Psychiatry
Post-Traumatic Stress Disorder
NICE NG116 — trauma-focused CBT or EMDR first-line, SSRI/venlafaxine if not effective, screen for comorbidity.
Source: NICE NG116 (2018)
Step 1 of ~2
info
Diagnose
Exposure to actual or threatened death, serious injury, or sexual violence + symptoms ≥1 month from clusters:
• Re-experiencing (flashbacks, nightmares, intrusive memories).
• Avoidance (people, places, conversations).
• Hyperarousal (insomnia, irritability, hypervigilance, exaggerated startle).
• Negative cognitions / mood (numbing, detachment, persistent shame / guilt).
Distinguish from: acute stress disorder (<1 month), adjustment disorder, complex PTSD (Type II — repeated / prolonged trauma + identity / interpersonal disturbance).
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Ethambutol · Antitubercular — First-Line TB (RIPE Regimen, 'E')
- Pyrazinamide · Antitubercular — First-Line TB (RIPE Regimen, 'P')
- Ethinylestradiol with levonorgestrel · Combined oral contraceptive (2nd-generation progestogen — first-line)
- Paracetamol (Paediatric) · Analgesic / Antipyretic — First-Line Pain and Fever in Children
- Midazolam (Paediatric) · Benzodiazepine — Status Epilepticus (First-Line) / Procedural Sedation
- Hydrocortisone (ICU — Stress Dosing) · Corticosteroid (ICU/Septic Shock)
Pathways
- Acute Behavioural Disturbance / Rapid Tranquillisation · RCEM 2022; RCPsych 2022; NICE NG10
- Self-Harm Presentation · NICE NG225 (2022)
- Capacity Assessment (Mental Capacity Act) · MCA 2005; Code of Practice
- Acute Psychosis Management · NICE CG178 2014
- Depression Management · NICE CG90 2022
- Lithium Therapy Monitoring · NICE CG185 / BNF
Decision support only. Always apply local guidelines and clinical judgement.