Approach to trauma and stressor-related disorders Quiz: Ace Your Exams
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A 24-year-old man comes to the psychiatry clinic for evaluation of difficulty leaving the house for three weeks. The patient was recently in a car accident. Although he did not sustain any physical injuries, he reports poor sleep due to recurring nightmares and fears of experiencing another accident. He is unable to recall many details of the accident. These symptoms have affected his concentration at work, and he was recently reported to human resources for being irritable with a coworker. His temperature is 37.0°C (98.6°F), pulse is 95/min, respirations are 15/min, and blood pressure is 140/90 mmHg. Cardiopulmonary examination is unremarkable. The mental status exam reveals an anxious, diaphoretic male who appears his stated age and frequently scans the room. Which of the following factors in this patient’s history is most likely to confirm the diagnosis?
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