Self-destructive, impulsive or reckless behaviour.The inability to experience positive emotions – for example happiness and loveĬriterion E – Alterations in arousal and reactivityĪt least two of the following changes in arousal and reactivity.Feelings of detachment or estrangement from others.Loss of interest in activities or interests once enjoyed.Negative trauma related emotions – for example: shame, anger, guilt or fear.Persistent or cognitive distortions in relation to blaming self or others for causing or consequences of the traumatic incident.'I am a bad person, or the world is an unsafe place'. Persistent and negative beliefs or cognitions about self, other people or the world.Dissociative amnesia – not being able to remember important aspects of the traumatic event.Avoiding external reminders of the traumatic event which can include: people, places and activitiesĬriterion D – Negative Alterations in Cognitions and Moods.Avoiding thoughts, feelings and physical symptoms which trigger memories of the traumatic event.Strong physiological reaction to reminders of the traumatic event.Psychological distress caused by cues that serve as reminders of the traumatic event.Dissociation symptoms which include flashbacks (feeling as if the traumatic event is happening again in the present moment).Traumatic dreams in relation to the traumatic event.Recurrent memories of the traumatic incident.Repeated or extreme indirect exposure to a traumatic eventĮxperience of at least one of the following symptoms.Recognition of direct or indirect exposure The categories are: Exposure to stressor, intrusion symptoms, persistent avoidance, negative alterations in cognitions and mood, alterations in arousal and reactivity, duration, functional significance or exclusion. Symptoms might be experienced in one or more category and severity of symptoms can vary in different categories. Criterion are separated into a number of different categories. The following information is based on the DSM-5 PTSD criteria. The insomnia is not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication).It is important to get a professional opinion regarding a PTSD diagnosis. 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. Coexisting mental disorders and medical conditions do not adequately explain the predominant complaint of insomnia.Į. The disturbance does not occur exclusively during the course of another mental disorder (e.g., major depressive disorder, generalized anxiety disorder, a delirium). The insomnia is not better explained by and does not occur exclusively during the course of another sleep-wake disorder (e.g., narcolepsy, a breathing-related sleep disorder, a circadian rhythm sleep-wake disorder, a parasomnia).ĭ. The sleep disturbance does not occur exclusively during the course of narcolepsy, breathing-related sleep disorder, circadian rhythm sleep disorder, or a parasomnia.į. The sleep difficulty occurs despite adequate opportunity for sleep.Ĭ. The sleep difficulty occurs at least 3 nights per week.Į. The sleep disturbance causes clinically significant distress or impairment in social, occupational, educational, academic, behavioral, or other important areas of functioning.Ĭ. The sleep disturbance (or associated daytime fatigue) causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.ī. The sleep difficulty is present for at least 3 months.ī. Early-morning awakening with inability to return to sleep.ĭ.
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