Post-traumatic stress disorder: Signs and symptomsPPost-traumatic stress disorder: Signs and symptomsPost-traumatic stress disorder: Signs and symptomsEnglishPsychiatryPreschooler (2-4 years);School age child (5-8 years);Pre-teen (9-12 years);Teen (13-18 years)NANAConditions and diseasesCaregivers Adult (19+)NA2017-07-27T04:00:00ZDiane Benoit, MD, FRCPC11.000000000000045.0000000000000767.000000000000Health (A-Z) - ConditionsHealth A-Z<p>Learn about the four categories of post-traumatic stress disorder signs and symptoms.</p><h2>What are the main symptoms of post-traumatic stress disorder in children and teens?</h2><p>The main symptoms of <a href="/Article?contentid=1927&language=English">post-traumatic stress disorder</a> (PTSD) are divided into four categories:</p><ul><li>intrusion symptoms</li><li>avoidance of stimuli associated with the traumatic event</li><li>negative changes in thoughts and mood</li><li>altered reactivity</li></ul><h2>Key points</h2> <ul> <li>PTSD has a number of symptoms related to intrusion, avoidance, negative changes in thoughts and mood and changes in reactivity.</li> <li>Symptoms need to be present for one month or longer for a diagnosis to be made.</li> <li>Your child’s doctor will interview you and your child to help make a diagnosis.</li> <li>Your child’s doctor might recommend that your child see a mental health professional for a further assessment or therapy or recommend medications.</li> </ul><h3>Intrusion symptoms</h3> <p>Intrusion symptoms are those where the traumatic event 'intrudes' on the child or teen's everyday life. They include:</p> <ul> <li>recurring, unwanted and uncontrolled memories of the traumatic event</li> <li>in children, repetitive play with trauma-related themes</li> <li>recurring dreams related to the traumatic event or the emotions the child or teen felt at the time</li> <li>flashbacks about the event – experiencing the traumatic event again, sometimes with a complete loss of awareness of present surroundings</li> <li>intense and prolonged psychological or physical distress at reminders of the trauma</li> </ul> <h3>Avoidance of stimuli associated with traumatic event</h3> <p>As the term suggests, this involves a child or teen avoiding or trying to avoid all memories, thoughts or feelings related to the event. It can also involve avoiding, or trying to avoid, external reminders (such as people, places, conversations, activities, objects or situations) that bring up distressing memories, thoughts or feelings about the traumatic event.</p> <h3>Negative changes in thoughts and mood</h3> <p>A child or teen with PTSD may:</p> <ul> <li>be unable to remember an important aspect of the traumatic event</li> <li>hold persistent and exaggerated negative beliefs or expectations about themselves or those around them</li> <li>blame themselves or others for the causes or consequences of the traumatic event because of persistent and distorted thoughts</li> <li>experience ongoing negative emotions such as fear, horror, anger, guilt or shame</li> <li>lose interest in or cut back on activities that once mattered to them</li> <li>feel detached (separate) from others</li> <li>be persistently unable to experience positive emotions such as happiness, satisfaction or love</li> </ul> <h3>Altered reactivity</h3> <p>If a person experiences PTSD, they may be more reactive to their surroundings and what is said to them. For example, they may:</p> <ul> <li>be more irritable or have <a href="https://akhpub.aboutkidshealth.ca/article?contentid=301&language=English">angry</a> outbursts with little or no provocation </li> <li>be verbally abusive or physically aggressive towards people or objects, including through extreme temper tantrums</li> <li>be more easily startled or more aware of their surroundings</li> <li>find it hard to concentrate</li> <li>have disturbed sleep</li> <li>engage in reckless or self-destructive behaviour</li> </ul><h2>How PTSD is diagnosed</h2> <p>Your child's doctor will speak to you and your child and ask you both about:</p> <ul> <li>your concerns and the symptoms that are interfering with your child's everyday functioning</li> <li>the current stressors in your child's life and what could have triggered the onset of the PTSD symptoms</li> <li>your child's development (from pregnancy to the present time)</li> <li>your family's mental health history</li> <li>your family's general functioning and any stressors (such as conflict, impending divorce, bereavement, moving house) that might be contributing to your child's difficulties.</li> </ul> <p>A doctor will only consider PTSD as a diagnosis if your child or teen has been exposed to serious physical injury, sexual violence or actual or threatened death (through violence or by accident). Your child must have either:</p> <ul> <li>directly experienced the violence or injury</li> <li>witnessed the violence or injury in person (not just have seen it on TV, in movies, in videogames or in other media)</li> <li>learned that the violence or injury occurred to a close family member or friend.