Post-Traumatic Stress Disorder in a Serviceman After Returning From Russian Captivity (Clinical Case Study)

Abstract

In order to detect disorders in the emotional and volitional sphere in a serviceman, thechest test (ST), a non-burdensome method for detecting anxiety and depression NADS, thePCL-5 scale were used. The questions on this scale reflect the corresponding clusters ofPTSD symptoms according to the DSM-5 classification. Clinical-psychopathological andstatistical methods were also used.Using a screening test, it was established that the serviceman experienced severepsychological trauma related to the war, the memories of which are still «unrelenting».Using the NADS test, the patient was diagnosed with clinically expressed anxiety (14points) and subclinical depression (10 points). Interpreting the results of the study interms of clinically significant symptoms, in accordance with the PCL-5 scale, it wasconcluded that according to the total number of points and the sum of points calculatedby clusters of symptoms, the serviceman has post-traumatic stress disorder. The patientwas prescribed: psychopharmacotherapy (sedative antidepressant amitriptyline (50 mg),anxiolytic miaser (30 mg), anti-anxiety neuroleptic eglonil (50 mg)) and trauma- focusedcognitive- behavioral psychotherapy, which increased the patient’s resourcefulness. Asa result of the treatment, the patient’s condition improved within two weeks.