Unspecified Trauma- And Stressor-Related Disorder Overview

The symptoms of unspecified trauma- and stressor-related disorder can arise in various ways. Individuals experiencing this condition may show symptoms that are psychological and physical in nature. According to the Diagnostic and Statistical Manual of Mental Disorders, these symptoms can significantly impact an individual’s emotional well-being and ability to function. Standard psychological symptoms might include the following:

• Dysphoria (a general unease or dissatisfaction with oneself or life) 
• Irritability, anxiety, and mood swings
• Dissociative symptoms, which occur when mental functioning becomes detached from an individual’s self-awareness
• Persistent, distressing memories 
• Disturbing dreams or nightmares
• Avoidance of situations, topics, objects, or locations that remind an individual of a traumatic event
• An overwhelming sense of emotional detachment

In addition to psychological symptoms, physical symptoms may be observed in individuals living with these conditions. These physical symptoms may include:

• Fatigue or chronic exhaustion
• Digestive symptoms, such as nausea, diarrhea, or an upset stomach
• Headaches, backaches, and muscle or joint pain
• Rapid heart rate and increased blood pressure
• Insomnia or difficulty sleeping

The severity and frequency of these symptoms can vary in people experiencing unspecified trauma- and stressor-related disorder, as no two cases look exactly alike. In addition, symptoms may fluctuate in intensity and presentation over time, making it difficult to pinpoint a specific diagnosis.

A qualified mental health professional may assess an individual's symptoms and provide appropriate support and treatment. They might consider the person's overall medical history and mental health before determining the most effective course of action.

Unspecified trauma- and stressor-related disorder diagnosis

The Diagnostic and Statistical Manual of Mental Disorders lists several conditions in the category “trauma- and stressor-related disorders”. These include post-traumatic stress disorder, acute stress disorder, adjustment disorders, disinhibited social engagement disorder, reactive attachment disorder, and other trauma- and stressor-related condition. To be diagnosed with unspecified trauma- and stressor-related disorder, an individual’s symptoms must not meet the criteria for one of these conditions, despite having similar characteristics. 

For example, an individual may present with signs of disinhibited social engagement disorder, which is marked by over-familiarity during social interactions. To be diagnosed with this condition, five criteria in the Diagnostic and Statistical Manual of Mental Disorders must be fulfilled. If the individual meets criteria B, C, D, and E but only has one symptom of criterion A—instead of the necessary two—they may be diagnosed with unspecified trauma- and stressor-related disorder in place of disinhibited social engagement disorder.

The exact causes of trauma- and stressor-related disorder are unknown. However, certain risk factors may increase the risk of developing symptoms of reactive attachment, acute stress, disinhibited social engagement, and other trauma- and stressor-related disorders. These risk factors may include the following:

• Exposure to traumatic events: Individuals who have experienced or witnessed traumatic events, such as natural disasters, accidents, combat situations, or serious injuries, may develop this disorder.
• Childhood trauma: Adverse experiences during childhood, such as insufficient care from a parent or caregiver, abuse, or other forms of maltreatment, may increase the risk of developing the disorder later in life. 
• Significant life changes: In some cases, various life changes may contribute to symptoms of trauma-related disorders, such as losing a loved one, divorce, moving to a new home, or starting at a new school. 
• Genetics: There may be a genetic predisposition to developing trauma- and stressor-related disorders, making some individuals more susceptible than others.

In addition to these causes, certain triggers may lead to symptoms or episodes of these conditions. Triggers may include reminders of the traumatic event, such as smells, sounds, or even particular situations that evoke memories of past traumas. These triggers may worsen stress levels and lead to temporary or frequent symptoms. 

An increased awareness of the potential causes, risk factors, or triggers associated with unspecified trauma- and stressor-related disorder may be beneficial in identifying symptoms early. Recognizing these factors early could also be beneficial in supporting individuals in finding the most effective treatment and support. 

Often, the goal of treatment for unspecified trauma- and stressor-related disorders is to help individuals manage their symptoms and improve their ability to function in daily life. Common treatments may involve therapy, medication, and self-care strategies.

Medication

Depending on the specific symptoms and severity of the disorder, medication may be prescribed by one’s healthcare professional. 

For example, the use of antidepressants may help individuals manage symptoms of depression and/or anxiety. 

In some cases, anti-anxiety medications or beta-blockers may be prescribed to manage anxiety symptoms of a trauma and stress-related disorder in the short-term as well. 

