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When To Worry About Child Anxiety

You May Demonstrate Shielding And Avoidance Behaviors

Managing Worry and Anxiety for Kids

If you find that youre trying to prevent anything negative from happening to your child at every turn, you may be trying to shield them from harm. And avoidance behaviors involve specifically removing yourself or your child from situations that you find fearful.

For example, you may refuse to let your child ride the bus out of fear of bullying even if bullying isnt a known issue on your areas school bus.

We all want to protect our children, and fear is normal. But when it becomes a constant, it can be a sign of anxiety.

Are There Some Things To Say Or Not To Say To An Anxious Child

Mental health problems are isolating, and children benefit by knowing that they are not alone in their experience of worry and that every single person on earth experiences anxiety at some time. Children find courage in hearing stories from admired adults who have faced worries similar to theirs and found ways to cope with such worries.

Experts encourage parents to help children face their worries, rather than accommodate themto not alleviate a childs anxiety by yielding to the distress. Allowing children to withdraw from activities that generate the discomfort of anxiety reinforces the sense of threat, deprives children of experiences that are important for development, and keeps children from developing the sense of self-efficacy that comes from mastering lifes little and big challenges. Giving in to the fear doesnt work. Studies show that it is counterproductiveit increases childrens anxiety. Children do best when they are shown how to disarm their own worries or encouraged to discover their own ways to do so.

Anxiety Treatment At Home

If your child seems anxious but it’s not interfering with their everyday life, you might try helping at home first. Here are some tactics.

Help your child confront their fears. All parents instinctively want to protect and comfort their kids if your child screams hysterically whenever a dog walks by, for example, you might try to keep them far away from canines. However, “doing that may make things easier in the short run, but it reinforces their fear,” says Dr. Ginsburg. “Instead, they need to confront the fear and work on their skills to manage it.” You can help your child take small steps, like watching dogs from a distance and then petting a puppy on a leash. With each victory, celebrate your child’s bravery with a small reward, like ten extra minutes on the Xbox.

Find out what’s causing the anxiety. Before reassuring your child in anxious situations, find out specifically what they’re fretting about, says Dr. Chansky. Consider a child who’s anxious about starting school in a new city. “You may be tempted to say, ‘Don’t worry. No one is going to be mean to you at school,’ when in reality they were worried about finding their way around. Now you’ve given them something new to worry about.” To figure out his specific concern, ask, “What do you think is going to happen?” Then think of several things that the two of you can do ahead of time to help ease their fear.

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What Is The Best Way To Help A Child Manage Anxiety

According to surveys by the American Psychological Association, parents are alarmingly unaware of childrens anxiety. Children may feel ashamed about their distress its not something to announce over the dinner table. Or parents are too busy to give full attention to those moments when their children might be looking for a way to confide its hard to feel heard when the other person is holding a cell phone. Sometimes parents are dismissive of childrens feelings, and assuring a worrying child theres nothing to worry about is dismissive, not reassuring or helpful. But there are things a parent can do to manage a childs anxiety:

Listen to concerns dont dismiss childrens feelings. Just feeling heard is comforting.

Encourage emotional literacy. Teach children about anxiety in an age-appropriate way. Teach them that it shows up in physical signsarousal and jitterinessand a mental track of worry Let them know its normal but sometimes gets the upper hand. Many find that the concept of false alarms is a helpful one.

Limit childrens exposure to news of disasters and catastrophic events. Eventually children will develop the cognitive capacity to handle such information, but constant replay magnifies the sense of threat.

Allow time for relationships. Anxiety results when children do not feel safe. Relationships of all kindswith parents, with other family members, with peers, with teachersare natural antidotes to anxiety.

Learn To Recognize The Signs

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The hallmark of an anxiety disorder is marked anxiety that is out of proportion to whats triggering it. If you’re anxious because you have a job interview or a test coming up, that is understandable.

But when anxiety is more intense and more persistent than is warranted by what is going on is causing significant distress or is interfering with your ability to live your life, that’s a problem that warrants further evaluation and consideration for treatment.

There are also physical symptoms of anxiety, such as a rapid heartbeat, shortness of breath, lightheadedness, upset stomach and irritable bowel syndrome, and neurological symptoms like numbness, tingling and light-headedness.

Read Also: What Causes Anxiety Disorders To Develop

If Your Childs Anxiety Is Persistent How Is It Treated

U-M experts note that all the anxiety disorders that children are regularly screened for are highly treatable. Cognitive behavior therapy is a short-term, structured psychotherapy for pediatric anxiety disorders with strong research support. Brief counseling, adjustments to the demands on the child in their school or home environments, and in some cases, medication may also be helpful.

Experts caution parents and guardians not to encourage their children to avoid something theyre anxious about. This can relieve anxiety in the moment but can lead but can lead kids to becoming more socially and behaviorally restricted.

