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Prazosin is an alpha-1 blocker that is commonly given to patients with posttraumatic stress disorder (PTSD) to reduce nightmares and flashbacks. Its use in acute stress disorder (ASD), however, has not been well characterized. There is a moderately positive correlation between ASD and the subsequent development of PTSD, which indicates that there may be some common neurobiological mechanisms that connect the 2 conditions. We present the case of a 51-year-old man who was experiencing symptoms of ASD following a motor vehicle accident that occurred a few days earlier. He was reporting flashbacks and nightmares of the accident, but after being treated with prazosin, his symptoms completely resolved. Prazosin may be effective in treating the symptoms of ASD and, by doing this, it may also play a role in inhibiting the progression of ASD to PTSD.

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Movies and television frequently depict psychological themes that provide excellent material for psychiatric pedagogy [1]. In this paper, we explore how depictions of posttraumatic stress disorder (PTSD) in The Missing, Encanto, The Sopranos, Good Will Hunting, and Ordinary People can be used to help trainees recognize cognitive distortions in PTSD. We discuss how these screen depictions support teaching the psychological model of PTSD employed by cognitive processing therapy (CPT), an evidence-based cognitive behavioral treatment of the disorder.

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