Trauma and

Stressor-Related
Disorders
 includes:
Post-traumatic Stress Disorder Acute Stress Disorder
01 PTSD
02 ASD

Reactive Attachment Disorder

03 Adjustment Disorder 04 RAD

Disinhibited Social
05 Engagement Disorder
DSED
 01

PTSD
 DSM 5
Death
Serious Injury
Sexual Violence

PTSD
 EXPOSURE INTRUSIVE SYMPTOMS
Direct, witness, learning,
Reexperience the event through
repeated experience
memories and nightmares

AVOIDANCE SYMPTOMS
Avoidance of or efforts to avoid
external reminders

NEGATIVE COGNITIONS
AND MOOD SYMPTOMS
Exagerated negative beliefs

RECKLESS AND SELF-

DESRTUCTIVE BEHABIOR
Overaroused, easily startled,

PTSD quick to anger

01

asd
aSD
 50%

ASD PTSD
52%

aSD
 04

Adjustment
disorder
 Anxious and depressive reactions to
life stress that are generally milder

Paticularly in adolescence

If symptoms persist more that 6

months, it is considered chronic

aD
04

rad
 EMOTIONALLY SOCIAL AND
WITHDRAWN EMOTIONAL RESPONSE
1. Minimally seeks comfort 1. Socially and emotionally
unresponsive
2. Rarely responds to
comofort
2. Limited positive affect
3. Unexplainable irritation,
sadness, fearfulness
INSUFFICIENT
CARE 9 MONTHS- 5 YEARS
1. Social neglect
2. Changes on caregives Before 5 years old
3. Rearing in usual settings After 9 months

rad
 05

dsed
 Children with DSED are unusually
open to interactions with strangers.

They can be over-eager to form

attachments with others,
walking up to and even hugging
strangers.

DSED