Item 8 (D1): Inability to remember an important aspect of the traumatic event(s) (typically due to dissociative amnesia and not to other factors such as head injury, alcohol, or drugs).

In the past month, have you had difficulty remembering some important parts of (EVENT)? (Do you feel there are gaps in your memory of (EVENT)?)

What parts have you had difficulty remembering?

Do you feel you should be able to remember these things?

[If not clear:] (Why do you think you can’t? Did you have a head injury during (EVENT)? Were you knocked unconscious? Were you intoxicated from alcohol or drugs?) (Rate 0=Absent if due to head injury or loss of consciousness or intoxication during event)

Circle: Difficulty remembering = Minimal, Clearly Present, Pronounced, Extreme .

In the past month, how many of the important parts of (EVENT) have you had difficulty remembering? (What parts do you still remember?)# of important aspects ____(left blank)________

Would you be able to recall these things if you tried?

0. Absent (circled)
1. Mild/subthreshold
2. Moderate / threshold
3. Severe / markedly elevated
4. Extreme / incapacitating

Key rating dimensions = amount of event not recalled / intensity of inability to recall.

• Moderate = at least one important aspect / difficulty remembering clearly present, some recall possible with effort
• Severe = several important aspects / pronounced difficulty remembering, little recall even with effort