Trigger Warning: Please note that the content of this article describes traumatic childhood events, specifically trauma, abuse, assault, and other potentially triggering topics.
If you experience or witness abuse, you can contact usNational Domestic Violence Hotlinefor help. Call 1-800-799-SAFE (7233) or text "START" to 88788.online chatis also available.
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We could only realize the impact of our upbringing and childhood when we have overcome it. As adults, we can see that the way we grew up, our experiences and what we lived through can shape who we are now.
It is often thought to equal a happy, balanced childhood with loving parentsbalanced, healthy adults. On the other hand, many psychologists believe that children with absent, judgmental or abusive parents can grow up with mental health problems. One of these is childhood post-traumatic stress disorder, also known as post-traumatic stress disorder, which can stem from traumatic events in childhood.
We can all experience some form of non-traumatic stress in our childhood. Furthermore, the same stressful events can be traumatic for a child, butnot traumatic for someone else.For example, one person may find it easy to grieve their parents' divorce, while another person may struggle with constant images, thoughts, or nightmares about the experience.
Childhood trauma can sometimes feel so overwhelming to a child that they develop post-traumatic stress disorder (PTSD). Children may be particularly susceptible to developing PTSDtheir parents' divorce.
When early childhood trauma causes a child to develop PTSD, they may feel unable to move on from the traumatic event and return to feeling healthy and calm. Instead, their behavior may change and they may replay the events in their minds. They may also experience survivor's guilt after the trauma occurs.
PTSD in childhood can be associated with other mental disorders, such as borderline personality disorder. In some cases, it may even be associated with an increased risk of chronic disease, chronic pain, and other physical symptoms.
Worried that your child is struggling with PTSD? Get expert advice here
What are the causes of childhood PTSD?
Trauma can depend on the child's personality, environment and upbringing. Although what constitutes "traumatic" can vary from child to child, there are several types of adverse childhood experiences that can cause a child to develop PTSD. These may include:
Experiencing or witnessing violence, emotional abuse or domestic abuse
Experiencingsexual abusetheblood shame
There is physical abuse
Experience with human trafficking or kidnapping
Touched by war
(Video) How to Parent Calmly and Effectively When You Have Childhood PTSDBeing affected by or witnessing a natural disaster
Displacement due to crisis
Becoming a refugee or immigrant at a young age
Live in a neighborhood where there is violence, drugs and crime
Living through a serious injury or illness (such as cancer)
Witnessing the death of a loved one by violent or unexpected means
Experiencing the death of a key caregiver or parent
Being neglected or abandoned
Being in foster care, institutionalized or in a group home
Often these causes can be linked. For example, studies show that children who have experienced or witnessed child abuse may bemore likely to be abused as adults.
If a child grows up in an unsafe environment, they may be exposed to several types of trauma during their lifetime, such as dangerous drugs, physical abuse, repeated childhood abuse, or other traumatic events.
Repeated exposure to or transition from any of these events can contribute to the development of complex PTSD. This is not surprisingPTSD in young peopleis increasing as children get older. Complex PTSD is a form of post-traumatic stress disorder that results from repeated traumatic events or complex trauma. The chronic stress of these repeated experiences can have a negative impact on a child's self-esteem, emotional responses and overall well-being.
What are the symptoms of childhood PTSD?
Recognizing post-traumatic stress disorder (PTSD) in children can be difficult. For example, if a child grows up in an unsafe or hostile environment, caregivers may not seek care for the child's psychological symptoms or problems. If the childhood trauma is inflicted on the child by someone in the family, it may remain unreported.
In addition, some of the signs and symptoms of PTSD can be attributed to the hormonal changes of a growing child. In some cases, caregivers or professionals may not believe a child who reports traumatic events. Intervention may be necessary in these cases. Learning the symptoms of PTSD and taking them seriously can be beneficial if you care for or have children.
Adults and children can experience the same type of PTSD symptoms. However, children may be more focused on their caregivers to provide support and understanding as they aremay lack wordsabout what is going on. Children often express themselves through play for this reason. Pay attention to what kind of games they play, what role they play with the dolls, or the things they draw.
Some children may be afraid to talk about child abuse if it is forced upon them by someone they trust. Whether it's an authority figure, a teacher or a parent, they may fear the consequences of speaking up.
