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Anxiety Disorders in Children | Bradley Hospital
Anxiety Disorders in Children | Bradley Hospital
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Anxiety Disorders
Anxiety disorders are a group of mental health conditions that may cause anxiety—a state of distress, uneasiness, apprehension, or tension.
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Although it is common for children to be fearful or worried from time to time as they grow up, a child may have an anxiety disorder if they have signs of extreme anxiety or fear that impacts their daily activities and relationships.
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In children, anxiety can appear in a variety of forms other than classic “worrying.” Children can express anxiety through emotions like anger or sadness and behaviors like isolating themselves from others.
Subtypes
Anxiety disorders can range from mild to severe. The different types of anxiety disorders in children include:
Generalized Anxiety Disorder
With this disorder, a child has a significant amount of worry and anxiety about a variety of situations. This anxiety is hard to control. Children with this disorder are often described as “worriers.” They have physical symptoms of anxiety, such as easily tired, sleep problems, muscle tension, upset stomach, acting “edgy,” and irritability. Their worrying interferes with their functioning in social and school settings or in other daily activities.
Panic Disorder
With this disorder, a child has repeated periods of intense fear or discomfort, along with other symptoms, such as a racing heartbeat or shortness of breath. These periods are called “panic attacks” and
typically lasts 5-20 minutes and rarely up to an hour.
Panic attacks often develop without a known cause or without warning and can interfere with your child’s relationships, schoolwork, and development.
Separation Anxiety Disorder
With this disorder, a child worries excessively about their primary caregiver. This can lead to not wanting to go to school or socialize outside of the home, having nightmares and worrying about losing their primary caregiver, being unable to sleep alone, and having significant physical symptoms when separated or anticipating separation from their primary caregiver. Separation anxiety is a normal part of infancy and early toddlerhood. If it returns after this development stage, however, it is considered a disorder.
Social Phobia
With this disorder, a child has a significant fear of social or performance situations, fearing that they will humiliate or embarrass themself. For children, this leads to anxiety around other kids, not just around adults. The anxiety or fear leads to problems with functioning in social and school settings or in other daily activities. Children with this disorder are often seen by others as “shy.”
Specific Phobia
With this disorder, a child excessively worries about a particular object or situation (for example, flying,
spiders, or heights).
In addition, Obsessive Compulsive Disorder (OCD) and Post Traumatic Stress Disorder (PTSD) are also considered anxiety disorders.
Signs and Symptoms
Typical signs and symptoms of anxiety disorders include:
Intense fear (a sense that something terrible is happening or
going to happen)
Racing or pounding heartbeat
Dizziness or lightheadedness
Shortness of breath or a feeling of being unable to breathe
Trembling or shaking
Feelings of disconnection and confusion about reality
Fear of dying, losing control, or losing his or her mind
Get Help at Bradley Hospital
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Bradley Hospital clinicians are specially trained to perform evaluations for children and adolescents, and will direct each child to the most appropriate and effective services for their needs. Call our Access Center at
1-855-543-5465
to get help.
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Evaluation and Diagnosis
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Anxiety disorders can lead to complications for your child if not recognized and treated appropriately. Anxiety disorders can be diagnosed anytime in childhood or adolescence. If you think your child has an anxiety disorder, your child may need a comprehensive psychiatric evaluation or psychotherapy evaluation.
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Mental Health Evaluations
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Treatment
A psychotherapist or a child and adolescent psychiatrist can treat anxiety disorders.
Several types of treatment are effective for anxiety disorders, including psychoeducation, psychotherapy (in particular, cognitive behavioral therapy), and anti-anxiety or anti-depressant medications (in particular, Serotonin Reuptake Inhibitors or SRIs).
If the anxiety disorder is affecting the child’s ability to learn, adjustments may need to be made in his or her education program.
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Treatment Options
Mental Health Specialists
Mental Health Treatment
Mental Health Support
Centers and Programs
Pediatric Anxiety Research Center (PARC)
Intensive Program for OCD and Anxiety Disorders
Child & Adolescent Partial Hospital Programs
Bradley Outpatient Services
Verrecchia Clinic for Children with Autism and Developmental Disabilities
Child & Adolescent Inpatient Program at Bradley Hospital
Children's Residential Treatment Services
COAST Clinic
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Obsessive-Compulsive Disorder
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Autism Spectrum Disorders (ASDs)
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Resources
Helping Your Anxious Child: A Step-by-Step Guide for Parents
(2000)
By Sue Spence, Vanessa Cobham, Ann Wignall and Ronald M. Rapee
If Your Adolescent Has an Anxiety Disorder: An Essential Resource for Parents
(2006)
By Edna B. Foa and Linda Wasmer Andrews
Pediatric Anxiety Research Center
401-432-1469
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