I go out of my way to avoid people, places or reminders of something that hurt me.

I often feel on edge, easily startled or watchful for danger.

My sleep is disturbed by tension or by reliving difficult experiences.

Certain places, sounds or situations trigger sudden fear out of proportion.

I sometimes feel cut off, as if part of me is reliving the past in the present.

My emotions can swing or overwhelm me, and they are hard to calm.

I carry a deep sense of being worthless, damaged or a failure.

I feel distant or disconnected from other people, even those I care about.

Shame or guilt about myself colors much of how I see my life.

It is hard for me to feel close to others or to trust in relationships.

I struggle to soothe or settle myself once I get upset.