Signs of childhood traumato be aware of may include the following:
Memories and flashbacks from the traumatic event that keep coming back even though the child wants to forget it
Have frequent nightmares
Crying or screaming for no "strange" reason
(Video) 9 Recovery Tools For Childhood TraumaFeeling nervous and "on edge", especially when faced with something that reminds them of the trauma. For example, a child may become anxious or run away when a certain person enters a room
To act or draw what happened to them
He has trouble remembering details of the trauma
Avoid places, people or things that remind them of trauma
Loss of interest in activities or interests that previously gave them pleasure or joy
Being isolated or isolated from the people around them
Difficulty concentrating at school or at home
Self-blame and guilt for what happened
Shows aggression or irritability
Behaving impulsively
Problems sleeping
Expressing a general feeling of fear or anxiety
Behavioral problems, such as illegal behavior, drug use, or risk-taking
These symptoms can last for years and begin just a few weeks after the traumatic event. They can also take several months or years before they first appear. Many children with PTSD may not know they have PTSD until they are adults.
Some children experience what is referred to asacute stress disorder. The condition often refers to a sudden stress reaction with symptoms lasting from a few days to a month. This may be in response to a stressful or traumatic event.
Not all children who have experienced childhood trauma will go on to develop PTSD. Things like mental illness in the family, the type of trauma that occurred, the child's personality, their support system, and the environment they grew up in can all play a role in whether someone develops PTSD.
Diagnosing PTSD in childhood
Because PTSD symptoms can come and go, it can feel easy for a parent to miss the signs. However, at the first signs of PTSD symptoms, it may be beneficial to consult a doctor and a mental health professional and have your child evaluated.
A diagnosis of PTSD will often be made based on the symptoms the child shows. The doctor may also perform some physical and medical evaluations to rule out other diseases or addictions.
A diagnosis of PTSD will be made based on the criteria described inDSM-5. Symptoms from four criteria should be met for children under six years of age.
Are the following:
Criterion A: Exposure to a traumatic event either directly (has happened to the child) or indirectly (has witnessed it)
(Video) YES, You Can Heal Childhood PTSD Symptoms -- These Actions HELP.Criterion B: The presence of at least one intrusive symptom, such as flashbacks or nightmares of the event
Criterion C: Exhibits withdrawal symptoms and avoidance of places, people, events, or activities
Criterion D: Shows changes in behavior such as aggression or irritability
If a child has one or more symptoms in each of the four categories, and the symptoms have lasted for at least a month, the doctor can diagnose PTSD. For a PTSD diagnosis, a doctor can check that other factors (such as depression, anxiety or physical illness) are not at play.
A diagnosis of PTSD can be scary or upsetting. But because PTSD isa curable disease, a diagnosis can be the first step towards providing support for your child or a child you care for.
Worried that your child is struggling with PTSD? Get expert advice here
Treatment of PTSD in childhood
Children with PTSD often undergo the same type of treatment as teenagers or adults who have PTSD: psychotherapy and medication. Receiving appropriate mental health services can be valuable for a child in dealing with and moving on from traumatic experiences.
Psychotherapy can help the child deal with the trauma, move on from it and go on to live a healthy and happy life. Depending on the type of trauma the child has suffered and what they are going through, therapists – such as psychologists, clinical social workers, counsellors, trauma counselors, psychiatrists or grief specialists – can provide support.
A mental health therapist may use several techniques to treat PTSD. The most popular and effective methods used are the following:
Cognitive Behavioral Therapy (CBT)
Cognitive behavioral therapy (CBT) is often used to treat a variety of mental disorders and concerns, including PTSD. A therapist who specializes in trauma and children can work with the survivor to understand the trauma and how it has affected them through talk therapy, behavioral coping skills, and more.
CBT can help the trauma survivor understand that they were not to blame for their trauma. The process could also encourage them to let go of any irrational thoughts surrounding the traumatic event. Finally, the therapist can provide survivors with the necessary tools to manage and manage their symptoms.
Play Healing
Through play therapy, a therapist can encourage survivors to communicate what they have been through using a creative approach, such as playing games,create art, role play or play with sensory toys.
Young children or children who do not yet have the skills to communicate effectively may be able to communicate through creative means and imagination. Through play therapy, the therapist can help the child process the trauma.
Eye Movement Desensibilization and Reprocessing (EMDR) terapi
EMDR is a form of trauma-focused therapy that is gaining popularity in the mental health field. Studies show that it is asafe and effective treatmentfor PTSD.
