Trauma Assessments

Trauma assessments explore a single acute trauma, like a motor vehicle accident, or more chronic, ongoing forms of trauma. This latter form of trauma, which clinicians label Complex Trauma, refers to various categories  of interpersonal betrayal, and/or what clinicians describe as Adverse Childhood Experiences (ACE).


Complex trauma arises from interpersonal experiences that often involve betrayal by trusted others, and that are repetitive and/or prolonged. Adverse childhood experiences that are associated with Complex Trauma include childhood abuse, neglect  and family issues that interfere with a parent's ability to provide their children with a secure, psychologically healthy environment. 

Adverse childhood experiences include a range of concerns like maltreatment, and abuse, various forms of attachment trauma, bullying by a peer or sibling, or the witnessing of domestic violence. Family stressors, like alcoholism or mental illness in a parent, represent examples of adverse childhood circumstances that are associated with Complex Trauma. Community violence or the military abuse that rages across war torn parts of our world are also examples of conditions that can contribute to complex trauma in children.

So too are neglect or abandonment by primary caregivers and others in positions of trust, and/or traumatic losses in those relationships.  

As many as 50% of children will experience some form of trauma before their 18th birthday.

Yet few will receive the trauma based assessments required, to determine the extent and nature of their trauma behaviors and symptoms, and  appropriate treatment options. Instead children who have suffered, or  continue to suffer from  Complex Trauma, are often misdiagnosed as suffering from  numerous other mental health disorders, when trauma is the primary concern.Typical misdiagnoses may include Attention Deficit Hyperactivity Disorder,  or an anxiety disorder,  or Oppositional Defiant Disorder or another aggressive behavior disorder.  Each of these disorders, share some of the symptoms that characterize a Post Traumatic Stress Disorder.

One trauma expert, who has explored the effects of child abuse noted that when psychiatrists and psychologists see these children as young adults " they come up with all kinds of diagnoses, when in fact what they are simply doing is clumping together some of the outcomes from the pervasive early trauma."

Trauma Symptoms

Childhood trauma symptoms, whatever their root, include various cognitive, behavioral, social and emotional concerns that are associated with Post Traumatic Stress Disorder (PTSD). As noted, child trauma victims may be diagnosed with various mental health concerns, such as depression or anxiety or ADHD, and/or other impulse control or executive function issues.They may show withdrawal/avoidant and/or fearful and anxious behaviors, as well as externalizing, acting out and aggressive behaviors. They may also show high levels  of physiological arousal (e.g., hyperactivity) and problems with attention and concentration.

In addition, trauma has long been been recognized as a risk factor for a range of psychological  problems in children and adolescents alike. Trauma may also exacerbate any such pre-existing conditions in children, as well as adults.

Are you worried about a young person who is showing trauma symptoms?  Perhaps he has experienced chronic, ongoing forms of complex trauma, or a single acute traumatic event. Does he show trauma symptoms like problems with emotional regulation, high levels of physiological arousal and problems with attention and concentration?

Trauma Assessments Can Help

Dr. O'Connor offers Psychological Testing services. These include trauma based assessments for children, adolescents and young adults.

Young people  who suffer from trauma, whatever its root, are likely to benefit from a trauma assessment. Trauma assessments  determine the nature and extent of the young person's trauma symptoms, and their impact on his or her functioning at home, at school and in the community.

To find out more about Dr. O'Connor's psychological testing services, and how they can help you, help a young person who is showing trauma symptoms, click here.

Dr. O'Connor's book " I Can Be Me" has useful suggestions to help children who are experiencing  adverse childhood experiences, such as alcoholism in a parent.

To learn  more about trauma and its affects on the developing brain, click here.