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Also, there is now a pre school diagnosis for PTSD, so the following description is for people ages 7 and older.Learn more: Other Conditions Associated with PTSDSymptoms of Posttraumatic Stress Disorder (PTSD)The following are the formal diagnostic criteria needed to be met in order to be diagnosed with PTSD.Criterion A: Traumatic eventTrauma survivors must have been exposed to actual or threatened:directwitnessedindirect, by hearing of a relative or close friend who has experienced the event indirectly experienced death must be accidental or violentrepeated or extreme indirect exposure to qualifying events, usually by professionals non professional exposure by media does not countMany professionals who work in trauma differentiate between “big T traumas,” the ones listed above, and “little t traumas.” Little t traumas can include complicated grief, divorce, non professional media exposure to trauma, or childhood emotional abuse, and clinicians recognize that these can result in post traumatic stress, even if they don’t qualify for the PTSD diagnosis.There is no longer a requirement that someone had to have an intense emotional response at the time of the event. This requirement excluded many veterans and sexual assault survivors in the past.Criterion B: Intrusion or Re experiencingThese symptoms envelope ways that someone re experiences the event. This could look like:Intrusive thoughts or memoriesNightmares related to the traumatic eventFlashbacks, feeling like the event is happening againPsychological and physical reactivity to reminders of the traumatic event, such as an anniversaryCriterion C: Avoidant symptomsAvoidant symptoms describe ways that someone may try to avoid any memory of the event, and must include one of the following:Avoiding thoughts or feelings connected to the traumatic eventAvoiding people or situations connected to the traumatic eventCriterion D: Negative alterations in mood or cognitionsThis criterion is new, but captures many symptoms that have long been observed by PTSD sufferers and clinicians.