The PTSD Clinic | Tracy Joy | We treat complex PTSD, PTSD, Acute Stress Disorder, Anxiety, and Depression drug-free

Many people do not know that they have PTSD and live with symptoms for years and even decades before going form help. If this is you, know there is something out there that works, and you are not alone.

Please note this profile assesses potential issues concerning PTSD, depression and anxiety. There are 71 questions in total. By pressing submit, the form will calculate your responses. And, you will get the results of this form on your screen after you press "calculate." This assessment should not be used as a substitute for medical advice but should be used as a guide for further inquiry. Please note for confidentiality purposes your answers will not be recorded on this system. If you wish to keep your profile results you can press control "p" (or command "p" on a Mac) to print your final results.

Question 1: Check off all that pertain to you: *

I was exposed to (experienced myself or was told about a friend or someone close to me experiencing) a life threatening or traumatic event that caused extreme fear, helplessness or horror.

I experienced an event in which I thought mine or someone else’s life was in danger.

I was sexually abused or forced to do something sexually that I didn’t want to do.

I was a witness to or have been personally seriously injured.

I witnessed someone else getting sexually abused.

I have had repeated or extreme exposure to aversive details of traumatic events (e.g.: being a 1st responder, collecting human remains, being a police officer, repeatedly exposed to details of child abuse through work exposure - not electronic media, tv, movies, pictures.)

I suspect I have been exposed to a life threatening event but can’t remember any of the details of that event.

Question 2: Do you have trouble remembering important parts or details of the traumatic event? *

Yes

Question 3: Do you have repeated distressing memories or dreams? *

Yes

Question 4: Do you have weird triggers likes smells, tastes, sounds, pictures or tactile feelings that stimulate you to be startled or immediately angry? *

Yes

Question 5: Do you dream about the traumatic event? Or do you have upsetting memories about the trauma? *

Yes

Question 6: Do you experience intense physical and/or emotional distress (negative feelings) when you are exposed to things that remind you of the traumatic event(s)? *

Yes

Questions 7: Do you ever feel like the traumatic event(s) is(are) reoccurring or will happen again (flashbacks or a sense of reliving it)? *

Yes

Question 8: Do you ever have physical reactions (e.g. heart pounding, trouble breathing, sweating) to something that reminds you of the traumatic event(s)? *

Yes

Question 9: Do reminders of the traumatic event make you tremble, break out in a sweat, hyperventilate, or have a racing heart rate? *

Yes

Question 10: Do you often avoid thoughts, feelings, or conversations about the traumatic event(s)? *

Yes

Question 11: Do you avoid activities, places, people, or situations who remind you of the traumatic event(s)? *

Yes

Question 12: Do you blank on important parts of the traumatic event(s)? *

Yes

Question 13: Do find you are losing interest or have lost interest in significant events of activities in your life? *

Yes

*Question 14: Do you feel detached from other people? *

Yes

Question 15: Do you persistently feel guilt, shame, bad, anger, horror, or fear? And find it hard to experience positive emotions? *

Yes

Question 16: Do you feel emotionally numb or do you experience being unable to have loving feelings for those close to you? *

Yes

Sometimes

Question 17: Do you have the sense that your future has shrunk or have a problem planning for any future? *

Yes

Question 18: Do you have problems sleeping? *

Yes

Question 18a: Do you have nightmares or night terrors? *

Yes

Question 18b: Do you talk, mumble, yell or walk in your sleep? *

Yes

Question 19: Do you suffer from constant irritability, outburst, anger, or rage? *

Yes

Question 20: Do you have problems concentrating? *

Yes

Question 21: Do you always fell like you have to be “on guard,” super alert, or watchful? *

Yes

Question 22: Do you startle easily or feel jumpy? *

Yes

Question 23: Are you disinterested in life on more days than not? *

Yes

Question 24: How recent was the last traumatic experience you had? *

greater than 3 weeks

less than 3 weeks ago

Question 25: Has the trauma significantly affected your job? School? Marriage? Relationships with friends? Social life? Leisure activities? Or keep you from completing you daily chores? *

Yes

Question 26: Before this trauma did you experience a prior threatening experience? *

Yes

Question 27: Do have trouble falling asleep or staying asleep? *

Yes

Question 28: Do you dream when you sleep? *

Yes

Don't know

Question 29: Do you feel rested when you wake from sleeping? *

Yes

Question 30: Do experience insomnia? *

Yes

Questions 31: Do you wake up the time every day, 7 days a week, within the same half hour? *

Yes

Questions 32: On average, how long do you sleep in a night? *

Less than 6 hours per night

7 to 9 hours per night

8 to 10 hours per night

9 to 11 hours per night

10 to 13 hours per night

more than 13 hours per night

Questions 33: How old are you? *

14 to 17 years old

18 to 25 years old

26 to 64 years old

65 years and older

Questions 34: Do you spend any time outside? *

Yes

Question 35: Do you eat at the same time every day? *

Yes

Question 36: Have you experienced changes in your eating habits? Weight loss or gain? Eating more or less? *

Yes

Question 37: Do you feel sad or depressed or like you body is heavy and you don’t want to move, on more days than not? *

Yes

Question 38: Have you ever cut, burned or mutilated yourself? Pulled out your hair? Picked your scabs? Bit your nails? Were anorexic or bulimic? *

Yes

Question 39: Has the use of drugs or alcohol resulted in your failure to fulfill responsibilities with work, school or family during the last year? *

Yes

Question 40: Has the use of drugs or alcohol gotten you arrested in the last year? *

Yes

Question 42: Has the use of drugs or alcohol placed you in a dangerous situation (such as driving a car under the influence), in the last year? *

Yes

Question 43: Has the use of drugs or alcohol continued despite causing problems for or your loved ones in the last year? *

Yes

Question 44: When you feel irritable do some sounds make it worse? Or some smells? Or brightness of light? *

Yes

Questions 45: Have you ever been so nervous you’ve thrown up, frozen or lost control of your body functions (lost ability to speak, lost hold of your bladder or colon, couldn't walk or fell down)? *

Yes

Question 45: Do you experience shock when something unsettling happens to you (freezing on a task or something daunting) more often than others around you? *

Yes

Question 46: Were you adopted? *

Yes

Question 47: Do you find that you continually get yourself into relationships or situations that are not good for you or that harm you in some way (physical, emotional, mental, sexual abuse)? *

Yes

Question 48: Do you find that you are continuously doing things for others that you might not want to do for them, but do anyway? *

Yes

Question 49: Do you have weird anger or rage towards things that in hind sight don’t seem so bad? *

Yes

Question 50: Do you have nightmares or night terrors or do you sleep walk? Or have you had them in the past? *

Yes

Don't know

Question 51: Would you label yourself as an introvert (A person that gets energy from being by themselves rather than being with people.)? *

Yes

Question 52: Do you find that you let other people's opinions stand, no matter what the situation is, even if you know better? Or do you always defer to another person's point of view? *

Yes

Question 53: Do you often feel like you are considered or act like a doormat? Or would others categorize you as a “people pleaser?” *

Yes

Type the word *

PTSD Profile - Do you know if you have PTSD?