Cognitive-behavioral therapy is the leading evidence-based treatment for children and adolescents who have experienced child abuse or neglect. Treatment should include education about trauma and its impact (e.g, PTSD); emotional management skills, such as relaxation and controlled breathing; gradual exposure to trauma memories; and cognitive processing to address unhelpful or inaccurate thoughts, such as guilt or self-blame.
For children who have severe or persistent symptoms despite psychotherapy, medications may be warranted, both to help with symptoms and to generate a more positive treatment response to psychotherapy.
The American Academy of Child and Adolescent Psychiatry (AACAP) suggests selective serotonin reuptake inhibitors (SSRIs) for the treatment of children and adolescents with PTSD but cautions that these medications should be considered only after an adequate trial of evidence-based psychotherapy alone is ineffective. For children with PTSD and coexisting disorders such as depression and anxiety, support for the use of medication in children is much stronger, and pharmacotherapy should be considered based on the degree of severity and impairment. In such cases, the AACAP recommends using medications as part of a more comprehensive treatment plan, as an adjunct to psychotherapy, and for simultaneous treatment of comorbid psychiatric diagnoses.
Resources to help parents deal with child abuse are available from the American Academy of Child & Adolescent Psychiatry.
To report child abuse or neglect in Florida, go to the Florida Department of Children and Families Florida Child Abuse Hotline.
Spouse or Partner Violence – Physical
This diagnosis is used when nonaccidental acts of physical force result in or have reasonable potential to result in, physical harm to an intimate partner in the past year. In place of physical harm, the behavior could cause significant fear in the partner.
Spouse or Partner Violence – Sexual
This diagnosis is used when forced or coerced sexual acts with an intimate partner have occurred during the past year. Sexual violence may involve the use of physical force or psychological coercion to make the partner engage in a sexual act against his or her will. Also included in this category are sexual acts with an intimate partner who is unable to consent.
Spouse or Partner Neglect
Partner neglect is any egregious act or omission in the past year by one partner that deprives a dependent partner of basic needs, resulting in, or having the potential to result in, physical or psychological harm to the dependent partner. This category is used in the context of relationships in which one partner is extremely dependent on the other partner for care or for assistance in navigating ordinary daily activities. This would typically involve a partner who is incapable of self-care due to substantial physical, psychological/intellectual, or cultural limitations (e.g., inability to communicate with others and manage everyday activities due to living in a foreign culture).
Spouse or Partner Abuse – Psychological
Partner psychological abuse includes non-accidental verbal or symbolic acts by one partner that result in or have the potential to result in, significant harm to the other partner. This category is used when psychological abuse has occurred during the past year. Acts of psychological abuse include berating or humiliating the victim; interrogating the victim; restricting the victim’s ability to come and go freely; obstructing the victim’s access to assistance (e.g., law enforcement; legal, protective, or medical resources); threatening the victim with physical harm or sexual assault; harming or threatening to harm people or things that the victim cares about; unwarranted restriction of the victim’s access to or use of economic resources; isolating the victim from family, friends, or social support resources; stalking the victim; or trying to make the victim think that he or she is crazy.
This diagnosis is used when an adult has been abused by another adult who is not an intimate partner. Such maltreatment may involve acts of physical, sexual, or emotional abuse. Examples of adult abuse include nonaccidental acts of physical force that have resulted – or have the potential to cause – physical harm or have caused significant fear; forced or coerced sexual acts; and verbal or symbolic acts with the potential to cause psychological harm. Examples of the latter include berating or humiliating the person; interrogating the person; restricting the person’s ability to come and go freely; obstructing the person’s access to assistance, threatening the person; harming or threatening to harm people or things that the person cares about; restricting the person’s access to or use of economic resources; isolating the person from family, friends, or social support resources; stalking the person; or trying to make the person think that he or she is crazy.
Mental Health Library Sources:
Information included in all topics of the Mental Health Library comes from the Desk Reference to the Diagnostic Criteria From DSM-5 and Kaplan & Sadock’s Concise Textbook of Clinical Psychiatry. Complete diagnostic and treatment information may be found within these publications.
Information within the Mental Health Library is not intended to be used for self-diagnosis purposes. Rather, it is provided as a public educational service to make people aware of mental health conditions. Please consult a qualified mental health professional for a diagnosis of any suspected mental health illness.
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