If parents are observing concerning signs of anxiety, they are encouraged to seek professional help via their pediatrician, family physicians, or other local practitioners.

Parents can start by talking with their pediatrician or family physician, who can provide specific resources and clinicians to refer to, said Hanna.

How Can I Know If My Child Is Anxious In School

School performance is often a good barometer of childrens mental health. Anxiety can rob children of the ability to pay attention in school, and class engagement and participation may suffer as well as grades. So may the power to concentrate on homework or other tasks, or even to remember to do them. Teachers are usually good observers of childrens patterns and are quick to spot changes in concentration, participation, and performance.

Periodic conversations with teachers can elicit revealing information about childrens behavior that may otherwise be invisible to parents. In addition, parents who put everything else aside for a few minutes every day to have regular conversations with their children about whatever is on their mind and going on in their life are in a privileged position to hear directly when concerns arise. That might be the only way they learn about such experiences as bullying, which often escape notice by teachers and administrators but are a strong disincentive for going to school.

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Why Your Body Has A Physical Reaction To Anxiety

There is a connection between the centers in the brain that are controlling anxiety and fear and different physical parts of the body.

For instance, the centers of the brain that are involved with anxiety can also stimulate nerves that travel down to the heart and cause rapid heartbeat. Or, they stimulate nerves down to the gut and cause irritable bowel symptoms.

When Should We Worry About Childhood Anxiety Disorders

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From back-to-school butterflies to extreme pandemic distress, anxiety feels inescapable these days. Of course, anxiety is not new. I have researched and treated children and families with anxiety disorders for more than three decades. We all worry and feel anxious from time to time. So, how do you know if an anxious child needs help from a clinical professional perspective?

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How To Help Your Child In An Anxious Moment

When your child is in the middle of a very anxious moment, they may feel frightened, agitated or worried about having a panic attack. The important thing to do in the moment is to help them calm down and feel safe.

These strategies can help:

Remember that everyone is different, and that over time you and your child can work together to find the things that work best for them in these moments.

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September 11, 2018anxiety and kids

Few things are harder for a parent than seeing a child worry. While all kids worry from time to time, constant anxiety can be cause for concern. According to the Anxiety and Depression Association of America , 1 in 8 children has an anxiety disorder. When anxiety in kids is untreated, it can lead to poor school performance, substance abuse and missed social experiences.

If your child struggles with anxiety, you want to do everything you can to help. Here are the major causes of anxiety in kids, along with products and techniques that may help your teen or little one feel calmer and less stressed.

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What Are The Best Treatments For A Child With Anxiety

The data are clear: Many studies show that the best way to treat the growing problem of childhood anxiety better than a placebo, better than pharmaceutical approachesis with cognitive behavioral therapy . It gives children the tools to disarm anxiety for a lifetime. Working with a therapist, usually in a course of 12 sessions, children acquire the ability to face their worries. They learn what triggers their anxieties and they learn that the perceptions of threat that send distress signals throughout their body are nevertheless false.

They learn how to rationally challenge those perceptions, and to substitute negative thinking patterns with positive ones. CBT teaches the anxious to question their beliefs and learn that feared situations are safe. Another widely validated treatment is exposure therapy, particularly for phobias and social anxiety. In a safe setting children are gradually introduced to the element that triggers their fears, until they are no long reactive to it. It is highly affective.

What Does Anxiety Look Like

Worries Are Not Forever: How to Recognize and Soothe Anxiety in Young ...

Anxiety is one of the most common mental health concerns for children and adults one in four Canadians will have at least one anxiety disorder in their lifetime. In some children, it may be more obvious, but in others, it may take a bit longer to determine that they are dealing with anxiety. In my situation, I knew that something was different with my daughter when she was a toddler, but didnt recognize that it was in fact anxiety and kept hoping that she would grow out of it. As her symptoms persisted and became worse, eventually it became clear that she was struggling with anxiety.

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How To Help An Anxious Child

If a child is experiencing anxiety, there are things that parents and carers can do to help.

First and foremost, it’s important to talk to your child about their anxiety or worries. Reassure them and show them you understand how they feel.

If your child is old enough, it may help to explain what anxiety is and the physical effects it has on our bodies. It may be helpful to describe anxiety as being like a wave that builds up and then ebbs away again.

As well as talking to your child about their worries and anxiety, it’s important to help them find solutions.

For example, if your child is worried about going to a sleepover, it is natural to want to tell them not to go. However, this could mean your child feels that their anxiety will stop them from doing things.

It’s better to recognise their anxiety and suggest solutions to help them, so they can go to the sleepover with a plan in place.

