909 Maine St, Second Floor Sanford, ME 04084

FMI (207)233-1332


Operation Ray of Light
Veterans and Family Empowerment Center



Can occur from...

1. Exposure to actual/threatened death, serious injury, sexual violence 

                   -from directly experiencing traumatic event

                   -witnessing event

                   -learning that event happened to family member/close friend

                   -experiencing repeated/extreme exposure to details of traumatic event

2. Symptoms

                    -recurrent, distressing memories of traumatic event(s)

                    -recurrent, distressing dreams related tp traumatic event(s)

                    -dissociative reactions(flashbacks), 

                    where person completely loses awareness of present surroundings

                    -psychological distress from cues that symbolize or remind of traumatic event(s)

3. Avoidance

                    -relating to distressing memories, thoughts, feelings related to event

                    -avoidance of people, places, conversations, activities, objects, etc that bring       

                      feelings/reminders of traumatic event(s)

4. Mood/cognition worsening




1. Symptoms (5 or more occurring during 2 week period, at least 1 is either depressed mood or loss of interest or            


               -In grief, persistent depressed mood and inability to anticipate happiness or pleasure

               -depressed mood most of the day, nearly every day

               -little interest in all or almost all activities

               -great weight loss or weight gain when not dieting

               -insomnia/hypersomnia nearly every day

               -fatigue/loss of energy nearly every day

               -lessened ability to think/concentrate, indecisiveness

               -recurrent thoughts of death, ideas of suicide without a plan, specific plan, or suicide attempt

2. Symptoms cause great distress in social/occupational aspects of life

3. Episode not related to physiological effects of substance or different medical condition

4. Severity

              -MILD: few symptoms in excess of what is needed to make diagnosis is present, symptoms    

                bring minor impairment in functioning

              -MODERATE: number/intensity of symptoms/impairment range between "mild" and "severe"

              -SEVERE: number of excessive symptoms is high, intensity is seriously distressing and   

                unmanageable, symptoms greatly interfere with social/occupational functioning


1. Development of emotional or behavioral symptoms in response to stressor(s) occurring within 3 months of the onset of the stressor(s)

2. Symptoms

            -Marked distress out of proportion to severity of stressor, taking into account context and 

              cultural factors that may influence symptoms

            -great impairment in social/occupational/other areas of functioning

            -disturbance not meet criteria for another mental disorder

3. Once stressor ends, symptoms do not continue for more than an additional 6 months

4. Specific symptoms

            -With depressed mood: low mood, tearfulness, intense hopelessness

            -With anxiety: nervousness, worry, jitteriness, separation anxiety

            -With anxiety and depressed mood: combination of depression and anxiety

            -With disturbance of conduct: Disturbance of conduct is major

            -With mixed disturbance of emotions and conduct: both emotional symptoms (depression,   

              anxiety) and disturbance of conduct is major

            -Unspecified: for reactions that are not classifiable as other types