A. You persistently experience the traumatic event in the following ways:
1. Experiencing
intrusive, distressing recollections of the traumatic event, including:
images, thoughts, or perceptions.
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2. Experiencing
recurrent distressing dreams of the traumatic event.
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3.
Acting or feeling as if the traumatic event were recurring, including a sense of reliv-
ing the experience,
illusions, hallucinations, and flashback episodes , including those
that occur when awakening or when intoxicated.
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4. Experiencing intense
psychological distress at exposure to internal or external cues
that symbolize or resemble an aspect of the traumatic event.
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5. Experiencing intense
psychological reactivity (symptoms) on exposure to internal or
external cues that symbolize or resemble an aspect of the traumatic event.
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B. You persistently avoid stimuli associated with the traumatic event and attempt to numb
general reactions (not present before the trauma) as indicated by the following:
1. Efforts to
avoid thoughts, feelings, or conversations associated with the trauma.
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2. Efforts to
avoid activities, places, or people that arouse recollections of the trauma.
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3.
Inability to recall an important aspect of the trauma.
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4. Markedly
diminished interest or participation in significant activities.
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5. Feelings of
detachment or estrangement from others.
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6.
Restricted range of affect (feelings) e.g. unable to have loving feelings.
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7. Experience a
psychological reactivity (symptoms) sense of a foreshortened future
(doom and gloom) e.g. no expectations to have a career, marriage, children, or a
normal life span.
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C. You experience an increased arousal in the persistent symptoms (not present before the
trauma), as indicated by the following:
1.
Difficulty falling or staying asleep .
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2.
Irritability or outbursts of anger .
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3.
Difficulty concentrating .
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4.
Hypervigilance .
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5.
Exaggerated startle response .
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