Exhibit 1.3-4DSM-5 Diagnostic Criteria for PTSD · Irritable behavior and angry outbursts (with little or no provocation), typically expressed as verbal or physical ...NCBISkiptomaincontentSkiptonavigationResourcesHowToAboutNCBIAccesskeysMyNCBISignintoNCBISignOutNCBIBookshelf.AserviceoftheNationalLibraryofMedicine,NationalInstitutesofHealth.CenterforSubstanceAbuseTreatment(US).Trauma-InformedCareinBehavioralHealthServices.Rockville(MD):SubstanceAbuseandMentalHealthServicesAdministration(US);2014.(TreatmentImprovementProtocol(TIP)Series,No.57.)Trauma-InformedCareinBehavioralHealthServices.ShowdetailsTreatmentImprovementProtocol(TIP)Series,No.57.CenterforSubstanceAbuseTreatment(US).Rockville(MD):SubstanceAbuseandMentalHealthServicesAdministration(US);2014.ContentsOrderprintcopyfromSAMHSASearchtermExhibit1.3-4DSM-5DiagnosticCriteriaforPTSDNote:Thefollowingcriteriaapplytoadults,adolescents,andchildrenolderthan6years.Forchildren6yearsandyounger,seetheDSM-5sectiontitled“PosttraumaticStressDisorderforChildren6YearsandYounger”(APA,2013a).Exposuretoactualorthreateneddeath,seriousinjury,orsexualviolenceinone(ormore)ofthefollowingways:Directlyexperiencingthetraumaticevent(s).Witnessing,inperson,theevent(s)asitoccurredtoothers.Learningthatthetraumaticevent(s)occurredtoaclosefamilymemberorclosefriend.Incasesofactualorthreateneddeathofafamilymemberorfriend,theevent(s)musthavebeenviolentoraccidental.Experiencingrepeatedorextremeexposuretoaversivedetailsofthetraumaticevent(s)(e.g.,firstresponderscollectinghumanremains;policeofficersrepeatedlyexposedtodetailsofchildabuse).Note:CriterionA4doesnotapplytoexposurethroughelectronicmedia,television,movies,orpictures,unlessthisexposureisworkrelated.Presenceofone(ormore)ofthefollowingintrusionsymptomsassociatedwiththetraumaticevent(s),beginningafterthetraumaticevent(s)occurred:Recurrent,involuntary,andintrusivedistressingmemoriesofthetraumaticevent(s).Note:Inchildrenolderthan6years,repetitiveplaymayoccurinwhichthemesoraspectsofthetraumaticev