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PTSD checklist for DSM-5

PTSD checklist for DSM-5
In the past month, how much were you bothered by: Not at all A little bit Moderately Quite a bit Extremely
1. Repeated, disturbing, and unwanted memories of the stressful experience? 0 1 2 3 4
2. Repeated, disturbing dreams of the stressful experience? 0 1 2 3 4
3. Suddenly feeling or acting as if the stressful experience were actually happening again (as if you were actually back there reliving it)? 0 1 2 3 4
4. Feeling very upset when something reminded you of the stressful experience? 0 1 2 3 4
5. Having strong physical reactions when something reminded you of the stressful experience (for example, heart pounding, trouble breathing, sweating)? 0 1 2 3 4
6. Avoiding memories, thoughts, or feelings related to the stressful experience? 0 1 2 3 4
7. Avoiding external reminders of the stressful experience (for example, people, places, conversations, activities, objects, or situations)? 0 1 2 3 4
8. Trouble remembering important parts of the stressful experience? 0 1 2 3 4
9. Having strong negative beliefs about yourself, other people, or the world (for example, having thoughts such as: I am bad, there is something seriously wrong with me, no one can be trusted, the world is completely dangerous)? 0 1 2 3 4
10. Blaming yourself or someone else for the stressful experience or what happened after it? 0 1 2 3 4
11. Having strong negative feelings such as fear, horror, anger, guilt, or shame? 0 1 2 3 4
12. Loss of interest in activities that you used to enjoy? 0 1 2 3 4
13. Feeling distant or cut off from other people? 0 1 2 3 4
14. Trouble experiencing positive feelings (for example, being unable to feel happiness or have loving feelings for people close to you)? 0 1 2 3 4
15. Irritable behavior, angry outbursts, or acting aggressively? 0 1 2 3 4
16. Taking too many risks or doing things that could cause you harm? 0 1 2 3 4
17. Being "superalert" or watchful or on guard? 0 1 2 3 4
18. Feeling jumpy or easily startled? 0 1 2 3 4
19. Having difficulty concentrating? 0 1 2 3 4
20. Trouble falling or staying asleep? 0 1 2 3 4
PTSD: Posttraumatic stress disorder; DSM-5: Diagnostic and Statistical Manual of Mental Disorders, 5th edition.
Reproduced from: Weathers FW, Litz BT, Keane TM, et al (2013). The PTSD Checklist for DSM-5 (PCL-5). Scale available from the National Center for PTSD at www.ptsd.va.gov.
Graphic 105765 Version 1.0

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