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The DSM-IV-TR (Code 308.3) defines the diagnostic criteria for Acute Stress Disorder as requiring exposure to a traumatic event involving actual or threatened death or serious injury, accompanied by intense fear, helplessness, or horror. The individual must exhibit three or more dissociative symptoms (such as numbing, detachment, reduced awareness, derealization, depersonalization, or dissociative amnesia), persistent re-experiencing of the trauma, marked avoidance of trauma-related stimuli, and symptoms of anxiety or increased arousal. The disturbance must cause clinically significant distress or impairment, last between 2 days and 4 weeks, occur within 4 weeks of the event, and not be due to substances, medical conditions, or Brief Psychotic Disorder.

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