Violence in South Africa has reached endemic proportions. To date, more than 11,000 people have died in politically related violence. The present study is specifically concerned with researching the psychological sequelae of civil conflict and violence on preschool children. Using a combination of participatory and empirical methods, five creche teachers (also trained as field workers) took a random sample of 148 children in their creches. The Post Traumatic Stress Disorder Questionnaire for Children was completed by the creche teachers for each of the children under their care. Second, the children were asked to draw pictures of things they had experienced in their life. A significant finding of this study was that preschool children exposed to violence suffered from PTSD. Further, children's drawings showed severe emotional indicators. However, an interesting finding was that these drawings were not good predictors of PTSD; the more a child was able to express emotional trauma through drawings, the less likely he/she would suffer from PTSD. This finding has interesting ramifications for trauma intervention programs for preschool children.