Intense or prolonged psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event(s).
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(Such reactions may occur on a continuum, with the most extreme expression being a complete loss of awareness of present surroundings.) Dissociative reactions (e.g., flashbacks) in which the individual feels or acts as if the traumatic event(s) were recurring. Recurrent distressing dreams in which the content and/or affect of the dream are related to the traumatic event(s). Recurrent, involuntary, and intrusive distressing memories of the traumatic event(s). Presence of one (or more) of the following intrusion symptoms associated with the traumatic event(s), beginning after the traumatic event(s) occurred:
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Witnessing, in person, the event(s) as it occurred to others. Directly experiencing the traumatic event(s). Exposure to actual or threatened death, serious injury, or sexual violence in one (or more) of the following ways: