Unspecified Trauma and Stressor Related Disorder

Trauma and stressor-related disorders can affect anyone, impacting mental and emotional well-being. These disorders arise from experiencing upsetting events, leading to disruptive symptoms. Conditions like post-traumatic stress disorder (PTSD) and acute stress disorder are widely recognized. However, there are other trauma-related diagnoses that receive less attention but are as important. One of these is unspecified trauma and stressor-related disorder (UTSRD).

UTSRD is diagnosed when someone displays trauma-related symptoms that do not fully match the criteria for other disorders. Clinicians may use this diagnosis when symptoms are present, but there is not enough information to make a detailed diagnosis. This could happen in emergency settings, during an initial assessment, or when a person’s situation is complex. UTSRD is a useful term though, ensuring that care is provided even when a definitive diagnosis is not possible.

Causes and Risk Factors

Conditions like UTSRD can develop after witnessing or experiencing a traumatic event. Some think that only those in the military can develop conditions related to trauma and stress. However, these conditions can impact anyone and can be tied to a number of experiences.

Traumatic events that could contribute to a trauma and stressor-related disorder include:

–          Accidents

–          Abuse or acts of violence

–          Exposure to traumatic events through work such as being in the military or a first responder

–          Natural disasters

Other risk factors can contribute to a person developing a trauma or stress-related disorder, including:

–          Having a history of trauma

–          A lack of support systems

–          Pre-existing mental health conditions like anxiety or depression

–          Misuse using drugs or alcohol

Day-to-day stressors can also contribute to the development of these conditions.  

Symptoms and Diagnostic Criteria

Symptoms of UTSRD may include anxiety, mood changes, difficulty sleeping, or upsetting memories. Unlike other trauma-related disorders, UTSRD does not require specific symptom patterns. This allows clinicians to recognize distress even if it does not exactly match other diagnoses. Diagnosing UTSRD can be challenging as its symptoms overlap with other mental health conditions. This highlights the need for thorough assessment by professionals.

UTSRD differs from PTSD, acute stress disorder, and adjustment disorders. PTSD often involves re-experiencing traumatic events through flashbacks or nightmares. Acute stress disorder is marked by experiencing stress responses shortly after a traumatic event. Adjustment disorders involve difficulty coping with a specific stressor, but subside after the incident. In contrast, UTSRD is indicated when symptoms are present, but the full criteria for these specific disorders are not met or have not been seen. UTSRD can provide a placeholder diagnosis, ensuring that care is given as more details are gathered.

Diagnostic Process

Clinicians use assessment tools, the DSM-5’s criteria, interviews, and observation to determine a patient’s diagnosis. A provider may make a diagnosis of UTSRD when they do not have enough information to offer more details.

Treatment Options

There are many evidence-based treatment options available. This helps patients and clinicians work together to develop treatment plans. These treatments may include:

–          Cognitive-behavioral therapy (CBT) to help patients reframe negative thoughts.

–          Exposure therapy can help patients overcome triggering events or situations. This process is done gradually and with professional guidance.  

–          Medications like antidepressants or anti-anxiety medications can manage specific symptoms.

–          Integrative therapies, such as mindfulness, can also support recovery and well-being.

For people with UTSRD, healthy coping strategies and support networks can be beneficial. Seeking treatment with a mental health professional can help those with this condition. For some, their symptoms may go away entirely with consistent and dedicated support.

Self-care can also have a positive impact on the lives of those with UTSRD. Activities like journaling, time outdoors, and eating a balanced diet can boost mood.

Conclusion

Understanding unspecified trauma and stressor-related disorder is important for getting loved ones help. Seeking professional guidance can lead to effective treatment and healing. If you or someone you know is experiencing symptoms related to trauma, reaching out for help is an important step toward recovery.

Rachel Collins, LCSW
Site Director of Northbrook PHP and IOP

Rachel Collins, LCSW, is the Site Director of SunCloud Health’s Northbrook Partial Hospitalization (PHP) and Intensive Outpatient (IOP) programs for both adolescents and adults. Rachel earned her bachelor’s degree in psychology and went on to complete her master’s degree in social work from Michigan State University. She has since worked in a wide range of settings, including inpatient treatment, PHP/IOP programs, therapeutic group homes, and private practice. Rachel specializes in treating trauma (using Cognitive Processing Therapy) and anxiety, practicing through a relational, compassionate, and client-centered lens. She is passionate about creating a therapeutic space in which clients feel safe and able to explore various parts of themselves with curiosity as opposed to judgement. In addition to her leadership and clinical work, she is passionate about creating art, and learning about the intersection between creativity and mental health.

