Post-Event Symptom Checklist

Post-Event Symptom Checklist

Following a critical incident, individuals often present with a wide array of symptoms that are difficult to articulate. This directive offers a structured method for an initial assessment of post-event reactions. It helps to systematically screen for common physiological, cognitive, and emotional responses without overwhelming the person. The goal is to establish a clear baseline of the individual’s current state, which informs subsequent support and intervention planning.

The instrument is a guided self-report, prompting the individual to identify specific experiences in a contained format. This process helps externalize what can feel like a chaotic internal state, facilitating a more focused clinical conversation. For the practitioner, the worksheet provides a concise summary of primary concerns, allowing for targeted inquiry and more effective planning for intervention.


Post-Event Symptom Checklist

Recurring thoughts about the event (intrusive thoughts)▢
Recurring nightmares about the event▢
Flashbacks of the event▢
Sleep or appetite disturbances▢
Acting or feeling as if the event is recurring▢
Persistent anxiety or fear▢
Feeling on edge or constantly alert▢
Hypervigilance▢
Feeling depressed or sad▢
Lack of energy or persistent fatigue▢
Memory difficulties, including trouble recalling details of the event▢
Difficulty with attention and concentration▢
Trouble making decisions▢
Low frustration tolerance▢
Irritability or outbursts of anger▢
Feeling emotionally numb or withdrawn▢
Sense of disconnection or feeling different from others▢
Unpredictable mood swings▢
Restricted range of emotions▢
Sense of a foreshortened future▢
Overly fearful or protective of loved ones▢
Avoidance of reminders of the event (people, places, activities)▢
Unexplained physical symptoms (headaches, stomachaches, etc.)▢
Increased use of alcohol, drugs, or medication▢
Other:▢
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