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Posttraumatic Stress Disorder in Children and Adolescents
Mohamed A Zebda1,2, Sara R Elkins1,3, R Anna Franklin1
1Tilman J. Fertitta Family College of Medicine, Houston, Texas.
Pediatrics in Review
|June 30, 2026
Summary
Pediatricians can identify how traumatic events impact children and adolescents. This review offers guidance on recognizing symptoms, screening, and treating posttraumatic stress disorder (PTSD) in primary care settings.
Area of Science:
- Pediatrics
- Child and Adolescent Psychiatry
- Trauma Studies
Background:
- Traumatic events significantly affect child and adolescent functioning and mental health.
- Primary care pediatricians are crucial in identifying trauma's impact on young patients.
- Early recognition and intervention are vital for preventing long-term psychopathology.
Purpose of the Study:
- To review key clinical features of posttraumatic stress disorder (PTSD) in children and adolescents presenting in primary care.
- To outline best practices for screening, treatment, and care coordination for pediatric PTSD.
- To enhance pediatricians' knowledge of trauma reactions to promote trauma-informed care.
Main Methods:
- Literature review of clinical features of PTSD in pediatric primary care.
- Synthesis of best practices for screening and treatment of childhood trauma.
- Guidance on coordinating care for pediatric patients with PTSD.
Main Results:
- PTSD and related conditions present unique challenges in pediatric primary care.
- Effective screening and early intervention strategies are essential.
- Trauma-informed care improves outcomes for children and adolescents.
Conclusions:
- Pediatricians play a critical role in managing the effects of trauma in children and adolescents.
- Improved awareness and practices can prevent symptom progression and PTSD development.
- Comprehensive care coordination is key to supporting young patients affected by trauma.
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