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What does PTSD look like in a child?

What are the symptoms of PTSD in a child? Children and teens with PTSD feel a lot of emotional and physical distress when exposed to situations that remind them of the traumatic event. Some may relive the trauma over and over again. They may have nightmares and disturbing memories during the day.

stanfordchildrens.org - Posttraumatic Stress Disorder (PTSD) in Children

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Posttraumatic Stress Disorder (PTSD) in Children

What is posttraumatic stress disorder (PTSD) in children?

Posttraumatic stress disorder (PTSD) is a mental health problem. It can affect people of all ages. A child with PTSD keeps having scary thoughts and memories of a past event. He or she finds the event terrifying, either physically or emotionally. The symptoms of PTSD may start soon after a stressful event. Or they may not happen for 6 months or longer. Some children with PTSD have long-term effects. They may feel emotionally numb for a very long time. PTSD in children often becomes a long-term (chronic) problem.

PTSD may be accompanied by:

Depression

Substance abuse

Anxiety

What causes PTSD in a child?

A traumatic event that triggers PTSD may be:

Something that happened to the child

Something that happened to someone close to the child

Something the child saw

A child or teen may suffer from PTSD after one of these traumatic events:

Bad accidents, such as car or train wrecks

Invasive medical procedures, especially for children younger than age 6

Animal bites

Natural disasters, such as floods or earthquakes

Manmade tragedies, such as bombings

Violent personal attacks, such as a mugging, rape, torture, or kidnapping

Physical abuse

Sexual assault

Sexual abuse

Emotional abuse or bullying

Neglect

Which children are at risk for PTSD?

A child’s risk for PTSD is often affected by:

How close the child was to the traumatic event

How bad the event was

How long the event lasted

If the event happened more than once

How well the child is able to recover quickly from difficult things (resiliency)

How well the child copes

How supportive a child’s family and community are after the event

What are the symptoms of PTSD in a child?

Children and teens with PTSD feel a lot of emotional and physical distress when exposed to situations that remind them of the traumatic event. Some may relive the trauma over and over again. They may have nightmares and disturbing memories during the day. They may also:

Have problems sleeping

Feel depressed or grouchy

Feel nervous, jittery, or alert and watchful (on guard)

Lose interest in things they used to enjoy. They may seem detached or numb and are not responsive.

Have trouble feeling affectionate

Be more aggressive than before, even violent

Stay away from certain places or situations that bring back memories

Have flashbacks. These can be images, sounds, smells, or feelings. The child may believe the event is happening again.

Lose touch with reality

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Reenact an event for seconds or hours or, in rare cases, days

Have problems in school

Have trouble focusing

Worry about dying at a young age

Act younger than their age, such as thumb-sucking or bedwetting

Have physical symptoms, such as headaches or stomachaches

How is PTSD diagnosed in a child?

Not every child or teen who goes through a trauma gets PTSD. PTSD is diagnosed only if symptoms keep happening for more than 1 month and are negatively affecting the child’s life and how he or she functions. For those with PTSD, symptoms most often start within 3 months after the traumatic event. But they can also start months or years later. A child psychiatrist or mental health expert can diagnose PTSD. He or she will do a mental health evaluation.

How is PTSD treated in a child?

Treatment will depend on your child’s symptoms, age, and general health. It will also depend on how severe the condition is. PTSD can be treated. Early diagnosis and treatment is very important. It can ease symptoms and enhance your child’s normal development. It can also improve your child’s quality of life.

Treatment may include:

Cognitive behavioral therapy. A child learns skills to handle his or her anxiety and to master the situation that led to the PTSD.

Medicines for depression or anxiety. These may help some children feel calmer.

Recovery from PTSD varies. Some children recover within 6 months. Others have symptoms that last much longer. Recovery depends on the child’s inner strengths, coping skills, and ability to bounce back. It is also affected by the level of family support. Parents play a vital role in treatment.

How can I help prevent PTSD in my child?

These measures may help prevent PTSD in children:

Teach children that it is OK to say no to someone who tries to touch his or her body or make him or her feel uncomfortable.

Encourage prevention programs in your community or local school system.

How can I help my child live with PTSD?

As a parent, you play a key role in your child’s treatment. Here are things you can do to help: Admit that the event happened. Pretending everything is normal won't help your child. Be supportive and get counseling for children and teens who have seen or gone through a traumatic event. A child or teen may at first not want counseling. But it may be needed months or even years after the traumatic event.

Keep all appointments with your child's healthcare provider.

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Talk with your child’s healthcare provider about other providers who will be included in your child’s care. Your child may get care from a team that may include counselors, therapists, social workers, psychologists, and psychiatrists. Your child’s care team will depend on his or her needs and how serious the PTSD is. Tell others about your child’s PTSD. Work with your child’s healthcare provider and school to create a treatment plan. Reach out for support from local community services. Being in touch with other parents who have a child with PTSD may be helpful. Take all symptoms of depression and suicide very seriously. Get treatment right away. Suicide is a health emergency.

When should I call my child’s healthcare provider?

Call your healthcare provider right away if your child:

Feels extreme depression, fear, anxiety, or anger toward him or herself or others

Feels out of control

Hears voices that others don’t hear

Sees things that others don’t see

Can’t sleep or eat for 3 days in a row

Shows behavior that concerns friends, family, or teachers, and others express concern about this behavior and ask you to get help PTSD increases risk for other mental health disorders, including depression, anxiety, and suicidal thinking. Call 911 if your child has suicidal thoughts, a suicide plan, and the means to carry out the plan.

Key points about posttraumatic stress disorder in children

PTSD is a mental health problem. A child with PTSD has constant, scary thoughts and memories of a past event. A traumatic event, such as a car crash, natural disaster, or physical abuse, can cause PTSD. Children with PTSD may relive the trauma over and over again. They may have nightmares or flashbacks. PTSD is diagnosed only if symptoms keep occurring for more than 1 month and are negatively affecting the child’s life. A child with PTSD may need therapy and medicine. They are at higher risk for other mental health problems such as depression, anxiety, and suicidal thoughts Call 911 if your child has suicidal thoughts, a suicide plan, and the means to carry out the plan. Tips to help you get the most from a visit to your child’s healthcare provider:

stanfordchildrens.org - Posttraumatic Stress Disorder (PTSD) in Children

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