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YOUNG CHILD PTSD CHECKLIST (YCPC) 16 years. Updated 12/9/13. Name ID Date TRAUMATIC EVENTS TO COUNT AN EVENT, YOUR CHILD MUST HAVE FELT ONE OF THESE: (1) FELT LIKE HE/SHE MIGHT DIE, OR (2) HE/SHE.

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How to fill out the PTSD checklist online

Completing the PTSD checklist can be an important step in assessing a child's well-being after experiencing traumatic events. This guide will provide you with clear, step-by-step instructions to help you accurately fill out the PTSD checklist online, ensuring that you provide the necessary information for appropriate support.

Follow the steps to successfully complete the PTSD checklist online.

  1. Press the ‘Get Form’ button to obtain the PTSD checklist form and open it in your preferred online editor.
  2. Begin by filling in your child's name and identification number at the top of the form, along with the date.
  3. In the 'Traumatic Events' section, you will need to assess and identify any traumatic experiences your child may have faced. For each listed event, circle '0' if it did not occur, or '1' if it did happen.
  4. After listing these events, enter your child's age at the time of the first occurrence and their age at the last occurrence of any mentioned traumatic events.
  5. If multiple events have occurred, indicate which event was the most distressing for your child by numbering it accordingly.
  6. In the next section concerning symptoms, mark a score (0-4) for how frequently you noticed each symptom in your child over the last two weeks.
  7. Continue through the symptoms section by circling the appropriate number for each symptom listed, reflecting on your child's behavior and feelings.
  8. Once you complete the symptom section, assess the functional impairment by indicating how often the symptoms interfere with your child's daily functioning by marking each item with a score (0-4).
  9. After filling out all sections of the form, review your responses to ensure accuracy.
  10. Finally, save your changes, download the completed form, print it, or share it as needed.

Take the important step of completing documents online for better assessment and support.

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Some PTSD assessments can take eight or more one-hour sessions. This is more likely when the information is needed for legal reasons or disability claims. You can expect to be asked questions about events that may have been traumatic for you. You will be asked about symptoms you may have had since these events.

DSM-5 pays more attention to the behavioral symptoms that accompany PTSD and proposes four distinct diagnostic clusters instead of three. They are described as re-experiencing, avoidance, negative cognitions and mood, and arousal.

Post-traumatic stress disorder (PTSD) is a mental health condition that's triggered by a terrifying event either experiencing it or witnessing it. Symptoms may include flashbacks, nightmares and severe anxiety, as well as uncontrollable thoughts about the event.

The PCL can be scored in several ways: A total symptom severity score (range = 17-85) can be obtained by summing the scores from each of the 17 items that have response options ranging from 1 Not at all to 5 Extremely .

The PCL is a standardized self-report rating scale for PTSD comprising 17 items that correspond to the key symptoms of PTSD. Two versions of the PCL exist: 1) PCL-M is specific to PTSD caused by military experiences and 2) PCL-C is applied generally to any traumatic event.

DSM-5 pays more attention to the behavioral symptoms that accompany PTSD and proposes four distinct diagnostic clusters instead of three. They are described as re-experiencing, avoidance, negative cognitions and mood, and arousal.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232