Lets Create A Ptsd Diagnosis

[anthony]

we seem to be avoiding reminders of memories..? Maybe

It is appropriate to call C2 Environmental, when C1 is internal and C2 is external?

Don't get me wrong, I like the word "environmental" to describe external aspects, and when defined means: relating to or arising from a person's surroundings. External defined: coming or derived from a source outside the subject affected.

External does seem to define "subject affected" which may be more accurate than "environmental" which doesn't define the subject specifically being affected.

 

[Sideways]

It is appropriate to call C2 Environmental, when C1 is internal and C2 is external?

Don't get me wrong, I l...

I just used environmental because you'd used it later in the same post and I just like it more, but internal/external is probably the more logical of the 2.

Also, omitting "people" was an oopsy - I got distracted by having used the bold thing the right way!

 

[anthony]

Yer... I tend to use environmental myself, but now looking at the definitions of both, I'm learning stuff.

 

[Deleted member 28403]

Hmm, such as is definitely needed, as the list of actual external stimuli is quite long, and someone might be triggered by smell even.

Possibly expanding the list of examples?

 

[anthony]

Possibly expanding the list of examples?

Diagnosis should not attempt to cover every example, that would negate readability. You only need examples to make the point.

 

[anthony]

Others would know this best, @Simply Simon may want to rule in on this, but does including "such as" within the brackets, negate the purpose of examples in brackets?

 

[Sideways]

Would defer to SS on this, but without brackets I think it becomes a big ungainly bulk that's too difficult to follow. Plain english, user friendly. I'm pro-brackets!

 

[Kintsugi]

You don't need the parentheses, but you do need a conjunction ("and," "or," "and/or") preceding "situations." And you don't need a comma following such as.

Also, I just looked it up, so in case anyone isn't sure, APA uses the Oxford comma (commas used preceding a conjunction ending a list series).

So it would be

Avoidance of or efforts to avoid environmental stimuli such as places, conversations, activities, objects, and situations that arouse distressing memories, thoughts, or feelings about or closely associated with the traumatic event(s).

 

[anthony]

Ok, criterion C:

C. Persistent avoidance of stimuli associated with the traumatic event(s), beginning after the traumatic event(s) occurred, as evidence by one or both of the following:

1. Avoidance of or efforts to avoid distressing memories, thoughts, or feelings about or closely associated with the traumatic event(s).
2. Avoidance of or efforts to avoid external stimuli such as places, conversations, activities, objects, and situations that arouse distressing memories, thoughts, or feelings about or closely associated with the traumatic event(s).

Issues, holes, changes?

 

[ghotiff]

"Avoidance of or efforts to avoid external stimuli such as places, conversations, activities, objects, and situations that arouse distressing memories, thoughts, or feelings (add physical response) about or closely associated with the traumatic event(s)"

In my opinion The external stimuli should also cover "arouse" physical response without emotion, eg vomiting.

Eg. I avoid the park (external stimuli) where I was raped because if I go near it I vomit, but don't have any conscious or visible emotion (memory, thought, feeling), just a physical reaction.

 

[anthony]

Eg. I avoid the park (external stimuli) where I was raped because if I go near it I vomit, but don't have any conscious or visible emotion (memory, thought, feeling), just a physical reaction.

You're being personal, which IMHO is blinding your objectivity.

1. Avoidance of or efforts to avoid external stimuli such as places, conversations, activities, objects, and situations that arouse distressing memories, thoughts, or feelings about or closely associated with the traumatic event(s).

You avoid the park because you got raped there. Your physical response of vomiting has nothing to do with avoidance, it has to do with a physiological response which is adequately covered by B5 already: "Marked physiological reactions to internal or external cues that symbolize or resemble an aspect of the traumatic event(s)."

@ghotiff IMHO you cannot add productive input to a diagnosis based on your personal circumstance. Nothing good will come from it, because you will try and write a diagnosis based on you -- not on the disorder itself.

You must isolate your experience from any input IMHO.

 

[ghotiff]

I was genuinely trying to helpful not personal. The example was fictitious and not "mine". If it is deliberately limited to emotional reactions then I have no objection.