Avoidance of or efforts to avoid distressing memories, thoughts, or feelings about or closely associated with the traumatic event(s).Īvoidance of or efforts to avoid external reminders (people, places, conversations, activities, objects, situations) that arouse distressing memories, thoughts, or feelings about or closely associated with the traumatic event(s). Persistent avoidance of stimuli associated with the traumatic event(s), beginning after the traumatic event(s) occurred, as evidenced by one or both of the following.Marked physiological reactions to internal or external cues that symbolize or resemble an aspect of the traumatic event(s)." Intense or prolonged psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event(s). In children, trauma-specific reenactment may occur in play. (Such reactions may occur on a continuum, with the extreme expression being a complete loss of awareness of present surroundings). ![]() Recurrent distressing dreams in which the content and/or effect of the dream are related to the traumatic event(s).ĭissociative reactions (e.g., flashbacks) in which the individual feels or acts as if the trauma event(s) were recurring. In children older than 6, there may be frightening dreams without recognizable content.
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