Veteran meets dsm 5 criteria for ptsd3/31/2024 ![]() Intense or prolonged psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event(s).ĥ. Dissociative reactions (e.g., flashbacks) in which the individual feels or acts as if the traumatic event(s) were recurring.Ĥ. Recurrent distressing dreams in which the content and/or affect of the dream is related to the event(s).ģ. Spontaneous or cued recurrent, involuntary, and intrusive distressing memories of the traumatic event(s).Ģ. ![]() Intrusion symptoms that are associated with the traumatic event(s) (that began after the traumatic event(s)), as evidenced by one or more of the following:ġ. Physiological reactivity on exposure to internal or external cues that symbolize or represent an aspect of the traumatic event.ī. Intense psychological distress at exposure to internal or external cues that symbolize or represent an aspect of the traumatic event.ĥ. Acting or feeling as if the traumatic event were recurring (flashbacks).Ĥ. Recurrent distressing dreams of the event.ģ. Recurrent and intrusive distressing recollections of the event, including images, thoughts, or perceptions.Ģ. The traumatic event is persistently reexperienced in one or more of the following ways:ġ. Experiencing repeated or extreme exposure to aversive details of the event(s) (e.g., first responders collecting body parts police officers repeatedly exposed to details of child abuse) this does not apply to exposure through electronic media, television, movies, or pictures, unless this exposure is work related.ī. Learning that the event(s) occurred to a close relative or close friend in such cases, the actual or threatened death must have been violent or accidental.Ĥ. Witnessing, in person, the event(s) as they occurred to others.ģ. The person was exposed to one or more of the following event(s): death or threatened death, actual or threatened serious injury, or actual or threatened sexual violation, in one or more of the following ways:ġ. The person’s response involved intense fear, helplessness, or horror.Ī. 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.Ģ. The person has been exposed to a traumatic event in which both of the following were present:ġ. TABLE 2-1 Comparison of DSM-IV-TR and DSM-5 Criteria for PTSD DSM-IV-TR CriteriaĪ. The trigger for PTSD must be exposure to actual or threatened death, serious injury, or sexual violation, as directly experienced or experienced through repeated or extreme PTSD is now categorized under “trauma- and stressor-related disorders,” rather than as an anxiety disorder as in Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition, Text Revision ( DSM-IV-TR) (VA, 2013a). In May 2013, the American Psychiatric Association released revised PTSD criteria in DSM-5 (see Table 2-1). The chapter then provides an overview of the prevalence of PTSD in the general U.S. ![]() That is followed by a description of the several avenues of diagnosis, treatment, and consequences that service members or veterans who have PTSD may experience over their lifetimes. To put the number of service members and veterans who have PTSD in perspective, this chapter begins with a brief discussion of recent revisions of the diagnostic criteria for PTSD as given in the American Psychiatric Association’s (APA’s) (2013) Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (DSM-5). The phase 1 report presented information on the number of service members and veterans who have received diagnoses of PTSD and on how the Department of Defense (DoD) and the Department of Veterans Affairs (VA) are dealing with this growing mental health problem. Posttraumatic stress disorder (PTSD) affects hundreds of thousands of U.S. Diagnosis, Course, and Prevalence of PTSD
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