As for Sal’s most recent struggles, I am rather confident in diagnosing Sal with acute stress disorder that has progressed into post-traumatic stress disorder. His current PTSD symptoms are in response to a traumatic event, have lasted longer than one month, and have caused difficulty sleeping with recurrent, distressing dreams. The trauma has also caused Sal to repeatedly mumble phrases that display his fright. Sal’s significant weight loss, though not a criteria for acute or post-traumatic stress disorder, may be the result of a decrease in appetite brought on by the traumatic event. Also, because the shooting occurred in a convenience store, Sal may simply be avoiding food to discourage reliving aspects of the event. This avoidance may be severe enough to cause weight loss.