"The following ten characteristics are frequently observed in Holocaust survivors who apply for psychiatric treatment at AMCHA: (1) Massive repression, numbing of responsiveness, amnesia, alexithymia; (2) Intrusive memories, Holocaust-related associations, “shattered assumptions”; (3) Anhedonia, suicidal ideation, depression, chronic state of mourning; (4) Survivor guilt; (5) Sleep disturbances and nightmares; (6) Problems with anger regulation and in dealing with interpersonal conflicts; (7) Excessive worries, anxieties, catastrophic expectancy, fear of renewed persecution; (8) Suspiciousness, paranoia, isolation from the community, lack of trust, loneliness; (9) Utilization of survival strategies “from there”; and (10) Low threshold for stress in difficult situations."