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Acute Stress Disorder Vs. PTSD: Understanding The Difference

Acute Stress Disorder Vs. PTSD: Understanding The Difference

Blog Outline

Life is stressful, and sometimes, these things can be too much to handle. Trauma, like a car accident, natural disaster, or losing someone you love, can leave you with emotional scars. Two mental health problems that can happen after experiencing trauma are Acute Stress Disorder (ASD) and Post-Traumatic Stress Disorder (PTSD). Although they are similar in some ways, they differ in important ways, which is why the most searched topic of PTSD vs acute disorder has been discussed in this blog.

Let’s explain the difference between acute stress disorder and PTSD and learn about what PTSD and acute stress disorder symptoms include.

What is meant by Acute Stress Disorder?

Acute Stress Disorder is a mental health problem that happens shortly after a traumatic event. It can last anywhere from 3 days to up to 1 month. The symptoms usually start within hours or days after the traumatic event. ASD is like an intense shock to your body that can affect your thoughts, emotions, and behavior in the short term.

Some common causes of ASD include:

  • Natural disasters, such as hurricanes and earthquakes
  • Accidents (car crashes, workplace injuries)
  • Assault (being assaulted, being a witness to a crime of violence)
  • Sudden loss (grief or bereavement or loss of a dear one or an intimate)

When someone experiences ASD, they might feel like they are re-living the traumatic event, even though it’s over. It’s as if their brain is stuck in panic mode, trying to process what happened. The symptoms can be quite distressing and may disrupt daily life.

Read More: Understanding Episodic Acute Stress: Causes, Symptoms, And Management

Symptoms of ASD

The signs of ASD are frequently severe and cause discomfort. Some common symptoms include:

  • Intrusive memories: Always thinking about the bad thing that happened or having flashbacks and nightmares about it.
  • Avoidance: Keeping as far away as possible from any individuals and situations that will make you think of the evil event.
  • Hypervigilance: Getting easily frightened, moved by sudden noises, or always feeling something bad will happen.
  • Emotional numbness: Feeling like you’re not part of the real world like you’re watching it from the outside.
  • Sleep problems: Difficulties finding sleep and maintaining it, as well as sleeping through the night with numerous chilling nightmares.

Since ASD happens soon after trauma, it’s often considered a temporary response. If the symptoms last longer than a month, they may develop into something more long-term, such as PTSD.

What is Post-Traumatic Stress Disorder (PTSD)?

Post-Traumatic Stress Disorder (PTSD) is a more long-lasting mental health condition that can develop after experiencing or witnessing a traumatic event. While ASD occurs soon after the trauma, PTSD symptoms may not show up until weeks or even months later. PTSD is more than just a short-term response; it’s a condition that can persist for months or even years if left untreated.

Like ASD, PTSD can happen after a range of traumatic events, such as:

  • Combat or war experiences
  • Physical or sexual assault
  • Accidents or disasters
  • Serious illness or injury

People with PTSD often feel as though they are stuck reliving the trauma. Their brain keeps replaying the event, and the stress response doesn’t go away. This can lead to ongoing emotional and psychological distress, making it hard to move forward in life.

Read More: Trauma Brain Vs Normal Brain: How Trauma Affects The Way We Live

Signs Of PTSD

PTSD usually has worsened symptoms and duration compared to ASD. Common PTSD symptoms include:

  • Re-experiencing the trauma: Like in ASD, people with PTSD can always remember traumatic events in their past and relive the event through flashbacks, nightmares, or recurring distressing memories.
  • Avoidance: Trauma survivors may avoid things, persons, or environments associated with the traumatic event. For instance, a person in a car accident might not use any car or be a passenger.
  • Negative thoughts and moods: People with PTSD may feel hopeless, have trouble remembering the event, or feel guilty and ashamed about what happened.
  • Hyperarousal: Being restless or having poor concentration, tense, and ready to jump at anything. It is as if you are constantly living in that fight-or-flight mode.
  • Disconnection from reality: It is, for example, common that PTSD may be characterized by dissociation that makes the individual feel like they are observing rather than living their life.

