A.) The person has been exposed to a traumatic event in which both of the following were present:
1.) the person experienced,
witnessed, or was confronted with an event or events that involved actual or threatened death or serious injury, or a threat
to the physcial integrity of self or others.
2.) the person's response
involved intense fear, helplessness, or horror. In children, this may be expressed instead by disorganized or agitated
B.) The traumatic event is persistently reexperienced in one (or more) of the following ways:
1.) recurrent and intrusive distressing
recollections of the event, including images, thoughts, or perceptions. In young children, repetitive play may occur
in which themes or aspects of the trauma are expressed.
2.) recurrent distressing dreams
of the event. In children, there may be frightening dreams without recognizable content.
3.) acting or feeling as if the
traumatic event were reoccurring ( includes a sense of reliving the experience, illusions, hallucinations, and disassociative
flashback episodes, including those that occur on awakening or when intoxicated). In young children, trauma-specific
reenactment may occur.
4.) intense psychological distress
at exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event.
5.) physiological reactivity
on exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event.
C.) Persistent avoidance of stimuli associated with the trauma and numbing of general responsiveness
(not present before the trauma), as indicated by three (or more) of the following:
1.) efforts to avoid
thoughts, feelings, or conversations associated with the trauma
2.) efforts to avoid
activities, places, or people that arouse recollections of the trauma
3.) inability to recall
an important aspect of the trauma
4.) markedly diminished
interest or participation in significant activities
5.) feeling of detachment
or estrangement from others
6.) restricted range
of affect (e.g., unable to have loving feelings)
7.) sense of a foreshortened
future (e.g., does not expect to have a career, marriage, children, or a normal life span)
D.) Persistent symptoms of increased arousal (not present before the trauma), as indicated by
two (or more) of the following:
1.) difficulty falling or
2.) irritability or outbursts
3.) difficulty concentrating
5.) exaggerated startle response
E.) Duration of the disturbance (symptoms in Criteria B, C, and D) is more than 1 month.
F.) The disturbance causes clinically significant distress or impairment in social, occupational,
or other important areas of functioning.
Specify if: Acute: if duration of symptoms is less than
if duration of symptoms is 3 months or more.
With Delayed Onset: if onset of symptoms is at least
months after the stressor