Possible PTSD Indicators
Possible PTSD Indicators
For Warriors or Rescuers
Below is a partial list of symptoms that may indicate the presence of PTSD. An individual need not have all of these to meet the criteria (Segments taken from the DSM V). For a full list see
http://www.ptsd.va.gov/professional/PTSD-overview/dsm5_criteria_ptsd.asp
•1) Symptoms of re-experiencing or re-living the traumatic event:
◦Bad dreams or nightmares about the event or something similar
◦Behaving or feeling as if the event were actually happening all over again (this is known as having flashbacks)
◦Having a lot of emotional feelings when I am reminded of the event
◦Having physical sensations when I am reminded of the event (e.g., my heart races or pounds, I sweat, find it hard to breathe, feel faint, feel like I'm going to lose control)
•2) Symptoms of avoiding reminders of the traumatic event:
◦Avoiding thoughts, conversations, or feelings that remind me about the event
◦Avoiding people, places, or activities that remind me of the event
◦Having difficulty remembering some important part of the event
•3) Since the event happened has there been experiences of :
◦Since the incident having persistent (often distorted) negative beliefs / expectations of yourself / the world (i.e. “i’m to blame for what happened”...”I could have saved him/her/them”...”The world is always dangerous”)
◦Loss of interest in, or just don't do, things that used to be important
◦Feeling detached from people; finding it hard to trust people
◦Feeling emotionally "numb" and finding it hard to have loving feelings even toward those who are important to
◦Having a hard time falling or staying asleep
◦Feeling irritable and have problems with my anger
◦Having a hard time concentrating
◦Feeling you may not live very long and feel there's no point in planning for the future
◦Feeling jumpy and get startled easily
◦Always "on guard"
•4) Experience of medical or emotional problems:
◦Stomach problems
◦Intestinal problems
◦Weight gain or loss
◦Chronic pain (e.g., in back, neck, pelvic area (in women))
◦Problems getting to sleep
◦Problems staying asleep
◦Headaches
◦Skin rashes and other skin problems
◦Irritability, a quick temper, and other anger problems
◦Nightmares
◦Depression
◦Lack of energy, chronic fatigue
◦Alcoholism and other substance use problems
◦Anxiety (panic) attacks
PTSD can manifest in distinct ways with behaviors such as:
1. Increased sick time
2. Lack of a sense of humor
3. Aversion for doing car stops
4. Conflict avoidant / conflict insighting
5. Chronic lack of energy and increase in fatigue
6. Difficulties at work with peers / command staff
7. Difficulties at home with significant other and children
8. Avoidance of places where a critical incident occurred
9. Post Incident changes in personality that are out of character