Encourage The Child To Tolerate Their Anxiety

Let your child know that you appreciate the work it takes to tolerate anxiety in order to do what they want or need to do. Its really encouraging them to engage in life and to let the anxiety take its natural curve. We call it the habituation curve. That means that it will drop over time as he continues to have contact with the stressor. It might not drop to zero, it might not drop as quickly as you would like, but thats how we get over our fears.

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Getting Help For Your Child

Its a good idea to seek professional support if self-help strategies are not making the situation better and anxiety is affecting your childs life – for example if they are feeling persistently anxious, often having distressing thoughts, or avoiding things like going outside or speaking to others.

There are different places where you can find help for your child. Your GP, your child’s school and considering whether counselling or therapy might help are good places to start.

You can find out more about speaking to GPs, finding a counsellor or therapist, accessing Child and Adolescent Mental Health Services , getting help from your childs school and finding local services on our guide to getting help for your child.

When To Worry About Anxiety

Recognizing and Treating Problematic Fear & Anxiety in Children | John Piacentini, PhD | UCLAMDChat

Heading to an intense job interview or giving an important presentation is enough to kick anyone’s nerves into high gear. But when anxiety festers and becomes something dark and all-consuming, there’s a problem.

“Anxiety disorders refer to anxiety that is pervasive,” says Mark Pollack, MD, a psychiatrist who specializes in anxiety at Rush University Medical Center.

“It is not just a temporary state that passes quickly. It causes a lot of distress and interferes with people’s daily lives, such as their ability to work and interact with family and friends.”

Anxiety disorders are the most common mental illness in the U.S., affecting 40 million adults, according to the Anxiety and Depression Association of America.

Here, Pollack offers an inside look at anxiety and how to overcome it.

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Symptoms Of Anxiety In Children

Signs to look out for in your child are:

  • finding it hard to concentrate
  • not sleeping, or waking in the night with bad dreams
  • not eating properly
  • quickly getting angry or irritable, and being out of control during outbursts
  • constantly worrying or having negative thoughts
  • feeling tense and fidgety, or using the toilet often
  • complaining of tummy aches and feeling unwell

is common in younger children, whereas older children and teenagers tend to worry more about school or have social anxiety.

When Is Anxiety A Problem For Children

Anxiety becomes a problem for children when it starts to get in the way of their everyday life.

If you go into any school at exam time, all the children will be anxious, but some may be so anxious that they don’t manage to get to school that morning.

Severe anxiety like this can harm children’s mental and emotional wellbeing, affecting their self-esteem and confidence. They may become withdrawn and go to great lengths to avoid things or situations that make them feel anxious.

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Getting Help For Your Childs Anxiety

When a psychologist or other qualified clinician treats a childs chronic anxiety, the goal typically isnt to eliminate the anxiety altogether, but to help your child manage it. The psychologist will teach your child specific coping skills and likely use a cognitive behavioral therapy approach during therapy sessions, Dr. Lee says. Some of the tools for coping skills your child will learn may include:

  • Physical calming skills for children and parents to practice together to reduce physical reactions to anxiety and improve relaxation.
  • Thinking skills that teach your child to identify anxious thought patterns and errors in thinking, as well as strategies to change these anxious thoughts.
  • Tips for confronting discomfort or fear by taking smalls steps toward doing the opposite of the avoidance or fight reactions that often accompany anxiety.

The clinician will typically also work with the entirefamily so everyone has specific skills to help the child learn to cope withanxiety triggers and assist them in using thetools learned in therapy.

Although it depends on the individual child, it can takeanywhere from six to 10 therapy sessions to see a positive benefit and manytimes medication, on a temporary basis, is helpful as well, Dr. Lee says.

If you feel your childs fears and worries are out of theordinary or if bouts of anxiety are consistently disrupting your teens dailylife, discuss your concerns with your pediatrician.

What Types Of Anxiety Are Common In Children

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  • Very anxious and upset when parted from parents and caregivers refusal to attend camp, sleepovers, or play dates worry that bad things will happen to self or loved ones while separated.
  • Social anxiety: Strong fear of social situations very anxious and self-conscious around others worry about being judged or humiliated.
  • Specific phobia: Severe, irrational fear set off by a situation or thing, such as thunderstorms, worry about vomiting, or insects.

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How To Support Children With Anxiety

If your child shows signs of normal childhood anxiety, you can support them in several ways:

  • Acknowledge your childs fear or worry and let them know that most children feel anxious sometimes. You can encourage your child to be kind to themselves when they feel this way.
  • Gently encourage your child to do things theyre anxious about, but dont push them to face situations they dont want to face.
  • Wait until your child actually gets anxious before you step in to help.
  • Praise your child for doing something theyre anxious about.
  • Avoid criticising your child for being afraid or worried.
  • Avoid labelling your child as shy or anxious.

Read about the stepladder approach, a gentle behaviour technique that you can use to help children manage anxiety.

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