Posttraumatic stress disorder (PTSD)

The full DSM-5-TR criteria are not included in this record. Everything the record does hold is shown below. Check DSM-5-TR before recording the diagnosis.

1. A

   Key feature A

   Exposure to actual/threatened death, serious injury, or sexual violence (direct, witnessed, learning about close person, or repeated indirect exposure)

2. B

   Key feature B

   ≥1 intrusion symptom: involuntary memories; nightmares; dissociative reactions (flashbacks); intense psychological distress; marked physiological reactions to trauma cues

3. C

   Key feature C

   ≥1 persistent avoidance: avoidance of trauma-related internal stimuli or external reminders

4. D

   Key feature D

   ≥2 negative alterations in cognitions/mood: inability to recall aspects of trauma; persistent negative beliefs; distorted blame; persistent negative emotional state; diminished interest; detachment; inability to experience positive emotions

5. E

   Key feature E

   ≥2 alterations in arousal/reactivity: irritability/aggression; reckless/destructive behaviour; hypervigilance; exaggerated startle; concentration problems; sleep disturbance

6. F

   Key feature F

   Duration >1 month

7. G

   Key feature G

   Clinically significant distress or impairment

8. H

   Key feature H

   Not attributable to substances or another medical condition

With dissociative symptoms (depersonalisation)

Persistent experiences of feeling detached from one's body or mental processes.

With dissociative symptoms (derealisation)

Persistent experiences of unreality of surroundings.

With delayed expression

Full diagnostic criteria not met until at least six months after the event.