post traumatic embitterment disorder
A constellation of symptoms which some mental health professionals regard as a distinct clinical entity. The diagnosis of PTED had been championed by German psychiatrist Michael Linden, who regards it as an extreme form of post-traumatic stress disorder–PTSD in which sufferers believe the world has treated them unfairly.
These patients are often treatment resistant because they believe the world has to change, not them, and thus rarely seek therapy. Many crave the dish that’s best served cold: revenge. Whereas PTSD has an undercurrent of anger, PTED has one of embitterment due to the violation of strong basic beliefs* about the fairness of life.
*Value systems learned in childhood and adolescence, which encompass religious or political beliefs, as well as basic definitions of self and one’s goals in life. PTED had been proposed as an entity a sui generis for the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders, 5th edition–DSM 5, but was not included in the final version published in 2013.
Management Talk therapy and SSRI antidepressants have been used with varying degrees of failure.
Synonym Paralysing embitterment