Acute Stress Disorder Treatment
Early intervention for trauma — preventing PTSD before it develops
What Is Acute Stress Disorder?
Acute Stress Disorder (ASD) is a trauma-related condition that occurs within one month of exposure to a traumatic event. Symptoms mirror those of PTSD — intrusions, avoidance, negative mood, altered cognition, arousal — but occur in the immediate aftermath of trauma. Early treatment of ASD can prevent the development of chronic PTSD.
Signs & Symptoms
- Intrusive re-experiencing (flashbacks, nightmares)
- Dissociative symptoms (detachment, derealization)
- Avoidance of trauma reminders
- Hyperarousal and exaggerated startle response
- Negative mood and emotional numbing
- Sleep disturbances
- Concentration difficulties
- Duration of 3 days to 1 month after trauma
Treatment Approaches
Trauma-focused cognitive-behavioral therapy (TF-CBT) initiated within weeks of the traumatic event is highly effective at both resolving ASD and preventing PTSD. Brief pharmacological intervention may address severe anxiety, sleep disruption, or hyperarousal. Dr. Agresti's concierge model allows rapid access during the critical post-trauma window.
Why Concierge Psychiatry?
With Dr. Agresti's concierge model, you get his direct cell number, same-day prescription refills, and 24-hour appointment availability — with no membership fee. Experience the difference that direct-access care makes.
Learn About Concierge CareFrequently Asked Questions
The key difference is timing. Acute stress disorder occurs within 3 days to 1 month after a traumatic event, while PTSD is diagnosed when symptoms persist beyond one month. Early treatment of acute stress disorder can prevent the progression to chronic PTSD, which is why rapid access to a psychiatrist in the post-trauma window is critical.
Ideally within the first few weeks. Research shows that trauma-focused therapy initiated early significantly reduces the risk of developing PTSD. Dr. Agresti's concierge model offers same-day or next-day appointments, which is especially important during the critical post-trauma window when early intervention is most effective.
Some individuals do recover without formal treatment, but approximately 50% of people with acute stress disorder go on to develop PTSD if untreated. Given the high conversion rate and the effectiveness of early intervention, a professional evaluation is strongly recommended. Brief, targeted therapy can significantly improve long-term outcomes.
Trauma-focused cognitive-behavioral therapy is the primary treatment for acute stress disorder. Short-term medication may be added for severe insomnia, hyperarousal, or debilitating anxiety that interferes with daily functioning or therapy engagement. Dr. Agresti is both a psychiatrist and psychotherapist, so he can provide therapy and medication management in a single integrated treatment plan.
Yes, telehealth is effective for trauma-focused therapy and medication management for acute stress disorder. For patients who find it difficult to leave home after a traumatic event, telehealth removes a significant barrier to early treatment. Dr. Agresti provides telehealth appointments throughout Florida for patients who prefer remote care.