Clinical Guide for Review of PTSD/TBI Combat Exposure and Civilian Violence
| (Each item is marked present or absent by the evaluator) |
| Combat Exposure: Severity of Experience |
| Mortar and rocket-propelled grenade attacks |
| Gunfire |
| Indirect IED/VBED blast hits |
| IED/VBED direct hits |
| Witnessing injury or death of military personnel and near misses |
| Witnessing civilian injury or death |
| Combat duties: search and listen missions in field; medic duties |
| Aircraft duty over warzone/crashes due to enemy fire or mechanical failure in enemy territory |
| War-zone deployment exposure: severity of trauma |
| Mortar/gunfire while on base |
| Witnessing of dead bodies or morgue duty on base |
| Treating battlefield injuries on base (witnessing the severely injured) |
| Knowledge of death of fellow military personnel |
| Warnings of incoming enemy mortar attacks |
| Battlemind Conditioning in Combat Zone |
| High alert-high adrenaline combat duty (night time raids, home raids/village raids for intelligence gathering or capture of enemy insurgents) |
| Several documented instances of instant actions to perceived threat or threat (e.g., discharging weapon) |
| Erratic driving to avoid IEDs |
| Encounters with hostile civilians in combat zone |
| Deployment to high-density urban areas where there are enemy insurgents |
| Travel on routes known to be highly mined with IEDs |
| Security duty at entry and exit points of base and base perimeter |
| Flight crew hazardous flights over hostile territory |
| Security duty at entry and exit points of base |
| Postdeployment erratic behavior |
| Reckless driving |
| Explosive temper loss with family and friends |
| Severe isolation, detachment, refusal to communicate with family and friends |
| Heavy drinking; drug use |
| Physical confrontations with others |
| Irrational suspicion of others |
| Severe rage leading to destruction of property (e.g. punching walls, breaking furniture) |
| Physical violence towards family and spouse |
| Self-harm (suicide attempts) |
| Carries weapon at all times for safety |
| Frustration and inability to cope with stress |
| PTSD symptoms with potential links to aggression |
| Hypervigilance |
| Hyperarousal |
| Severe insomnia impairing judgment |
| Irritability |
| Survivor guilt and remorse-related anxiety and depression |
| Dissociative flashbacks |
| TBI symptoms with potential links to aggression |
| Sleep disturbance and headache leading to easy frustration/loss of temper |
| Impairments in judgment (misinterpretation of others motives) |
| Mood lability |
| Impulsivity (spending sprees, terminating relationships) |
| Angry outbursts that are out of proportion to precipitant |