Treatments for common psychiatric conditions among adults during acute, rehabilitation, and reintegration phases.
Common and pernicious adult psychiatric disorders consequent to burn injury include post-traumatic stress disorder (PTSD), major depressive disorder (MDD), and new-onset substance abuse disorder. Diagnosing and treating these disorders is complicated by the complex psychosocial issues associated with burns including grief, pain, role impairment, disfigurement, dysfunction, stigma, as well as financial and legal issues. Additionally, pre-morbid psychiatric and neurological illnesses are risk factors for burns, adding to the challenge of diagnosis and treatment. This article will focus on the diagnosis and treatment of PTSD and MDD consequent to burn trauma, as these are the major psychiatric outcomes, addressing the attendant psychosocial problems as threads in this post-trauma tapestry.
Difede
Joann
J
Department of Psychiatry, Weill Medical College of Cornell University, New York 10065, USA. jdifede@med.cornell.edu
Cukor
Judith
J
Lee
Francis
F
Yurt
Roger
R
D000328:Adult; D002056:Burns / Q000150:complications / Q000523:psychology* / Q000534:rehabilitation; D003865:Major Depressive Disorder / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D004651:Employment / Q000523:psychology; D005190:Family / Q000523:psychology; D006760:Hospitalization; D006801:Humans; D001523:Mental Disorders / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D010353:Patient Education as Topic; D012307:Risk Factors; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology / Q000628:therapy; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000209:etiology / Q000628:therapy