First of all it is important to check if there is a local childcare specialist available. If not, the Community-based Psychological Support Training Manual of the International Red Cross and Red Crescent Societies '2002) also indicates which behaviour warrants consulting a specialist.

• Hyperactivity - Inability to sit still, difficulty concentrating, learning difficulties, dangerous risk taking behaviour.
• Hopelessness/helplessness - Feels sad and cries a lot, does not eat, wants to stay in bed, talks about ending his or her life.
• Constantly thinking about the event - Nightmares, withdrawal from usual social activities or play with other children, intense anxiety or avoidance that is triggered by reminders of the event.
• Physical problems - Nausea, headaches, weight gain or loss, for example.
• Alcohol or drug use problems.