Clinician-Administered PTSD Scale Note: This tool must only be used by an experienced clinician as part of a properly structured psychiatric interview. Instructions Patient name: Date of test: Administered by: Traumatic event: Date of event: Interval: weeks years have you had or experienced any of the following? Please indicate the time frame for which the answers below apply. Criteria Group A (BOTH 1 & 2 required): (1)   Life threat? [self other(s) ] and/or Serious injury? [self other(s) ] and/or Integrity threat? [self other(s) ] and/or (2)   Intense Fear/Helplessness/Horror? Criteria Group B (Re-experiencing of event; ONE required): (1)   Recurrent, intrusive, distressing RECOLLECTIONS of the event: (2)   Recurrent, distressing DREAMS of the event: (3)   A sense that the event(s) is/are happening to you all over again:* (4)   Intense and distressing feeling or emotions in response to cues:** (5)   Physical symptoms, e.g. shaking, nausea, etc., in response to cues:** Criteria Group C (Avoidance of stimuli associated with traumatic event; THREE required): (1)   Efforts to avoid thoughts, feelings, conversations about the traumatic event: (2)   Efforts to avoid places, activities, or situations that remind you of the event: (3)   Difficulty remembering some important part of the traumatic event: (4)   Loss of interest in engaging in previously enjoyed activities: (5)   Feelings of detachment from others: (6)   Restricted range of feelings or emotions: (7)   Sense of foreshortened future: Criteria Group D (Hyper-arousal not present prior to event; TWO required): (1)   Difficulty falling or staying asleep: (2)   Irritability - quick to anger: (3)   Difficulty concentrating: (4)   Hyper-vigilance - on edge: (5)   Exaggerated startle response:*** Criteria Group E (Persistence of symptoms): Duration of symptoms endorsed in B, C, and D is greater than 1 month. Criteria Group F: The symptoms cause significant distress and impairment of function. Specifiers: The symptoms have been present for: * Includes "flash backs", hallucinations, and similar episodes. ** "Cues" are internal or external symbols or situations that resemble some aspect of the traumatic event. *** e.g. door slamming, car back-firing, etc.

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