PTSD criteria

A.

Exposure to actual or threatened death, serious injury, or sexual violence in one or more of the following ways

A1

Directly experiencing the traumatic event

A2

Winessing, in person, the event as it occured to others

A3

Learning that the traumatic event occured to a close family member or close friend. In cases of actual or threatened death of a family member or friend, the event must have been violent or accidental.

A4

Experiencing repeated or extreme exposure to aversive details of the traumatic event

B

Presence of one or more of the following intrusion symptoms associated with the traumatic event, beginning after the traumatic event occured:

B1

Recurrent, involuntary, and intrusive distressing memories of the traumatic event

B2

Recurrent distressing dreams in which the content and/or affect of the dream are related to the traumatic event

B3

Dissociative reactions in which the individual feels or acts as if the traumatic event were recurring.

B4

Intense or prolonged psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event

B5

Marked physiological reactions to internal or external cues that symbolize or resemble an aspect of the traumatic event.

C.

Persistent avoidance of stimuli associated with the traumatic event, beginning after the traumatic event occured, as evidenced bt one or both of the following

C1

Avoidance of, or efforts to avoid distressing memories, thoughts, or feelings, about, or closely associated with the traumatic event

C2

Avoidance of or efforts to avoid external reminders that arouse distressing memories, thoughts, or feelings, about, or closely associated with a traumatic event

D

Negative alterations in cognitions and mood associated with the traumatic events, beginning or worsening after the traumatic event occurred, as evidence by two or more of the following

D1

Inability to remember an important aspect of the traumatic event

D2

Persistent or exaggerated negative beliefs or expectations about oneself, others, or the world.

D3

Persistent, distorted cognitions about the cause or consequences of the traumatic event that lead the individual to blame himself/herself or others.

D4

Persistent negative emotional state

D5

Markedly diminished interest or participation in significant activities

D6

Feelings of detachment or estrangement from others

D7

Persistent inability to experience positive emotions

E

Marked alterations in arousal and reactivity associated with the traumatic event, beginning or worsening after the traumatic event occurred, as evidenced by two or more of the following

E1

Irritable behavior and angry outbursts

E2

Reckless or self-destructive behavior.

E3

Hypervigilance

E4

Exaggerated startle response

E5

Problems with concentration

E6

Sleep disturbance

F.

Duration of the disturbance is more than one month.

G.

The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.

H

The disturbance is not attributable to the physiological effects of a substance.