PTED Post-Traumatic Embitterment Disorder

Post-Traumatic Embitterment Disorder (PTED)  

describes am adjustment disorder caused by a pathological reaction to drastic life events.

The term PTED was coined by Michael Linden.

A Posttraumatic Embitterment Disorder can be linked to the ICD-10: F43.8 code. ICD-10 stands for the 10th release of the International Classification of Diseases. The forthcoming ICD-11 gives under the section 6B43 Adjustment Disorder the following description:

Adjustment disorder is a maladaptive reaction to an identifiable psychosocial stressor or multiple stressors (e.g., divorce, illness or disability, socio-economic problems, conflicts at home or work) that usually emerges within a month of the stressor. 

The disorder is characterized by preoccupation with the stressor or its consequences, including excessive worry, recurrent and distressing thoughts about the stressor, or constant rumination about its implications, as well as by failure to adapt to the stressor that causes significant impairment in personal, family, social, educational, occupational or other important areas of functioning. 
 
The symptoms are not of sufficient specificity or severity to justify the diagnosis of another Mental and Behavioral Disorder and typically resolve within 6 months, unless the stressor persists for a longer duration.
 
Eyes of Embitterment

Post-Traumatic Embitterment Disorder can be long-lasting and is usually very difficult to treat.

A person with this disorder feels a very strong embitterment about mental pain caused by e.g.:

  • Denigration
  • Belittlement
  • Deception
  • Unjustified ridicule
  • Humiliation
  • Insult
  • Mobbing
  • Restriction of personal development
  • Intimidation
  • Threat
  • Having to bear or witness (persistent) hate, cruelty and harm
  • Life-threating (traumatic) events

 A person with this condition has to deal with long-lasting embitterment and strong aggression against the stressor (person or fate) and/or against him- or herself. The person regards her/him-self as victim and fantasizes about revenge and may even put it into action. On the other hand, such a victim may strongly avoid getting in contact with people or places associated with the suffered injustice and pain.

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