 255 POSTTRAUMATIC STRESS DISORDER (PTSD) CLIENT PRESENTATION 1. Exposure to Death/Injury to Others (1) * A. The client has a history of having been exposed to the death or serious injury of others that resulted in feelings of intense fear, helplessness, or ho rror. B. The client's severe emotional response to fear has somewhat diminished. C. The client can now recall being a witness to the traumatic incident without experiencing the intense emotional response of fear, helplessness, or horror. 2. Exposure to Threatened Death/Injury to Self (1) A. The client has been a victim of a threat of death or serious injury to himself/herself that has resulted in an intense emotional response of fear, helplessness, or horror. B. The client's intense emotional response to the traumatic event has somewhat diminished. C. The client can now recall the traumatic event of being threatened with death or serious injury without an intense emotional response. 3. Intrusive Thoughts (2) A. The client described experiencing intru sive, distressing thoughts or images that recall the traumatic event and its associated intense emotional response. B. The client reported experiencing less difficulty with intrusive, distressing thoughts of the traumatic event. C. The client reported no longer experiencing intrusive, distressing thoughts of the traumatic event. 4. Disturbing Dreams (3) A. The client described disturbing dreams that he/she experiences and are associated with the traumatic event. B. The frequency and intensity of the di sturbing dreams associated with the traumatic event have decreased. C. The client reported no longer experiencing disturbing dreams associated with the traumatic event. 5. Flashbacks (4) A. The client reported experiencing illusions about or flashbacks to the traumatic event. B. The frequency and intensity of the client's flashback experiences have diminished. C. The client reported no longer experiencing flashbacks to the traumatic event. 6. Distressful Reminders (5) A. The client experienced intens e distress when exposed to reminders of the traumatic event. * The numbers in parentheses correlate to the number of the Behavioral Definition statement in the companion chapter with the same title in The Severe and Persistent Mental Illness Treatment Planner, 2nd ed. (Berghuis and Jongsma) by John Wiley & Sons, 2008. 