Complex PTSD in Adolescents / Teens

Key things to know What the evidence shows
How common is it? 3.4% probable CPTSD, ages 11–19 combined; cannot isolate teens
Is it more common among adolescents / teens? Developmentally important; cumulative/interpersonal trauma strongly relevant
Are adolescents / teens at higher risk? Yes after repeated/cumulative trauma
How much higher is the risk? Same youth finding; ≥2 sexual traumas uniquely predicted CPTSD class
How often can it be missed? Very high
Does it show up differently among adolescents / teens? Yes developmentally
How might it look different? Identity/self-worth problems, emotion dysregulation, relational instability, withdrawal and trauma symptoms may become prominent
What commonly occurs alongside it? Depression; anxiety; self-harm; substance use
What can it be confused with? PTSD; BPD; depression; ADHD; autism
Common screening tool ITQ-CA
Separate screening tool for adolescents / teens ITQ-CA
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