</li> </ul><h2>What your child's doctor can do for PTSD</h2> <p>If your child is diagnosed with PTSD, you and your child's doctor will decide the most appropriate course of action together. Your doctor may require input from your child's teacher or other family members.</p> <p>Your doctor may also suggest that your child see a <a href="/Article?contentid=2005&language=English">therapist or a psychiatrist</a> or recommend that your child take <a href="/Article?contentid=2005&language=English">medications</a>.</p><h2>Further information</h2> <p>For more information on post-traumatic stress disorder (PTSD), please see the following pages:</p> <p><a href="/Article?contentid=1927&language=English">PTSD: Overview</a></p> <p><a href="/Article?contentid=2005&language=English">PTSD: Treatment with psychotherapy and medications</a></p>
Trouble de stress post-traumatique : signes and symptômesTTrouble de stress post-traumatique : signes and symptômesPost-traumatic stress disorder: Signs and symptomsFrenchPsychiatryPreschooler (2-4 years);School age child (5-8 years);Pre-teen (9-12 years);Teen (13-18 years)NANAConditions and diseasesCaregivers Adult (19+)NA2017-07-27T04:00:00ZDiane Benoit, MD, FRCPC11.000000000000045.0000000000000767.000000000000Health (A-Z) - ConditionsHealth A-Z<p>Découvrez les quatre catégories de signes et symptômes du trouble de stress post-traumatique.</p><h2>Quels sont les principaux symptômes du trouble de stress post-traumatique chez les enfants et les adolescents?</h2><p>Les principaux symptômes du <a href="/Article?contentid=1927&language=French">trouble de stress post-traumatique (TSPT)</a> se divisent en quatre catégories:</p><ul><li>les symptômes intrusifs;</li><li>l’évitement des stimuli associés à l’événement traumatisant;<br></li><li>les pensées négatives et les troubles de l’humeur;</li><li>les réactions anormales.</li></ul><h2>À retenir</h2><ul><li>Le TSPT présente un certain nombre de symptômes comme l’intrusion, l’évitement, les pensées négatives, les troubles de l’humeur et les réactions anormales.</li><li>Les symptômes doivent être présents pendant au moins un mois pour qu’un diagnostic soit établi.</li><li>Le médecin vous interrogera et interrogera votre enfant pour l’aider à poser son diagnostic.</li><li>Il pourra recommander que votre enfant consulte un professionnel de la santé mentale pour qu’il subisse une évaluation ou une thérapie ou qu’il prenne des médicaments.<br></li></ul><h2>Symptômes intrusifs</h2> <p>Les symptômes intrusifs sont ceux où l’événement traumatisant « empiète » sur la vie quotidienne de l’enfant ou de l’adolescent. Ils comprennent:</p> <ul><li>les souvenirs récurrents, non désirés et non contrôlés de l’événement traumatisant;</li> <li>chez les enfants, les jeux répétitifs dont les thèmes sont liés au traumatisme;</li> <li>les rêves récurrents liés à l’événement traumatisant ou les émotions de l’enfant ou de l’adolescent vécues à l’époque;</li> <li>des flashbacks sur l’événement traumatisant qui est vécu à nouveau et accompagné parfois d’une inconscience totale du milieu environnant présent;</li> <li>une détresse psychologique ou physique intense et prolongée découlant des rappels du traumatisme.</li></ul> <h2>Évitement des stimuli associés à l’événement traumatisant</h2> <p>Comme le laisse supposer l’expression, l’enfant ou l’adolescent évite ou essaie d’éviter tout souvenir, toute pensée ou tout sentiment liés à l’événement. Il peut aussi éviter ou essayer d’éviter tout rappel externe (des personnes, des lieux, des conversations, des activités, des situations ou des objets) qui fait remonter des souvenirs, des pensées ou des sentiments douloureux à propos de l’événement traumatisant.</p> <h2>Pensées négatives et troubles de l’humeur</h2> <p>Un enfant ou un adolescent atteint du TSPT peut:</p> <ul><li>être incapable de se rappeler un aspect important de l’événement traumatisant;</li> <li>maintenir des opinions négatives ou des attentes persistantes et exagérées envers lui-même ou ceux qui l’entourent;</li> <li>se blâmer ou blâmer d’autres personnes pour les causes ou les conséquences de l’événement traumatisant en raison de pensées persistantes et irrationnelles;</li> <li>éprouver souvent des émotions négatives comme la peur, l’horreur, la colère, la culpabilité ou la honte;</li> <li>perdre de l’intérêt pour des activités ou abandonner des activités qui comptaient pour lui auparavant;</li> <li>se sentir détaché (séparé) des autres;</li> <li>être constamment incapable de ressentir des émotions positives comme la joie, la satisfaction ou l’amour.