1. Posttraumatic Stress Disorder: Silver Prototype: PowerPoint
Combat Veteran
Silver Prototype: PowerPoint
Partial Lecture - Example Only

2. The technical diagnosis of PTSD: Why it is important?
Misdiagnosis is common
Misunderstandings are common
PTSD is serious but very treatable
Often comorbid diagnosis also exists

3. PTSD (DSM-5):
Exposure to actual or threatened death, serious injury, or sexual violence
Reexperiencing / Intrusions
Avoidance/Numbing
Negative alterations in cognitions and mood associated with the traumatic event(s)
Increased Arousal
More than one month of symptoms
Causes functional problems
The disturbance is not attributable to the physiological effects of a substance or another medical condition.

4. PTSD Criterion A
Exposure to actual or threatened death, serious injury, or sexual violence in one (or more ) of the following ways:
Directly experiencing the traumatic event(s)
Witnessing, in person, the event(s) as it occurred to others.
Learning that the traumatic event(s) occurred to a close family member or close friend.
Experiencing repeated or extreme exposure to aversive details of the traumatic event. 4

5. Symptom Media Military Series Posttraumatic Stress Disorder A-6
Please Reference
Symptom Media Military Series
Posttraumatic Stress Disorder A-6
Video
00: :37
Criterion A 5

6. PTSD Criterion B: Reexperiencing: Flashbacks & Nightmares
Recurrent, involuntary and intrusive distressing memories of the traumatic event(s)
Recurrent distressing dreams related to the traumatic event(s).
Dissociative reactions (e.g. flashbacks)
Intense or prolonged psychological distress at exposure to internal or external cues
Marked physiological reactions to internal or external cues. 6

7. Symptom Media Military Series Posttraumatic Stress Disorder A-6
Please Reference
Symptom Media Military Series
Posttraumatic Stress Disorder A-6
Video
01: :21
Criterion B
Reexperiencing: Flashbacks & Nightmares 7

8. PTSD Criterion C: Avoidance / Numbing
Avoidance of or efforts to avoid distressing memories, thoughts, or feelings about or closely associated with the traumatic event(s).
Avoidance 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). 8

9. PTSD Criterion D: Negative alterations in cognitions and mood associated with the traumatic events (two or more):
Inability to remember
Persistent and exaggerated negative beliefs
Persistent, distorted cognitions about the cause
Persistent negative emotional state
Markedly diminished interest or participation in significant activities
Feelings of detachment or estrangement from others 9

10. PTSD Criterion E: Increased Arousal
Irritable behavior and angry outburst (with little or no provocation) typically expressed as verbal or physical aggression toward people or objects.
Reckless or self-destructive behavior
Hypervigilance
Exaggerated startle response
Problems with concentration
Sleep disturbance (e.g. difficulty falling or staying asleep or restless sleep) 10

11. Symptom Media Military Series Posttraumatic Stress Disorder A-6
Please Reference
Symptom Media Military Series
Posttraumatic Stress Disorder A-6
Video
02: :12
Criterion E
Increased Arousal 11

12. PTSD Criterion F, G and H F. More than one month of symptoms
G. Causes functional problems
H. The disturbance is not attributable to the physiological effects of a substance or another medical condition 12