Understanding Posttraumatic Stress Disorder (PTSD) in Children

For some children, the pain of certain events may be too much to bear. As a result, they may develop symptoms of post-traumatic stress disorder (PTSD). Fortunately, there is hope for children who suffer trauma.

Post-traumatic stress disorder (PTSD) is a series of symptoms that happen after a distressing event. A child may have anxiety, anger, and bad dreams. But PTSD can be treated. Working with a counselor and other health care providers will help your child. Recovery may take time. But your child can feel better.

Who is at risk for PTSD?

PTSD may follow a severe trauma. It may be something the child experiences. Or it may be an event the child sees or hears about. Even violent movies or TV shows can cause trauma.

A child is at risk for PTSD after any of these:

  • A rape or sexual assault

  • A car accident or plane crash

  • Physical and/or mental abuse

  • Being a victim or witness of violence, such as riots or wars

  • Natural disasters such as earthquakes or floods

  • The sudden death or hospitalization of a parent or other loved one

Symptoms of PTSD in children

Symptoms of PTSD often appear a few weeks after the trauma. But sometimes they may occur months or years later. A child with PTSD may have:

  • Bad dreams about the event.

  • Vivid memories of the event that seem real (flashbacks).

  • A fear of people or places connected with the event.

  • Reactions to things that remind them of the event the event (trauma cues) such as sights, sounds, people, smells, and places.

And they may:

  • Seem withdrawn and unfeeling.

  • Be nervous.

  • Have angry outbursts.

  • Have trouble sleeping or focusing.

  • Have headaches or other health problems.

  • Reenact the event over and over in play.

Treating PTSD

PTSD in a child can be treated with:

  • Trauma-focused psychotherapy (cognitive behavioral therapy).

  • Other types of one-on-one or group talk therapy.

  • Medicines to manage anxiety, aggression, sleep disruption (insomnia, nightmares, frequent awakening), and depression.

It’s also important for a child to be with other children. It can make them feel less alone and help them work through their pain.

What you can do

You can play a large part in your child’s healing process. You can:

  • Accept your child's emotions. Remind them of your love and support.

  • Encourage them to share their feelings with you or a trusted doctor.

  • Schedule ongoing mental health care for them.

  • Ask school staff for support if PTSD causes problems with schoolwork or friendships.