EMDR may involve combining CBT with eye movement exercises (guided by the therapist) in which the survivor talks about what they remember from their trauma. The therapist can work with them to deal with the emotions they experienced during and after the event. This can allow the memories to resurface as it targets both sides of the brain when trauma is processed.
Other trauma treatments
Depending on the situation and the type of trauma the child has experienced, a professional may also recommend support groups, group therapy, family counseling, or another treatment method to help the child understand and deal with what is happening.
Medicine
In some cases, a mental health professional may also prescribe medication to treat some of the symptoms associated with PTSD, such as anxiety or depression. Managing these symptoms can allow a child to resume normal activities more effectively. For many, medication is only a temporary solution.
Effectiveness of PTSD treatment for children
Studies show that many forms of mental health care prescribed for adults or youth with PTSD are alsoeffective for treating children. Without treatment, PTSD symptoms can only worsen or cause concern for the child as an adult.
Many adults who have experienced childhood trauma continue tophysical health problems.With evidence showing amind-body connection,physical therapyor trauma therapy can effectively treat PTSD at any point in life.
How to support a child dealing with PTSD
A child with a strong support system may feel safer and more open to treatment. You may consider the following tips.
Confirm them
Make an effort to validate the child's PTSD symptoms or experiences. Don't tell them they are "bad", "dirty" or "dramatic". Validate their feelings by telling them that their experience was traumatic, they didn't deserve it, and you are here to support them and help keep them safe.
Encourage them, but don't force a conversation
Encourage the child to talk about their feelings or experiences when they are ready. Let them know they have a safe place to confide in if they want to talk about it. If they're not prepared, don't force them to open up. Studies show that wound healing can occurwithout rememberingtraumatic events.
Help them with self-care
Consider building a child's self-esteem and confidence by allowing them to participate in activities they are good at, taking their opinions into account and empowering them to make decisions. Model healthy self-care by practicing it in your life.
Don't be judgmental
Try not to be judgmental about your child's behavior. They may struggle with dealing with difficult emotions. It may take time before the child's PTSD treatment feels adequate. Remaining supportive and kind can allow your child to feel secure in relationships, which promotes asecure attachment style.
Receiving support related to childhood PTSD
Let's say you are a parent, guardian, teacher, or loved one of a child who has PTSD. In this case, you can support their healing by providing unconditional love and support and recognizing that they may be going through a difficult time that may affect their behavior and emotions.
If you are struggling or have questions about child support, consider talking to a doctor or therapist. Many parents or childcare workers are too busy to attend an in-person therapy session. If you can relate, support is available online.
Studies show that online cognitive behavioral therapy for adults is effective in treating a variety of concerns. In a study,71% of participantsfound online therapy more effective than traditional counseling.
If you are ready to communicate, consider contacting a counselor on an online platform such asBetter Help. Many therapists experienced in child psychology may be able to support you and your family.
Take away
Childhood trauma can be painful or complex for everyone involved. If you care for or love a child who has experienced trauma, or you suspect they have, consider seeking support. A counselor can be an effective treatment option.
FAQs
What is the best treatment for childhood PTSD? ›
Trauma-focused cognitive behavior therapy (TF-CBT) is considered the best PTSD therapy for younger kids and teens. The first part of TF-CBT is teaching kids and parents what trauma symptoms look like.
How do you calm PTSD symptoms? ›- Get to know your triggers add. You might find that certain experiences, situations or people seem to trigger flashbacks or other symptoms. ...
- Confide in someone add. ...
- Give yourself time add. ...
- Try peer support add. ...
- Find specialist support add. ...
- Look after your physical health add.
- Reliving the event over and over in thought or in play.
- Nightmares and sleep problems.
- Becoming very upset when something causes memories of the event.
- Lack of positive emotions.
- Intense ongoing fear or sadness.
- Irritability and angry outbursts.
Yes, it is possible to receive Social Security Disability benefits for post-traumatic stress disorder (PTSD), but you must meet certain requirements, including proper medical documentation.
What happens if PTSD is left untreated in a child? ›Slower and Damaged Cognitive Development
Children experiencing PTSD will have stunted brain development when compared to a normal child. This causes them to have slower capability to learn, lower general IQ, memory problems, damaged social and emotional responses, and a defensive personality.