Difference Between ASD and PTSD

While acute stress disorder vs post-traumatic stress disorder is all based on the differences, the key distinction lies in timing and duration:

  • The onset of symptoms: ASD symptoms manifest early within days after the traumatic event, while PTSD changes may take weeks or months to manifest.
  • Duration: ASD is a relatively short-lived syndrome, taking between 3 days, 1 week, 2 weeks, or up to 1 month. PTSD lasts longer; the patient may take many months or even years to be free from the disorder.
  • Progression: For instance, if a person with ASD continues to experience symptoms for up to one month or even after that, he is most likely to be diagnosed with PTSD. But these are not all people with ASD that will progress to PTSD.
  • Treatment needs: Whereas both disorders require treatment, PTSD often needs more extensive therapy and counseling because the signs are more ingrained and persistent.

PTSD: Why Some People Develop It, and Others Do Not:

By no means will all individuals who suffer through some type of trauma be destined to develop ASD or PTSD. It is, thus, notable that some people can face very challenging times in their lives with no instance of either condition. The reasons why some people are more vulnerable than others include:

  • Personal history: People who have experienced trauma before, such as childhood abuse, are more likely to develop PTSD.
  • Mental health: Any comorbidity, including depression, adjustment disorders, dissociative disorders, psychosis, mood disorders, eating disorders, or anxiety disorders, may ramp up the chances of getting PTSD.
  • Support systems: Being able to have people to turn to in times of trouble: the company of close ones makes a traumatized person less likely to experience PTSD symptoms.
  • The severity of the trauma: Predisposing factors to falling ill with PTSD include a history of worsened or repeated exposure to traumatic events, including chronic abuse or combat.

The Treatment of ASD and PTSD

Luckily, ASD and PTSD support have been effective for quite a long time. It has also been shown that if ASD is addressed immediately, it cannot escalate into PTSD, and the survivors of either of the two states will be more improved. Some common treatments include:

  • Cognitive Behavioral Therapy (CBT): This is one of the powerful approaches to the treatment of both ASD and PTSD. CBT involves assisting people to change negative ways of thinking or reacting towards events that trigger trauma symptoms and learning adaptive ways of dealing with those symptoms.
  • Exposure Therapy: This type of therapy involves gradually exposing the person to reminders of the trauma in a safe environment to help them overcome their fear and anxiety.
  • Eye Movement Desensitization and Reprocessing (EMDR): EMDR is a unique therapy that is used to desensitize clients from traumatic events in order to enable them to process them.
  • Psychiatric Medication Management: Selective serotonin reuptake inhibitors, benzodiazepines, and barbiturates may be used to treat ASD and PTSD due to the patient’s anxiety and sleep disturbances.

Self-Care Tips for Coping with Trauma

In addition to professional treatment, here are some ways to cope with trauma and manage stress on your own:

  • Talk to someone: It could be a friend, relative, or therapist necessary to offload because it feels good to have someone to share with.
  • Practice mindfulness and relaxation: Meditation, yoga, and breathing exercises can help calm your mind and reduce stress.
  • Exercise regularly: It is well understood that exercise affects stress hormones and, in turn, enhances an individual’s mood.
  • Maintain a routine: Creating a daily routine can bring structure and stability, which can be especially helpful when recovering from trauma.
  • Avoid drugs and alcohol: It can be made look like this as a way of dealing with the illness, but alcohol and drugs worsen the symptoms and hamper recovery.

Read More: The Hidden Mental Scars of Childhood Trauma in Adults

Conclusion!

Both Acute Stress Disorder (ASD) and Post-Traumatic Stress Disorder (PTSD) are serious mental health problems that can happen after a traumatic event. While ASD is a short-term reaction, PTSD is a more long-lasting condition that needs ongoing care. Understanding these differences can help people get the right treatment at the right time.

