A 32-year-old veteran has 4 months of nightmares, intrusive memories, avoidance of crowds, hypervigilance, and guilt after a roadside explosion. He

Question

A 32-year-old veteran has 4 months of nightmares, intrusive memories, avoidance of crowds, hypervigilance, and guilt after a roadside explosion. He denies mania and psychosis and wants outpatient treatment. Which of the following is the most appropriate next step in management?

Accepted Answer

Trauma-focused psychotherapy and consideration of SSRI therapy

Answer

Benzodiazepine therapy as long-term first-line care

Answer

Antipsychotic medication for every patient

Answer

No treatment until symptoms persist for 2 years

Answer

Exposure to trauma reminders without therapist support

PTSD — USMLE Step 3 MCQ

A 32-year-old veteran has 4 months of nightmares, intrusive memories, avoidance of crowds, hypervigilance, and guilt after a roadside explosion. He denies mania and psychosis and wants outpatient treatment. Which of the following is the most appropriate next step in management?