Adolescent PTSD: What You Need to Know

Often, people unfamiliar with post-traumatic stress disorder (PTSD) associate the condition with adults, and specifically with military veterans. And while it isn’t uncommon for military veterans to experience PTSD as a result of their experiences in war zones, they aren’t the only ones who experience PTSD.

Anyone who undergoes a traumatic experience can suffer from PTSD, including children and adolescents. Traumatic experiences can include something that happened to the child or something that the child witnessed or something that happened to someone close to the child, like a parent, sibling, or peer.

Take a look at some of the things you should know about teen PTSD – what it looks like, what the risk factors are, and what you can do about it.

What Causes PTSD?

There are countless types of events that could be traumatic enough to cause PTSD in an adolescent.

Different people can experience the same event differently, so an event that one child bounces back from easily could cause PTSD in a different child.

Some of the common events that cause PTSD in children include:

  • Natural disasters
  • Physical abuse
  • Sexual assault or abuse
  • Emotional abuse
  • Neglect
  • Manmade tragedies like bombings or mass shootings
  • Car accidents
  • Animal bites
  • Invasive medical procedures

While these are common events that could cause PTSD in adolescents, they are not the only events that could cause PTSD.

Even if an event doesn’t seep traumatic enough to cause PTSD to you, it may be traumatic enough to cause PTSD in your child or teenager.

Whether or not an adolescent develops PTSD can also depend on how severe the event was, how long it lasted, whether the event was a repeated occurrence, how close the child was to the event when it happened, how resilient the child is and what kind of coping skills they have, and how supportive the people in the child’s family and community are following the event.

What Does Adolescent PTSD Look Like?

How do you know if your teenager is suffering from PTSD?

It’s to be expected that your child will have some lingering effects after a traumatic event, but what’s normal and what is PTSD?

Children with PTSD will revisit the event over and over again in their minds. They may have nightmares and sleeping problems and may also experience upsetting memories during the day.

Adolescents with PTSD may also feel depressed, irritable, or nervous. They may seem to lose interest in the things that they’ve previously enjoyed doing. They may avoid situations, people, or places that remind them of the traumatic event.

It’s common for adolescents with PTSD to have trouble focusing, experience problems at school, and even display aggressive behavior. They may also regress and act younger than their age.

In addition, they may have difficulty showing affection or worry about dying at a young age. And they may also experience physical symptoms like headaches or stomach aches.

Diagnosis and Treatment

If you think that your child may be experiencing PTSD as a result of a traumatic event, it’s important to make sure that they get appropriate treatment. The sooner that your child is diagnosed and treated, the easier their recovery will be.

PTSD is typically treated with cognitive behavioral therapy, and your child’s doctor may also prescribe medications for depression or anxiety that can help them feel calmer and ease their symptoms.

Recovery from PTSD can take time. How much time depends largely on the individual and the situation. Your child may be feeling better in 6 months, or the symptoms may last much longer.

As a parent, you have an important role to play in your child’s recovery. One of the first things that you need to do is admit that the traumatic event happened. It’s often a parent’s instinct to downplay the significance of a traumatic event or try to pretend everything is normal.

You may think that this is a way of helping your child – by not dwelling on the event and by trying to ensure that life goes back to normal as quickly as possible. But this can be upsetting and confusing for children suffering from trauma.

They may feel as if you’re dismissing their pain or even refusing to believe that they’ve experienced trauma in the first place. This doesn’t help your child at all, and may even make them feel worse.

Instead, be open to talking about what happened, listen carefully to your child’s version of events, and validate their feelings and experiences.

Make sure that you’re supportive of counseling and treatment for your teen’s PTSD. They may be resistant to therapy or counseling at first, but encourage them to go anyway.

Make it a point to keep all of your child’s appointments with their healthcare provider, keep an open line of communication with all your child’s healthcare providers and make sure that they are coordinating with each other.

Depending on the situation, your child’s healthcare team may consist of several professionals including medical doctors, counselors, social workers, psychologists, and psychiatrists. It’s important to be sure that everyone is on the same page when it comes to your child’s treatment.

You may also need to inform others about your child’s PTSD. For example, letting the school know what’s going on with your child can help them come up with strategies to help your child continue to succeed or rebound from an academic slump.

The school can also help your child avoid or cope with potentially upsetting triggers during the school day if they know what’s going on.

It can also help to reach out to your community for resources and support that might not be available elsewhere.

Conclusion

Above all, be on the lookout for symptoms of depression and suicidal ideation in your teenager.

People with PTSD can suffer from depression and become suicidal, and because adolescents can be impulsive, they may be at serious risk for a suicide attempt.

Always take threats of suicide seriously and get treatment immediately – suicide is a health emergency that’s as serious and as potentially life-threatening as a physical emergency like a heart attack.

