Pharmacotherapy for posttraumatic stress disorder in children

Psychosocial interventions are first-line treatment for posttraumatic stress disorder (PTSD) in children, and pharmacotherapy should not be used routinely. Pharmacotherapy may be considered as an adjunct to psychosocial interventions for children with severe symptoms that prevent engagement with psychosocial intervention (eg severe anxiety, fear or hopelessness). Seek expert advice if pharmacotherapy is considered.

Pharmacotherapy may also be necessary for children with comorbid major depression or an anxiety disorder; a selective serotonin reuptake inhibitor (SSRI) is usually the drug of choice.

If the child has symptoms of a panic attack, treat accordingly (see Panic attack).