A patient was involved in a horrific bus hijacking 3 months ago in which she was shot and numerous people around her were shot to death. She comes to your office complaining of dreams that wake her up in a cold sweat and cause her extreme distress to the point that she can't go back to sleep. You are the first person that she's discussed this with as she tries to avoid conversations of the event at all cost. She no longer rides the bus and states that she's distanced herself from those close to her. You accidentally dropped your pen during the interview and noticed that she became extremely startled. These symptoms have been going on for 2 months and continue to interfere with her performance at work. What's your DDx?
a) Chronic PTSD
b) Acute PTSD
c) Late-onset acute PTSD
d) Late-onset chronic PTSD
Answer: B
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