Such a child may seem “spacey”, detached, distant, or out of touch with reality. Complexly traumatized children are more likely to engage in high-risk behaviors, such as self-harm, unsafe sexual practices, and excessive risk-taking such as operating a vehicle at high speeds.
How do you snap out of PTSD episodes? ›- Learn about trauma and PTSD. ...
- Talk to others for support. ...
- Practice relaxation methods. ...
- Distract yourself with positive activities. ...
- Talking to your doctor or a counselor about trauma and PTSD. ...
- Unwanted distressing memories, images, or thoughts. ...
- Sudden feelings of anxiety or panic.
- Sertraline (Zoloft)
- Paroxetine (Paxil)
- Fluoxetine (Prozac)
- Venlafaxine (Effexor)
vivid flashbacks (feeling like the trauma is happening right now) intrusive thoughts or images. nightmares. intense distress at real or symbolic reminders of the trauma.
How do you test a child for PTSD? ›The Child and Adolescent Trauma Screen (CATS) questionnaire is a brief, freely accessible screening instrument based on the DSM-5 criteria for Posttraumatic Stress Disorder (PTSD). It is a measure of potentially traumatic events and of posttraumatic stress symptoms (PTSS).
What triggers childhood PTSD? ›
A traumatic event, such as a car crash, natural disaster, or physical abuse, can cause PTSD. Children with PTSD may relive the trauma over and over again. They may have nightmares or flashbacks. PTSD is diagnosed only if symptoms keep occurring for more than 1 month and are negatively affecting the child's life.
Does childhood PTSD get worse with age? ›Symptoms may worsen
As people age, their PTSD symptoms may suddenly appear or become worse, causing them to act differently. It may be unsettling to see these changes in a loved one, but it's nothing to fear. Changes are common and treatment can help.
...
VA Disability Ratings for PTSD.
If your child is one of the many who is living with a mental illness, he or she could be eligible for monthly disability benefits through the SSA, or Social Security Administration.
Can you get SSI for childhood trauma? ›Your family will also have additional medical bills and expenses associated with the trauma that comes with childhood abuse. If your child needs additional assistance, the Social Security Administration (SSA) may be able to help. Children under age 18 are eligible for Supplemental Security Income, or SSI benefits.
What makes PTSD worse? ›PTSD can be worsened due to the kind of trigger involved. A trigger reminds you of what happened, activating memories, emotions, and physical responses, leading to a severe reaction.
How long after a traumatic event would a child be diagnosed with PTSD if they continued to show symptoms? ›Symptoms of PTSD usually begin within 3 months of the traumatic incident, but they sometimes emerge later. To meet the criteria for PTSD, symptoms must last longer than 1 month, and they must be severe enough to interfere with aspects of daily life, such as relationships or work.
How does PTSD affect a child's behavior? ›Social and behavior problems
Some research shows that children of Veterans with PTSD are more likely to have problems with behaviors and school and problems getting along with others. Their parents see them as more sad, anxious, aggressive, and hyper than children of Veterans who do not have PTSD.
The signs of trauma in a child include obsession with death or safety and issues with sleeping, eating, attention, and regulating emotions. Kids who have experienced trauma may also start to avoid school, especially if their trauma happened at school or is related to school, such as the death of a classmate.
What are two 2 Behavioural symptoms of trauma that a child may display? ›- be more jumpy or startle easily.
- develop new fears.
- have more nightmares.
- talk about the frightening event more or have it in their play or drawings.
- not seem to be reassured when talking about the scary event and ask about it again and again.
What happens to the brain of traumatized child? ›
Trauma-induced changes to the brain can result in varying degrees of cognitive impairment and emotional dysregulation that can lead to a host of problems, including difficulty with attention and focus, learning disabilities, low self-esteem, impaired social skills, and sleep disturbances (Nemeroff, 2016).
What not to say to PTSD? ›- It's Time to Move On.
- It could not have been that bad.
- Stop Being Negative.
- If You Continue Dwelling On It, Then You'll Never Move On.
- Do You Think You'll Ever Stop Being Depressed?
- You're a Survivor, So Quit Being a Victim.
- It Could Always Be Worse.
- Vivid Flashbacks. A PTSD flashback is when you relive your traumatic experience, and it feels like it is happening all over again right in that moment. ...
- Nightmares. ...
- Self-Isolation. ...
