Helplessness and passivityGeneralized fearCognitive confusionDifficulty identifying what is bothering themLack of verbalizationAttributing magical qualities to traumatic remindersSleep disturbancesAnxious attachmentRegressive symptoms
Suggested support/interventions
Provide support, rest, comfort, food, opportunities to play andPresence of calm, supportive adult caregiversGive repeated, concrete clarificationsProvide emotional labelsVerbalize common feelings and complaintsSeparate what happened to them from physical remindersGive the child extra time and reassurance at bedtimeProvide consistent care and reassuranceTolerate symptoms in a time-limited manner
Examples of how to implement interventions
Establish a “child friendly space”Safety hand exerciseProvide information in simple languageProvide art and play materials for childrenShield childrenPlan calming activities before bedtimeEstablish a routineAllow the child privacy, but not isolation

From: 15, Mental health and psychosocial support

Cover of Manual for the Health Care of Children in Humanitarian Emergencies
Manual for the Health Care of Children in Humanitarian Emergencies.
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