![]() Such events affect individuals across the life span and precipitate numerous diagnoses within the Diagnostic and Statistical Manual of Mental Disorders ( DSM), most notably post-traumatic stress disorder (PTSD Breslau & Kessler, 2001). Over the past 15 years, between increases in school and community violence in the United States and unrelenting wars overseas, overt exposure to traumatic events has become an epidemic. Nearly 80% of clients seen in community mental health clinics have experienced at least one incident of trauma during their lifetime, representing roughly five out of every six clients (Breslau & Kessler, 2001). Keywords: trauma, post-traumatic stress disorder, PTSD, DSM-5, diagnostic, clinical utility This article highlights the changing conceptualization of trauma and how the DSM-5 definition impacts effective practices for assessing, conceptualizing and treating traumatized clients. With the recently released fifth edition of the DSM ( DSM-5), the definition of trauma and the diagnostic criteria for post-traumatic stress disorder have changed considerably. However, this mutable conceptualization of trauma and its aftermath have considerable implications for counseling practice. ![]() Researchers and trauma theorists agree that, with the exception of dissociative identity disorder, no other diagnostic condition in the history of the Diagnostic and Statistical Manual of Mental Disorders ( DSM ) has created more controversy with respect to the boundaries of the condition, diagnostic criteria, central assumptions and clinical utility than post-traumatic stress disorder. 27, 2019.Trauma survivors are a unique population of clients that represent nearly 80% of clients at mental health clinics and require specialized knowledge on behalf of counselors.
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