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When pre-school children (aged 2-6 years) are exposed to trauma they are overwhelmed by a barrage of emotions. They will find it difficult to describe in words what bother them or what they experience emotionally. They are unsure how long the frightening situation will continue or whether it will happen again. This creates fear that extends beyond the traumatic event into other aspects of their lives. Sleep becomes disrupted when they struggle to fall asleep, wet their bed or experience nightmares – reliving the images from the traumatic incident. A child do not have to witness a traumatic event themselves. Just hearing the details about an incident that happened to someone close to them can create anxiety and fear. 
Small children feel unable to protect themselves and thus feel helpless and powerless. They also believe that what they imagine or think may come true. At this age they are, under normal circumstances, very fearful of many things. Imaginary monsters, the dark, unknown things, injury and pain. One of their biggest fears is the fear of abandonment and they become even more clingy when they are exposed to trauma. Two to six year old’s do not yet have a concept of permanent loss and they believe that consequences are reversible. Death as a permanent loss is difficult to grasp and they will think of it as being in a different state, somewhere else. Sometimes they may blame themselves for someone’s death or become very fearful that they or someone close to them will be next to die.
They do not intend to show fear and are totally unaware of things like smells and sounds that may trigger their fear and uncharacteristic behavior.
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