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Dewey

DSM 5 - PTSD redefined - Caution, may trigger

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I am going to copy this out and hand over to my new trauma therapist, will circle which applies to me.  I met with her last week and she educated me with certain diagnoses I was given that now fall under the new PTSD criteria.  I also am keeping a daily log of my symptoms and triggers. 

CAUTION:  May trigger

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Full copyrighted criteria are available from the American Psychiatric Association (1). All of the criteria are required for the diagnosis of PTSD. The following text summarizes the diagnostic criteria:

Criterion A (one required): The person was exposed to: death, threatened death, actual or threatened serious injury, or actual or threatened sexual violence, in the following way(s):

  • Direct exposure

  • Witnessing the trauma

  • Learning that a relative or close friend was exposed to a trauma

  • Indirect exposure to aversive details of the trauma, usually in the course of professional duties (e.g., first responders, medics)

Criterion B (one required): The traumatic event is persistently re-experienced, in the following way(s):

  • Unwanted upsetting memories

  • Nightmares

  • Flashbacks

  • Emotional distress after exposure to traumatic reminders

  • Physical reactivity after exposure to traumatic reminders

Criterion C (one required): Avoidance of trauma-related stimuli after the trauma, in the following way(s):

  • Trauma-related thoughts or feelings

  • Trauma-related reminders

Criterion D (two required): Negative thoughts or feelings that began or worsened after the trauma, in the following way(s):

  • Inability to recall key features of the trauma

  • Overly negative thoughts and assumptions about oneself or the world

  • Exaggerated blame of self or others for causing the trauma

  • Negative affect

  • Decreased interest in activities

  • Feeling isolated

  • Difficulty experiencing positive affect

Criterion E (two required): Trauma-related arousal and reactivity that began or worsened after the trauma, in the following way(s):

  • Irritability or aggression

  • Risky or destructive behavior

  • Hypervigilance

  • Heightened startle reaction

  • Difficulty concentrating

  • Difficulty sleeping

Criterion F (required): Symptoms last for more than 1 month.

Criterion G (required): Symptoms create distress or functional impairment (e.g., social, occupational).

Criterion H (required): Symptoms are not due to medication, substance use, or other illness.

Two specifications:

  • Dissociative Specification. In addition to meeting criteria for diagnosis, an individual experiences high levels of either of the following in reaction to trauma-related stimuli:

    • Depersonalization. Experience of being an outside observer of or detached from oneself (e.g., feeling as if "this is not happening to me" or one were in a dream).

    • Derealization. Experience of unreality, distance, or distortion (e.g., "things are not real").

  • Delayed Specification. Full diagnostic criteria are not met until at least six months after the trauma(s), although onset of symptoms may occur immediately.

Note: DSM-5 introduced a preschool subtype of PTSD for children ages six years and younger.

 

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I hope that your appointment with your new therapist goes well!

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2 hours ago, WinterRosie said:

I hope that your appointment with your new therapist goes well!

Thank you WinterRosie ~  I like your nick !!  My trauma therapist wants to start EMDR, but I want to know her a little better before we go there.  Already having trauma memories coming out in my dreams just meeting with this therapist once. 

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