The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. (Children younger than age 6 are addressed in a separate section of the DSM. Duration of the disturbance (symptoms in Criteria B, C, and D) is more than 1 month.į. The following criteria from the DSM-5 are for adults, adolescents, and children older than 6 years. Persistent symptoms of increased arousal (not present before the trauma), as indicated by two (or more) of the following:Į. impulsivity, anger, emotional difficulties and, especially the PTSD Dissociative Subtype) (4,5). Sense of a foreshortened future (e.g., does not expect to have a career, marriage, children, or a normal life span)ĭ. Some of the DSM-5 revisions to the PTSD diagnostic criteria have included some DESNOS symptoms (e.g. ![]() If a patient meets a provisional diagnosis using either of the methods above, he or she needs further assessment (e.g., CAPS-5) to confirm a diagnosis of PTSD. In general, use of a cutoff score tends to produce more reliable results than the DSM-5 diagnostic rule. Restricted range of affect (e.g., unable to have loving feelings) 2 Criterion D items (questions 8-14), 2 Criterion E items (questions 15-20). Markedly diminished interest or participation in significant activitiesįeeling of detachment or estrangement from others Inability to recall an important aspect of the trauma 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:Įfforts to avoid thoughts, feelings, or conversations associated with the traumaĮfforts to avoid activities, places, or people that arouse recollections of the trauma Physiological reactivity on exposure to internal or external cues that symbolize or resemble an aspect of the traumatic eventĬ. Intense psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event ![]() Recurrent distressing dreams of the eventĪcting or feeling as if the traumatic event were recurring (includes a sense of reliving the experience, illusions, hallucinations, and dissociative flashback episodes, including those that occur on awakening or when intoxicated) Recurrent and intrusive distressing recollections of the event, including images, thoughts, or perceptions The traumatic event is persistently reexperienced in one (or more) of the following ways: ![]() The person’s response involved intense fear, helplessness, or horror.ī. 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 physical integrity of self or others. The person has been exposed to a traumatic event in which both of the following were present:
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