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[QUOTE="007, post: 2921131, member: 393"] The personal opinions and presumed "common sense" throughout this thread are fairly typical. However, clinical expertise does not always align with common sense or how some think they would respond if faced with something similar. Clinically, initial reactions to severe trauma are complex but typically include exhaustion, confusion, sadness, anxiety, agitation, numbness, dissociation, confusion, physical arousal, and blunted affect. These symptoms are normal. Delayed responses to trauma can include persistent fatigue, sleep disorders, nightmares, fear of recurrence, anxiety focused on flashbacks, depression, and avoidance of emotions, sensations, or activities that are associated with the trauma, even remotely, and a host of other physical, psychological, and emotional symptoms. These could be pathological. Even so, people who show little impairment may still have subclinical symptoms or symptoms that do not fit diagnostic criteria for acute stress disorder or PTSD. The point is, it takes [B]time[/B] to accurate assess where anyone would fall on that spectrum. The 48-72 hour period immediately following severe trauma is, at best, a period of psychological triage and first aide. Whoever is advising JB to take time is making a highly informed and clinically valid decision. [/QUOTE]
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