Symptoms
The person has been exposed to a traumatic event in which both
of the following were present:
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's response involved intense fear, helplessness, or
horror
Either while experiencing or after experiencing the distressing
event, the individual has three (or more) of the following dissociative
Symptoms:
a subjective sense of numbing, detachment, or absence of emotional
responsiveness
a reduction in awareness of his or her surroundings (e.g., "being
in a daze")
derealization
depersonalization
dissociative amnesia (i.e., inability to recall an important aspect
of the trauma)
The traumatic event is persistently reexperienced in at least
one of the following ways: recurrent images, thoughts, dreams,
illusions, flashback episodes, or a sense of reliving the experience;
or distress on exposure to reminders of the traumatic event.
Marked avoidance of stimuli that arouse recollections
of the trauma (e.g., thoughts, feelings, conversations, activities,
places, people).
Marked Symptoms of anxiety or increased arousal (e.g.,
difficulty sleeping, irritability, poor concentration, hypervigilance,
exaggerated startle response, motor restlessness).
The disturbance causes clinically significant distress
or impairment in social, occupational, or other important areas
of functioning or impairs the individual's ability to pursue some
necessary task, such as obtaining necessary assistance or mobilizing
personal resources by telling family members about the traumatic
experience.
The disturbance lasts for a minimum of 2 days and
a maximum of 4_weeks and occurs within 4 weeks of the traumatic
event.
The disturbance is not due to the direct physiological
effects of a substance (e.g., a drug of abuse, a medication) or
a general medical condition, is not better accounted for by Brief
Psychotic Disorder, and is not merely an exacerbation of a preexisting
mental disorder.
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