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If a respondent denies exposure, the PC-PTSD-5 is complete with a score of 0. The measure begins with an item which assesses lifetime exposure to traumatic events. If an associated general medical condition is present, the fear described in Criterion A is clearly in excess of that usually associated with the condition. The Primary Care PTSD Screen for DSM-5 (PC-PTSD-5) is a 5-item screen that was designed to identify individuals with probable PTSD in primary care settings. Diagnostic criteria Overall, the symptoms of PTSD are mostly the same in DSM-5 as compared to DSM-IV. The disturbance not due to the direct physiological effects of a substance (e.g., a drug of abuse or a medication) or a general medical condition The individual fears or avoids these situations because of thoughts that escape might be difficult or help might not be available in the event of developing panic-like symptoms or other incapacitating or embarrassing symptoms.Ĭriteria for panic disorder have never been met. The presence of agoraphobia related to fear of developing panic-like symptoms. The anxiety or phobic avoidance is not better accounted for by another mental disorder.Īgoraphobia without history of Panic Disorder The fear, anxiety, or avoidance causes clinically significant distress or impairment in important areas of functioning. The fear, anxiety, or avoidance is persistent, typically lasting 6 months or more. The fear or anxiety is out of proportion to the actual danger posed by the agoraphobic situations and to the sociocultural context.
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The agoraphobic situations almost always provoke fear or anxiety. The situations are avoided (e.g., travel is restricted) or else are endured with marked distress or with anxiety about having a panic attack or panic-like symptoms, or require the presence of a companion. Here we outline the main changes in DSM5TR, subdivided into four categories: addition of diagnostic entities and symptom codes changes in diagnostic criteria or specifier definitions updated terminology and comprehensive text updates.