If you or someone you know is struggling with symptoms of ASD or PTSD, it’s important to get professional help. Early intervention can make a significant difference in recovery and help you regain control of your life after trauma. The best pick for you to get rid of acute stress disorder and PTSD signs is the telehealth services of Orange Coast Psychiatry. So, what is the wait for? Get in touch today!

Table Of Comparison

Symptoms Acute Stress Disorder (ASD) Post-Traumatic Stress Disorder (PTSD)
Duration of Symptoms 3 days to 1 month after the traumatic event More than 1 month after the traumatic event
Intrusive Thoughts/Flashbacks Recurrent, distressing memories or flashbacks Frequent, vivid flashbacks, nightmares, and intrusive memories
Avoidance Avoiding reminders of the trauma (places, people) Persistent avoidance of trauma-related stimuli
Hypervigilance Heightened alertness, easily startled Chronic hypervigilance, exaggerated startle response
Emotional Numbness Feeling detached, dissociation from surroundings Emotional numbing, detachment, or feeling distant
Sleep Disturbances Difficulty falling or staying asleep, nightmares Insomnia or recurring nightmares related to trauma
Negative Mood Temporary feelings of confusion, anxiety, or guilt Persistent negative thoughts, feelings of guilt, shame, or fear
Dissociation Depersonalization or derealization (feeling detached from self or surroundings) Occasional dissociation, but less prominent than in ASD
Concentration Issues Difficulty focusing or concentrating Ongoing difficulty with concentration and memory
Physical Symptoms Headaches, stomach aches, sweating, dizziness Physical tension, headaches, gastrointestinal distress
Re-experiencing the Trauma Brief and intense reliving of the trauma Frequent re-experiencing through flashbacks, intrusive thoughts
Emotional Reactivity Intense emotional reactions (crying, anger) Ongoing irritability, outbursts of anger, mood swings

 

Frequently Asked Questions

Treatment for ASD and PTSD often involves psychotherapy, such as cognitive-behavioral therapy (CBT) and psychiatric medication management.

While it’s not always possible to prevent ASD or PTSD, seeking support and treatment after a traumatic event can help reduce the risk of developing these conditions.

ASD and PTSD can significantly impact relationships. Open communication and understanding are essential for maintaining healthy relationships.

Reference and Footnotes

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May Faustino

Board-Certified Psychiatric-Mental Health Nurse Practitioner

May Faustino, PMHNP-BC, is a compassionate and highly skilled psychiatric provider with over four years of nursing experience, including three years specializing in psychiatric care. She holds a Master of Science in Nursing from West Coast University, where she received extensive training in managing the psychiatric needs of pediatric, adult, and geriatric populations, as well as providing therapy and counseling services.
May has worked in diverse mental health settings, including forensic psychiatry at the Department of State Hospitals and behavioral health services at Aliso Ridge Behavioral Health. Her clinical expertise spans psychiatric assessments, medication management, and trauma-informed care, with a strong focus on treating anxiety, depression, and trauma-related disorders.
Bilingual in English and Tagalog, May is dedicated to serving diverse patient populations with a culturally sensitive approach. She is trained in evidence-based therapeutic modalities such as cognitive behavioral therapy (CBT) and motivational interviewing and is well-versed in trauma-informed care and suicide prevention strategies.
May is passionate about promoting resilience and recovery through preventive mental health care and individualized, holistic treatment plans. Her commitment to excellence is reflected in her memberships in the American Psychiatric Nurses Association and Sigma Theta Tau International Honor Society of Nursing.
In her personal time, May enjoys fostering mindfulness and well-being through activities she loves, such as spending time with her husband and their two beloved cats, Pippy and Eva.

