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16 - Traumatic stress in children

from Factsheets for parents, carers and anyone who works with young people

Published online by Cambridge University Press:  02 January 2018

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Summary

What are the signs of traumatic stress?

Individual children react in different ways to traumatic events. How they react may also depend on their age.

Immediately after the traumatic event, children may find it hard to sleep and have bad dreams and nightmares. Sometimes, the effects may not appear for days or weeks. Children may, however:

  • • become fearful, clingy and anxious about being separated from their parents

  • • start bed-wetting and thumb-sucking again

  • • become preoccupied with thoughts and memories of the event

  • • be unable to concentrate

  • • be irritable and disobedient

  • • complain of physical symptoms such as headaches and stomach aches.

  • All these are normal reactions to an extremely frightening event. With help and support from the people close to them, children begin to get over the shock in a few days, and usually recover after a few weeks.

    What are the long-term effects of traumatic stress?

    Sometimes a child has feelings of depression and anxiety that go on for several weeks and may get worse. If they continue for a long period of time, it is likely that the child may need some help to feel better.

    If the traumatic experience was so bad that the child was in danger of being killed or seriously injured, they may have felt terrified, horrified and helpless. Post-traumatic stress disorder (PTSD) might follow a dreadful experience of this sort. It is difficult, however, to make a diagnosis in a child under the age of 7 years.

    Some of the typical signs of PTSD

  • • ‘Flashbacks’ of the event. For a few moments, it seems as though you are reliving the experience in your mind, like watching an action-replay. This can be distressing and frightening, particularly for children.

  • • Deliberately avoiding thoughts or feelings about the traumatic experience. If the child has been in a car crash, they may avoid roads or even TV programmes about cars because it reminds them of the accident.

  • • Sleeping badly.

  • • Being easily startled and appearing frightened at the slightest noise.

  • These reactions can go on for months and can interfere considerably with a child's daily living. They may be unable to enjoy playing or find it difficult to concentrate on their schoolwork. Occasionally, these problems can continue as the child grows into adulthood.

    Type
    Chapter
    Information
    Mental Health and Growing Up
    Factsheets for Parents, Teachers and Young People
    , pp. 93 - 95
    Publisher: Royal College of Psychiatrists
    Print publication year: 2013

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