Child and Adolescent Trauma – Caregiver Report Ages 7-17 Years Upsetting thoughts or images about a stressful event. Or re-enacting a stressful event in play. Never. Once in a while. Half the time. Almost always. Bad dreams related to a stressful event. Never. Once in a while. Half the time. Almost always. Acting, playing or feeling as if a stressful event is happening right now. Never. Once in a while. Half the time. Almost always. Feeling very emotionally upset when reminded of a stressful event. Never. Once in a while. Half the time. Almost always. Strong physical reactions when reminded of a stressful event (sweating, heart beating fast). Never. Once in a while. Half the time. Almost always. Trying not to remember, talk about or have feelings about a stressful event. Never. Once in a while. Half the time. Almost always. Avoiding activities, people, places or things that are reminders of a stressful event. Never. Once in a while. Half the time. Almost always. Not being able to remember an important part of a stressful event. Never. Once in a while. Half the time. Almost always. Negative changes in how s/he thinks about self, others or the world after a stressful event. Never. Once in a while. Half the time. Almost always. Thinking a stressful event happened because s/he or someone else did something wrong or did not do enough to stop it. Never. Once in a while. Half the time. Almost always. Having very negative emotional states (afraid, angry, guilty, ashamed). Never. Once in a while. Half the time. Almost always. Losing interest in activities s/he enjoyed before a stressful event. Including not playing as much. Never. Once in a while. Half the time. Almost always. Feeling distant or cut off from people around her/him. Never. Once in a while. Half the time. Almost always. Not showing or reduced positive feelings (being happy, having loving feelings). Never. Once in a while. Half the time. Almost always. Being irritable. Or having angry outbursts without a good reason and taking it out on other people or things. Never. Once in a while. Half the time. Almost always. Risky behavior or behavior that could be harmful. Never. Once in a while. Half the time. Almost always. Being overly alert or on guard. Never. Once in a while. Half the time. Almost always. Being jumpy or easily startled. Never. Once in a while. Half the time. Almost always. Problems with concentration. Never. Once in a while. Half the time. Almost always. Trouble falling or staying asleep. Never. Once in a while. Half the time. Almost always.
