I am a clinical social worker treating a 6 yr old child who was physically and emotionally abused by a parent. the child has been in treatment for one year but new symptoms seem to emerge when her abusive parent s name is mentioned. Symptoms include: fearfulness, lack of trust of environment, initially bedwetting ( not currently) and most recently, pulling on her own hair and cuticles of her fingers. Older ( 9 yr old) sister is diagnosed with PTSD. No sexual abuse. I do not know if this is anxiety or some other stress disorder I am treating . There is some indication of panic and expression of grief ( crying and fear of situations) Any thoughts as to appropriate diagnosis to guide treatment planning? ( I am working in a relational style using elements of play therapy ( puppets, drawing ) and narrative.