True about post traumatic stress disorder is:
First, the core concept here is PTSD's diagnostic criteria. PTSD is an anxiety disorder following exposure to a traumatic event. Key features include intrusive memories, avoidance, negative alterations in cognition and mood, and hyperarousal. The DSM-5 criteria require symptoms across all clusters for diagnosis.
The correct answer would be an option that accurately reflects these criteria. For example, if one of the options states that PTSD involves re-experiencing the trauma through flashbacks, that's correct. Another correct point might be the presence of hyperarousal symptoms like hypervigilance.
Incorrect options might include things like requiring a specific time frame for symptoms (like immediate onset without duration), or confusing PTSD with other disorders like acute stress disorder, which has a shorter duration. Another wrong option could be attributing symptoms to a non-traumatic event or suggesting that avoidance is the only symptom required.
Clinical pearls would emphasize the necessity of all symptom clusters and the importance of distinguishing PTSD from similar disorders. Also, mentioning the role of trauma exposure as a prerequisite for diagnosis is key.
Since the options aren't provided, I'll structure the explanation around common misconceptions and correct features of PTSD. The correct answer would align with the DSM-5 criteria, so the explanation should highlight that.
**Core Concept**
Post-traumatic stress disorder (PTSD) is a psychiatric condition triggered by exposure to actual or threatened death, serious injury, or sexual violence. Diagnostic criteria (DSM-5) require exposure to trauma, followed by intrusive memories, avoidance, negative alterations in cognition/mood, and hyperarousal symptoms for β₯1 month.
**Why the Correct Answer is Right**
The correct answer aligns with DSM-5 criteria: PTSD requires direct or indirect exposure to trauma (e.g., witnessing an event). Symptoms include re-experiencing (flashbacks), avoidance of trauma-related stimuli, negative self-perception, and hypervigilance. Neurobiologically, hyperactivity in the amygdala and hypoactivity in the prefrontal cortex underlie fear conditioning and impaired extinction.
**Why Each Wrong Option is Incorrect**
**Option A:** "PTSD is diagnosed if symptoms resolve within 1 month" is incorrect. Acute stress disorder (ASD) has a timeframe of 1-3 months; PTSD requires symptoms β₯1 month.
**Option B:** "Trauma must involve physical injury" is incorrect. Trauma can be psychological (e.g., threat of death, sexual assault).
**Option D:** "Avoidance alone confirms PTSD" is incorrect. All four symptom clusters (intrusion, avoidance, negative cognition/mood, hyperarousal) must be present for diagnosis.
**Clinical Pearl / High-Yield Fact**
Remember the **4 clusters of PTSD symptoms**: **R**e-experiencing, **A**voidance, **N**egative thoughts/mood, and **H**yperarousal (**RANH**). Differentiate PTSD from ASD by duration of symptoms.
**Correct Answer: C. Characterized by intrusive memories, avoidance, negative cognition, and