PTSD Flashcards
Criterion A Tagline
Exposed to Actual or Threatened death, serious injury, or sexual violence
Criterion A Part 1
Directly experienced the trauma
Criterion A Part 2
Witnessed, in person the event
Criterion A Part 3
Learning of trauma to close fam or friend
Criterion A Part 4
Repeated exposure to details (remains) of the trauma (first responders, police, exposed to details of child abuse)
Criterion A Part 3 Caveat
If the fam or friend was exposed to death, it must have been violent or accidental
Criterion A Part 4 caveat
Repeated exposure through TV, Movies, or pictures does not apply
Criterion B Tagline
Intrusion symptoms
Criterion B Part 1
Recurrent, involuntary, intrusive, distressing Memories
Criterion B Part 1 Child note
Children >6yo may have repetitive play
Criterion B Part 2
Distressing Dreams
Criterion B Part 2 Child note
May have frightening dreams of unknown content
Criterion B Part 3
Flashbacks (e.g. Dissociative Reactions)
Criterion B Part 3 Note
Flashbacks occur on a continuum including complete dissociation
Criterion B Part 4
Intense Psychological distress to cues (triggers)
Criterion B Part 5
Intense Physiological distress to cues (triggers)
Criterion C Tagline
Avoidance
Criterion C Part 1
Avoid distressing memories, thoughts, or feelings
Criterion C Part 2
Avoid external reminders
Criterion D Tagline
Negative changes in cognitions or mood
Criterion D Part 1
Can’t remember all or part of trauma
Criterion D Part 1 Caveat
Amnesia not d/t head injury, alcohol or drugs)
Criterion D Part 2
Negative beliefs. Persistent. Exaggerated. About yourself or the world.
Criterion D Part 3
Blame others or self (wrongly) about the trauma
Criterion D Part 4
Negative emotional state (Fear, horror, anger, guilt or shame
Criterion D Part 5
Markedly diminished interest or participation in significant activities
(kinda like Anhedonia, but significant activities, not just pleasurable activities)
Criterion D Part 6
Feeling detached or estranged
Criterion D Part 7
Can’t feel good feelings (can’t feel happiness, satisfaction, or loving feelings)
Criterion E Tagline
Arousal/Reactivity.
Criterion D Caveat
Need 2. The former criteria just need one to qualify
Criterion E Part 1
Irritiability/Anger
Criterion E Part 2
Reckless or Self-Destructive bx
Criterion E Part 3
Hypervigilance
Criterion E Part 4
Exaggerated Startle
Criterion E Part 5
Concentration problems
Criterion E Part 6
Sleep problems (Problem falling or staying asleep, or restless sleep
Criteria F, G, and H
F: >1 month
G: Sig Impairment
H: not attributable to substance or other medical condition
PTSD Specifiers
1: w/Dissociative sx
2: w/ Delayed Expression
Define Dissociative sx specifier
Depersonalization or Derealization
Depersonalization
Feeling detatched from one’s mental processes or detached from one’s body
e.g. feeling as though one were in a dream, Feeling a sense of unreality of self or body or of time moving slowly
Derealization
Unreality of surroundings (the world feels unreal, dreamlike, distant or distorted)
What is the Delayed expression Specifier
The full diagnositic criteria were not met until at least 6 months after the event