</li></ul> <h2>Réactions anormales</h2> <p>Une personne atteinte du TSPT peut être plus réactive à son environnement et à ce qu’on dit d’elle. Par exemple, elle peut:</p> <ul><li>être plus irritable ou avoir des crises de <a href="https://akhpub.aboutkidshealth.ca/article?contentid=301&language=French">colère</a> sans provocation notable;</li> <li>se montrer violente, verbalement ou physiquement, envers des personnes ou des objets, voire avoir des crises de rage;</li> <li>être plus facilement effrayée par son environnement ou en être de plus en plus consciente;</li> <li>trouver difficile de se concentrer;</li> <li>avoir le sommeil perturbé;</li> <li>adopter un comportement insouciant ou autodestructeur.</li></ul><h2>Comment le TSPT est diagnostiqué</h2> <p>Le médecin de votre enfant discutera avec vous et votre enfant et s’informera sur:</p> <ul><li>vos préoccupations et sur les symptômes qui entravent le fonctionnement quotidien de votre enfant;</li> <li>les facteurs de stress présents chez votre enfant et ce qui pourrait avoir déclenché l’apparition des symptômes du TSPT;</li> <li>le développement de votre enfant (de la grossesse à aujourd’hui);</li> <li>les antécédents de problèmes de santé mentale de votre famille;</li> <li>la dynamique familiale et tous les facteurs de stress (par exemple, conflits, divorce imminent, deuil, déménagement) qui pourraient être à l’origine des difficultés de votre enfant.</li></ul> <p>Le médecin ne posera un diagnostic de TSPT que si votre enfant ou votre adolescent a été exposé à de graves blessures physiques, à de la violence sexuelle ou à des menaces de mort (par violence ou accident). Il pourrait s’agir d’un des événements suivants:</p> <ul><li>avoir subi de la violence ou des blessures directement;</li> <li>avoir été témoin de violence ou de blessures en personne (non pas à la télévision, au cinéma, dans les jeux vidéo ou dans d’autres médias);</li> <li>avoir appris qu’un membre de la famille proche ou un ami a subi de la violence ou des blessures.<br></li></ul><h2>Ce que le médecin de votre enfant peut faire à l’égard du TSPT</h2> <p>Si votre enfant a reçu un diagnostic de TSPT, vous et votre médecin déciderez de la marche la plus appropriée à suivre. Votre médecin aura peut-être besoin de recueillir des renseignements auprès de l’enseignant de votre enfant ou d’autres membres de la famille.</p> <p>Il pourra également proposer que votre enfant consulte <a href="/Article?contentid=2005&language=French">un thérapeute ou un psychiatre</a>, ou recommander qu’il prenne des <a href="/Article?contentid=2005&language=French">médicaments​</a>.</p><h2>Pour de plus amples renseignements</h2> <p>Pour de plus amples renseignements sur le trouble de stress post-traumatique, veuillez consulter les pages suivantes:</p> <p><a href="/Article?contentid=1927&language=French">TSPT: présentation générale</a></p> <p><a href="/Article?contentid=2005&language=French">TSPT: traitement à l’aide de la psychothérapie et des médicaments</a></p>

 

 

Post-traumatic stress disorder: Signs and symptoms1928.00000000000Post-traumatic stress disorder: Signs and symptomsPost-traumatic stress disorder: Signs and symptomsPEnglishPsychiatryPreschooler (2-4 years);School age child (5-8 years);Pre-teen (9-12 years);Teen (13-18 years)NANAConditions and diseasesCaregivers Adult (19+)NA2017-07-27T04:00:00ZDiane Benoit, MD, FRCPC11.000000000000045.0000000000000767.000000000000Health (A-Z) - ConditionsHealth A-Z<p>Learn about the four categories of post-traumatic stress disorder signs and symptoms.</p><h2>What are the main symptoms of post-traumatic stress disorder in children and teens?</h2><p>The main symptoms of <a href="/Article?contentid=1927&language=English">post-traumatic stress disorder</a> (PTSD) are divided into four categories:</p><ul><li>intrusion symptoms</li><li>avoidance of stimuli associated with the traumatic event</li><li>negative changes in thoughts and mood</li><li>altered reactivity</li></ul><h2>Key points</h2> <ul> <li>PTSD has a number of symptoms related to intrusion, avoidance, negative changes in thoughts and mood and changes in reactivity.</li> <li>Symptoms need to be present for one month or longer for a diagnosis to be made.</li> <li>Your child’s doctor will interview you and your child to help make a diagnosis.</li> <li>Your child’s doctor might recommend that your child see a mental health professional for a further assessment or therapy or recommend medications.