1. Subjective sense of numbing, detachment, or absence of emotions
2. A sense of being in a daze
3. A sense that the world is not quite real
4. A sense that your own self is not quite real
5. An inability to recall some important aspect of the trauma

The traumatic event is persistently re-experienced in at least one of the following ways: recurrent images, thoughts, dreams, illusions, or flashbacks; or with a sense of reliving the experience; or with marked distress when reminded of the incident.

The person also has difficulty sleeping, irritability, poor concentration, hyper vigilance, and exaggerated startle response, and restlessness. This distress causes marked impairments in social, occupational, or other important areas of functioning.