NLP Vancouver

PTSD Self assessment

If you suspect that you might suffer from PTSD, answer the self-assessment below and print out the results. Share your results with me or another mental health professional.

Question 1

Have you experienced or witnessed a life-threatening event that caused intense fear, helplessness, or horror (Even if you don't remember but suspect you witnessed a life-threatening or traumatic event continue answering this assessment.)?



Question 1a

Do you have trouble remembering important parts of the traumatic event?



Question 2

How do you re-experience the traumatic event (Check all that apply)?

Repeated, distressing memories, or dreams. If you checked this, answer Question 2a and 2b otherwise skip to Question 3
Acting or feeling as if the event were happening again (flashbacks or a sense of reliving it). If you checked this, answer Question 2c otherwise skip to Question 3
Intense physical and/or emotional distress when you are exposed to things that remind you of the traumatic event. If you checked this, answer Question 2d and 2e otherwise skip to Question 3
Question 2a

How often do you have distressing memories about the traumatic event?





Question 2b

How often do you have repeated disturbing dreams about the traumatic event?





Question 2c

How often do you feel like you are acting or re-experience the traumatic event?





Question 2d

How often are you bothered by negative feelings when reminded of the traumatic event?





Question 2e

How often do you have physical reactions (e.g., heart pounding, trouble breathing, sweating) to something that reminds you of the traumatic event?





Question 3

How do reminders of the event affect you (Check all that apply)?

Avoid thoughts, feelings, or conversations about the event. If you checked this, answer Question 3a otherwise skip to Question 4
Avoid activities and places or people who remind you of the event. If you checked this, answer Question 3b otherwise skip to Question 4
Blanking on important parts of the event. If you checked this, skip to Question 4
Losing interest in significant activities of your life. If you checked this, answer Question 3c otherwise skip to Question 4
Feeling detached from other people. If you checked this, answer Question 3d otherwise skip to Question 4
Feeling your range of emotions is restricted. If you checked this, answer Question 3e otherwise skip to Question 4
Sensing that your future has shrunk (for example, you do not expect to have a career, marriage, children, or normal life span). If you checked this, answer Question 3f otherwise skip to Question 4
Question 3a

How often do you avoid thinking, talking about or avoid having feelings related to your stressful experience?





Question 3b

Do you avoid activities or situations because they remind you of your stressful experience?





Question 3c

Have you lost interest in activities you previously enjoyed?





Question 3d

Do you feel distant or cut off from other people?





Question 3e

Do you feel emotionally numb or do you experience being unable to have loving feelings for those close to you?





Question 3f

Do you have the feeling as if your future will somehow be cut short?





Question 4

Are you troubled by any of the (Check all that apply)?

Problems sleeping. If you checked this, answer Question 4a otherwise skip to Question 5
Irritability or outbursts of anger. If you checked this, answer Question 4b otherwise skip to Question 5
Problems concentrating. If you checked this, answer Question 4c otherwise skip to Question 5
Feeling on guard. If you checked this, answer Question 4d otherwise skip to Question 5
An exaggerated startle response. If you checked this, answer Question 4e otherwise skip to Question 5
Question 4a

Do you have trouble falling or staying asleep?





Question 4b

Do you ever experience irritability or having angry outbursts?





Question 4c

Do you have difficulty concentrating?





Question 4d

Do you feel you have to be super-alert or watchful or on guard?





Question 4e

Do you feel jumpy or are you easily startled?





Question 5

Have you experienced changes in your eating habits?





Question 6

More days than not, do you feel...(Check all that apply)

...Sad or depressed?
...Disinterested in life?
...Worthless or guilt?
Question 7

During the last year, has the use of alcohol or drugs...(Check all that apply)

...Resulted in your failure to fulfill responsibilities with work, school, or family?
...Placed you in a dangerous situation, such as driving a car under the influence?
...Gotten you arrested?
...Continued despite causing problems for you or your loved ones?
Having more that one illness at the same time can make it difficult to properly diagnose and treat PTSD. Depression and substance abuse are among the some of the conditions that complicate PTSD and other anxiety disorders. Treatment using NLP for PTSD needs to wait until these are properly controlled. Please feel free to call (604-442-8657) or email me at to plan out treatment, as I do work with other agencies and refer you to getting the best treatment possible for your specific needs.