- Depression. ...
- Substance Abuse. ...
- Emotional Avoidance. ...
- Feeling on Edge, or Hyperarousal. ...
- Memory Loss.
With PTSD, a trigger is something that brings on memories or reminders of a traumatic event. For example, flashbacks are often prompted by a trigger. The flashback causes you to feel as though you're reliving the traumatic experience (or some parts of it) all over again.
What are 2 common treatments for PTSD? ›The 2 medicines recommended to treat PTSD in adults are paroxetine and sertraline. Paroxetine and sertraline are both a type of antidepressant known as selective serotonin reuptake inhibitors (SSRIs).
What is the best mood stabilizer for PTSD? ›...
Other medications used for PTSD
- fluoxetine (Prozac)
- paroxetine (Paxil)
- sertraline (Zoloft)
- Cognitive therapy. ...
- Exposure therapy. ...
- Eye movement desensitization and reprocessing (EMDR).
People with PTSD have intense, disturbing thoughts and feelings related to their experience that last long after the traumatic event has ended. They may relive the event through flashbacks or nightmares; they may feel sadness, fear or anger; and they may feel detached or estranged from other people.
Does talking about trauma make it worse? ›Talking about the trauma, even just trying to put what happened into words, can actually worsen a victim's trauma by re-activating it in the brain, and embedding it deeper.
What are the physical signs your body is releasing trauma? ›Some may have a fight-or-flight type of response, which may include muscle tension, heart pounding and sweating because their body "believes it needs to activate," she explains. Others maybe experience a freeze response, which can look like someone who struggles to move or get out of bed.
What is the PTSD tool for children? ›
Description. The CAPS-CA-5 is a 30-item clinician-administered PTSD scale based upon DSM-5 criteria for children and adolescents ages 7 and above. It is a modified version of the CAPS-5 that includes age appropriate items and picture response options.
At what age can a child be diagnosed with PTSD? ›PTSD can occur at any age, including childhood, and may be accompanied by: Depression. Substance abuse. Anxiety.
How do doctors test for PTSD? ›PTSD assessment may begin using a self-screen. However, a more in-depth assessment is required to diagnose PTSD. That assessment will involve an interview with a provider and may also include self-report questionnaires that you complete. You can always ask questions so that you know what to expect.
Can toxic parents cause PTSD? ›Effects of Toxic Parents
Those effects can continue well into adulthood. Here are nine potential effects of toxic parents: Mental health disorders in childhood, such depression, anxiety, and post-traumatic stress disorder (PTSD)
Post-traumatic stress disorder (PTSD): Being subjected to constant yelling and verbal abuse can cause symptoms of PTSD. Symptoms can include insomnia, feeling the need to be on guard, getting easily startled and displaying self-destructive behavior.
What age is childhood trauma most impactful? ›Young Children and Trauma. Children can experience trauma as early as infancy. In fact, young children between the ages of 0 and 5 are the most vulnerable to the effects of trauma since their brains are still in the early formative years.
What age is PTSD most vulnerable? ›The typical onset age for PTSD is in young and middle adulthood. The NCS-R reported a median onset age of 23 (interquartile range: ages 15-39) among adults (Kessler et al., 2005).
At what age does trauma affect you the most? ›Trauma can seriously disrupt important aspects of child development that occur before the age of three years. These may include relationship and bonding with parents, as well as foundational development in the areas of language, mobility, physical and social skills and managing emotions.
How to get money for PTSD? ›Workers who have PTSD could pursue benefits through their employer's workers' compensation insurance or Social Security disability. If you meet the specific requirements, you could collect the benefit payments you need to pay for medical treatment and supplement your lost wages.
Can I get money if I have PTSD? ›You may be eligible for disability benefits if you have symptoms related to a traumatic event (the “stressor”) or your experience with the stressor is related to the PTSD symptoms, and you meet all of these requirements.
Can you claim money for PTSD? ›
How does a PTSD compensation claim work? You can claim whether your PTSD is the only after-effect of what happened or if you also have physical injuries. As long as the accident or other incident that led to your PTSD was in the past three years and the fault of someone else, you can claim.
Can you get disability for PTSD in a child? ›For example, in order to qualify for SSI benefits a child with PTSD would need to demonstrate symptoms like the following: Hypervigilance. Easy startle response. Insomnia.
