• Headaches
• Complaints of visual or hearing problems
• Persistent itching and scratching
• Nausea
• Sleep disturbance, nightmares, night terrors

• School phobia
• Withdrawal from play group and friends
• Withdrawal from family contacts
• Irritability
• Disobedience
• Fear of wind, rain, etc.
• Inability to concentrate, and a drop in level of school achievement
• Aggressive behavior (i.e. fighting with friends and siblings
• Repetitive talking about their disaster experiences
• Sadness over losses

• Give additional attention and physical comfort.
• Gentle but firm insistence on more responsibility than any younger sibling gives positive reinforcement of child's age-appropriate behavior.
• Temporarily relax requirements for performance in school and home duties.
• Reassure them that competency will return.
• Offer opportunity for structured, but not demanding chores and responsibilities.
• Encourage physical activity.
• Encourage verbal and written expression of thoughts and feelings about the disaster.
• Provide play sessions with adults and peers.
• Rehearse safety meaures to be taken in future disasters.
• Encourage child to verbalize feelings of loss, to "grieve" for lost pets or toys.

• What to do when nothing else seems to help