CM5832-Attach-E

A(i) Exposed to traumatic event:

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; AND

A(ii)

AND

the person's response involved intense fear, helplessness, or horror;

B: The traumatic event is persistently re-experienced in one or more of the following ways:

recurrent and intrusive distressing recollections of the event, including images, thoughts, or perceptions;

recurrent distressing dreams of the event;

acting or feeling as if the traumatic event were recurring (including a sense of reliving the experience, illusions, hallucinations, and dissociative flashback episodes, including those that occur on awakening or when intoxicated);

intense psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event;

AND

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:

efforts to avoid thoughts, feelings, or conversations associated with the trauma;

efforts to avoid activities, places, or people that arouse recollections of the trauma;

inability to recall an important aspect of the trauma;

markedly diminished interest or participation in significant activities;

feeling of detachment or estrangement from others;

restricted range of affect (eg, unable to have loving feelings);

AND (continued  over)

sense of a foreshortened future (eg, does not expect to have a career, marriage, children, or a normal life span);

D: Persistent symptoms of increased arousal (not present before the trauma), as indicated by two or more of the following:

difficulty falling or staying asleep;

irritability or outbursts of anger;

difficulty concentrating;

hypervigilance;

AND

exaggerated startle response;

(e) Duration of the disturbance (indicated by the relevant symptoms set out in paragraphs (b), (c) and (d)) is more than one month; AND

(f) The disturbance causes clinically significant distress or impairment in social, occupational or other important areas of functioning.

CONCLUSION

Meets diagnostic protocol?