A child's reaction also depends on how much destruction he or she sees during and after the disaster. If a friend or family member has been killed or seriously injured, or if the child's school or home has been severely damaged, there is a greater chance that the child will experience difficulties. A child's age affects how the child will respond to the disaster. It is important to explain the event in words the child can understand. Children with this disorder have repeated episodes in which they re-experience the traumatic event.
Children often relive the trauma through repetitive play.
In young children, distressing dreams of the traumatic event may change into nightmares of monsters, of rescuing others or of threats to self or others. PTSD rarely appears during the trauma itself. Though its symptoms can occur soon after the event, the disorder often surfaces several months or even years later. Persistent fears related to the catastrophe, such as fears about being permanently separated from parents. Sleep disturbances such as nightmares, screaming during sleep or bedwetting that last more than several days after the event.