Post-Traumatic Stress Disorder (source)

• Has PTSD from the car accident + the events surrounding it.
• Has C-PTSD (Complex-Post Traumatic Stress Disorder) from suffering years of verbal and emotional abuse from her mother (see here). This is the one that weighs on her more.

Section I - Must check ONE or more of the following:

• ✔ I have directly experienced a traumatic event.
• ✘ I witnessed a traumatic event, in person, as it occurred to someone else.
• ✘ I learned of a traumatic event which happened to someone very close to me. (In the case of actual or threatened death of a family member, the event was violent and/or accidental.)
• ✘ I have repeatedly experienced extreme exposure to details of traumatic events. (Example: being a medical first responder) (Note: does not include exposure through television or other forms of media)

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Section II - Must check ONE or more of the following:

• ✔ I have recurrent, involuntary, and intrusive distressing memories about the traumatic event I experienced.
• ✔ I have recurrent, distressing dreams in which the content is related to the traumatic event I experienced.
• ✘ I experience dissociation, in which I feel the traumatic event is occurring again. I may have flashbacks or simply lose touch with the world around me.
• ✔ I experience intense and prolonged distress when I am exposed to internal or external things which remind me of the traumatic event I experienced.

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Section III - Must check ONE or both of the following:

• ✔ I try to avoid distressing memories, thoughts, and feelings which are closely related to the traumatic event I experienced.
• ✔ I try to avoid external reminders (certain people, places, conversations, activities, objects, or situations) which arouse distressing memories, thoughts, and feelings about the traumatic event I experienced.

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Section IV - Must check TWO or more of the following:

• ✘ I have trouble remembering specific and sometimes important details about the event.
• ✔ I persistently have negative beliefs about myself, the people around me, and the world in general. Such as that I am a bad person, or that people cannot be trusted.
• ✔ I have persistent, distorted cognitions about the cause or the consequences about the traumatic event I experienced, which leads to my blaming myself or others for what happened.
• ✔ I find myself in a negative emotional state a lot of the time, such as fear or horror or anger or guilt or shame.
• ✔ I have lost interest in participating in significant activities.
• ✔ I often feel detached or estranged from others.
• ✔ It’s often very hard for me to experience positive emotions, such as happiness or satisfaction, or even loving feelings.

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Section V - Must check TWO or more of the following:

• ✔ I sometimes have irritable behavior or angry outbursts.
• ✔ I partake in reckless or self-destructive behavior.
• ⁇ I am sometimes hypervigilant.
• ✘ I have an exaggerated startle response.
• ✘ I have difficulty concentrating.
• ✔ I have difficulty sleeping.

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Section VI - Must check ALL of the following:

• ✔ I have been experiencing these symptoms for longer than one month.
• ✔ These symptoms have caused significant distress and impairment in my every day life.
• ✔ My symptoms have not been caused by a medication, drug use, or another medical condition.

Section VII - Common Symptoms and Behaviors (not required for diagnosis)

• ✔ I feel anxious and worried a lot.
• ✘ I am easily startled.
• ✘ No matter how much I try, I can’t remember specific details of my past.
• ✔ Since the event happened, I have lost interest in things I used to enjoy.
• ✔ I don’t feel as connected or as close to people as I used to be.
• ✔ I sometimes feel completely emotionally numb.
• ✔ I rarely make plans for the future.
• ✔ I have difficulty picturing the future at all.
• ✔ Sometimes reminders of what happened to me can have a physical effect on me, such as light-headedness or an upset stomach.
• ✔ I experienced prolonged periods of sadness or hopelessness.
• ✘ I am unable to keep up with my daily routine, such as going to work or school or doing chores around the home.
• ✔ I sometimes blame myself for what happened to me.
• ✔ I feel guilty about what I did and didn’t do during the traumatic event.

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