Experience or witness a traumatic event that the individual perceives as horrible/uncontrollable, learning traumatic event

Major depression, complicated grief, persistent depressive, attachment

Acute stress disorder, PTSD, Dissociative d/o, adjustment disorder

Wear + Tear, Accumulation of stress over time, prolonged neglect/abuse

Major depression, panic attacks, attachment disorder, borderline personality disorder

Recurrent/intruive memories, nightmares, fashbacks, psychological distress, physiological reactions

Sleep disturbance, irritable behaviur, hypervigilance, concentration issues, exaggerate startle response

The longer untreated, the worse the prognosis (increased comorbiditiy/psycho-social loss)

Stabilitization: Manage/reduce survival mode, medication for insomnia, anger/Depression, psychoeducation

Integration of Traumatic Memories: Process traumatic memories, indentify distorted thnking patterns, damaged core values

Re-integration/Maintenance for the goal of consolidation

Common reactiosn to trauma/etiology of PTSD, emotions, psychological processes

Skills Training (Relaxation, assertivenes, communication)

Substance use,e xercise, diet, recreation/socialization

Shows re-experience symptoms by repetitive play/re-enactment

Nightmares content may not be related to traumatic event

Persistent reduction in epxpression of positive emotions

Reckless, or self-destructive behaviour criteria is removed for children

Specifies relationships with parents, siblings, peers, caregivers, with school bheaviour

Withdrawal, Denial, Participation, Anxious attachment, regression to previous level, relatively brief grieving period

Lowered intellectual functioning, obsessive talking about incident, isolation, constant anxiety, behavioural issues, problems relating to peers

Premature closure of identity formation, acting-out behaviour, self-criticism, fear of repetition of event in future

Type of Trauma, risk facotrs, protective facotrs, gathering informations from adults, assess comorbidities

Degree of exposure, previous illness/trauma, parents severe reaction, insecure or disorganized attachment

Intelligence, affect regulation, social support, self-esteem, child's beleif that his situation is secure

Safety/Stabilization: Safety in child's enviornment, psycho-education, stress management, affective expression, cognitive coping skills, meidcation for co-morbidities

Target: Re-experiencing symptoms, trauma experience

Consolidation/Resilience: Integration into social network

Parental Treatment, Relaxation, Affective expression, Cognitive coping, trauma narrative, In vivo desensitization, Conjoint child, Enhancing safety

Diet, sleep hygiene, substance use, social activities

Psychoeducation, family therapy, school intervention, gorup therapy