are ‘in a daze’. Adjustment Disorder Adjustment disorder is a short-term condition that occurs when a person is unable to cope with, or adjust to, a particular source of stress, such as a major life change, loss, or event. It is often triggered by an outside stress and generally subsides once the person has adapted to the situation. For example, when a person has experienced a natural disaster and intense or persistent distress, this may indicate an adjustment disorder. People with adjustment disorders tend to be at a higher risk of suicide. Signs and symptoms of PTSD include: Intrusive symptoms, e.g. distressing memories or dreams related to the trauma; flashbacks, distress or physiological reactions to reminders of the event Persistent avoidance of reminders of the traumatic event - either internal reminders such as thoughts; or external reminders such as people, places and activities Negative thinking and mood, e.g. negative beliefs about oneself and others, reduced interest in activities and inability to experience positive emotions Altered reactivity or ‘hyperarousal’, e.g. irritable behaviour or angry outbursts, exaggerated startle response or problems with concentration or sleep. Heightened emotional or distressed behaviour within 3 months of the stressful event Marked distress that appears out of proportion with the event Increased difficulty in functioning in social settings and at work How can I recognise a member who may be experiencing trauma- or stressor- related disorders? Excessive worry about completing tasks or workload Being unusually restless, irritable or uneasy Having panic attacks Frequent late arrivals Excess use of sick or personal time Patterns in the days of absence or ineffectual job performance, e .g. on Mondays or Fridays Decreased productivity and difficulty concentrating on work tasks Disorganisation, untidy workspace or spasmodic work patterns Increased accidents, injuries or safety problems Problems in work relationships Increased use of supports – Member Assistance Program (MAP), Peer or Chaplaincy services Decreased interest or involvement in work Decline in dependability When you recognise changes in your fellow members’ behaviours, you can consider whether they might be experiencing a mental health issue and how you could support them. www.cfa.vic.gov.au/mentalhealth Trauma & Stressor-related Disorders – Mental Health Tip Sheet Printed: 5/05/2017 - 17:34 1 of 1