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Screening for Post traumatic Stress Disorder (PTSD)


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1/9/2014
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Answer the questions below and share them with your health care professional.

Are you troubled by the following?

Yes No

You have experienced or witnessed a life-threatening event that caused intense fear, helplessness, or horror.

Do you re-experience the event in at least one of the following ways?

Yes No

Repeated, distressing memories, or dreams

Yes No

Acting or feeling as if the event were happening again (flashbacks or a sense of reliving it)

Yes No

Intense physical and/or emotional distress when you are exposed to things that remind you of the event

Do reminders of the event affect you in at least three of the following ways?

Yes No

Avoiding thoughts, feelings, or conversations about it

Yes No

Avoiding activities and places or people who remind you of it

Yes No

Blanking on important parts of it

Yes No

Losing interest in significant activities of your life

Yes No

Feeling detached from other people

Yes No

Feeling your range of emotions is restricted

Yes No

Sensing that your future has shrunk (for example, you don't expect to have a career, marriage, children, or normal life span)

Are you troubled by at least two of the following?

Yes No

Problems sleeping

Yes No

Irritability or outbursts of anger

Yes No

Problems concentrating

Yes No

Feeling "on guard"

Yes No

An exaggerated startle response

Having more than one illness at the same time can make it difficult to diagnose and treat the different conditions. Depression and substance abuse are among the conditions that occasionally complicate PTSD and other anxiety disorders.



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