The severity rating for each symptom is determined using a combination of symptom intensity and frequency ratings. Select each severity rating below to learn more.

Please make a selection, Therapist writing on his clipboard as the Veteran speaks.
0 - Absent

The interviewee denied the problem or the interviewee’s report doesn’t fit the DSM-5 symptom criterion.

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1 - Mild/subthreshold

The interviewee described a problem that is consistent with the symptom criterion but isn't severe enough to be considered clinically significant. The problem doesn't satisfy the DSM-5 symptom criterion and thus doesn't count toward a PTSD diagnosis. This rating is generally given when the frequency and/or intensity are below the minimum requirements for a moderate severity score (frequency less than 2x/month or some of the time (20-30%) OR an intensity of less than Clearly Present).

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2 - Moderate/threshold

The interviewee described a clinically significant problem. The problem satisfies the DSM-5 symptom criterion and thus counts toward a PTSD diagnosis. The problem would be a target for intervention. In general, this rating requires a minimum frequency of 2x/month or some of the time (20-30%) PLUS a minimum intensity of Clearly Present.

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3 - Severe/markedly elevated

The interviewee described a problem that is well above threshold. The problem is difficult to manage and at times overwhelming, and would be a prominent target for intervention. In general, this rating requires a minimum frequency of 2x/week or much of the time (50-60%) PLUS a minimum intensity of Pronounced.

 

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4 - Extreme/incapacitating

The interviewee described a dramatic symptom, far above threshold. This rating is generally given when the frequency is daily/nearly every day or nearly all the time (80-100%) PLUS the intensity rating is Extreme. The problem is pervasive, unmanageable, and overwhelming, and would be a high-priority target for intervention.

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