Marked physiological reactivity, such as increased heart rate, after exposure to traumatic reminders. Intense or prolonged distress after exposure to traumatic reminders.Children may re-enact the events in the play. These may occur on a continuum ranging from brief episodes to complete loss of consciousness. Dissociative reactions, such as flashbacks, in which it feels like the experience is happening again.Children may have frightening dreams without content related to the trauma. Traumatic nightmares or upsetting dreams with content related to the event.Children older than six may express this symptom through repetitive play in which aspects of the trauma are expressed. Recurrent, involuntary, and intrusive memories.The traumatic event is persistently re-experienced in one or more of the following ways:.This does not include indirect non-professional exposure through electronic media, television, movies, or pictures. This could occur in the course of professional duties (first responders, collecting body parts, or professionals repeatedly exposed to details of child abuse). You had repeated indirect exposure to distressing details of the event(s).You learned of a close relative or close friend who experienced an actual or threatened accidental or violent death.You witnessed the event happen to someone else, in person. Exposure or threat of death, serious injury, or sexual violence in one or more of the following ways:
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