What is the 5 year rule for Social Security disability? ›No waiting period is required if you were previously entitled to disability benefits or to a period of disability under § 404.320 any time within 5 years of the month you again became disabled.
What state is easiest to get disability? ›- Hawaii — 78% approval rate.
- North Carolina — 62% approval rate.
- Oklahoma — 62% approval rate.
- Delaware — 61% approval rate.
- South Carolina — 60% approval rate.
- Michigan — 60% approval rate.
- Oregon — 59% approval rate.
- New Jersey — 59% approval rate.
Even if your PTSD doesn't meet all the criteria, applying may still be worth it if your PTSD interferes with your ability to work. The reality is that qualifying for disability is difficult even if you have been struggling to maintain your job. Only 20% of applicants get approved on their initial application.
How do I prove PTSD for disability? ›...
You must show that:
- Your PTSD has been serious and persistent over a period of at least two years.
- You are undergoing ongoing medical treatment, mental health therapy, or living in a highly structured or protected setting, and.
Trauma-Induced Impairments and Behaviors
In addition to social, emotional, and cognitive impairments, children who experience trauma may develop mental health disabilities such as depression, anxiety disorders, post-traumatic stress disorder, disruptive behavior disorders, obsessive compulsive disorders, and insomnia.
Psychotherapy. Cognitive Behavior Therapy (CBT): CBT is a type of psychotherapy that has consistently been found to be the most effective treatment of PTSD both in the short term and the long term. CBT for PTSD is trauma-focused, meaning the trauma event(s) are the center of the treatment.
What is the golden treatment for PTSD? ›Exposure therapy has been thoroughly studied and referred to as the gold standard for PTSD patients, helping them process emotions and overcome their fears. The goal of exposure therapy is to actively confront the things that a person fears.
What medication is used for childhood trauma? ›Medications often first used to treat PTSD are in the category of selective serotonin reuptake inhibitors (SSRIs). SSRIs are recognized as effective medications to aid in relief from mood and anxiety disorders as well. Depending on the child's symptoms, other categories of medicine may also be considered.
What is the gold standard for PTSD treatment? ›
The CAPS is the gold standard in PTSD assessment. The CAPS-5 is a 30-item structured interview that can be used to: Make current (past month) diagnosis of PTSD.
What is the number 1 medication helps with PTSD? ›- Sertraline (Zoloft)
- Paroxetine (Paxil)
- Fluoxetine (Prozac)
- Venlafaxine (Effexor)
- Therapy.
- Cognitive Processing Therapy.
- Prolonged Exposure Therapy.
- Eye Movement Desensitization and Reprocessing.
- Stress Inoculation Training.
- Medications.
Uncomplicated PTSD is linked to one major traumatic event, versus multiple events, and is the easiest form of PTSD to treat. Symptoms of uncomplicated PTSD include: avoidance of trauma reminders, nightmares, flashbacks to the event, irritability, mood changes and changes in relationships.
What is the new type of therapy for PTSD? ›- MDMA therapy. When administered, MDMA increases levels of serotonin, dopamine, norepinephrine, and oxytocin. ...
- Stellate ganglion block. A stellate ganglion block is an injection of local anesthetic that goes into the neck, targeting the sympathetic nervous system. ...
- Virtual reality.
- Distance Yourself. Remove yourself from toxic people. ...
- Reduce Stress. Practice stress reduction techniques such as yoga, meditation, eating a healthy diet, and getting enough sleep.
- Seek Support. ...
- Mindfulness. ...
- Trigger Awareness.
Post-traumatic stress disorder (PTSD).
Children and adolescents with PTSD have symptoms such as persistent, frightening thoughts and memories or flashbacks of a traumatic event or events.
Costs of SGB Treatment
The traditional costs of PTSD treatments (for both therapy and medications) can be between $6,000 to $30,000 for every individual patient. In contrast, SGB injections are a less expensive alternative, and are estimated to cost between $2,000 to $3,000 per patient for full treatment.
Initial research suggests that a PCL-5 cutoff score between 31-33 is indicative of probable PTSD across samples.
What is the top 8 test PTSD? ›The TOP-8 Scale is an eight-item, brief, interview-based assessment of the DSM-IV version of PTSD. It was developed from a larger PTSD instrument (SI-PTSD scale) based on items which were frequently endorsed by those with PTSD and which responded substantially to treatment across time.