PTSD in Children: Commonly Missed Symptoms and How to Help

PTSD in children manifests differently than in adults. Common signs include regression, re-enactment of trauma through play, and night terrors. Learn how to recognize trauma in a child and what specialists do to provide support.

🌿psybot.app··2 min read

Adults often don't notice PTSD in children — because it looks different. A child doesn't say "I'm having flashbacks" or "I'm avoiding reminders of the event." They simply start wetting the bed (even though they haven't done so for a long time), stop talking, or repeatedly act out the same scene in play.

1. How PTSD manifests in children of different ages

Preschoolers (0–6 years): regression (enuresis, loss of speech skills), separation anxiety, repetitive play with elements of trauma, loss of previously acquired skills.

School age (6–12 years): concentration difficulties, decline in academic performance, complaints of pain without organic cause, sleep disturbances, behavioral problems, avoidance of reminders of the event.

Adolescents (12–18 years): symptoms increasingly resemble those of adults. May also include: risky behavior, substance abuse, withdrawal, suicidal thoughts, eating disorders.

2. What parents can do

  • Restore routine: predictability is the foundation of safety for a child
  • Speak simply and honestly: age-appropriately, without unnecessary details
  • Normalize feelings: "It's normal to be scared after something like that"
  • Don't pressure the child to "tell"
  • Seek a specialist for persistent symptoms

3. Child Trauma Therapy

  • TF-CBT (Trauma-Focused CBT): the #1 method for child trauma, evidence-based
  • EMDR for children: adapted for working with children
  • Play therapy: especially for preschoolers
  • Parent work: always included in TF-CBT

Talk to our AI psychologist psybot.app. Read also: Childhood Trauma and Adult Life.