Criterion A: (applicable to adults, adolescents and children over 6. There is a separate Posttraumatic stress disorder for children 6 years and younger.) Exposure to real or threatened death, injury, or sexual violence.
Several items in Criterion B (intrusion symptoms) are rewritten to add or augment certain distinctions now considered important.
Special consideration is given to developmentally appropriate criteria for use with children and adolescents. This is especially evident in the restated Criterion B—intrusion symptoms. Development of age-specific criteria for diagnosis of PTSD is ongoing at this time.
Criterion C (avoidance and numbing) has been split into "C" and "D":
Criterion C (new version) now focuses solely on avoidance of behaviors or physical or temporal reminders of the traumatic experience(s). What were formerly two symptoms are now three, due to slight changes in descriptions.
New Criterion D focuses on negative alterations in cognition and mood associated with the traumatic event(s) and contains two new symptoms, one expanded symptom, and four largely unchanged symptoms specified in the previous criteria.
Criterion E (formerly "D"), which focuses on increased arousal and reactivity, contains one modestly revised, one entirely new, and four unchanged symptoms.
Criterion F (formerly "E") still requires duration of symptoms to have been at least one month.
Criterion G (formerly "F") stipulates symptom impact ("disturbance") in the same way as before.
Criterion H stipulated the disturbance is not due to the effects of a substance or another medical condition.
Specify whether:
With dissociative symptoms: (not due to effects of a substance or another medical condition)
In addition, meets the criteria of Depersonalization
In addition, meets the criteria of Derealization
Specify if:
With delayed expression Full criteria not met until more than 6 months after the event
