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PTSD Dx
| Question | Answer |
|---|---|
| When was DSM 5 TR published? | March 2022 |
| How many Criteria are there to diagnose PTSD? | 8 |
| What are the letters of criteria to diagnose PTSD? | A through H |
| What does Criterion A stand for? | Trauma Exposure |
| For Criterion A trauma exposure what does exposure mean? | Direct or indirect exposure to actual or threatened death, serious injury, or sexual violence. |
| What does Criterion B stand for? | Intrusion Symptoms |
| What does Intrusive symptoms in Criterion B stand for? | Persistent re-experiencing of the event through nightmares, flashbacks, or intrusive memories |
| What does Criterion C stand for? | Avoidance |
| What are avoidance symptoms in criterion C? | Avoiding thoughts, feelings, or external reminders associated with the trauma |
| what is Criterion D stand for ? | Negative Mood or Cognition |
| What are negative mood or cognition symptoms? | Worsened negative beliefs, persistent fear, or detachment from others |
| What does Criterion E stand for? | Arousal and Reactivity |
| What are arousal and reactivity symptoms in Criterion E | Heightened startle response, hypervigilance, or reckless behavior |
| What does Criterion F stand for? | Duration |
| What is duration in Criterion F mean? | Symptoms from categories B through E last for more than one month. |
| What does Criterion G stand for? | Functional Significance |
| What is the functional significance of Criterion G? | Symptoms cause significant distress or impair daily functioning at work or in social settings. |
| What does Criterion H stand for? | Exclusion |
| What does EIANADFE stand for? | Exposure, Intrusion, Avoidance, negative mood or cognition, arousal and reactivity, duration, functional significance, Exclusion. |
| What is exclusion? | The disturbance is not caused by medication, substance use, or another medical illness |
| What new category of the DSM-5 was PTSD is included ? | Trauma- and Stressor-Related Disorders. All of the conditions included in this classification require exposure to a traumatic or stressful event as a diagnostic criterion. |
| What is Criterion A? | Stressor - The person was exposed to: death, threatened death, actual or threatened serious injury, or actual or threatened sexual violence, in the following way. |
| How many of the following are needed to fit Criterion A for PTSD? | 1 of Direct exposure: Witnessing the trauma, Learning that the trauma happened to a close relative or close friend, Indirect exposure to aversive details of the trauma, usually in the course of professional duties (e.g., first responders, medics) |
| How many are required to fit Criterion B for PTSD? | 1 of Intrusion Symptoms: Unwanted upsetting memories, Nightmares, Flashbacks, Emotional distress after exposure to traumatic reminders, Physical reactivity after exposure to traumatic reminders |
| How many are required to fit Criterion C for PTSD? | I symptom of Avoidance: Avoidance of trauma-related stimuli after the trauma, in the following way(s): Trauma-related thoughts or feelings Trauma-related reminders - thoughts or feelings. |
| How many are required to fit Criterion D for PTSD? Part 1 | 2 sxs of negative thoughts or feelings that got worse. Inability to recall key features of the trauma, overly negative thoughts and assumptions about oneself or the world, exaggerated blame of self or others for causing the trauma, negative affect |
| How many are required to fit Criterion D for PTSD? Part 2 | 2 symptoms of negative thoughts or feelings continued: Negative affect, Decreased interest in activities, Feeling isolated, difficulty experiencing positive affect meaning persistent inability to experience positive emotions (internal numbing) |
| How many are required for Criterion E for PTSD? | 2 symptoms of alterations in arousal and reactivity: Irritability or aggression, Risky or destructive behavior, Hypervigilance, Heightened startle reaction, Difficulty concentrating, Difficulty sleeping |
| what is the Length of the required Criterion F which is duration? | 1 month |
| What is the requirement Criterion G? | Symptoms create distress or functional impairment (e.g., social, occupational). |
| What is the requirement Criterion H? | Symptoms are not due to medication, substance use, or other illness. |
| what are the two specifiers for Dx PTSD? | Dissociative Symptoms & Delayed Expression |
| In the DSM 5 TR what is a specifier? | optional extra tags added to a main diagnosis to give a clearer, more detailed picture of a patient's specific condition. |
| What is the first specifier in the PTSD Dx and what does it mean? | Dissociative Symptoms - depersonalization and derealization |
| What is depersonalization and what is it as part of the PTSD dx? | Feeling detached from one’s own body or mind. It often feels like being an outside observer of your own life or living in a dream - it is part of the dissociative specifier in the two specifiers of dissociative and delayed specification. |
| What are Derealization symptoms and what is it as part of the PTSD dx? | Feeling like the surrounding world is unreal, fake, distant, or mechanically distorted - it is part of the dissociative specifier in the two specifiers of dissociative and delayed specification. |
| what is the second specifier in the PTSD Dx? | Delayed Specification - Full diagnostic criteria are not met until at least six months after the trauma(s), although onset of symptoms may occur immediately. |
| When was the DSM 5 released? | May 2013 |