DSM-IV-TR FOR PTSD Cont.
CRITERION D: HYPER-AROUSAL
Persistent symptoms of increasing arousal (not present before the trauma), indicated by at least two of the following:
1. Difficulty falling or staying asleep
2. Irritability or outbursts of anger
3. Difficulty concentrating
4. Hyper-vigilance
5. Exaggerated startle response
CRITERION E: DURATION
Duration of the disturbance (symptoms in B, C, and D) is more than one month.
CRITERION F: FUNCTIONAL SIGNIFICANCE
The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of function.
Specify if:
Acute: if duration of symptoms is less than three months
Chronic: If duration of symptoms is three months or more
Specify if:
With or without delay onset: Onset of symptoms at least six months after stressor.
REFERENCES
American Psychiatric Association. (200). Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR (Fourth ed.). Washington D.C.: American Psychiatric Association