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Posttraumatic Stress Symptom Checklist

Checklist for symptoms of posttraumatic stress:

    YES NO

  1.    The person has experienced, witnessed, or confronted an event that threatened serious injury, physical harm, or death.
  2.    The person responds with intense fear, helplessness, or horror.
  3.    The person experiences recurring and intrusive distressing recollections of the event, including images, thoughts, or perceptions.
  4.    The person experiences distressing dreams of the event.
  5.    The person may act or feel as if the traumatic event is reoccurring (a sense of reliving the experience, illusions, hallucinations, flashbacks).
  6.    The person experiences intense psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event.
  7.    The person experiences efforts to avoid thoughts, feelings, or conversations associated with the trauma.
  8.    The person experiences efforts to avoid activities, places, or people that arouse recollections of the trauma.
  9.    The person experiences an inability to recall an important aspect of the trauma.
  10.    The person experiences a markedly diminished interest or participation in significant activities.
  11.    The person experiences a feeling of detachment or estrangement from others.
  12.    The person feels unable to have loving feelings, or other strong feelings.
  13.    The person feels a sense of a foreshortened future.
  14.    The person has difficulty falling or staying asleep.
  15.    The person feels usually irritable or has outbursts of anger.
  16.    The person has difficulty concentrating.
  17.    The person feels on guard, distrustful of others.
  18.    The person avoids being touched, and if touched unexpectedly, has strong startle response.

If you are a UMD student and you or someone you know answered "YES" to 2 or more of the above symptoms, or if you have further questions, please call UMD Counseling for futher assessment at (218)-726-8155.

This checklist is based on the description of posttraumatic stress disorder found in the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), copyright 1994, American Psychiatric Association.

This page was authored by Shirley Reierson, MSW, LICSW

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Last modified on 01/19/12 04:34 PM
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