Australian Guidelines for the Treatment of Acute Stress ...

Promoting recovery after trauma

Australian Guidelines

for the Treatment of

Acute Stress

Disorder &

Posttraumatic

Stress Disorder

Guidelines Summary

The Australian Guidelines for the Treatment of Acute Stress Disorder

and Posttraumatic Stress Disorder were approved by the National

Health and Medical Research Council, July 2013.

The development of the Guidelines has been generously supported by the

Department of Veterans¡¯ Affairs, the Department of Defence, and beyondblue.

Copies of the full set of the Guidelines, this guideline summary, and

booklets for adults, children and adolescents with ASD and PTSD, their

families and carers, are available online: acpmh.unimelb.edu.au

Australian Centre for Posttraumatic Mental Health (2013).

Australian Guidelines for the Treatment of Acute Stress Disorder

and Posttraumatic Stress Disorder: Guidelines Summary.

? Australian Centre for Posttraumatic Mental Health, 2013

ISBN Print: 978-0-9923138-7-6 Online: 978-0-9923138-8-3

This work is copyright. Apart from any use as permitted under the

Copyright Act 1968, no part may be reproduced by any process without

prior written permission from the Australian Centre for Posttraumatic

Mental Health (ACPMH). Requests and inquiries concerning reproduction

and rights should be addressed to ACPMH, acpmh-info@unimelb.edu.au.

Acknowledgments

This guidelines summary is a companion document to the Australian

Guidelines for the Treatment of Acute Stress Disorder and Posttraumatic

Stress Disorder. The Guidelines were developed by ACPMH in

collaboration with key trauma experts from around Australia and in

consultation with a panel representing the public, regulatory bodies,

trauma specialists and generalists from a range of health professions.

A list of members of the Guideline Development Group is available in

the full Guidelines document.

Australian Guidelines

for the Treatment of

Acute Stress

Disorder &

Posttraumatic

Stress Disorder

Guidelines Summary

The Guidelines are endorsed by

The Australian Psychological Society

The Royal Australian College of General Practitioners

The Royal Australian and New Zealand College of Psychiatrists

Contents

Introduction

About the ASD and PTSD Treatment Guidelines

How to use the Guidelines

Trauma and trauma reactions in adults

Posttraumatic stress disorder

Acute stress disorder

Trauma and trauma reactions in children

and adolescents

Posttraumatic stress disorder

Acute stress disorder

Key recommendations ¨C Adults

Screening

Assessment and diagnosis

Intervention planning

Early interventions following traumatic exposure

Treating PTSD

Treating comorbid conditions

Psychosocial rehabilitation

4

4

5

6

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7

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8

9

10

10

11

12

13

14

15

15

Key recommendations ¨C Children and adolescents 17

Assessment and diagnosis

Treating PTSD

17

19

Full list of recommendations

Recommendations - adults

Recommendations - children and adolescents

20

20

29

DSM-IV criteria for PTSD

34

DSM-5 criteria for PTSD

36

Adults, adolescents, and children older than six

Preschool children

36

38

DSM-IV criteria for ASD

41

DSM-5 criteria for ASD

42

Traumatic events checklist

44

5

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