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APPENDIX M:
                                         TRAUMA SYMPTOM CHECKLIST FOR PTSD


                                     Note:  I am NOT a physician.  I am a Veteran with PTSD.
                                      Please use the web-links provided for further research.

                                                       Where to Begin

                                                   https://www.ptsd.va.gov/


                                                      Advanced Search

               If you have been through a traumatic event, you may find it hard to talk about your experiences. But it can
               be helpful to tell your doctor or a counselor about any symptoms you have. Witnessing or going through a
               trauma can lead to both emotional and physical problems.

               The checklist below can be a good start to talking about your symptoms following trauma. You can print
               this page, complete the checklist and show it to your doctor, therapist, or someone who can help you find
               care.

               Sharing this information will help a health care provider know you better and plan the best treatment for
               you. Not everyone who goes through trauma will get PTSD, but keep in mind that good treatments are
               available even if you only have some PTSD symptoms.

               A brief checklist of trauma symptoms:

               Check the symptoms below that you experience.  Include symptoms you have even if you are not sure
               they are related to a traumatic event.

               I experienced or witnessed a traumatic event during which I felt extreme fear, helplessness, or horror.

               The event happened on (day/month/year) _______________.

               What happened? ________________________________________.
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