PTSD Checklist for DSM-5 (PCL-5)

PTSD Checklist for DSM-5 (PCL-5)

Assessment of symptoms related to stressful experiences

For clinical use only - Internal assessment tool

Patient Information

Instructions: Below is a list of problems that people sometimes have in response to a very stressful experience. Please read each problem carefully and then select one of the numbers to the right to indicate how much you have been bothered by that problem in the past month.

1. Repeated, disturbing, and unwanted memories

Repeated, disturbing, and unwanted memories of the stressful experience?

2. Repeated, disturbing dreams

Repeated, disturbing dreams of the stressful experience?

3. Flashbacks

Suddenly feeling or acting as if the stressful experience were actually happening again (as if you were actually back there reliving it)?

4. Emotional distress

Feeling very upset when something reminded you of the stressful experience?

5. Physical reactions

Having strong physical reactions when something reminded you of the stressful experience (for example, heart pounding, trouble breathing, sweating)?

6. Avoiding internal reminders

Avoiding memories, thoughts, or feelings related to the stressful experience?

7. Avoiding external reminders

Avoiding external reminders of the stressful experience (for example, people, places, conversations, activities, objects, or situations)?

8. Trouble remembering

Trouble remembering important parts of the stressful experience?

9. Negative beliefs

Having strong negative beliefs about yourself, other people, or the world (for example, having thoughts such as: I am bad, there is something seriously wrong with me, no one can be trusted, the world is completely dangerous)?

10. Blaming yourself or others

Blaming yourself or someone else for the stressful experience or what happened after it?

11. Strong negative feelings

Having strong negative feelings such as fear, horror, anger, guilt, or shame?

12. Loss of interest

Loss of interest in activities that you used to enjoy?

13. Feeling distant or cut off

Feeling distant or cut off from other people?

14. Trouble experiencing positive feelings

Trouble experiencing positive feelings (for example, being unable to feel happiness or have loving feelings for people close to you)?

15. Irritable or aggressive behavior

Irritable behavior, angry outbursts, or acting aggressively?

16. Taking too many risks

Taking too many risks or doing things that could cause you harm?

17. Being "superalert"

Being "superalert" or watchful or on guard?

18. Feeling jumpy or easily startled

Feeling jumpy or easily startled?

19. Having difficulty concentrating

Having difficulty concentrating?

20. Trouble falling or staying asleep

Trouble falling or staying asleep?