A child who lives in a chaotic, verbally/physically/sexually abusive environment usually has great difficulty sustaining attention, is probably highly distractible, and may spend most of his or her time zoning out (dissociation) as a way to escape the painful realities of his or her life. But at first glance, especially in a classroom setting, these symptoms can look just like a classic case of ADHD Inattentive Type. But the sad reality may be that these are more symptoms of trauma and massive anxiety. Or alternatively, a child from a similar environment may be hyperactive, out of control, shoot his mouth off, and be destructive as a way of acting out his distress and expressing unmitigated
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