</li> </ul><h3>Intrusion symptoms</h3> <p>Intrusion symptoms are those where the traumatic event 'intrudes' on the child or teen's everyday life. They include:</p> <ul> <li>recurring, unwanted and uncontrolled memories of the traumatic event</li> <li>in children, repetitive play with trauma-related themes</li> <li>recurring dreams related to the traumatic event or the emotions the child or teen felt at the time</li> <li>flashbacks about the event – experiencing the traumatic event again, sometimes with a complete loss of awareness of present surroundings</li> <li>intense and prolonged psychological or physical distress at reminders of the trauma</li> </ul> <h3>Avoidance of stimuli associated with traumatic event</h3> <p>As the term suggests, this involves a child or teen avoiding or trying to avoid all memories, thoughts or feelings related to the event. It can also involve avoiding, or trying to avoid, external reminders (such as people, places, conversations, activities, objects or situations) that bring up distressing memories, thoughts or feelings about the traumatic event.</p> <h3>Negative changes in thoughts and mood</h3> <p>A child or teen with PTSD may:</p> <ul> <li>be unable to remember an important aspect of the traumatic event</li> <li>hold persistent and exaggerated negative beliefs or expectations about themselves or those around them</li> <li>blame themselves or others for the causes or consequences of the traumatic event because of persistent and distorted thoughts</li> <li>experience ongoing negative emotions such as fear, horror, anger, guilt or shame</li> <li>lose interest in or cut back on activities that once mattered to them</li> <li>feel detached (separate) from others</li> <li>be persistently unable to experience positive emotions such as happiness, satisfaction or love</li> </ul> <h3>Altered reactivity</h3> <p>If a person experiences PTSD, they may be more reactive to their surroundings and what is said to them. For example, they may:</p> <ul> <li>be more irritable or have <a href="https://akhpub.aboutkidshealth.ca/article?contentid=301&language=English">angry</a> outbursts with little or no provocation </li> <li>be verbally abusive or physically aggressive towards people or objects, including through extreme temper tantrums</li> <li>be more easily startled or more aware of their surroundings</li> <li>find it hard to concentrate</li> <li>have disturbed sleep</li> <li>engage in reckless or self-destructive behaviour</li> </ul><h2>How PTSD affects children </h2> <p>Although they are less able to express themselves, young children likely have thoughts, memories and/or dreams about a traumatic event. Rather than talking about what they think or remember, they are more likely to be irritable and withdrawn and to play out trauma-related themes.</p> <h2>How PTSD affects teens</h2> <p>Teens may withdraw from their usual activities, <a href="https://akhpub.aboutkidshealth.ca/article?contentid=289&language=English">self-harm</a> or engage in impulsive and reckless behaviour such as substance use.</p><h2>How PTSD is diagnosed</h2> <p>Your child's doctor will speak to you and your child and ask you both about:</p> <ul> <li>your concerns and the symptoms that are interfering with your child's everyday functioning</li> <li>the current stressors in your child's life and what could have triggered the onset of the PTSD symptoms</li> <li>your child's development (from pregnancy to the present time)</li> <li>your family's mental health history</li> <li>your family's general functioning and any stressors (such as conflict, impending divorce, bereavement, moving house) that might be contributing to your child's difficulties.</li> </ul> <p>A doctor will only consider PTSD as a diagnosis if your child or teen has been exposed to serious physical injury, sexual violence or actual or threatened death (through violence or by accident). Your child must have either:</p> <ul> <li>directly experienced the violence or injury</li> <li>witnessed the violence or injury in person (not just have seen it on TV, in movies, in videogames or in other media)</li> <li>learned that the violence or injury occurred to a close family member or friend.</li> </ul><h2>What your child's doctor can do for PTSD</h2> <p>If your child is diagnosed with PTSD, you and your child's doctor will decide the most appropriate course of action together. Your doctor may require input from your child's teacher or other family members.</p> <p>Your doctor may also suggest that your child see a <a href="/Article?contentid=2005&language=English">therapist or a psychiatrist</a> or recommend that your child take <a href="/Article?contentid=2005&language=English">medications</a>.</p><h2>Further information</h2> <p>For more information on post-traumatic stress disorder (PTSD), please see the following pages:</p> <p><a href="/Article?contentid=1927&language=English">PTSD: Overview</a></p> <p><a href="/Article?contentid=2005&language=English">PTSD: Treatment with psychotherapy and medications</a></p>https://assets.aboutkidshealth.ca/AKHAssets/post_trumatic_stress_disorder_signs_and_symptoms.jpgPost-traumatic stress disorder: Signs and symptoms

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