Developmental Milestones Chart Page 9

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Emotional
Possible effects of maltreatment
Self esteem based on ability
Poor social/academic adjustment in school:
to perform and produce
preoccupied, easily frustrated, emotional
outbursts, difficulty concentrating, can be
Alternative strategies for
overly reliant on teachers; academic
dealing with frustration
challenges are threatening, cause anxiety
and expressing emotions
Little impulse control, immediate gratification,
Sensitive to other’s opinions
inadequate coping skills, anxiety, easily
about themselves
frustrated, may feel out of control
6-9 yr: have questions about
Extremes of emotions, emotional numbing; older
pregnancy, intercourse,
children may “self-medicate” to avoid
sexual swearing, look for
negative emotions
nude pictures in books,
magazines
Act out frustration, anger, anxiety with hitting,
fighting, lying, stealing, breaking objects,
10-12 yr: games with peeing,
verbal outbursts, swearing
sexual activity (e.g., strip
poker, truth/dare, boy-girl
Extreme reaction to perceived danger (i.e.,
relationships, flirting, some
“fight, flight, freeze” response)
kissing, stroking/rubbing,
re-enacting intercourse
May be mistrustful of adults, or overly solicitous,
with clothes on)
manipulative
May speak in unrealistically glowing terms about
his parents
Difficulties in peer relationships; feel inadequate
around peers; over-controlling
Unable to initiate, participate in, or complete
activities, give up quickly
Attachment problems: may not be able to trust,
tests commitment of foster and adoptive
parent with negative behaviors
Role reversal to please parents, and take care of
parent and younger siblings
Emotional disturbances: depression, anxiety,
post traumatic stress disorder, attachment
problems, conduct disorders

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