medication, alcohol) or another medical condition. The disturbance is not attributable to the physiological effects of a substance (e.g.

The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. Duration of the disturbance (Criteria B, C, D, and E) is more than 1 month. difficulty falling or staying asleep or restless sleep).į. Irritable behavior and angry outbursts (with little or no provocation) typically expressed as verbal or physical aggression toward people or objects.Ģ. Marked alterations in arousal and reactivity associated with the traumatic event(s), beginning or worsening after the traumatic event(s) occurred, as evidenced by two (or more) of the following.ġ. inability to experience happiness, satisfaction, or loving feelings).Į. Persistent inability to experience positive emotions (e.g. Feelings of detachment or estrangement from others.ħ. Markedly diminished interest or participation in significant activities.Ħ. Persistent negative emotional state (e.g. Persistent, distorted cognitions about the cause or consequences of the traumatic event(s) that lead the individual to blame himself/herself or others.Ĥ. “I am bad,” “No one can be trusted,” “The world is completely dangerous,” “My whole nervous system is permanently ruined”).ģ. Persistent and exaggerated negative beliefs or expectations about oneself, others, or the world (e.g. Inability to remember an important aspect of the traumatic event(s) (typically due to dissociative amnesia and not to other factors such as head injury, alcohol, or drugs).Ģ. Negative alterations in cognitions and mood associated with the traumatic event(s), beginning or worsening after the traumatic event(s) occurred, as evidenced by two (or more) of the following.ġ. Avoidance of or efforts to avoid external reminders (people, places, conversations, activities, objects, situations) that arouse distressing memories, thoughts, or feelings about or closely associated with the traumatic event(s).ĭ. Avoidance of or efforts to avoid distressing memories, thoughts, or feelings about or closely associated with the traumatic event(s).Ģ. Persistent avoidance of stimuli associated with the traumatic event(s), beginning after the traumatic event(s) occurred, as evidenced by one or both of the following.ġ. Marked physiological reactions to internal or external cues that symbolize or resemble an aspect of the traumatic event(s).Ĭ. Intense or prolonged psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event(s).ĥ. (Such reactions may occur on a continuum, with the most extreme expression being a complete loss of awareness of present surroundings.) Note: In children, trauma-specific reenactment may occur in play.Ĥ. flashbacks) in which the individual feels or acts as if the traumatic event(s) were recurring.

Note: In children, there may be frightening dreams without recognizable content.ģ. Recurrent distressing dreams in which the content and/or affect of the dream are related to the traumatic event(s). Note: In children older than 6 years, repetitive play may occur in which themes or aspects of the traumatic event(s) are expressed.Ģ. Recurrent, involuntary, and intrusive distressing memories of the traumatic event(s). Presence of one (or more) of the following intrusion symptoms associated with the traumatic event(s), beginning after the traumatic event(s) occurred.ġ. Note: Criterion A4 does not apply to exposure through electronic media, television, movies, or pictures, unless this exposure is work related.ī. first responders collecting human remains police officers repeatedly exposed to details of child abuse). Experiencing repeated or extreme exposure to aversive details of the traumatic event(s) (e.g. In cases of actual or threatened death of a family member or friend, the event(s) must have been violent or accidental.Ĥ. Learning that the traumatic event(s) occurred to a close family member or close friend. Witnessing, in person, the event(s) as it occurred to others.ģ. Directly experiencing the traumatic event(s).Ģ. Exposure to actual or threatened death, serious injury, or sexual violence in one (or more) of the following ways.ġ. DSM-5 Criteria for Posttraumatic Stress Disorder a A.

Ptsd diagnostic criteria dsm 5