Disaster The world has never separated from the disaster. Almost every day the news media was packed with good news of the disaster was a flood, volcanic eruption, airplane accidents, landslides and so on that cause suffering for victims and witnesses of disaster. As at 30 September 2009 yesterday, when we were surprised by the news of the earthquake in Padang which claimed hundreds of lives. Disasters can happen anywhere and anytime. The disaster could occur because of natural events such as floods, landslides, tsunami, volcanic eruption or man-made disasters such as plane crashes, suicide bombings, fires, prolonged physical illness and domestic violence. As in any other event, surely there will always be members of the community who are victims, and victims usually suffer most are the children. Due to Disaster Children who experience a catastrophic event could result in emotional and psychological disorders known as sustainable post-traumatic stress disorder or also known as Post Traumatic Stress Disorder (PTSD). A high-risk child will suffer from post-traumatic stress disorder related to the level of trauma experienced, and relationship to the victims of disasters, such as loss of a father, mother, uncle, aunt, other children or close relatives. So usually there will be changes and emotional behavior in children, because children are not able to express their feelings. After the trauma, children initially show agitated or confused behavior, cranky and whiny They can also indicate excessive fear, helplessness, anger, sadness, or rejection, and often have trouble sleeping because of nightmares disturbed. Children who experience repeated trauma can also develop emotional responses such as numbness to relieve pain and trauma, which is known as dissociation. Children with post-traumatic stress disorder will usually avoid situations or places that remind them back to the trauma experienced. They may also be less responsive emotionally as well as depression, and withdrawal. Symptoms of Post Traumatic Stress Disorder In Children A child with post-traumatic stress disorder is usually often as if re-experiencing the traumatic event, such as a child who suffered devastating floods, they are then afraid of the water or even afraid to look at the rain, because they imagine as if the flood will happen again. Children with post-traumatic stress disorder may also exhibit the following symptoms: Worried about death at an early age Loss of interest in activities Experience physical symptoms such as headaches and stomachaches Showed excessive emotional reactions Sleep disturbance, often awakened by nightmares Difficulty concentrating Irritability Maudlin Showed an increase in awareness of environmental The symptoms of post-traumatic stress disorder can last for several months and even years. So that early intervention is critical to address, especially for a child's emotional development. These interventions may include support from parents, teachers, schools and the surrounding environment can induce a feeling of safe and secure for children. Post Traumatic Stress Disorder Treatment In Children For the treatment of post traumatic stress disorder in children to do psychotherapy either individuals, groups, or families that allow children to speak, drawing, playing, or writing about events they experience. Behavior therapy and cognitive therapy can also help alleviate the fear and anxiety the child will certain things. Besides the drug can also be used to treat symptoms of agitation, anxiety, or depression. With sensitivity and support from family and professionals, children with post-traumatic stress disorder can learn to cope with the memories of the trauma, so that someday may help them to live healthier and improve their produktivias. About the Author dr. Junia Setiawati, SpKJ psychiatrist is a specialist psychiatric graduate of the Faculty of Medicine, University of Airlangga, Surabaya, and is currently practicing in RS.Siloam Surabaya.