PTSD Self Assessment Test Re-experiencing Symptoms: Memories and images of the traumatic events may intrude into the minds of those with PTSD. They occur suddenly without obvious cause. They are often accompanied by intense emotions, such as grief, guilt, fear, or anger. Sometimes they can be so vivid a person believes the trauma is actually reoccurring. Nightmares, Night Terrors Sleepwalking, Sleep Fighting Unwanted Daytime Memories, Images, Thoughts, Daydreams Flashbacks, Feeling Like You're Reliving the Traumatic Event Somatic Flashbacks (Physical Pain / Medical Condition Linked to the Feeling or Bodily States Associated with the Traumatic Event) Fixated on War Experience, Living the Past Spontaneous Psychotic Episodes (the World Vanishes and you're Suddenly Somewhere Else, Experiencing Some Sort of Trauma) Panic Attacks, Undefined Dread or Fear Phobias Avoidance Symptoms: Traumatized individuals attempt to avoid situations, people or events that remind them of their trauma. They feel numb, emotionless, withdrawing into themselves trying to shut out the painful memories and feelings. Friends and family feel rejected by them, as they are unable to show appropriate affection and emotion. Avoiding anyone or anything that reminds you of the traumatic event Physical/emotional reaction to things that remind you of the traumatic event Self-isolating, dread or social interaction Anxiety in crowds, traffic Despair, depression, sadness, emptiness, loneliness Inability to trust others Very reluctant to talk about your traumatic event Lack of interest or motivation regarding employment, recreation, former hobbies, sex, exercise exerciseRelationships that were once close and even intimate are now strained, cold, distant, requiring too much energy to maintain Emotional numbness, flat, can't get happy or sad, 'dead inside' Substance abuse to 'numb' yourself (drug, alcohol, food) Suicidal thoughts Suicide attempts Physical fatigue Neglect/abandon personal care, hygiene, nutrition, exercise Name* First Last Branch of Service I am a First-Responder Phone*Email* Address Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Any Additional Concerns, Questions, Comments... This iframe contains the logic required to handle Ajax powered Gravity Forms.