In addition to PTSD, the patient may only exhibit symptoms of one or more comorbid disorders, and these symptoms may or may not indicate a connection between the patient's condition and the traumatic event. There are significantly fewer cases of "life-long" PTSD in Europe than there are in the United States, according to a 2004 study by ESEMeD on a sample of 21,425 people in six European countries, with 2.9% of women and 0.9% of men experiencing the condition. Therefore, a patient's trauma history should be routinely inquired about in order to treat the underlying cause of a problem rather than just its symptoms. Fear and an unanticipated emotion render the patient speechless, making them appear insensitive and unresponsive. They also exhibit feelings of sadness, stupor, lethargy, laziness, and a general lack of reactivity.
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