Developmental trauma disorder combines the disruption from a traumatic event with the loss of primary caregiving relationships.

This is more complicated than post-traumatic stress disorder.

Symptoms are more profound and varied than PTSD because the child experiences both a threat to their safety

and the loss of security and sense

of protection from a caregiver. It's even worse when the trauma is the result of abuse,

family or community violence, hate crimes, or armed conflict. In this podcast, Mara and I will

discuss the proposed criteria for developmental trauma disorder,

how to differentiate it from similar conditions, assessment, treatment, and more.

Dr. Julian Ford joins us today to help unpack this topic.

Welcome to the Carlatat Psychiatry Podcast.

This is another special episode from the Child Psychiatry Team.

I'm Dr. Josh Vader, the editor-in-chief of the Carlatte Child Psychiatry Report,

and co-author of the new second edition of the Child Medication Fact Book for Psychiatric Practice

and the book prescribing psychotropics.

And I'm Mara Government, a licensed clinical social worker in Southern California with a private practice

and an avid reader of the Carlet Psychiatry Reports.

So how common is developmental trauma disorder?

Well, we don't really know.

However, the population at risk for developmental trauma disorder is substantial.

National surveys of adolescents in the U.S. and other high-income countries report that one in four girls

and one in 14 boys have been sexually abused. Over one in five have been physically abused. One in three have been emotionally abused and one in six have experienced physical or emotional neglect.

Also, one in four adolescents and one in six preschool children in the U.S. are exposed to family

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