309.81   DSM-IV Criteria for Posttraumatic Stress Disorder
A. The person has been exposed to a traumatic event in which both of the following
have been present:
(1) the person experienced, witnessed, or was confronted with an event or
events that involved actual or threatened death or serious injury, or a threat
to the physical integrity of self or others
(2) the person's response involved intense fear, helplessness, or horror. Note:
In children, this may be expressed instead by disorganized or agitated behavior.
B. The traumatic event is persistently reexperienced in one (or more) of the
following ways:
(1) recurrent and intrusive distressing recollections of the event, including
images, thoughts, or perceptions. Note: In young children, repetitive play may
occur in which themes or aspects of the trauma are expressed.

(2) recurrent distressing dreams of the event. Note: In children, there may be
frightening dreams without recognizable content.

(3) acting or feeling as if the traumatic event were recurring (includes a sense
of reliving the experience, illusions, hallucinations, and dissociative flashback
episodes, including those that occur upon awakening or when intoxicated).
Note: In young children, trauma-specific reenactment may occur.

(4) intense psychological distress at exposure to internal or external cues that
symbolize or resemble an aspect of the traumatic event.

(5) physiological reactivity on exposure to internal or external cues that
symbolize or resemble an aspect of the traumatic event.
C. Persistent avoidance of stimuli associated with the trauma and numbing of
general responsiveness (not present before the trauma), as indicated by three (or
more) of the following:
D. Persistent symptoms of increased arousal (not present before the trauma), as
indicated by two (or more) of the following:
F. The disturbance causes clinically significant distress or impairment in social,
occupational, or other important areas of functioning.
(1) difficulty falling or staying asleep
(2) irritability or outbursts of anger
(3) difficulty concentrating
(4) hypervigilance
(5) exaggerated startle response
E. Duration of the disturbance (symptoms in Criteria B,C, and D) is more than one
(1) efforts to avoid thoughts, feelings, or conversations associated with the
(2) efforts to avoid activities, places, or people that arouse recollections of
the trauma
(3) inability to recall an important aspect of the trauma
(4) markedly diminished interest or participation in significant activities
(5) feeling of detachment or estrangement from others
(6) restricted range of affect (e.g. unable to have loving feelings)
(7) sense of a foreshortened future (e.g., does not expect to have a career,
marriage, children, or a normal life span)
Specify if:
Specify if: With Delayed Onset: if onset of symptoms is at least 6 months after the stressor
Chronic: if duration of symptoms is 3 months or more