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The British Journal of Psychiatry 159: 431-433 (1991)
© 1991 The Royal College of Psychiatrists

Post-traumatic stress disorder and severe head injury

TM McMillan
Department of Clinical Psychology, Wolfson Medical Rehabilitation Centre, Atkinson Morley's Hospital, London.

Post-traumatic stress disorder (PTSD) is described following a road traffic accident in which the patient suffered a severe head injury. The stress reaction was associated with intrusive thoughts and avoidance of cognitive and physical events associated with consequences of the accident. The condition was successfully treated by behavioural intervention. It seems clear that PTSD can occur even where there is loss of consciousness and organic amnesia for the event and its immediate sequelae.


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Copyright © 1991 The Royal College of Psychiatrists.