1. Posttraumatic Stress Disorder: Sexual Assault Silver Prototype: PowerPoint Partial Lecture - Example Only

2. www.symptommedia.com 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. A.Exposure to actual or threatened death, serious injury, or sexual violence B.Reexperiencing / Intrusions C.Avoidance/Numbing D.Negative alterations in cognitions and mood associated with the traumatic event(s) E.Increased Arousal 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. www.symptommedia.com PTSD (DSM-5):

4. www.symptommedia.com PTSD Criterion A Exposure to actual or threatened death, serious injury, or sexual violence in one (or more ) of the following ways: 1.Directly experiencing the traumatic event(s) 2.Witnessing, in person, the event(s) as it occurred to others. 3.Learning that the traumatic event(s) occurred to a close family member or close friend. 4.Experiencing repeated or extreme exposure to aversive details of the traumatic event.

5. www.symptommedia.com Please Reference Symptom Media DSM Series Posttraumatic Stress Disorder Sexual Assault Video 00:35 - 01:00 Criterion A

6. www.symptommedia.com PTSD Criterion B: Reexperiencing: Flashbacks & Nightmares 1.Recurrent, involuntary and intrusive distressing memories of the traumatic event(s) 2.Recurrent distressing dreams related to the traumatic event(s). 3.Dissociative reactions (e.g. flashbacks) 4.Intense or prolonged psychological distress at exposure to internal or external cues 5.Marked physiological reactions to internal or external cues.

7. www.symptommedia.com Please Reference Symptom Media DSM Series Posttraumatic Stress Disorder Sexual Assault Video 04:45 - 05:06 Criterion B Reexperiencing: Flashbacks & Nightmares

8. www.symptommedia.com PTSD Criterion C: Avoidance / Numbing 1.Avoidance of or efforts to avoid distressing memories, thoughts, or feelings about or closely associated with the traumatic event(s). 2.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).

9. www.symptommedia.com Please Reference Symptom Media DSM Series Posttraumatic Stress Disorder Sexual Assault Video 08:55 - 09:17 Criterion C Avoidance / Numbing

10. www.symptommedia.com PTSD Criterion D: Negative alterations in cognitions and mood associated with the traumatic events (two or more): 1.Inability to remember 2.Persistent and exaggerated negative beliefs 3.Persistent, distorted cognitions about the cause 4.Persistent negative emotional state 5.Markedly diminished interest or participation in significant activities 6.Feelings of detachment or estrangement from others

11. www.symptommedia.com PTSD Criterion E: Increased Arousal 1.Irritable behavior and angry outburst (with little or no provocation) typically expressed as verbal or physical aggression toward people or objects. 2.Reckless or self-destructive behavior 3.Hypervigilance 4.Exaggerated startle response 5.Problems with concentration 6.Sleep disturbance (e.g. difficulty falling or staying asleep or restless sleep)

12. www.symptommedia.com 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