Other treatment options

Additional treatment options, such as alternative therapies or support groups, may support individuals experiencing unspecified trauma- and stressor-related disorder. Alternative therapies may include the following: 

• Mindfulness-based interventions: These practices, such as meditation or yoga, may encourage relaxation and focus to reduce stress and anxiety.
• Acupuncture: Acupuncture is an ancient Chinese therapy using fine needles to stimulate specific points on the body. It may be beneficial for reducing anxiety and other symptoms related to trauma.
• Biofeedback: Biofeedback teaches individuals to control physiological functions such as heart rate, muscle tension, and skin temperature. By understanding the body's involuntary responses, individuals may learn to manage stress reactions more effectively.

Support groups can also provide emotional support in a space where individuals can share experiences with others who have experienced trauma. These groups often promote empathy and validation of emotions.

Self-care

In addition to professional treatment, individuals can learn self-care strategies to manage their symptoms. Helpful self-care strategies may include:

• Maintaining a healthy lifestyle: Nutrition, exercise, and adequate sleep may support improved mental health.
• Establishing a routine: Structure and a sense of predictability may also positively impact mental well-being.
• Developing positive coping mechanisms: Learning and practicing skills like breathing exercises, relaxation techniques, and journaling may help individuals manage trauma-related symptoms and emotions.

Treatment may vary for each person, depending on their preferences. A mental health professional can help you determine the most appropriate course of treatment.

Numerous resources are available to support and guide individuals living with a trauma- and stressor-related disorder. For those seeking professional assistance, online platforms like BetterHelp can connect individuals to licensed therapists via phone, video, or live chat sessions from home. 

Mental health organizations may offer resources to assist individuals with trauma- and stressor-related disorders. For example, the Substance Abuse and Mental Health Services Administration (SAMHSA) provides information on recognizing and treating child traumatic stress, which covers the signs of traumatic stress, its impact on children, treatment options, and how families and caregivers can help.

Another potential resource is the National Alliance on Mental Illness (NAMI), which may offer helpful information on these disorders, such as details on symptoms, causes, treatment options, and related conditions. As a result, individuals may learn more about their condition and potential ways to cope and connect with others facing similar challenges. These resources, along with professional therapy, may improve the quality of life for those living with unspecified trauma- and stressor-related disorder. 

For those experiencing abuse, contact the Domestic Violence Hotline at 1-800-799-SAFE (7233). Support is available 24/7. 

Please see our Get Help Now page for more immediate resources.

Researchers have studied the potential causes and treatments of trauma- and stressor-related disorders. One study investigated subthreshold PTSD as defined in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders, which includes other and unspecified trauma- and stressor-related disorders. Researchers examined a group of 193 veterans who reported experiencing a traumatic event yet did not meet the full criteria for PTSD. 

Unspecified trauma- and stressor-related disorder studies

The team had hypothesized that the more specific the criteria required, the fewer veterans would qualify for a diagnosis. As a result of the findings, researchers emphasize careful consideration when defining subthreshold PTSD in both research and clinical settings.

Another study presented a comprehensive review of stress disorders, including acute stress reactions, adjustment disorders, and unspecified stress reactions. The research found that traumatic events are common and that those with these types of disorders often experience other mental health challenges, such as depression, anxiety, and substance misuse. 

In addition, stress disorders may lead to severe physical health problems, including cancer, heart disease, and digestive disorders. The study encourages further research to fully understand the effect of all stress disorders.

Below are several statistics on this disorder: 

• Complex PTSD, a severe mental disorder usually caused by traumatic life events, affects approximately 1% to 8% of the overall population and nearly 50% of individuals in mental health facilities.
• Almost 20% of adult survivors who have undergone intensive care may experience symptoms of PTSD after being discharged from the ICU. This statistic implies that one in every five adults could be affected, with the expected prevalence being particularly high 12 months post-discharge.
• Over 70% of adults from a comprehensive survey including 24 countries had faced at least one traumatic event in their lives. Notably, nearly a third of these individuals (30.5%) had been exposed to four or more types of traumatic situations, such as witnessing serious injury or death, a sudden loss of a loved one, life-threatening car accidents, and severe health crises.
• A significant 59% of working-age individuals seeking primary health care have reported experiencing moderate to high stress levels. Within this group, two-thirds show severe burnout symptoms, and among the most stressed individuals, 33% experienced potential depression symptoms, while 64% showed signs of possible anxiety.
• According to a study published in LibreTexts, cognitive-behavioral therapy is one of the most effective forms of therapy for trauma- and stressor-related disorders. CBT can help clients challenge negative cognitions. EMDR was also found to be an effective treatment option.