POST TRAUivlATIC STRESS INDEX (PTSI)

POST TRAUMATIC

STRESS INDEX

By

PATRICK J. CARNES, Ph.D.

&

DAVID L. DELMONICO, M.Ed.

A NEW FREEDOM, INC.800-708-1796

POST TRAFMATIC STRESS INDEX (PTSI) ".

The following statements typify reactions trauma victims often have to childabuse. Please check those that you believe have applied to you. Although thestatements are written in the present tense, if the statements have ever applied inyour life then place a check next to that item. Statements are considered false onlyif they have NEVER been a part of your life. If in doubt. let your first reaction beyour guide. Given these guidelines, place a check mark next to the statements youfeel apply.

__ 4. I feel bad at times about myself because of shameful experiences I believe weremy fault

8. I deny myself basic needs at times like groceries, shoes, books, medical care,rent and heat

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, ' POST T:RAUMATICSTRESS INDEX (PTSI), ,, , • ~ J ,.

36. I often feel lonely and estranged from others because of painful experiencesI have had

39. I sometimes withdraw or have lack of interest in iniportant activities becanseof child-hood experiences

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. POST TRAUMATIC STRESS INDEX (PTSI)

__ 41. I am upset wben there are reminders of abusive experiences likeanniversaries, places, or symbols

· POST TRAUMATIC STRESS INDEX (PISI) .

()J. I make repeated efforts to convince people who were destructive to me andnot willing to listen

-POST TRAUJ\fATIC STRESS INDEX (PISI)

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__ trl. I have a tendency to be preoccopied with something else than what I needto~ .

__ 105. I get physical reactions to reminders of abuse experiences (breaking out incold sweat. trouble breathing, etc.)

· , .'.., POST TRAUMATIC STRESS INDEX (PTSI) . . .. :' :

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_._ 114. There is a certain age of chlldren or adolescents that are sexually attractivetome

__ 116. I often feel1Ulworthy, unlovable, immoral, or sinful because of experiences Ihave had

122. There are acthities that I have trouble stopping even though they are uselessor dcstru~ive

- POST TRA.UMATIC STRESS INDEX (PTSI) ., . .

__ 139. There are some people in my life who are hard to get over though they hurtor used me hadly

You have completed the Trauma ProfileThank you!

DIRECTIONS: Match yourSCOTes with theoppropriare mpitatizal wde. Btmndeuch SCD1f!' is on e-xptonation of what the score measures, as well asOf'PrCJ'riate recommendations fex actions 1Dbe token. If your SCDre is b¥ (Q-3), this is not an arm of aJnCJ!fI1 for you. If your SetH!! ismoderate

I (3-6), you shout! discuss with your therapist whDt strategies woutd help )\711. 1f)\7llf score is ~er than 6, this should be an area of intense fows.Review a series of to'3f!t activiries with your UlerlJ1ist that will he#p youwirh these tratmaportems, remembering this is OIJIy 0 poper ond pencjJ

fOOL to help you ttmk ab(>ut the role of trQfJl1lQ in your life. Goly)lllU l1IId }lOIK t'IIenPst C1II see if the results fit your eqJerieIce.

SCORE CHARACTERISTICSTRT_ 'TRAUIM REAcnoMS: Expenendng

current reactions to trauma events inthe past.

TRAMA REPEnTION: RepeatingOOha'i1ors or situations which pataUe\early trauma experiences.

TRAUIM BONDS: Being connected(loyal, helpful, supportive) to peoplewho are dangerous, shaming. orexpletive.

TRAUIM SHAME: feeling unworthyand having self-hate because oftrauma experience.

TRAUMA PLEASURE: Findingpleasure in the presence of danger,vlolence, risk, or shame.

TRAUMA BLOCKING: A patternexists to numb, block out,ooroverwhelm feelings that stem fromtrauma in your life.

TRAUMA SPLITTING: Ignoringtraumatic realities by disassociatingor "splitting off'" experience of partsof self.

TRAUMA ABSTINENCE: Deprivingyourself of things you need ordeserve because of traUmatic acts.

THERAPY STRATEGIES• study ways tllat you are still reacting.• Write letters to your perpetrators telling them of the long-term

impact you are experiencing.1. Also write ~ letters to those you know you have harmed.

• Decide with a therapist what is opriate to send.

• Understand how history repeats itself in your life experiences.• Develop habits which help to center yourself (e.g., breathing,

journaUng) so you are doing what you intend - not the cycles ofold.

• W«k OR boundaries.• Boundary failure is key to repetition compulsion.

• learn to recognize trauma bonds 1'1 identifying those in your life.• Look forpattems.• Use "detachment" strategies for difficult people.

• Use a first Step if necessary.• 0 Understand the shame dynamics of ycu family.• Who was it important to that you should feel shameful?

• Do a list of your secrets.• Start reprogramming yourself wi affirmations.

• Do a history of how excitement/shame are hooked up to yourtrauma past.

• Note the costs and dangers to you over time.• Do a First Step and relapse prevention about how' powerful this is

in your life.• Work to identify experience which caused pain or diminished you.• Re-experience feelings and make sense of them with help.

•• This will reduce the poNer they have had.

• Doa F1J'5t if appI' ·ate.• Learn that disassociating is a "normal" response to trauma.• Identify ways you spUt reality and the triggers that cause that to

happen.• Cultivate a "caring" adult whO stays present so you can stay

whole.• Notice feel.• Understand how deprivation is a way to continue serving your

perpetrators.• Write a letter to the victim that was you about learning to

tolerate pain and deprivation.

• Work on strategies to self-nurture including inner childvisualizations.

Name: Counselor: Unit:

Place an "X' next to all statements that are true about you:

I. 0 2 0 3. D 4. 0 5. 0 &. D 7. 0 S. 09. 0 10·0 II. D 12 0 13. 0 14.0 15. 0 16- 0

17·0 18·0 19. D 20. 0 21- D 22- D 23. 0 24. 0

25·0 26·0 27. 0 28. D 29. 0 30·0 31.0 32. 0

33·0 34·0 35. 0 36. 0 37. 0 38. 0 39. 0 40. 041. 0 42. 0 43. 0 44. 0 45. 0 46·0 -47.0 48. 0

49·0 50·0 51. 0 52 0 Sl 0 54. 0 55. 0 56. 0

57·0 58·0 59. 0 60. 0 61- D 62. 0 63. 0 64. 0

65·0 66.0 67. 0 68. 0 69. 0 70. 0 71. 0 n. 073.0 74·0 75. 0 76. 0 71. 0 18.0 79. 0 so. D81.0 82.0 83. D 84. D 85. D 86. 0 87.0 88. D

89·0 90·0 91. 0 92. 0 93. 0 94·0 95. D 96. 0

97·0 98·0 99. 0 100·0 101.0 102·0 103·0 104·0

105·0 106·0 107·0; loaD 109·0 110·0 111.0 112.0

113·0 114·0 115·0 116.0 117·0 IlaD 119·0 120·0

121.0 122.0 123·0 124·0 125.0 126·0 127·0 128·0

129·0 130·0. 131.0 132.0 133·0 134·0 135·0 136.0

137·0 138·0 139·0 fAJO·o 141.0 142.0 143·0 ''''A.0

145·0 146.0 147·0