For health care workers returning from a warfare environment, threat of personal harm may be the most predictive factor in determining those with subsequent PTSD.

order to get him back on the road. In addition, he was generally very punctual but seemed to exhibit a new disregard for time. For example, he typically awakened early to take his son to school, but 2 days prior to admission he overslept, displaying an uncharacteristic apathy about getting his son to school on time.Upon psychiatric admission, prazosin was discontinued. After 30 hours, Mr. A's odd behavior and dissociative symptoms resolved, and he was discharged from the hospital while still being treated with all previous medications except prazosin. Six months later, he has not experienced recurrence of these behavioral symptoms.Prazosin is increasingly being used off-label to treat nightmares caused by PTSD. Although no behavioral side effects have been reported in studies on prazosin when used to treat hypertension or prostatic hypertrophy in patients without mental illness, it would be interesting to learn what side effects might arise in psychiatric patients.