Strategies for Acute Stress Reactions and Acute Stress Disorder (ASD)

  • Matthew J. Friedman


This chapter deals entirely with acute posttraumatic responses. It begins by describing acute stress reactions, normal reactions to traumatic events both in civilian and military contexts. Issues such as resilience and prevention are addressed with respect to such acute responses, with specific attention to Psychological First Aid for civilians and Forward Psychiatry for military personnel in a war zone. Acute Stress Disorder (ASD) is presented with respect to how it differs from both normal reactions and from PTSD. The DSM-5 diagnostic criteria for ASD are presented in detail. Treatment for ASD is presented with specific attention to CBT approaches.


Acute stress reactions Combat operational stress Resilience Prevention Psychological first aid Forward psychiatry DSM-5 Acute stress disorder CBT Critical incident stress debriefing (CISD) 


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Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  • Matthew J. Friedman
    • 1
    • 2
  1. 1.U.S. Department of Veterans AffairsNational Center for PTSDWhite River JunctionUSA
  2. 2.Departments of Psychiatry and Pharmacology & ToxicologyGeisel School of Medicine at DartmouthHanoverUSA

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