Document ID: chunk:federal_register_of_legislation:F2022L01378:reg:7:p2
Version: federal_register_of_legislation:F2022L01378
Segment Type: reg
Provision Reference: reg 7 (pt 2/2)
Character Range: 4792–6679

(typically due to dissociative amnesia and not to other factors such as head injury, alcohol, or drugs).

     Avoidance Symptoms
(i) efforts to avoid distressing memories, thoughts, or feelings about or closely associated with the traumatic event(s);
(ii) efforts to avoid external reminders (people, places, conversations, activities, objects, situations) that arouse distressing memories, thoughts, or feelings about or closely associated with the traumatic event(s).
     Arousal Symptoms
(i) sleep disturbance (for example, difficulty falling or staying asleep, restless sleep);
(ii) irritable behaviour and angry outbursts (with little or no provocation), typically expressed as verbal or physical aggression toward people or objects;
(iii) hypervigilance;
(iv) problems with concentration;
(v) exaggerated startle response; and
C.            Duration of the disturbance (symptoms in Criterion 2) is 3 days to 1 month after trauma exposure. Symptoms typically begin immediately after the trauma, but persistence for at least 3 days and up to 1 month is needed to meet disorder criteria; and
D.           The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning; and
E.            The disturbance is not attributable to the physiological effects of a substance (for example, medication or alcohol) or another medical condition (for example, mild traumatic brain injury) and is not better explained by brief psychotic disorder.
Note: DSM-5-TR is defined in the Schedule 1 – Dictionary.
Death from acute stress disorder
(3)          For the purposes of this Statement of Principles, acute stress disorder, in relation to a person, includes death from a terminal event or condition that was contributed to by the person's acute stress disorder.
Note: terminal event is defined in the Schedule 1 – Dictionary.