Acute Stress Disorder vs PTSD
- Feb 4, 2021
- 8 min read
Updated: Oct 16
Dealing with the aftermath of a traumatic event can feel overwhelming and isolating. You may find yourself struggling with a range of difficult emotions and physical symptoms, making it hard to get back to a sense of normalcy. Understanding conditions like acute stress disorder (ASD) and PTSD is the first step toward finding effective coping strategies and treatment.
What is the main difference between Acute Stress Disorder (ASD) and PTSD?
The primary difference between ASD and PTSD is the time frame in which symptoms occur. ASD symptoms appear immediately following a traumatic event and last for up to one month, whereas PTSD symptoms can last for more than a month and may surface months or even years later.
Traumatic stress is a complex topic, and there is a lot more to understand about these conditions, including their unique symptoms, triggers, and the importance of early treatment. Continue reading to gain more insight into how these disorders are diagnosed and managed.
Symptoms and Treatment
Managing stress at any level can be a difficult prospect. Daily responsibilities, workplace obligations, financial planning, and other stressors can all be exhausting. However, those who have experienced trauma in their lives can find a new level of stress that is even more difficult to deal with.
Traumatic events can linger in an individual’s mind and introduce more difficulties to one’s daily routine, bringing new challenges and hardships. This kind of traumatic stress is important to address early after an event.
Acute stress disorder is a short-term stress disorder that occurs following a traumatic event. ASD occurs during a period of one month following such an event and involves addressing the primary, initial reactions to a traumatic experience. Acute stress disorder, or acute PTSD, can have a great degree of overlap with post-traumatic stress disorder in its symptoms.
However, the two different stress disorders involve analyzing different time-frames of a person’s responses. Not all who experience a traumatic event will exhibit signs of ASD, but those who do suffer from it may begin exhibiting symptoms immediately following the event. Also, not all who do experience ASD will necessarily develop PTSD.
What Is Acute Stress Disorder (ASD)?
Acute stress disorder is a short-term stress disorder that occurs following a traumatic event. ASD occurs during a period of one month following such an event and involves addressing the primary, initial reactions to a traumatic experience. Acute stress disorder, or acute PTSD, can have a great degree of overlap with post-traumatic stress disorder in its symptoms.
However, the two different stress disorders involve analyzing different time-frames of a person’s responses. Not all who experience a traumatic event will exhibit signs of ASD, but those who do suffer from it may begin exhibiting symptoms immediately following the event. Also, not all who do experience ASD will necessarily develop PTSD.
Symptoms of Acute Stress Disorder
Acute stress disorder can express itself in a number of different ways. Those who may be experiencing the effects of ASD may exhibit all, or only some of the following symptoms, and may experience them in a unique way from others who went through the same traumatic event. Some of the symptoms of acute stress disorder are:
Anxiety
Hypervigilance
Constant feelings of fear or impending danger
Invasive thoughts or lack of focus
Avoidance
Isolation
Insomnia or difficulty staying asleep
Dissociation or feeling emotionally distanced from people or one’s environment
Dissociation is a very common symptom of ASD, and involves feeling emotionally distant or detached from others in one’s life in an attempt to guard one’s self from further feelings of loss. Dissociation can also result from isolation or a feeling of not being understood following traumatic events.
How Common Is ASD?
Not everyone will experience acute stress disorder following traumatic situations, and there are many other factors involved. However, it is still relatively common, with the US Department of Veteran’s Affairs suggesting that six to 33% of individuals may experience ASD following a traumatic event. How common ASD is following a particular traumatic event is dependent on the severity of the trauma, including the amount of loss involved.
When it comes to the individual, personal factors can also have an influence on the development of ASD symptoms. Those who have experienced other traumas in the past, or with prior mental health conditions such as depression or anxiety, may influence one’s development of acute stress disorder.
What Can Trigger ASD?
ASD can be triggered as a result of several different traumatic experiences. Serious accidents (especially when bodily harm is involved), the loss of a loved one, threats to one’s physical safety, abuse (physical, emotional, or sexual), or even serious health complications from illness can all cause symptoms of ASD.
ASD can also happen vicariously at the workplace if an individual is being asked to work in a place where a traumatic event occurred, even if they were not directly involved. Those in high-stress and dangerous professions are at higher risk of exposure to these kinds of traumas and may develop symptoms of ASD.
First responders on the scenes of natural disasters or dangerous, physical altercations that may be common for law enforcement officers, can all bring intense levels of stress, and it is especially important to remain vigilant of symptoms for individuals in these kinds of professions.
What Is Post-Traumatic Stress Disorder?
Post-traumatic stress disorder is similar to acute stress disorder in many ways. However, in the case of post-traumatic stress disorder, symptoms of traumatic experiences may go on for longer than a month, and can even begin to surface for months — or even years — after the traumatic event occurred.
These later symptoms of distress can also be more intense under PTSD and may continue to cause significant hardship for a prolonged period of time. PTSD can also develop following ASD, though it is possible to develop post-traumatic stress disorder at a later time, even without having experienced acute stress disorder.
Symptoms of Post-Traumatic Stress Disorder
Symptoms of acute stress disorder and post-traumatic stress disorder can have a great deal of overlap. However, there is a difference between PTSD and ASD, primarily in the severity of one’s symptoms. Some of the symptoms of PTSD can include:
Difficulty concentrating
Flashbacks
Emotional outbursts or anger
Hypervigilance or constant feeling of danger
Depression
Nausea
Unexplained aches or pains
Trembling or sweating
Self-harm or suicidal ideology
Paranoia
What Can Trigger PTSD?
