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Coping with Violence and Disasters
Strategies for Helping Children and Adolescents
How Children And Adolescents React To Trauma
Reactions to trauma may appear immediately after the traumatic event or days and even weeks later. Loss of trust in adults and fear of the event occurring again are responses seen in many children and adolescents who have been exposed to traumatic events. Other reactions vary according to
age:4-7
For children 5 years of age and
younger, typical reactions can include:
 | A fear of being separated from the
parent |
 | Crying |
 | Whimpering |
 | Screaming |
 | Immobility and/or aimless motion |
 | Trembling |
 | Frightened facial expressions and |
 | Excessive clinging. |
Parents may also notice children returning to behaviors exhibited at earlier ages (these are called regressive behaviors), such as:
 | Thumb-sucking |
 | Bedwetting, and |
 | Fear of darkness. |
Children in this age bracket tend to be strongly affected by the parents' reactions to the traumatic
event.
Children 6 to 11 years old may show:
 | Extreme withdrawal |
 | Disruptive behavior |
 | Inability to pay attention |
 | Regressive behaviors |
 | Nightmares |
 | Sleep problems |
 | Irrational fears |
 | Irritability |
 | Refusal to attend school |
 | Outbursts of anger and fighting |
 | Stomachaches or other bodily symptoms |
 | Depression |
 | Anxiety |
 | Feelings of guilt |
 | Emotional numbing or 'flatness' |
Schoolwork often suffers.
Adolescents 12 to 17 years old may exhibit responses similar to those of adults, including:
 | Flashbacks |
 | Nightmares |
 | Emotional numbing |
 | Avoidance of any reminders of the traumatic event |
 | Depression |
 | Substance abuse |
 | Problems with peers |
 | Anti-social behavior |
 | Withdrawal and isolation |
 | Physical complaints |
 | Suicidal thoughts |
 | School avoidance |
 | Academic decline |
 | Sleep disturbances |
 | Confusion |
The adolescent may feel extreme guilt over his or her failure to prevent injury or loss of life, and may harbor revenge fantasies that interfere with recovery from the trauma.
Some youngsters are more vulnerable to trauma than
others. It has been shown that the impact of a traumatic event is likely to be greatest in the child or adolescent who previously has been the victim of child abuse or some other form of trauma, or who already had a mental health
problem.8-11 And the youngster who lacks family support is more at risk for a poor
recovery.12
Source: NIMH
Related Topic: Children and PTSD
Next Topic: Helping the Child or Adolescent Trauma Survivor
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