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Pediatric PTSD: Clinical, Forensic, and Diagnostic Understanding
Frank K Tedeschi1, Stephen B Billick2
1Dr. Tedeschi is Medical Director of Psychiatry, Bellevue Juvenile Justice Mental Health Service, and Clinical Assistant Professor, Department of Child and Adolescent Psychiatry, New York University School of Medicine, New York, NY. Dr. Billick is in private practice in child, adolescent, and adult clinical and forensic psychiatry and is Clinical Professor of Psychiatry, New York Medical College, Valhalla, NY, and New York University School of Medicine, New York, NY. frank.tedeschi@nyumc.org.
Trauma exposure is common in US youth, with a minority developing pediatric posttraumatic stress disorder (PTSD). This review aids forensic evaluators by detailing pediatric PTSD
Area of Science:
- Child and Adolescent Psychiatry
- Forensic Psychology
- Trauma Studies
Background:
- Trauma exposure is prevalent among children and adolescents in the U.S.
- Pediatric posttraumatic stress disorder (PTSD) affects a minority but leads to persistent symptoms and comorbidities.
- Pediatric PTSD has significant implications in legal contexts, necessitating expert understanding.
Purpose of the Study:
- To provide a comprehensive resource for forensic evaluators on pediatric PTSD.
- To outline current knowledge on the epidemiology and clinical presentation of pediatric PTSD.
- To review neurobiological, dimensional, and developmental models of pediatric PTSD.
Main Methods:
- Literature review of epidemiological and clinical features of pediatric PTSD.
- Synthesis of current research on neurobiological, dimensional, and developmental models.
- Focus on information relevant to forensic evaluation.
Main Results:
- Detailed overview of pediatric PTSD prevalence and symptomology.
- Exploration of various conceptual models, including neurobiological and developmental aspects.
- Emphasis on the clinical and forensic relevance of these findings.
Conclusions:
- Pediatric PTSD requires specialized knowledge for accurate diagnosis and evaluation.
- Understanding advanced clinical, conceptual, and neurobiological models is crucial for experts.
- This review serves as a guide for forensic evaluators assessing youth with PTSD.
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