Census Bureau predicts 73.7 million children will occupy the United States by the end of 2016; almost 24.1 million are less than five years old. (Child Population 2015). According to the Substance Abuse and Mental Health Services Administration report in 2001, 26 percent of those children will witness or experience a traumatic event before they turn four. The National Survey of Children’s Exposure to Violence (2009) found that more than 60 percent of surveyed children, from birth to age 17, were exposed to at least one type of violence in the year preceding the survey with more than ten percent reporting five or more exposures (Finkelhor et. al, 2009). Frequent exposure to extreme, toxic stressors such as domestic abuse or community violence hold the children’s stress response system continually active. During stressful situations, the body releases cortisol, a hormone that increases energy levels and helps with the “fight or flight” response. Naturally, children have lower cortisol levels than adults. Research suggests that frequent and early stressors can influence and leave a lasting effect on brain development, learning, and behavior (Shonkoff & Garner, 2012). Short-term and long-term effects of constant, excessive childhood trauma such as pediatric cancer, prolonged exposure to domestic violence, or witnessing a violent robbery, can be seen as early as two years old (Schoedl, Costa, Mari, Tyrka, Carpenter, & Price, 2010) While children experience different …show more content…
Triggers cause distress and limit functioning. The newest edition of the Manual takes into account the behavioral symptoms of posttraumatic stress; re-experiencing, avoidance, negative cognitions and mood, and arousal (American Psychiatric Association, 2013). It also includes two subtypes for posttraumatic stress disorder: children younger than 6 years and dissociative symptoms. For the purposes of this paper, we will focus on the first subtype as well as the effects PTSD has on the family