Re-experiencing
Intrusive recall, intrusive re-experiencing, sleep disturbance, nightmares, dissociative recall, intense psychological distress (anger, anxiety) when exposed to reminders of traumatic event(s)
Avoidance
Avoidance, feelings of detachment or estrangement from others, restricted range of affect (numbing)
Hyperarousal
General hyperarousal, sleep disturbance, nightmares; irritability, anger (and impulsiveness), anger , aggression, exaggerated startle response; general autonomic hyperexcitability
Secondary symptoms
Depression, dream content distortions, relapse of symptoms, self-mutilation, sexual function reduction, sleep hours reduction
