Negative Alterations in Cognitions and Mood
Negative thoughts or feelings that began or worsened after the trauma, in the following way(s):
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Inability to recall key features of the trauma
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Overly negative thoughts and assumptions about oneself or the world
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Exaggerated blame of self or others for causing the trauma
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Negative affect
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Feeling isolated
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Difficulty experiencing positive affect
Alterations in Arousal and Reactivity
Trauma-related arousal and reactivity that began or worsened after the trauma, in the following way(s):
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Irritability or aggression
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Risky or destructive behavior
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Hypervigilance
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Heightened startle reaction
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Difficulty concentrating
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Difficulty sleeping