Exhibit 1.3-4 DSM-5 diagnostic criteria for PTSD. Posttraumatic relationship experiences in women in South India. Complex posttraumatic stress disorder: the need to consolidate a distinct clinical syndrome or to reevaluate features of psychiatric disorders following interpersonal trauma? World J Psychiatry. Giourou E, Skokou M, Andrew SP, Alexopoulou K, Gourzis P, Jelastopulu E. As a result, an individual may be hypervigilant of their surroundings and interactions with others. Feelings of suspicion: The violation of emotional, physical, or sexual boundaries that can occur in an abusive relationship can breed deep mistrust in and suspicion of others.Trust difficulties: Establishing meaningful relationships may prove complicated as the nature of the abusive relationships can instill mistrust in oneself and others.Additionally, frightening or disturbing dreams related to the content of the trauma may occur. A person may struggle to fall asleep or stay asleep.

Nightmares: Relationship trauma can cause sleep disturbances.Establishing meaningful relationships may prove complicated as these emotions may be accompanied by hopelessness, stress, anger, or fear. Guilt and shame: Feelings of guilt and shame can make a person feel isolated from or detached from others.This can lead to avoidance of the triggering situation, event, or person. Feelings of fear or distress: A person may experience anger, fear, stress, or anxiety in the relationship.These intrusions may be repetitive and unwanted. They can be incredibly distressing and cause a person to feel as if they are reliving an event. Flashbacks: Flashbacks are vivid, intrusive thoughts related to a traumatic situation.

Signs of trauma