Post Traumatic Stress Index

POST TRAUivlATIC STRESS INDEX (PTSI)
POST TRAUMATIC
STRESS INDEX
By
PATRICK J. CARNES, Ph.D.

&
DAVID L. DELMONICO, M.Ed.
A NEW FREEDOM, INC.

800-708-1796
POST TRAFMATIC STRESS INDEX (PTSI)
The following statements typify reactions trauma victims often have to child
abuse. Please check those that you believe have applied to you. Although the
statements are written in the present tense, if the statements have ever applied in
your life then place a check next to that item. Statements are considered false only
if they have NEVER been a part of your life. If in doubt. let your first reaction be
your guide. Given these guidelines, place a check mark next to the statements you
feel apply.
__
4. I feel bad at times about myself because of shameful experiences I believe were
my fault
8. I deny myself basic needs at times like groceries, shoes, books, medical care,
rent and heat
".
,'
<"
'
POST T:RAUMATICSTRESS INDEX (PTSI),

,
,
,
36. I often feel lonely and estranged from others because of painful experiences
I have had
39. I sometimes withdraw or have lack of interest in iniportant activities becanse

of child-hood experiences
,.
POST TRAUMATIC STRESS INDEX (PTSI)
__
41. I am upset wben there are reminders of abusive experiences like

anniversaries, places, or symbols
POST TRAUMATIC STRESS INDEX (PISI)
()J.
I make repeated efforts to convince people who were destructive to me and

not willing to listen
POST TRAUJ\fATIC STRESS INDEX (PISI)

.
__
trl. I have a tendency to be preoccopied with something else than what I need
to~
__
105. I get physical reactions to reminders of abuse experiences (breaking out in

cold sweat. trouble breathing, etc.)
'..,
POST TRAUMATIC STRESS INDEX (PTSI)

;
'~
','
~.
_._
114. There is a certain age of chlldren or adolescents that are sexually attractive
tome
__
116. I often feel1Ulworthy, unlovable, immoral, or sinful because of experiences I

have had
122. There are acthities that I have trouble stopping even though they are useless
or dcstru~ive
... :' :
~
POST TRA.UMATIC STRESS INDEX (PTSI)

,
__
139. There are some people in my life who are hard to get over though they hurt
or used me hadly
You have completed the Trauma Profile

Thank you!
DIRECTIONS: Match yourSCOTes with theoppropriare

mpitatizal wde. Btmndeuch SCD1f!' is on e-xptonation of what the score measures, as well as
Of'PrCJ'riate recommendations fex actions 1D be token. If your SCDre is b (Q-3), this is not an arm of aJnCJ!fI1 for you. If your SetH!! is moderate
(3-6), you shout! discuss with your therapist whDt strategies woutd help )\711. 1f)\7llf score is ~er
than 6, this should be an area of intense fows.
Review a series of to'3f!t activiries with your UlerlJ1ist that will he#p youwirh these tratmaportems,
remembering this is OIJIy 0 poper ond pencjJ
fOOL to help you ttmk ab(>ut the role of trQfJl1lQ in your life. Goly)lllU
l1IId }lOIK t'IIenPst C1II see if the results fit your eqJerieIce.
SCORE
CHARACTERISTICS
TRT_
'TRAUIM REAcnoMS: Expenendng

current reactions to trauma events in
THERAPY STRATEGIES
study ways tllat you are still reacting.
Write letters to your perpetrators
impact you are experiencing.
the past.
1.
TRAMA REPEnTION:
Repeating
Also write ~
Decide with a therapist
Understand
Develop habits which help to center yourself (e.g., breathing,

journaUng) so you are doing what you intend - not the cycles of
early trauma experiences.
old.
Wk
OR
what is
how history repeats
opriate to send.
itself in your life experiences.
boundaries.
Boundary failure is key to repetition
compulsion.
learn to recognize trauma bonds 1'1 identifying those in your life.
(loyal, helpful, supportive) to people

who are dangerous,
expletive.
letters to those you know you have harmed.
OOha'i1ors or situations which pataUe\
TRAUIM BONDS: Being connected
telling them of the long-term
Look forpattems.
Use "detachment"
shaming. or
strategies
for difficult people.
Use a first Step if necessary.

TRAUIM SHAME: feeling unworthy
and having self-hate because of
trauma experience.
Understand the shame dynamics of ycu family.
Who was it important
to that you should feel shameful?
Do a list of your secrets.

Start reprogramming yourself wi affirmations.
TRAUMA PLEASURE: Finding

pleasure in the presence
Do a history of how excitement/shame
vlolence, risk, or shame.
Note the costs and dangers to you over time.

