Post-Traumatic Stress Disorder (PTSD)
What is post-traumatic stress disorder?
What causes post-traumatic stress disorder?
A child's risk for developing PTSD is often affected by the child's proximity and relationship to the trauma, the severity of the trauma, the duration of the traumatic event, the recurrence of the traumatic event, the resiliency of the child, the coping skills of the child and the support resources available to the child from the family and community following the event(s).
The following are some examples of catastrophic, life-threatening events that may cause PTSD if experienced or witnessed as a child or adolescent:
Children are more at risk of exposure to violence at home or on the streets than in school. About 1 million children are confirmed victims of child abuse each year.
Of inner-city elementary school-aged boys:
Who is affected by post-traumatic stress disorder?
|Traumatic experiences are not common in the lives of most children. However, approximately 3,000,000 children each year are diagnosed with PTSD. No studies have examined the general population incidence of PTSD specifically in children and adolescents. However, it is estimated to be as high as 40 percent in violence-ridden neighborhoods.|
What are the symptoms of post-traumatic stress disorder?
|The following are the most common symptoms of PTSD. However, each child may experience signs differently.|
|Children and adolescents with PTSD experience extreme emotional, mental and physical distress when exposed to situations that remind them of the traumatic event. Some may repeatedly relive the trauma in the form of nightmares and disturbing recollections during the day and may also experience any, or all, of the following:|
|How is post-traumatic stress disorder diagnosed?|
|Not every child or adolescent who experiences a trauma develops PTSD. PTSD is diagnosed only if symptoms persist for more than one month and are adversely affecting the child's life and level of functioning. In those who do have PTSD, symptoms usually begin within three months following the trauma, but can also start months or years later. |
|PTSD can occur at any age, including childhood and may be accompanied by:|
|The length of the condition varies. Some people recover within six months, others have symptoms that last much longer. |
A psychological assessment is usually recommended to diagnose anxiety disorders in children or adolescent, with therapy generally being the first line of treatment. If the patient is in danger due to suicidal thoughts or attempts and/or severe impairment in functioning, then they might need medication first to stabilize them.Parents who note symptoms of PTSD in their child or teen can help by seeking an evaluation early. Early treatment can decrease future problems.
Treatment for post-traumatic stress disorder:
|Specific treatment for post-traumatic stress disorder will be determined by your child's physician based on:|
|PTSD can be treated. Early detection and intervention is very important and can reduce the severity of symptoms, enhance the child's normal growth and development and improve the quality of life experienced by children or adolescents with PTSD. Treatment should always be based on a comprehensive evaluation of the child and family. Treatment recommendations may include cognitive behavioral therapy for the child. The focus of cognitive behavioral therapy is to help the child or adolescent learn skills to manage their anxiety and to help master the situation(s) that contributed to their PTSD. Some children may also benefit from treatment with antidepressant or antianxiety medication to help them feel calmer. The child or adolescent's recovery from PTSD is highly variable and dependent on the child or adolescent's internal strengths, coping skills and resiliency (ability to "bounce back"). Recovery is also influenced by the support available within the family environment. Parents play a vital supportive role in any treatment process.|
Prevention of post-traumatic stress disorder:
|Preventive measures to reduce the incidence or lessen the chance of traumatic experiences in children include, but are not limited to, the following:|
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