PTSD can occur as a result of many different traumatic experiences. Natural disasters, violence, the loss of family members, life-threatening situations or illness, sexual assault, physical assault, or even threats on one’s life or physical wellbeing.
Warzones or scenes of natural disasters can produce harrowing images that can all lead to the development of PTSD. Even images or experiencing the aftermath of a traumatic event can produce PTSD, as the images of loss or destruction can prove just as devastating to a person.
Acute Stress Disorder vs PTSD
There are a number of differences between PTSD vs acute stress disorder, despite their various overlaps. Primarily, the first difference is time. Post-traumatic stress disorder can only be diagnosed at least a month following the traumatic event, and symptoms of acute stress disorder can manifest immediately.
While the symptoms can appear to be similar, acute stress disorder involves an individual’s immediate reactions to trauma, even before having too much time to process the events in one’s head. PTSD, however, can manifest and continue to affect an individual long after the traumatic situation has passed.
When considering acute stress disorder vs PTSD, another key difference is how each affects the brain and an individual’s worldview. With acute stress disorder, dissociation may be most prevalent as a person detaches from the world around them.
However, depending on the severity of PTSD, those suffering from post-traumatic stress disorder may instead view the world as a wholly negative, threatening, and violent place. This can fundamentally change the way an individual with post-traumatic stress disorder views the world, affecting their moods, emotional status, relationships, and overall lifestyle.
Importance of Treatment for ASD and PTSD
Receiving prompt and proper treatment for acute stress disorder and post-traumatic stress disorder is paramount for discovering ways to properly and safely process these traumatic events.
Those exhibiting symptoms of either PTSD or ASD can have their life impeded by their experiences, and may find that they are making unhealthy changes to their lifestyle. The inability to properly process trauma can lead to further anxiety, and avoidance can cause financial issues as a person misses work, as well as isolation and deterioration of relationships.
An inability to process these traumas, as well as the symptoms brought upon by ASD or PTSD, can lead an individual to find their own coping mechanisms, leading to the potential for dangerous use of addictive substances such as drugs or alcohol, or addictive behaviors such as gambling.
These coping mechanisms can cause their own array of complications for an individual’s lifestyle. The development of addiction is a difficult thing to overcome and can impede one’s ability to effectively address the heart of their traumatic experience.
Treatment to address ASD or PTSD is crucial for learning to process one’s traumatic experiences. While difficult, early identification and treatment can halt the development of other detrimental symptoms and allow an individual to begin learning how to return to a state of normalcy following such disastrous events, improving one’s quality of life and psychological resilience.
Frequently Asked Questions:
• What is Acute Stress Disorder (ASD)?
Acute stress disorder is a short-term stress disorder that occurs within one month after a traumatic event. It involves the initial reactions a person has to the experience.
• Can you get PTSD without having ASD?
Yes, it is possible to develop post-traumatic stress disorder at a later time, even without having experienced acute stress disorder first.
• What are some common symptoms of ASD?
Common symptoms of acute stress disorder include anxiety, hypervigilance, invasive thoughts, avoidance, insomnia, and dissociation, which is a feeling of being emotionally detached.
• How common is acute stress disorder?
The US Department of Veteran's Affairs suggests that 6 to 33% of individuals may experience ASD after a traumatic event, depending on the severity of the trauma and individual factors.
• Why is treatment for ASD and PTSD so important?
Treatment is crucial for learning to properly and safely process traumatic experiences. Early identification and treatment can prevent the development of other harmful symptoms and help an individual return to a state of normalcy.
Traumatic experiences can feel isolating, but you don't have to face them alone. At Chateau Health and Wellness Treatment Center, we understand the complexities of acute stress disorder and PTSD, and we are committed to helping you navigate the path to healing. Our team is dedicated to providing compassionate care and personalized treatment plans to support you every step of the way. If you or a loved one is struggling with the aftermath of trauma, please reach out to us. We are here to help you begin your journey toward recovery and a healthier, more fulfilling life. You can contact us at (435) 222-5225 to learn more about our services and how we can support you.
About The Author
Ben Pearson, LCSW - Clinical Director
With 19 years of experience, Ben Pearson specializes in adolescent and family therapy, de-escalation, and high-risk interventions. As a former Clinical Director of an intensive outpatient program, he played a key role in clinical interventions and group therapy. With 15+ years in wilderness treatment and over a decade as a clinician, Ben has helped countless individuals and families navigate mental health and recovery challenges.
Danny Warner, CEO of Chateau Health and Wellness
Brings a wealth of experience in business operations, strategic alliances, and turnaround management, with prior leadership roles at Mediconnect Global, Klever Marketing, and WO Investing, Inc. A graduate of Brigham Young University in Economics and History, Danny has a proven track record of delivering results across diverse industries. His most transformative role, however, was as a trail walker and counselor for troubled teens at the Anasazi Foundation, where he directly impacted young lives, a personal commitment to transformation that now drives his leadership at Chateau.
Austin Pederson, Executive Director of Chateau Health and Wellness
Brings over eight years of experience revolutionizing mental health and substance abuse treatment through compassionate care and innovative business strategies. Inspired by his own recovery journey, Austin has developed impactful programs tailored to individuals facing trauma and stress while fostering comprehensive support systems that prioritize holistic wellness. His empathetic leadership extends to educating and assisting families, ensuring lasting recovery for clients and their loved ones.
