• 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) |
• Danger to self or others (e.g., verbal or behavioral expression) |
• Any persistent interference with significant activities of daily living, including occupational interference |
• Any significant interference with caretaking responsibilities |