These alterations in arousal and reactivity are a defense mechanism for preventing further trauma. Difficulty concentrating or sleep disturbances.Hypervigilance (for example, not being able to relax for fear that something bad will happen).Risky or destructive behavior (for example, driving recklessly).Irritability or aggression (such as having angry outbursts).PTSD Criterion E: Alterations in Arousal and Reactivityįor a diagnosis of PTSD, at least two of the following symptoms that began or worsened after the stressor must be present:
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