printable banner

U.S. Department of State - Great Seal

U.S. Department of State

Diplomacy in Action

Take the Four Question PTSD Screener

The 4-item Primary Care Post-Traumatic Stress Disorder screen (PC-PTSD) is a simple and effective tool to identify symptoms of post-traumatic stress disorder (PTSD). The 4-item screen assesses key characteristics of PTSD.

It is not designed to diagnose but rather to help you identify symptoms of PTSD.

In your life, have you ever had any experience that was so frightening, horrible, or upsetting that, in the past month, you...

  1. Have had nightmares about it or thought about it when you did not want to?                                        Yes    No
  2. Tried hard not to think about it or went out of your way to avoid situations that reminded you of it?  Yes    No
  3. Were constantly on guard, watchful, or easily startled?                                                                             Yes    No
  4. Felt numb or detached from others, activities, or your surroundings?                                                   Yes    No

If you have answered "yes" to three (3) items or more it is considered "positive" and your screening results are consistent with symptoms of PTSD. As this screening is not a substitute for a clinical evaluation and cannot provide an actual diagnosis, it is recommended that you see a health professional for further assessment/evaluation.


There are many options for assistance. If the screening results suggested the need for further assessment/evaluation:

  • Visit a primary care or mental health care provider.
  • If you are not sure about benefits or don’t have a primary care manager.
  • Contact the Employee Consultation Service at or Call 703-812-2257.
  • Contact the Deployment Stress Management Program at or Call 703-875-4828.
  • Contact MHN Support Services are available through web, phone, and in-person.
    Internet: company code: ‘unaccompaniedtour’.
    Phone: Call toll free, 24/7 at 1-800-213-5811


Do you already have an account on one of these sites? Click the logo to sign in and create your own customized State Department page. Want to learn more? Check out our FAQ!

OpenID is a service that allows you to sign in to many different websites using a single identity. Find out more about OpenID and how to get an OpenID-enabled account.