Have you got PTSD?
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HAVE YOU GOT PTSD?
Did you have a traumatic birth?
Did you experience a trauma during pregnancy?
Was there a traumatic event that led to your pregnancy?
Did you witness a traumatic birth?
During the course of this traumatic event did you fear for your life or fear for injury for yourself or for your baby or others?
During the course of this traumatic event did you experience feelings of helplessness, intense fear or horror?
During the course of this traumatic event did you feel trapped or unable to escape?
How long ago did this traumatic event occur?
Less than 3 month ago?
Less than 6 months ago?
Less than 12 months ago?
More than a year ago?
More than 2 years ago?
More than 5 years ago?
Are you persistently re-experiencing this traumatic event in any of the following ways? (tick all that apply)
Re-occurring and intrusive memories of the traumatic event, including thoughts, flashbacks, and images
Re-occurring and distressing dreams
A sense of continually reliving the traumatic event over and over
Intense psychological fear and distress triggered by associated aspects of the event
Intense physiological responses (raised heart rate, sweats, nausea, muscle tension, trembling, shortness of breath) triggered by associated aspects of the event
Are you avoiding all reminders or associations of the traumatic event? (tick all that apply)
Applying effort to push away all thoughts, feelings or conversations about the traumatic event
Avoiding activities, people or places that remind you of the traumatic event
Gaps in the memory of the event, there are some missing parts
Lack of interest or motivation to participate in usual social activities
Feelings of detachment or isolation from others
Inability to experience loving or joyful feelings
Are you experiencing any of the following symptoms? (tick all that apply)
Difficultly falling or staying asleep
Unable to concentrate
Hyper vigilance (a feeling of being on high alert)
Hyper sensitive startle response (feeling jumpy)
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