{
  "assessmentTests": {
    "ptsd_screener": {
      "name": "Trauma Response Check-In",
      "desc": "A short self-reflection on patterns of intrusive memories, avoidance, mood shifts, and heightened alertness that can follow a difficult or distressing experience.",
      "recommendation": "Your trauma response profile",
      "questions": [
        {
          "question": "Unwanted memories of a difficult experience pop into my mind without warning.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I have distressing dreams connected to a difficult experience I've been through.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "There are moments when I feel like a difficult experience is happening to me all over again.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I have strong emotional reactions when something reminds me of a difficult experience.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "My body reacts physically, a racing heart, tight chest, or sweating, when I'm reminded of a difficult experience.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I try to push away thoughts or feelings connected to a difficult experience.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I avoid people, places, conversations, or situations that remind me of a difficult experience.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "There are parts of a difficult experience I have trouble remembering clearly.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I hold negative beliefs about myself, other people, or the world because of what I've been through.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I blame myself for a difficult experience that happened to me.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I carry persistent feelings of fear, guilt, or shame connected to a difficult experience.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I've lost interest in activities I used to enjoy.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I feel distant or cut off from people close to me.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I find it hard to feel happiness, love, or other positive emotions.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I feel irritable or have sudden outbursts of anger.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I engage in reckless or self-destructive behavior.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I feel like I have to stay on guard, even in situations that are generally safe.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I startle easily at sudden noises or movements.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I have trouble concentrating on everyday tasks.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I have trouble falling asleep or staying asleep.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        }
      ],
      "dimensions": {
        "intrusion": {
          "name": "Intrusion",
          "desc": "How often unwanted memories, dreams, or vivid re-experiencing of a difficult event show up uninvited.",
          "high": "A high score here suggests a difficult experience keeps resurfacing in ways you didn't choose, through memories, dreams, or moments that feel like reliving it. This is a well-documented response to distressing events, not a sign of weakness, and it tends to ease with the right support.",
          "low": "A low score here suggests unwanted memories or flashback-like moments aren't showing up often, or aren't taking up much space when they do.",
          "icon": "🌩️",
          "science": "Weathers, F.W., Litz, B.T., Keane, T.M., Palmieri, P.A., Marx, B.P., & Schnurr, P.P. (2013). \"The PTSD Checklist for DSM-5 (PCL-5).\" National Center for PTSD, U.S. Department of Veterans Affairs."
        },
        "avoidance": {
          "name": "Avoidance",
          "desc": "How much energy goes into steering clear of thoughts, feelings, or external reminders tied to a difficult experience.",
          "high": "A high score here suggests you're putting real effort into avoiding thoughts, feelings, people, or places connected to a difficult experience. That instinct makes sense as a way to feel safer in the short term, though over time it can end up narrowing daily life more than it needs to.",
          "low": "A low score here suggests you're generally able to think about or encounter reminders of a difficult experience without needing to steer away from them.",
          "icon": "🚪",
          "science": "Weathers, F.W., Litz, B.T., Keane, T.M., Palmieri, P.A., Marx, B.P., & Schnurr, P.P. (2013). \"The PTSD Checklist for DSM-5 (PCL-5).\" National Center for PTSD, U.S. Department of Veterans Affairs."
        },
        "negative_alterations": {
          "name": "Negative Alterations in Mood & Thinking",
          "desc": "Shifts in memory, beliefs, and emotional range that can follow a difficult experience, from self-blame to feeling cut off from others.",
          "high": "A high score here suggests a difficult experience may be coloring how you see yourself, other people, or the world, through gaps in memory, harsh self-judgment, persistent low mood, or feeling disconnected from things and people you once enjoyed. These shifts are common and tend to respond well to support.",
          "low": "A low score here suggests your beliefs about yourself and others, and your ability to feel a full range of emotions, are largely holding steady.",
          "icon": "🌫️",
          "science": "Weathers, F.W., Litz, B.T., Keane, T.M., Palmieri, P.A., Marx, B.P., & Schnurr, P.P. (2013). \"The PTSD Checklist for DSM-5 (PCL-5).\" National Center for PTSD, U.S. Department of Veterans Affairs."
        },
        "hyperarousal": {
          "name": "Hyperarousal",
          "desc": "Signs that your body and nervous system are staying keyed up and on alert, from irritability to trouble sleeping or concentrating.",
          "high": "A high score here suggests your body may be staying in a heightened state of alert more than feels comfortable, showing up as irritability, hypervigilance, being easily startled, or trouble sleeping and focusing. This is a recognized physiological response to distressing events and can settle with the right approach.",
          "low": "A low score here suggests your body's alarm system is generally settled, without much irritability, restlessness, or sleep disruption.",
          "icon": "⚡",
          "science": "Weathers, F.W., Litz, B.T., Keane, T.M., Palmieri, P.A., Marx, B.P., & Schnurr, P.P. (2013). \"The PTSD Checklist for DSM-5 (PCL-5).\" National Center for PTSD, U.S. Department of Veterans Affairs."
        }
      },
      "results": {
        "minimal": {
          "name": "Minimal Trauma Response Symptoms",
          "desc": "Your responses suggest a pattern of trauma-related reactions that isn't showing up in a way that's disrupting your daily life right now. Whatever difficult experiences you've been through, they don't appear to be dominating your thoughts, sleep, or relationships at the moment.",
          "recommendation": "Keep doing what's working: steady routines, supportive relationships, and paying attention to your own stress levels over time. If anything shifts down the road, this kind of check-in is worth revisiting."
        },
        "mild": {
          "name": "Mild Trauma Response Symptoms",
          "desc": "Your responses suggest a pattern of some noticeable trauma-related reactions, memories, tension, or mood shifts that show up now and then. For many people this is a manageable part of processing a difficult experience, especially with a bit of extra attention to self-care.",
          "recommendation": "Simple grounding techniques, like slow breathing or naming five things you can see and hear, can help when a reminder catches you off guard. It's also worth keeping an eye on your sleep and stress levels, and reaching out to someone you trust if things start to feel heavier."
        },
        "moderate": {
          "name": "Moderate Trauma Response Symptoms",
          "desc": "Your responses suggest a pattern of trauma-related reactions that are showing up often enough to affect your day-to-day functioning, whether that's work, sleep, relationships, or your general sense of ease. This is a strong signal that extra support would likely help.",
          "recommendation": "Consider talking with a therapist trained in trauma-focused approaches. Cognitive Processing Therapy (CPT), EMDR (Eye Movement Desensitization and Reprocessing), and trauma-focused CBT are leading evidence-based treatments that many people find genuinely helpful. Reaching out is a practical next step, not a last resort."
        },
        "high": {
          "name": "Significant Trauma Response Symptoms",
          "desc": "Your responses suggest a pattern of trauma-related reactions that are frequent and far-reaching, touching your memories, mood, relationships, and sense of safety. Carrying this much on your own is exhausting, and it doesn't have to stay this way.",
          "recommendation": "Reaching out to a mental health professional soon is a strong next step. Approaches like Cognitive Processing Therapy (CPT), EMDR (Eye Movement Desensitization and Reprocessing), and trauma-focused CBT are highly effective, and these patterns are very treatable with the right support. If you're in crisis, contact a crisis line or emergency services in your area."
        }
      }
    }
  },
  "testNames": {
    "ptsd-screener": "Trauma Response Check-In"
  }
}