Dr. Montgomery

M.D. – Psychiatrist

Dr. Torri Montgomery, M.D., is a board-certified psychiatrist with the American Board of Psychiatry and Neurology, with a subspecialty board certification in forensic psychiatry. Dr. Montgomery is an integral part of our Management Team as a Psychiatrist and Supervising Psychiatrist for our Psychiatric-Mental Health Nurse Practitioners here at Orange Coast psychiatry.
Dr. Montgomery earned her Bachelor of Science (Magna Cum Laude) from Arizona State University and her Doctor of Medicine (M.D.) from The University of Arizona, College of Medicine. She completed her psychiatry residency at Los Angeles County Harbor-UCLA Medical Center. During her psychiatry residency, Dr. Montgomery completed a year-long certification in Electro-Convulsive Therapy (ECT), earned a certificate from the Drug Enforcement Agency (DEA) to prescribe medication for the treatment of substance use disorders, and worked in a Medication Assisted Treatment (MAT) clinic for substance use disorders. Additionally, she was appointed Chief Resident and received an Excellence in Teaching award.
After psychiatry residency, she completed her Forensic Psychiatry Fellowship at the University of Southern California, Keck School of Medicine. After completing her fellowship, Dr. Montgomery has worked in public psychiatry for the Los Angeles County Department of Health Services. She teaches, consults, and treats individuals with depressive disorders, anxiety disorders, trauma-related disorders, and serious mental illness (SMI), such as schizophrenia spectrum and bipolar disorders. Her experience includes outpatient, inpatient, emergency, consult liaison, addiction, dual-diagnosis, and forensic psychiatry. She is an expert evaluator on the Superior Court of California Panel of Expert Psychiatrists and Psychologists. Dr. Montgomery is an attending physician for the Harbor-UCLA Department of Psychiatry and serves as a psychiatrist with Orange Coast psychiatry.

Dr. Ravi

M.D. – Psychiatrist

Dr. Dave Ravi, M.D., is a Board Certified Psychiatrist with additional qualifications in geriatric psychiatry. Dr. Ravi is an integral part of our Management Team as a Psychiatrist and Supervising Psychiatrist for our Psychiatric-Mental Health Nurse Practitioners here at Orange Coast psychiatry.
Dr. Ravi graduated from Virginia Commonwealth University (B.S., Magna Cum Laude), VCU School of Medicine (M.D.), Dartmouth Hitchcock Medical Center (Residency in Psychiatry), and John. A. Burns School of Medicine (Fellowship in Geriatric Psychiatry). He currently is a clinical assistant professor of psychiatry at John A. Burns School of Medicine in Honolulu, HI and serves as a psychiatrist with Orange Coast psychiatry.
Dr. Ravi is a dedicated community psychiatrist with extensive experience in public, correctional, inpatient and outpatient settings, and an experienced tele-psychiatrist. He consults on topics in general psychiatry, including quality improvement, treatment planning, and crisis management, and in correctional psychiatry, including recovery-oriented treatment for individuals with serious mental illness and dual diagnosis. His current and future interests focus on understanding the various approaches in managing the suffering and disturbance of complex psychiatric disorders, particularly in the use, misuse, overuse, and misrepresentation of psychotropic medications.

Dr. Irwin

M.D. , Ph.D – Psychiatrist

Dr. Scott Irwin, M.D., Ph.D., is Board Certified Psychiatrist. Dr. Irwin is an integral part of our Management Team as a Psychiatrist and Supervising Psychiatrist for our Psychiatric-Mental Health Nurse Practitioners here at Orange Coast psychiatry.
His career mostly focuses on improving outcomes for those with cancer or other progressive, potentially life-limiting illnesses, and their families, through leading-edge clinical services, ongoing research, as well as program development, improvement, and implementation.
He is widely published, has been recognized at many levels for his research, teaching, consulting, and clinical endeavors, and has received research funding from the NCI, NIMH, the National Palliative Care Research Center, the Archstone Foundation, and industry.
Dr. Irwin earned his Bachelor of Science from the University of California, Los Angeles, and both his MD and PhD (neuroscience) at the University of Illinois, Urbana-Champaign. He successfully completed his psychiatry residency at UC San Diego as chief resident of Outpatient Psychiatric Services, as well as a two-year elective in hospice and palliative care at San Diego Hospice and The Institute for Palliative Medicine. He is a diplomate of the American Board of Psychiatry and Neurology, with subspecialty certification in psychosomatic medicine.

