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