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PTSD treatment in light of DSM-5 and the “golden hours” concept

Published online by Cambridge University Press:  13 July 2016

Lior Carmi ,
Leah Fostick ,
Shimon Burshtein ,
Shlomit Cwikel-Hamzany  and
Joseph Zohar
Lior Carmi
Affiliation:
National Post-Trauma Center, Research Foundation by the Sheba Medical Center, Israel Department of Psychology, Tel Aviv University, Tel Aviv, Israel
Leah Fostick
Affiliation:
Department of Communication Disorders, Ariel University, Ariel, Israel
Shimon Burshtein
Affiliation:
Department of Psychiatry, Chaim Medical Center, Tel Hashomer, Israel
Shlomit Cwikel-Hamzany
Affiliation:
Department of Psychiatry, Chaim Medical Center, Tel Hashomer, Israel
Joseph Zohar*
Affiliation:
National Post-Trauma Center, Research Foundation by the Sheba Medical Center, Israel Sackler Medical School, Tel Aviv University, Tel Aviv, Israel
*
*Address for correspondence: Joseph Zohar, A National Post-Traumatic Center, Research Foundation by the Sheba Medical Center, Israel; and Sackler Medical School, Tel Aviv University, Tel Aviv, Israel. (Email: Jzohar@post.tau.ac.il)
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Abstract

One of the main changes in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) was the separation of Stress Related Disorders from the Anxiety chapter. This separation paves the way to examine the unique characteristics of posttraumatic stress disorder (PTSD) (ie, identifiable onset, memory processes, etc) and related neural mechanisms. The time that elapses between the traumatic event and the manifestation of the disorder may also be addressed as the “golden hours,” or the window of opportunity in which critical processes take place and relevant interventions may be administrated.

Keywords

Benzodiazepinesgolden hoursHPA axisPTSDstress related disorderswindow of opportunity
Type
Opinions
Information
CNS Spectrums , Volume 21 , Special Issue 4: Nosology in DSM5 vs. ICD , August 2016 , pp. 279 - 282
Copyright
© Cambridge University Press 2016 

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