Kayla Corirossi, MA, LCSW
Site Director, Naperville PHP/IOP (Adolescents & Adults)

Kayla Corirossi, MA, LCSW, is the Site Director of SunCloud Health’s Naperville Partial Hospitalization (PHP) and Intensive Outpatient (IOP) programs for adolescents and adults. She brings extensive experience working with individuals across the lifespan, including adolescents, adults, and geriatric populations, and specializes in the treatment of mood disorders, trauma, substance use, family systems, forensic populations, and individuals in crisis.

Kayla has worked in a wide range of clinical and community settings, including community-based interventions, police crisis response, correctional facilities, inpatient treatment, PHP/IOP programs, and with vulnerable and underserved populations. In addition to her clinical and leadership work, she is passionate about providing mental health education and advocacy within the community.

Kayla earned her Bachelor’s degree with a double major in Psychology and Sociology from Aurora University and went on to complete her Master’s degree in Forensic Social Work, also at Aurora University. Her clinical approach is evidence-based, compassionate, trauma-informed, and integrative, emphasizing collaboration and individualized care.

Driven by a personal mission to meet individuals where they are, Kayla is committed to helping clients feel safe, supported, and understood. She strives to create a natural and empathetic healing environment while ensuring individuals from all backgrounds and identities know they are not alone and have access to meaningful resources and support.

Elizabeth E. Sita, MD
Medical Director of Adult Services
Dr. Elizabeth E. Sita, MD, is a Board Certified psychiatrist specializing in the care of patients with eating disorders. She completed her undergraduate training at the University of Chicago and graduated with Highest Honors. She then earned her medical degree at Northwestern University Feinberg School of Medicine and was recognized with the Chairman’s Award for Excellence in Psychiatry. She subsequently completed residency with the Department of Psychiatry and Behavioral Sciences at McGaw Medical Center of Northwestern University, where she was elected Chief Resident and received the Resident Psychiatrist Leadership & Service Award. Upon completing her training, Dr. Sita came to Ascension Alexian Brothers Behavioral Health Hospital, where she served as Assistant Medical Director of the Center for Eating Disorders and Director of Transcranial Magnetic Stimulation Services before transitioning to lead the new inpatient eating disorder unit as Medical Director of Eating Disorder Services at Ascension Saint Joseph Hospital – Chicago. In these roles, she has cared for a multitude of adolescents and adults struggling with anorexia nervosa, bulimia nervosa, binge eating disorder, and other eating disorders as well as severe, cooccurring mood, trauma, personality, and substance use disorders. Dr. Sita has been recognized throughout her training and practice for a commitment to excellence in patient care and for her ability to engage patients in their most challenging moments. Her passions include the care of treatment-resistant eating and mood disorders as well as questions of medical capacity and end-of-life decision making. She believes that, first and foremost, human connection is key to mental health and well-being and strives to share this philosophy in each and every patient encounter. She is excited to bring her expertise to SunCloud Health as the Medical Director of Adult Services!   VIDEO: Meet Elizabeth E. Sita, MD, Medical Director of Adult Services  
Lacey Lemke, PsyD
Assistant Vice President of Clinical Services

Dr. Lacey Lemke (she/her) is a licensed clinical health psychologist with specialized expertise in the treatment of eating disorders and the practice of medical and health psychology. She completed her doctoral training in clinical psychology with a Primary Care emphasis at the Adler School of Professional Psychology. Dr. Lemke went on to complete both her predoctoral clinical internship and postdoctoral fellowship through Ascension Health, where she gained advanced training working with individuals experiencing eating disorders and self-injurious behaviors, as well as within pediatric subspecialty settings including endocrinology, neurology, and adolescent medicine.

Dr. Lemke is deeply committed to providing evidence-based, compassionate care and collaborates closely with interdisciplinary teams to ensure comprehensive treatment. Her professional mission is to support patients in achieving their fullest potential by guiding them to the most appropriate level of care and empowering them to make meaningful, sustainable progress toward improved health and well-being.

VIDEO: 2. Meet Lacey Lemke, PsyD.