Alpha Behavioral Care, P.A.: Tests: Post-Traumatic Stress Disorder Self-Test


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Post-Traumatic Stress Disorder Self-Test

If you suspect that you might suffer from post-traumatic stress disorder, complete the following self-test by clicking the "yes or "no" boxes next to each question, print out the test and show the results to your health care professional.

HOW CAN I TELL IF IT'S PTSD?

1.	Have you experienced or witnessed a life-threatening event that caused intense fear, helplessness or horror?	Yes No
2.	Do you re-experience the event in at least one of the following ways?	Yes No
3.	Repeated, distressing memories and/or dreams?	Yes No
4.	Acting or feeling as if the event were happening again (flashbacks or a sense of reliving it)?	Yes No
5.	Intense physical and/or emotional distress when you are exposed to things that remind you of the event?	Yes No

Do you avoid reminders of the event and feel numb, compared to the way you felt before, in three or more of the following ways:

6.	Avoiding thoughts, feelings, or conversations about it?	Yes No
7.	Avoiding activities, places, or people who remind you of it?	Yes No
8.	Blanking on important parts of it?	Yes No
9.	Losing interest in significant activities of you life?	Yes No
10.	Feeling detached from other people?	Yes No
11.	Feeling your range of emotions is restricted?	Yes No
12.	Sensing that your future has shrunk (for example, you don't expect to have a career, marriage, children, or a normal life span)?	Yes No

Are you troubled by two or more of the following:

13.	Problems sleeping?	Yes No
14.	Irritability or outbursts of anger?	Yes No
15.	Problems concentrating?	Yes No
16.	Feeling "on guard"?	Yes No
17.	An exaggerated startle response?	Yes No

Having more than one illness at the same time can make it difficult to diagnosis and treat the different conditions. Illnesses that sometimes complicate an anxiety disorder include depression and substance abuse. With this in mind, please take a minute to answer the following questions:

18.

Have you experienced changes in sleeping or eating habits?

Yes No

More days than not, do you feel:

19.	Sad or depressed?	Yes No
20.	Disinterested in life?	Yes No
21.	Worthless or guilty?	Yes No

During the last year, has the use of alcohol or drugs:

24.	Resulted in your failure to fulfill responsibilities with work, school, or family?	Yes No
25.	Placed you in a dangerous situation, such as driving a car under the influence?	Yes No
26.	Gotten you arrested?	Yes No
27.	Continued despite causing problems for you and/or your loved ones?	Yes No