Criteria
• Sustained neuromuscular immobility, freezing
• Traumatic psychogenic amnesia
• Dissociation, depersonalization, derealization
• Extreme sympathetic nervous system dysfunction (e.g., panic attacks, malignant arrhythmias)
• Dysfunctional parasympathetic nervous system arousal
• Lingering or dysfunctional guilt reactions (survivor guilt, responsibility guilt)
• Giving up (e.g., helplessness, hopelessness)
• Self-destructive ideation (e.g., suicidal or homicidal ideation)
• Any persistent interference with significant activities of daily living, including occupational interference
• Any significant interference with caretaking responsibilities