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Category | Criteria |
---|---|
Criterion A | |
Exposure to actual or threatened death, serious injury, or sexual violence in at least 1 of the following ways: | 1. Personally experiencing traumatic event(s) |
2. Witnessing the event(s) in person as it occurred to others | |
3. Learning about the event(s) that occurred to a close friend or family member | |
4. Experiencing repeated or extreme exposures to details of event(s). (Does not include exposures through electronic media, television, movies, or pictures, unless work related.) | |
Criterion B | |
Presence of at least 1 intrusion symptom associated with and occurring after the traumatic event(s): | 1. Recurrent, involuntary, and intrusive distressing memories of the event(s) |
2. Recurrent distressing dreams related to the event(s) | |
3. Dissociative reactions (eg, flashbacks) in which the patient feels or acts as if the event(s) were recurring | |
4. Intense or prolonged psychological distress when exposed to internal or external cues related to an aspect of the event(s) | |
5. Marked physiologic reactions to these cues | |
Criterion C | |
Persistent avoidance of certain stimuli associated with the event(s): | 1. Efforts to avoid distressing memories, thoughts, or feelings related to the event(s) |
2. Efforts to avoid external reminders of those memories, thoughts, or feelings | |
Criterion D | |
Negative changes in cognitions and mood associated with the event(s), either starting or worsening after the event(s), as evidenced by at least 2 of the following: | 1. Inability to recall key features of the traumatic event (due to dissociative amnesia; not due to head injury, alcohol, or drugs) |
2. Persistent and exaggerated negative beliefs or expectations about self, others, or the world in general | |
3. Persistent distorted cognitions about the cause or consequence of the event(s), resulting in the patient blaming self or others | |
4. Persistent negative emotions, such as fear, horror, anger, guilt, or shame | |
5. Markedly diminished interest or participation in significant activities | |
6. Feeling of detachment or estrangement from others | |
7. Persistent inability to experience positive emotions, such as happiness, satisfaction, or love | |
Criterion E | |
Changes in arousal and reactivity beginning or worsening after the event(s), as indicated by 2 or more of the following: | 1. Irritable behavior and angry outbursts (with little or no provocation) |
2. Reckless or self-destructive behavior | |
3. Hypervigilance | |
4. Exaggerated startle response | |
5. Difficulty concentrating | |
6. Sleep disturbance(s) | |
Criterion F | |
Criteria B, C, D, and E must be met for more than 1 month after the traumatic event | |
Criterion G | |
The condition must cause clinically significant distress or impairment | |
Criterion H | |
The condition is not attributable to substance use or any other medical condition |
Consider patient preference when determining the best treatment plan r4
Management consists of psychotherapy and/or pharmacotherapy r11