PTSD and acute stress disorder

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Target exams

Red flags

• Active suicidal intent, plan or recent attempt after trauma — same-day senior review, means restriction, documented safety plan
• Ongoing interpersonal violence or unsafe discharge destination — prioritise physical safety and protection pathways before therapy homework
• Severe dissociation, inability to care for self, or acute psychosis after trauma — escalate care intensity; do not force full exposure in crisis
• High-risk substance intoxication/withdrawal with trauma presentation — medical stabilisation first
• Children or dependents at risk in the household of a traumatised carer — safeguarding duty
• Benzodiazepine as default long-term PTSD treatment — limited benefit, dependence risk, may impair extinction learning