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CRITERION H

  • Criterion required: Required
  • Big number/letter: H
(Required for diagnosis)

Symptoms are not due to medication, substance use, or other illness.

Two specifications:

  • Dissociative Specification. In addition to meeting criteria for diagnosis, an individual experiences high levels of either of the following in reaction to trauma-related stimuli:

    • Depersonalization. Experience of being an outside observer of or detached from oneself (e.g., feeling as if "this is not happening to me" or one were in a dream).

    • Derealization. Experience of unreality, distance, or distortion (e.g., "things are not real").
       

  • Delayed Specification. Full diagnostic criteria are not met until at least six months after the trauma(s), although onset of symptoms may occur immediately.