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Pediatric PTSD in the DSM-5 and the Forensic Interview of Traumatized Youth
Frank K Tedeschi1, Stephen B Billick2
1Dr. Tedeschi is Medical Director of Psychiatry, Bellevue Juvenile Justice Mental Health Service, and Clinical Assistant Professor in the 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 Clinical Professor of Psychiatry at New York Medical College, Valhalla, NY, and New York University School of Medicine, New York, NY. frank.tedeschi@nyumc.org.
Abstract:
Since the Third Edition, the Diagnostic and Statistical Manual of Mental Disorders (DSM) has increasingly incorporated developmentally informed criteria for posttraumatic stress disorder (PTSD) because of recognition that children and adolescents can manifest PTSD differently from adults. The most recent edition, DSM-5, among other changes, has introduced a developmental subtype for children six years of age or younger. As pediatric PTSD features very prominently in both civil and criminal proceedings, it is vital that the expert witness be familiar with the updated criteria and know how to interview traumatized youth appropriately in the forensic setting. In this review, we discuss the importance of the evolution of PTSD from past DSM editions to the current one, and the implications of using the new diagnostic criteria and current conceptual models in the forensic evaluation of pediatric PTSD.
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