ad_ptsd_2

1, A.(1) The person experienced, witnessed, or was confronted with an event or events that involved actual or threatened death or serious injury, or a threat to the physical integrity or self or others. 2, A.(2) The person's response involved intense fear, helplessness or horror. Note: In children, this may be expressed instead by disorganized or agitated behavior. 3, B.(1) Recurrent and intrusive distressing recollections of the event, including images thoughts, or perceptions. Note: In young children, repetitive play may occur in which themes or aspects of the trauma are expressed. 4, B.(2) Recurrent distressing dreams of the event. Note: In children, there may be frightening dreams without recognizable content 5, B.(3) Acting or feeling as if the traumatic event were recurring (includes a sense of reliving the experience, illusions, hallucinations, and dissociative flashback episodes, including those that occur on awakening or when intoxicated). Note: In young children, trauma-specific reenactment may occur 6, B.(4) Intense psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event 7, B.(5) Physiological reactivity on exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event 8, C.(1) Efforts to avoid thoughts, feelings, or conversations associated with the trauma 9, C.(2) Efforts to avoid activities, places, or people that arouse recollections of the trauma 10, C.(3) Inability to recall an important aspect of the trauma 11, C.(4) Markedly diminished interest or participation in significant activities 12, C.(5) Feeling of detachment or estrangement from others 13, C.(6) Restricted range of affect (e.g., unable to have loving feelings) 14, C.(7) Sense of a foreshortened future (e.g., does not expect to have a career, marriage, children, or a normal life span) 15, D.(1) Difficulty falling or staying asleep 16, D.(2) Irritability or outbursts of anger 17, D.(3) Difficulty concentrating 18, D.(4) Hypervigilance 19, D.(5) Exaggerated startle response 20, E. Duration of the disturbance (symptoms in criteria B, C, and D) is more than one month. 21, The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.