The microbial world is mysterious, threatening, and frightening to
most people. The stressors associated with a biological terrorist attack
could create high numbers of acute and potentially chronic psychiatric
casualties who must be recognized, diagnosed, and treated to facilitate
triage and medical care. Media communications, planning for quarantine
and decontamination, and the role of community leaders are important to
the mitigation of psychological consequences. Physicians will need to
accurately diagnose anxiety, depression, bereavement, and organic brain
syndromes to provide treatment, reassurance, and the relief of pain.
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