Posttraumatic stress disorder (PTSD) is a condition that develops in response to witnessing or experiencing a threatening or harmful event that elicits fear, helplessness, or horror. Symptoms of PTSD include persistent re-experiencing of the event, avoidance of things or places related to the event, and persistent symptoms of increased arousal. PTSD is the most common response to disastrous events in children, occurring in up to 40% of children exposed to disasters and typically within three months after the event. It can still be present more than 15 years after a terrorist event.
Almost one year after the Oklahoma City bombing, 50% of local elementary school children reported clinical levels of PTSD, and one half reported being concerned about the safety of their family.
A recent study found that six months after September 11th, approximately 75,000 New York City public school children in grades 4 through 12 were suffering from PTSD, including children who were not directly affected by the event.
Disrupted consciousness, uncontrollable, intense grief, changes in sleeping or eating patterns, and extreme cognitive impairment may appear in severely affected children.
Other symptoms include depression, anxiety, increased startle response and arousal level, irritability, sleep disturbance, safety and security concerns, restlessness, social isolation, aggression, peer rejection, bullying, school absences, a decline in academic performance, and a decreased interest in previously enjoyed activities or hobbies. Children with a milder form of PTSD generally recover sooner.
Symptoms typically decrease in frequency and intensity if there has been no reoccurrence of the traumatic event or exposure to other traumatic events.
The presumption of parents and teachers that children are resilient and coping well can impede their detecting symptoms of stress.