Many of our patients´ PTSD values were so high (the majority received "full scores"), that we used the GAD criteria group D as a "magnifying glass" for the PTSD criteria group D. We did this in part because of our desire to acquire differential diagnoses between the patients and in part to verify the clinical observation that it is the symptoms in the PTSD criteria group D that often worsen (more symptoms, deeper penetration) during prolonged and deepened PTSD reactions.

The GAD criteria group D allows differentiation of psychosomatic stress symptoms into three groups in terms of somatic tensions (muscular tension), consequential symptoms of hormonal activity (autonomic nervous system hyperactivity) and symptoms that indicate cognitive mental activities or malfunctions (tense vigilance and hypersensitivity).

The general anxiety disorder (GAD) criteria group D: At least 6 of the following 18 symptoms should be present in connection with anxiety feelings (that does not include symptoms that are only present in connection with panic attacks):

1. Regarding muscular tension: (1) Trembling, jumpy, shaky. (2) Tense, aching or sore muscles. (3) Restlessness. (4) Unusual fatigue

2. Regarding autonomic nervous system hyperactivity: (5) Air hunger or a feeling of shortness of breath. (6) Heart palpitations or rapid pulse. (7) Sweating, or cold wet hands. (8) Dryness of the mouth. (9) Dizziness or giddiness. (10) Feeling of sickness, diarrhea or other gastro-intestinal difficulties. (11) Feeling of suddenly being quite warm or cold. (12) Frequent need to urinate. (13) Difficulties in swallowing or "lump in the throat".

3. Regarding tense vigilance and hypersensitivity: (14) Affected or "uptightÒ.

(15) Overreacting to unexpected external stimuli. (16) Concentration difficulties or "completely blank mind". (17) Difficulties in falling asleep or uneasy sleep.

(18) Irritability.

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