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PCL-5 Weekly

Jennifer Daniels PhD, LCPC
Access Counseling Services, Inc.
175 Olde Half Day Road, Suite 140-9, Lincolnshire IL 60069
19 N. County Street Waukegan IL 60085
(224)225-9650 | jennifer@jdanielsphd.com
jdanielsphd.com

Use this scale to answer the questions below. '0' indicates 'Not at all' being bothered, the numbers increase to '4', indicating being 'Extremely' bothered.

0 - Not at all
1 - A little bit
2 - Moderately
3 - Quite a bit
4 - Extremely

Instructions:
Considering the event you have identified with your therapist as the most stressful/impactful event that you have experienced - Below is a list of problems that people sometimes have in response to a very stressful experience. Please read each problem carefully and then indicate how much you have been bothered by that problem in the past week.

1. Repeated, disturbing, and unwanted memories of the stressful experience?

2. Repeated, disturbing dreams of the stressful experience?

3. Suddenly feeling or acting as if the stressful experience were actually happening again (as if you were actually back there reliving it?)

4. Feeling very upset when something reminded you of the stressful experience?

5. Having strong physical reactions when something reminded you of the stressful experience (for example, heart pounding, trouble breathing, sweating)?

6. Avoiding memories, thoughts, or feelings, related to the stressful experience?

7. Avoiding external reminders of the stressful experience (for example, people, places, conversations, activities, objects, or situations)?

8. Trouble remembering important parts of the stressful experience?

9. Having strong negative beliefs about yourself, other people, or the world (for example, having thoughts such as; i am bad, there is something seriously wrong with me, no one can be trusted, the world is completely dangerous)?

10. Blaming yourself or someone else for the stressful experience or what happened after it?

11. Having strong negative feelings such as fear, horror, anger, guilt, or shame?

12. Loss of interest in activities that you used to enjoy?

13. Feeling distant or cut off from other people?

14. Trouble experiencing positive feelings (for example, being unable to feel happiness or have loving feelings for people close to you)?

15. Irritable behavior, angry outbursts, or acting aggressively?

16. Taking too many risks or doing things that could cause you harm?

17. Being "superalert" or watchful or on guard?

18. Feeling jumpy or easily startled?

19. Having difficulty concentrating?

20. Trouble falling or staying asleep?

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Timestamp

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February 2, 2023 12:58 pm CDT

PCL-5 Weekly Uploaded by Jennifer Daniels - jennifer@jdanielsphd.com IP 72.207.59.93