Assessing and Treating Youth Exposed to Traumatic Stress is a
cogent, caring, and comprehensive response to the reality that many
children live lives of constant threat, fear, and confusion while
lacking opportunities for positive social interactions,
stimulation, and empowerment. Although the book is written for
mental health clinicians, teachers and others who support
traumatized youth will find this book an essential addition to
their professional libraries. Identifying these children is the
first step, and the importance of careful assessment through use of
the clinical interview—in both individual and group settings—is
emphasized. In addition, the population with posttraumatic stress
disorder (PTSD) is highly diverse in terms of presentation and
target symptoms, and the book explores differences in type,
duration, and accumulation of trauma; age of insult; stress
vulnerability; family history; and other individual factors. Nearly
a dozen of treatment options are presented in the book, and they
are distinguished by setting, such as clinic, home, or school, and
modality, such as psychotherapy or pharmacology. Attention is also
paid to preventive measures, most of which are school- or
group-based, to increase resiliency where possible. The book
addresses critically important issues in treating young people with
PTSD in chapters that are articulate, accessible, and actionable:
• Because PTSD rarely exists alone, suggestions on how to manage
the challenging issues surrounding common comorbidities, such as
mood and anxiety disorders, are examined in depth. Even when
individuals do not meet the full clinical criteria for PTSD,
elevated rates of mood and anxiety disorders have been identified.
• A separate posttraumatic diagnosis for preschool children was
introduced in DSM-5, and the book highlights the special
sensitivity and careful questioning necessary to elicit detailed
histories and contextualize trauma in the very young because of
their limited vocabulary and concrete thinking. • Although
psychosocial treatments are the first line of intervention when
treating youth with PTSD symptoms, there is a role for
pharmacological treatment, and a separate chapter is devoted to the
use of medications. • Whenever appropriate, the chapters take a
developmental approach to illustrate how treatment techniques are
applied to preschoolers, school-age children, adolescents, and
transitional-age youth. • In today's era of mass shootings and
natural disasters, there is great need for effective interventions
for large groups of young people. The chapters on school-based
assessment and interventions present information on screening;
disaster prevention, response, and recovery programs; and
evidence-based targeted trauma intervention across developmental
levels. The editor, Director of the Stanford University Early Life
Stress Research Program in Child and Adolescent Psychiatry, has
assembled a list of contributors who are at the forefront of
clinical research in this important area of focus, and Assessing
and Treating Youth Exposed to Traumatic Stress reflects the
authors' belief that society, as a whole, must ensure that children
who face adversity have the opportunity to develop to their full
potential.
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