Paradigm Treatment Blog

Adolescent PTSD: What You Need to Know

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Lucy Nguyen

Lucy Nguyen, LMFT
Clinical Reviewer

Lucy Nguyen is the Executive Director at Paradigm Treatment, overseeing all clinical treatment programs across the organization's southwestern region. Her extensive experience includes working with young adults in private practice, serving as a therapist for children and teens with emotional and behavioral needs, and acting as a behavior interventionist for teens with developmental disorders. Lucy integrates cognitive-behavioral approaches with mindfulness and compassion in her work, and she is also EMDR-trained. She holds a Master of Science in Counseling from California State University, Fullerton, and a Bachelor’s degree in Psychology and Social Behavior from the University of California, Irvine.

Often, people unfamiliar with post-traumatic stress disorder (PTSD) associate the condition with adults, and specifically with military veterans. And while it isn’t uncommon for military veterans to experience PTSD as a result of their experiences in war zones, they aren’t the only ones who experience PTSD.

Anyone who undergoes a traumatic experience can suffer from PTSD, including children and adolescents. Traumatic experiences can include something that happened to the child or something that the child witnessed or something that happened to someone close to the child, like a parent, sibling, or peer.

Take a look at some of the things you should know about teen PTSD – what it looks like, what the risk factors are, and what you can do about it.

What Causes PTSD?

There are countless types of events that could be traumatic enough to cause PTSD in an adolescent.

Different people can experience the same event differently, so an event that one child bounces back from easily could cause PTSD in a different child.

Some of the common events that cause PTSD in children include:

  • Natural disasters
  • Physical abuse
  • Sexual assault or abuse
  • Emotional abuse
  • Neglect
  • Manmade tragedies like bombings or mass shootings
  • Car accidents
  • Animal bites
  • Invasive medical procedures

While these are common events that could cause PTSD in adolescents, they are not the only events that could cause PTSD.

Even if an event doesn’t seep traumatic enough to cause PTSD to you, it may be traumatic enough to cause PTSD in your child or teenager.

Whether or not an adolescent develops PTSD can also depend on how severe the event was, how long it lasted, whether the event was a repeated occurrence, how close the child was to the event when it happened, how resilient the child is and what kind of coping skills they have, and how supportive the people in the child’s family and community are following the event.

What Does Adolescent PTSD Look Like?

How do you know if your teenager is suffering from PTSD?

It’s to be expected that your child will have some lingering effects after a traumatic event, but what’s normal and what is PTSD?

Children with PTSD will revisit the event over and over again in their minds. They may have nightmares and sleeping problems and may also experience upsetting memories during the day.

Adolescents with PTSD may also feel depressed, irritable, or nervous. They may seem to lose interest in the things that they’ve previously enjoyed doing. They may avoid situations, people, or places that remind them of the traumatic event.

It’s common for adolescents with PTSD to have trouble focusing, experience problems at school, and even display aggressive behavior. They may also regress and act younger than their age.

In addition, they may have difficulty showing affection or worry about dying at a young age. And they may also experience physical symptoms like headaches or stomach aches.

Diagnosis and Treatment

If you think that your child may be experiencing PTSD as a result of a traumatic event, it’s important to make sure that they get appropriate treatment. The sooner that your child is diagnosed and treated, the easier their recovery will be.

PTSD is typically treated with cognitive behavioral therapy, and your child’s doctor may also prescribe medications for depression or anxiety that can help them feel calmer and ease their symptoms.

Recovery from PTSD can take time. How much time depends largely on the individual and the situation. Your child may be feeling better in 6 months, or the symptoms may last much longer.

As a parent, you have an important role to play in your child’s recovery. One of the first things that you need to do is admit that the traumatic event happened. It’s often a parent’s instinct to downplay the significance of a traumatic event or try to pretend everything is normal.

You may think that this is a way of helping your child – by not dwelling on the event and by trying to ensure that life goes back to normal as quickly as possible. But this can be upsetting and confusing for children suffering from trauma.

They may feel as if you’re dismissing their pain or even refusing to believe that they’ve experienced trauma in the first place. This doesn’t help your child at all, and may even make them feel worse.

Instead, be open to talking about what happened, listen carefully to your child’s version of events, and validate their feelings and experiences.

Make sure that you’re supportive of counseling and treatment for your teen’s PTSD. They may be resistant to therapy or counseling at first, but encourage them to go anyway.

Make it a point to keep all of your child’s appointments with their healthcare provider, keep an open line of communication with all your child’s healthcare providers and make sure that they are coordinating with each other.

Depending on the situation, your child’s healthcare team may consist of several professionals including medical doctors, counselors, social workers, psychologists, and psychiatrists. It’s important to be sure that everyone is on the same page when it comes to your child’s treatment.

You may also need to inform others about your child’s PTSD. For example, letting the school know what's going on with your child can help them come up with strategies to help your child continue to succeed or rebound from an academic slump.

The school can also help your child avoid or cope with potentially upsetting triggers during the school day if they know what’s going on.

It can also help to reach out to your community for resources and support that might not be available elsewhere.

Conclusion

Above all, be on the lookout for symptoms of depression and suicidal ideation in your teenager.

People with PTSD can suffer from depression and become suicidal, and because adolescents can be impulsive, they may be at serious risk for a suicide attempt.

Always take threats of suicide seriously and get treatment immediately – suicide is a health emergency that’s as serious and as potentially life-threatening as a physical emergency like a heart attack.

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