Post-Traumatic Stress Disorder (PTSD)

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What PTSD is

Post-Traumatic Stress Disorder (PTSD) can develop after experiencing or witnessing a distressing or life-threatening event.
It affects how the brain processes memory, emotion and safety, leading to ongoing anxiety, flashbacks or emotional numbness.

Children and young people can develop PTSD after trauma such as accidents, loss, abuse, or prolonged stress.

Related guidance

  • Anxiety Disorders
  • Depression
  • EBSA (Emotionally Based School Avoidance)
  • SEN Wellbeing
  • Attachment Disorders

    Signs and symptoms

    Common symptoms include:

    • intrusive memories or flashbacks

    • nightmares or sleep problems

    • avoiding reminders of the event

    • strong emotional or physical reactions to triggers

    • irritability, anger or withdrawal

    • difficulty concentrating or trusting others

    Check signs of PTSD
    Learn how trauma can affect behaviour, mood and learning.

    Causes and triggers

    PTSD can result from one major event or repeated exposure to distress.
    Common causes include:

    • serious accidents or injuries

    • abuse or neglect

    • witnessing violence or conflict

    • sudden loss of a loved one

    • bullying or chronic fear at school

    Some may develop Complex PTSD (C-PTSD) when trauma occurs over a long period or in early life.

    Learn about causes of PTSD
    Understand how trauma and prolonged stress affect the brain.

    Getting assessed and diagnosed

    Assessment is usually carried out by:

    • a GP or mental health professional

    • child and adolescent mental health services (CAMHS)

    • psychologists or trauma specialists

    Diagnosis may involve:

    • detailed interviews and trauma history

    • screening questionnaires

    • observation of emotional and behavioural responses

    Support in education

    Children with PTSD may:

    • become anxious, withdrawn or easily startled

    • struggle with attendance or concentration

    • find certain sounds, topics or people triggering

    Schools can help by:

    • providing predictable routines and calm environments

    • allowing safe spaces and flexible transitions

    • offering counselling or mental health support

    • ensuring staff are trauma-aware and trained in de-escalation

    An EHCP or pastoral plan may include trauma-informed teaching approaches.

    Therapies and treatment

    Effective treatments include:

    • Trauma-focused Cognitive Behavioural Therapy (CBT)

    • Eye Movement Desensitisation and Reprocessing (EMDR)

    • Play or art therapy for younger children

    • Medication (in some cases) for anxiety or depression

    Support should be paced carefully to avoid re-traumatisation.

    Get trauma support

    Search for counsellors, trauma specialists and tutors trained to support children with PTSD and emotional recovery needs.