Psychiatric Quarterly [psaq] PH196-465930-03 May 24, 2003 9:41 Style ﬁle version June 4th, 2002
Psychiatric Quarterly, Vol. 74, No. 4, Winter 2003 (
EARLY INTERVENTION WITH
Raul R. Silva, M.D., Marylene Cloitre, Ph.D.,
Lori Davis, Psy.D., Jill Levitt, Ph.D., Sandy Gomez, M.D.,
Irene Ngai, B.A., and Elissa Brown, Ph.D.
With the events of September 11th, childhood trauma has come to the forefront
of national attention. One of the common psychiatric outcomes of trauma is
Posttraumatic Stress Disorder (PTSD). Despite the fact that certain vulnera-
bilities may contribute to the development of PTSD in traumatized youth, the
existence of an identiﬁable stressor provides a unique opportunity for early
intervention. Cognitive Behavioral Treatment (CBT) interventions are consid-
ered by many to be the mainstay of treatment of children and adolescents with
PTSD. More severe cases of PTSD are often treated with medications in the
community. In this article we present a CBT program—developed by our site—
STAIR—and provide useful guides and rationales for clinicians to work with
when treating this population. We will also brieﬂy review the available liter-
ature on the psychopharmacologic interventions to help guide the physician
when confronted with such treatment decisions.
KEY WORDS: PTSD; trauma; children; CBT; medication.
All authors are afﬁliated with Child Study Center, Division of Child and Adolescent
Psychiatry, Department of Psychiatry, New York University School of Medicine, New
Address correspondence to Raul R. Silva, M.D., Department of Psychiatry, New York
University School of Medicine, 550 First Avenue NB21S6, New York, NY 10016; e-mail:
2003 Human Sciences Press, Inc.