A
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Stressor
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□ The person has experienced, witnessed, or been confronted with an event or events that involve actual or threatened death or serious injury, or a threat to the physical integrity of oneself or others.
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□ The person's response involved intense fear, helplessness, or horror
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B
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Intrusive recollection (1 or more)
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□ Recurrent and intrusive distressing recollections of the event, including images, thoughts, or perceptions.
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□ Recurrent distressing dreams of the event
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□ Acting or feeling as if the traumatic event were recurring
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□ Intense psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event.
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□ Physiologic reactivity upon exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event
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C
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Avoidant/numbing (3 or more)
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□ Efforts to avoid thoughts, feelings, or conversations associated with the trauma
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□ Efforts to avoid activities, places, or people that arouse recollections of the trauma
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□ Inability to recall an important aspect of the trauma
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□ Markedly diminished interest or participation in significant activities
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□ Feeling of detachment or estrangement from others
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□ Restricted range of affect
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□ Sense of foreshortened future
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D
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Hyper-arousal (2 or more)
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□ Difficulty falling or staying asleep
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□ Irritability or outbursts of anger
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□ Difficulty concentrating
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□ Hyper-vigilance
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□ Exaggerated startle response
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E
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Duration
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□ Duration of the disturbance (symptoms in B, C, and D) is more than one month
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F
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Functional significance
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□ The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning |