Which symptom is NOT considered a core feature of PTSD?

Which symptom is NOT considered a core feature of PTSD?

• A. Intrusive memories
• B. Avoidance
• C. Hyperarousal
• D. Auditory hallucinations

Answer: (D)

PTSD is defined by four symptom clusters: intrusion, avoidance, negative alterations in cognitions and mood, and arousal. Intrusive memories are a hallmark intrusion symptom; avoidance involves steering clear of reminders; hyperarousal includes irritability, sleep problems, and an exaggerated startle. Auditory hallucinations, however, are not part of these symptom clusters and are more typical of primary psychotic disorders or mood disorders with psychotic features. Their occurrence would prompt consideration of another diagnosis or a comorbid condition rather than PTSD. Therefore, auditory hallucinations are not a PTSD symptom.

PTSD is defined by four symptom clusters: intrusion, avoidance, negative alterations in cognitions and mood, and arousal. Intrusive memories are a hallmark intrusion symptom; avoidance involves steering clear of reminders; hyperarousal includes irritability, sleep problems, and an exaggerated startle. Auditory hallucinations, however, are not part of these symptom clusters and are more typical of primary psychotic disorders or mood disorders with psychotic features. Their occurrence would prompt consideration of another diagnosis or a comorbid condition rather than PTSD. Therefore, auditory hallucinations are not a PTSD symptom.