Richard Samedra.

Psychiatric-Mental Health Nurse Practitioner-BC

Richard Samedra, PMHNP-BC, is a Board Certified Psychiatric-Mental Health Nurse Practitioner. He brings over 12 years of experience in the mental health field, working with clients facing a wide range of acute and chronic mental health conditions. His journey began as a Licensed Vocational Nurse and Charge Nurse at Westminster Therapeutic Residential Treatment, where he supported clients dealing with anxiety, depression, schizophrenia, bipolar disorder, and substance use disorders. Richard’s dedication was centered on helping these individuals improve their mental health and transition to a lower level of care, whether that meant returning to their families, a board and care facility, or a sober-living environment.
Motivated by a growing passion for mental health care, Richard pursued his Registered Nurse (RN) education at Saddleback Community College and later transitioned to La Palma Intercommunity Hospital Behavioral Health. In this role, he specialized in geriatric psychiatry, working with older adults experiencing conditions such as Parkinson’s disease, dementia, depression, and anxiety. This experience solidified his commitment to mental health, leading him to work at Bellflower Community Hospital, where he provided care for patients experiencing severe psychiatric crises, including suicidal ideation, manic and depressive episodes, substance use disorders, and exacerbated schizophrenia symptoms.
Inspired by the impactful work of PMHNPs at Bellflower, Richard enrolled in the Psychiatric-Mental Health Nurse Practitioner program at Azusa Pacific University. To broaden his expertise, he worked full-time at College Hospital Costa Mesa while completing his studies. There, he gained comprehensive experience across various units, including adolescent, acute men’s and women’s, stabilization, and detox/med-surg. Now, as a PMHNP, Richard is committed to leveraging his diverse background and knowledge to provide compassionate, comprehensive care to those in need.
Richard currently practices as a Nurse Psychiatric-Mental Health Nurse Practitioner at Orange Coast Psychiatry, where he is supervised by Dr. Montgomery.

Shaheena Gazipura

Psychiatric-Mental Health Nurse Practitioner-BC

Shaheena Gazipura is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with over 9 years of dedicated experience in both inpatient and outpatient mental health care. She earned her Master of Science in Nursing from Western University of Health Sciences in Pomona, California.
Shaheena began her career working on an adult psychiatric inpatient unit before transitioning to the geriatric psychiatric inpatient unit at USC Verdugo Hills Hospital. In addition to her clinical work, Shaheena also serves as a Nursing Clinical Instructor, guiding the next generation of nurses through their mental health rotations at a large community college.
Shaheena is a passionate advocate for mental health, believing that it is a fundamental pillar of overall well-being. She is committed to reducing the stigma surrounding mental illness and strives to provide comprehensive, compassionate care that honors each individual’s unique experiences and challenges. Her goal is to create a supportive, nonjudgmental environment where patients feel empowered to work alongside her in achieving their mental health goals.
Outside of her professional life, Shaheena enjoys exploring new culinary experiences, staying active through exercise, and planning her next travel adventures.
Shaheena currently practices as a Nurse Psychiatric-Mental Health Nurse Practitioner at Orange Coast Psychiatry, where she is supervised by Dr. Barrios.

Clint Nacar

Psychiatric-Mental Health Nurse Practitioner -BC

Clint Nacar, PMHNP-BC is a Board Certified Psychiatric-Mental Health Nurse Practitioner. Mr. Nacar graduated from Charles R. Drew University of Medicine and Science. Currently Mr. Nacar works in an inpatient psychiatry unit at a leading academic medical center in Los Angeles, Renewed Mental Health Group, and Orange Coast Psychiatry
Mr. Nacar brings over 7+ years of experience with the mental health population. He works to help patients take control of their mental health through patient education, psychotherapy and medication management. Mr. Nacar’s areas of focus include: Depression, Anxiety, Adjustment Disorder, Bipolar disorder, Attention Deficit Hyperactivity Disorder (ADHD), and Post-Traumatic Stress Disorder (PTSD). Mr. Nacar treats children ages 6+, adolescents, and adults, offering both in-person services and telehealth at Renewed Mental Health Group.
With the collaboration of each patient, Mr. Nacar strives to develop individualized plans of care addressing each patient’s unique situation and concerns. He also encourages each patient to take charge of their mental health through a holistic approach while also employing the latest evidence based practices in treatment.