Do a First Step and relapse prevention
in your life.
TRAUMA BLOCKING: A pattern

exists to numb, block out,oor
overwhelm feelings that stem from
trauma in your life.
are hooked up to your
trauma past.
of danger,
Work to identify experience

Re-experience
about how' powerful this is
which caused pain or diminished you.
feelings and make sense of them with help.
This will reduce the poNer they have had.
Do a F1J'5t
if appI'
ate.
TRAUMA SPLITTING: Ignoring
Learn that disassociating
traumatic realities by disassociating

or "splitting off'" experience of parts
Identify ways you spUt reality and the triggers that cause that to
of self.
is a "normal"
response to trauma.
happen.
Cultivate a "caring" adult whO stays present so you can stay
whole.
TRAUMA ABSTINENCE: Depriving
yourself of things you need or
deserve because of traUmatic acts.
Notice
Understand how deprivation
perpetrators.
feel.
is a way to continue serving your
Write a letter to the victim that was you about learning to

tolerate pain and deprivation.
Work on strategies
visualizations.
to self-nurture
including inner child
Counselor:
Name:
Unit:
Place an "X' next to all statements that are true about you:
I.
9.
7.
S.
14. 0
15.
16-
21- D
22- D
23.
24.
29.
300
31. 0
32.
36.
37.
38. 0
39.
40.
44.
45. 0
460
-47.0
48. 0
52
Sl
54. 0
55.
56. 0
61- D
62. 0
63.
64. 0
70. 0
71.
n. 0
18.0
79.
so.
87. 0
88.
96.
3.
4.
5.
100
II.
12
13. 0
170
180
19.
20.
250
260
27.
28.
330
340
35.
43.
41.
42.
&.
490
500
51.
570
580
59. 0
60. 0
650
66.0
67. 0
68.
69.
73.0
740
75. 0
76.
71. 0
81.0
82.0
83.
84.
85.
86.
890
900
91. 0
92.
93.
940
95.
970
980
99.
1050
1060
1130
1000
101.0
1020
1030
1040
1070;
loaD
1090
1100
111.0
112.0
1140
1150
116.0
1170
IlaD
1190
1200
121.0
122.0
1230
1240
125.0
1260
1270
1280
1290
1300.
131.0
132.0
1330
1340
1350
136.0
1370
1380
1390
fAJOo
141.0
142.0
1430
''''A. 0
1450
146.0
1470

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POST TRAUivlATIC STRESS INDEX (PTSI)

PATRICK J. CARNES, Ph.D.

DAVID L. DELMONICO, M.Ed.

A NEW FREEDOM, INC.

POST TRAFMATIC STRESS INDEX (PTSI)

POST T:RAUMATICSTRESS INDEX (PTSI),

39. I sometimes withdraw or have lack of interest in iniportant activities becanse

POST TRAUMATIC STRESS INDEX (PTSI)

41. I am upset wben there are reminders of abusive experiences like

POST TRAUMATIC STRESS INDEX (PISI)

I make repeated efforts to convince people who were destructive to me and

POST TRAUJ\fATIC STRESS INDEX (PISI)

105. I get physical reactions to reminders of abuse experiences (breaking out in

POST TRAUMATIC STRESS INDEX (PTSI)

116. I often feel1Ulworthy, unlovable, immoral, or sinful because of experiences I

POST TRA.UMATIC STRESS INDEX (PTSI)

You have completed the Trauma Profile

DIRECTIONS: Match yourSCOTes with theoppropriare

'TRAUIM REAcnoMS: Expenendng

Decide with a therapist

Develop habits which help to center yourself (e.g., breathing,

early trauma experiences.

how history repeats

Boundary failure is key to repetition

learn to recognize trauma bonds 1'1 identifying those in your life.

(loyal, helpful, supportive) to people

letters to those you know you have harmed.

OOha'i1ors or situations which pataUe\

TRAUIM BONDS: Being connected

telling them of the long-term

for difficult people.

Use a first Step if necessary.

Understand the shame dynamics of ycu family.

Who was it important

to that you should feel shameful?

Do a list of your secrets.

TRAUMA PLEASURE: Finding

Do a history of how excitement/shame

vlolence, risk, or shame.

Note the costs and dangers to you over time.

TRAUMA BLOCKING: A pattern

are hooked up to your

Work to identify experience

about how' powerful this is

which caused pain or diminished you.

feelings and make sense of them with help.

This will reduce the poNer they have had.

TRAUMA SPLITTING: Ignoring

Learn that disassociating

traumatic realities by disassociating

Write a letter to the victim that was you about learning to

including inner child

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