.A.  The person has been exposed to a traumatic event in which  both of the 
      following were present:

               1.    the person experienced, witnessed, or was confronted with an
                      event or events that involved actual or threatened death or 
                      serious injury, or a threat to the physical integrity of self or others

               2     the person's response involved intense fear, helplessness, or 
                      horror. 

 B.   The traumatic event is persistently reexperienced in one (or  more) of the 
        following ways:

               1.    recurrent and intrusive distressing recollections of the event,
                      including images, thoughts, or perceptions. 

               2.    recurrent distressing dreams of the event. 

                               Note: In children, there may be frightening dreams without
                                recognizable content.

               3.    acting or feeling as if the traumatic event were recurring (includes
                      a sense of reliving the experience, illusions, hallucinations, and
                      dissociative flashback episodes, including those that occur on 
                      awakening or  when intoxicated). Note: In young children,
                      trauma-specific reenactment may occur.

               4.    intense psychological distress at exposure to internal or
                      external cues that symbolize or resemble an aspect of the
                      traumatic event

               5.    physiological reactivity on exposure to internal or external cues 
                      that symbolize or resemble an aspect of the traumatic event

C.    Persistent avoidance of stimuli associated with the trauma and numbing 
        of general responsiveness (not present before the trauma), as indicated
        by three (or more) of the following:

                1.  efforts to avoid thoughts, feelings, or conversations  associated
                      with the trauma

                2.  efforts to avoid activities, places, or people that arouse
                     recollections of the trauma

                3.  inability to recall an important aspect of the trauma

                4.  markedly diminished interest or participation in  significant 
                     activities

                5.  feeling of detachment or estrangement from others

                6.  restricted range of affect (e.g., unable to have loving feelings)

                7.  sense of a foreshortened future (e.g., does not expect to have a 
                     career, marriage, children, or a normal life span)

D.   Persistent symptoms of increased arousal (not present  before the 
       trauma), as indicated by two (or more) of the  following:

                 1.  difficulty falling or staying asleep

                 2.  irritability or outbursts of anger

                 3.  difficulty concentrating

                 4.  hypervigilance

                 5.  exaggerated startle response

E.     Duration of the disturbance (symptoms in Criteria B, C, and D) is more 
         than 1 month.

F.     The disturbance causes clinically significant distress or impairment in 
         social, occupational, or other important areas of functioning.