Clint is one of our most experienced Psychiatric-Mental Health Nurse Practitioners at Orange Coast Psychiatry and is 103NP Licensed in the State of California.

Cristian Cuevas

Psychiatric-Mental Health Nurse Practitioner-BC (Fluent in Spanish)

Cristian Cuevas, PMHNP-BC, is a highly skilled board-certified psychiatric mental health nurse practitioner with over seven years of experience in inpatient psychiatry and mental health.
A California State University Long Beach graduate, Cristian also earned recognition as a board-certified psychiatric mental health registered nurse. With a wealth of expertise in adult psychiatric care across the lifespan, Cristian has successfully diagnosed and treated a diverse range of mental health disorders.
Additionally, his specialized experience in child and adolescent inpatient populations further enhances his ability to provide comprehensive and compassionate mental health care.
Cristian Cuevas is the Lead Nurse Psychiatric-Mental Health Nurse Practitioner at Orange Coast Psychiatry and is supervised by Dr Barrios.

Griselda Hernandez

Psychiatric-Mental Health Nurse Practitioner-BC (Fluent in Spanish)

As a licensed Psychiatric-Mental Health Nurse Practitioner (PMHNP) with a robust background in psychiatric and substance abuse nursing, Griselda provides compassionate, evidence-based care to individuals facing mental health and addiction challenges. The core of her practice focuses on promoting holistic wellness, fostering resilience, and empowering patients in their recovery journey. Specializing in the assessment, diagnosis, and treatment of adolescents with various mental health disorders, Griselda strives to create a therapeutic environment where patients feel valued, respected, and supported.

“My approach is grounded in years of diverse experience, including work in psychiatric units and medical detox units for both adults and adolescents. This extensive background has equipped me with the skills and knowledge to manage complex psychiatric and substance abuse conditions effectively. I am committed to staying updated with the latest advancements in psychiatric care, integrating cutting-edge therapies and best practices into my treatment plans. Collaboration is key to my practice; I work closely with multidisciplinary teams, families, and community resources to provide coordinated and comprehensive care tailored to each individual’s unique needs.”

Griselda holds a Master of Science in Nursing with a specialization in Psychiatric-Mental Health from West Coast University, and a Bachelor of Science in Nursing from The University of Alabama, Tuscaloosa. Additionally, she is fluent in the English and Spanish language, enhancing her ability to connect with a diverse patient population.

Griselda currently practices as a Nurse Psychiatric-Mental Health Nurse Practitioner at Orange Coast Psychiatry, where she is supervised by Dr. Barrios.

Dr Barrios

Board-Certified Child and Adolescent Psychiatrist

Dr. Carlos Barrios is a Board-Certified Child and Adolescent Psychiatrist with over two decades of experience in mental health care. His expertise in telepsychiatry has allowed him to serve patients across California and beyond. In his practice, Dr Barrios integrates metabolic and functional methodologies, focusing on guiding patients toward medication independence and emphasizing the connection between physical and mental health.
Outside of his professional life, Dr Barrios is passionate about kettlebell training, which helps him maintain my physical and mental wellness. He cherishes visiting his family in Guatemala, to reconnecting with his cultural roots and rejuvenating his spirit. Dr Barrios is also deeply involved in transcendental meditation and rucking, practices that not only provide him with tranquility but also keep him grounded and connected to nature. These hobbies reflect his commitment to a holistic approach to health, both personally and professionally.