Foster Teens & PTSD Signs, Challenges, and How to Help

Teens in the foster care system often experience neglect, physical and emotional abuse, and other forms of trauma, all of which can lead to the development of post-traumatic stress disorder, or PTSD. Because of this, the risk of PTSD for teens in foster care is 30%, much higher than the general population’s risk of 7.6%.

Signs of PTSD in Teens

The trauma teens experience while in foster care affects not only their bodies, but also their brain, behavior, and way of thinking. Displacement and lack of stability in a teen’s home life can disrupt their sense of security, which can quickly lead to PTSD. Some signs to look out for include:

  • Mental Health Issues: Teens with PTSD often experience depression, anxiety, and irritability due to the brain’s inability to regulate emotions or stress. This can lead to sudden mood swings and outbursts.
  • Sleep Issues: Teens with PTSD may have an overactive stress response that causes them to have difficulty falling and staying asleep. When their mind is occupied with intrusive thoughts, it can be hard to concentrate on tasks or remain engaged in day-to-day activities.
  • Substance abuse: To deal with emotional pain, teens may develop unhealthy coping mechanisms such as distrust, disagreement with adults, and using drugs or alcohol.
  • Providing Support: Offering support can help break generational cycles of trauma, improve their mental health, and lead to a better academic and career outcome in the long run.
  • Emotional Support and Stability: Many foster teens have experienced instability throughout their lives. It’s important to show up for them regularly and be a consistent, trustworthy adult. Create a safe space where they can express themselves without judgment, and validate their feelings instead of dismissing them.
  • Professional Help: Connect your foster teen with a mentor or support group of those who have had similar experiences. Research trauma-informed therapy which is highly effective in treating PTSD. Explore non-verbal outlets for emotions such as art therapy, music therapy, or other holistic healing options.
  • Safe and Predictable Environments: Establishing a routine and providing structure can help reduce any anxiety your foster teen might be experiencing. Communicate any changes to avoid triggering past abandonment or trauma, and respect their need for personal space so they don’t become more withdrawn.
  • Advocate for Their Needs: PTSD can affect learning, so it’s important to communicate with your foster teen’s school to provide accommodations, such as an Individualized Education Program (IEP). Encourage them to develop life skills and independence, but avoid being over-controlling. Teach them about all of the available resources they can access, such as housing, scholarships, therapy, and job opportunities.

Horizon Recovery offers trauma therapy services to provide a comfortable and healing environment for teens with trauma and PTSD. Services include individual, family, and specialized trauma therapy for teens. They also offer holistic therapies like art, music, and mindfulness. Their approach emphasizes a well-rounded recovery process addressing both emotional and physical well-being.

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Alta Langdon,RN, FNP-C, PMHNP has a diverse background in urgent care, pediatrics, family practice, and correctional healthcare. While working in corrections, she pursued a second degree as a Psychiatric Mental Health Nurse Practitioner to expand her ability to support patients holistically. Now serving as both a medical and mental health provider, she assesses, diagnoses, and treats clients. She recognizes that mental health affects entire families, not just individuals, and finds fulfillment in witnessing the transformations that occur through care. Outside of work, she enjoys spending time with family and dogs, quilting, traveling, hiking, and baking.