Assessment of PTSD can be conducted using a range of available instruments, each possessing varying strengths and weaknesses.

Instruments Strength Weakness
CAPS-5 and other structured/semi-structured PTSD interviews
  • Provide the opportunities to ask follow-up questions and clarify items and responses
  • Can definitively establish whether an individual has a PTSD diagnosis
  • Take longer than self-report measures
  • Must be administered by a trained interviewer
Self-report measures of PTSD
  • Briefer; time and resource efficient
  • Can be used repeatedly in an efficient way to measure progress in treatment
  • Fixed item content and rating scale formats
  • Fewer opportunities to clarify items and responses
  • Cannot definitively establish a PTSD diagnosis
Psychophysiological data (e.g., measuring heart rate while a patient talks about a trauma(s))
  • Objective indicator of distress or arousal related to trauma-related stimuli
  • Requires extensive training and expensive equipment
  • Cannot be used to reliably discriminate those with PTSD from those without PTSD, so it may not be informative at the individual level

The CAPS-5 is the field's gold standard for determining a PTSD diagnosis.