Which symptom reported by an adult patient, who was sexually abused as a child, re-flects the diagnosis of posttraumatic stress disorder (PTSD)?
a. A history of substance abuse
b. Refusing to go to public places from which escape may be difficult
c. Seeking advice and guidance prior to making any significant decision
d. Ruminating easily concerning the abuse with friends and acquaintances
ANS: A
Substance abuse to help manage the unpleasant symptoms is characteristic of PTSD. Being uncomfortable in certain locations refers to agoraphobia. Seeking extensive support charac-terizes a dependent person. Ease in talking about the experience is uncharacteristic of PTSD.
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