World Federation for Mental Health: World Mental Health Day

(This information is reprinted, with permission, from the website of the Australian Centre for Post-Traumatic Mental Health. WFMH gratefully acknowledges the work of the ACPMH, and their permission to use this material. Contact information for the Centre can be found at the conclusion of this fact sheet)

Post Trauma Symptoms In Children

PTSD may develop in children. Their responses to trauma may, however, differ in important ways to those seen in adults. Children may find it hard to understand what has happened. They may be unable to describe how they are feeling and instead may express themselves in other ways. Children respond to trauma in a range of ways – there is no typical or “normal” reaction. Nevertheless, some responses are common.

The following signs may be seen in children following trauma, but do not necessarily indicate the existence of PTSD. Most are normal and will resolve in time with the help of caring family members and friends. However, if they are too severe or last too long, they may indicate the need for professional assistance.

Reliving the Trauma

In traumatised children, reliving may occur in:

  • Repetitive play that re-enacts the trauma
  • Distressing dreams of the event that may evolve into general nightmares of monsters or of threats to self or significant others
  • In cases of traumatic loss, children often report experiencing “ghosts” of loved ones
  • Disorganised or agitated behaviour
  • Preoccupation with other traumatic events

Avoidance and Numbing

While less common in children than in adults, the following signs may be present:

  • Social withdrawal and wanting to be alone
  • Loss of interest in significant activities
  • A sense of foreshortened future: being unable to imagine themselves as grown up
  • A return to “babyish” behaviour

Arousal

Following trauma, children may become tense and frightened. This may be expressed through:

  • Attention and concentration problems
  • Clinging, dependent behaviour
  • Fearfulness, especially at night or when separated from parents
  • Sleep disturbance and nightmares
  • Grizzling, whining, and irritability

Associated Problems

Children may develop several associated problems following trauma, including:

  • Aches and pains
  • Bed wetting
  • General misbehaviour and “naughtiness”
  • Tantrums and attention seeking behaviour
  • Poor school performance, loss of motivation
  • Sometimes, experience of trauma can result in other problems in the child’s development

Occasionally, these problems may be delayed until some time after the trauma. Often these signs are misunderstood – it appears the child is just being naughty. However, they may be indicators of a traumatic stress reaction and should be given careful attention.

How Can You Help?

Parental responses are very important in helping the child to cope with the aftermath of trauma. It is important for parents to recognise that the child’s behaviour may be part of a traumatic stress response, rather than willful behaviour. It is crucial not to become angry and blame the child for this behaviour.

Like adults, most children’s reactions diminish over time. Parents and other adults can help the recovery process in the following ways:

  • Keep communicating: talk about what is happening and how family members feel. This helps prevent children from feeling alone, isolated, and misunderstood
  • Reassure children that they are safe and will be cared for
  • Listen and talk to them about the experience. Honest, open discussion is best – even very young children know something has happened. Like adults, the unknown is often more frightening than thereality for children
  • Some children will need extra encouragement or special attention, especially at bedtime
  • Allow expression of emotions – they are part of the healing process; support the child and allow them time to workthrough it
  • Do things as a family and make sure time is reserved for enjoyable and rewarding experiences together; sharedpleasure carries a family through many difficulties
  • Keep family roles clear. Don’t expect children to take too much responsibility but, equally, do not become too overprotective. Try to understand if they cannot fulfill their role for a time (like going to school or helping around the house), but talk about how they will resume normal activities as soon as possible.

When To Seek Assistance

Like adults, most children will adapt and grow through crisis with the love and support of their family and friends. However, if the child’s reactions are particularly severe or prolonged, or if you have other concerns about the way that your child is reacting to a traumatic incident, contact someone who is trained to assess the situation and advise you.

If the following common reactions continue for more than a few days they should alert parents to the possibility of more serious trauma reactions and the need for further help:

  • Severe and continued sleep disturbance
  • Severe anxiety on separation from loved ones
  • Continued fears about things which may remind the child of the trauma
  • Behaviour problems at home or school
  • Self-doubts, a desire for withdrawal, or other significant changes in emotions or personality
  • A return to “babyish” behaviour that they had grown out of

If you are concerned, talk to your family doctor, community health centre, or school counsellor. You may wish to ask for a referral to a mental health practitioner who specialises in child trauma. The department of psychiatry in your local children’s hospital is also a good source of information, support and treatment if required.

This page contains information about children and posttrauma reactions that can also be found in the brochures that the ACPMH produces. These are available to the public. Just contact the ACPMH to obtain copies of our brochures. Please note that a small fee may apply for a larger quantities of brochures.

Contact THE AUSTRALIAN CENTRE FOR POST-TRAUMATIC MENTAL HEALTH (ACPMH):

Mailing Address:
ACPMH
Austin & Repatriation Medical Centre,
PO Box 5444,Heidelberg West,
Victoria 3081
Phone: +61 3 9496 2922
Fax: +61 3 9496 2830
Email: [email protected]

Connect to ACPMH’s website for more valuable information on Post-Traumatic Mental Health – www.ncptsd.unimelb.edu.au

   


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