do? Childhood Anxiety Caitlin Tur pyn,
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1 t i s e o d t a d Wh n a e k i l k loo an we c t a h w do? Childhood Anxiety Caitlin Tur pyn, MA
2 The Bad News 0 Anxiety disorders are the one of the most common mental health concerns among children and adolescents 0 Anxiety is linked with significant impairment 0 Problems in school 0 Problems with friends 0 Problems at home
3 The Good News 0 Anxiety is one of the most treatable conditions 0 Meaning.we know how to help!
4 Overview 0 What are the signs of anxiety and how does it work? 0 What can I do to help? 0 How do I know when to ask for more help?
5 What is anxiety? 0 Response to perceived danger 0 Enables a Fight-Flight-Freeze response 0 Everyone experiences it!
6 What are the different kinds of anxiety? 0 Generalized Anxiety: excessive worry about many things 0 Social Anxiety: fear of social situations/interactions 0 Selective Mutism: refusal to speak to anyone outside family 0 Separation Anxiety: fear of being away from home/parents 0 Specific Phobias: intense fear of particular object/situation 0 Panic Disorder: bursts of physiological symptoms ( panic attacks )
7 Three-Response System of Anxiety Thoughts Behaviors Feelings
8 What does anxiety feel like? Thoughts Behaviors Feelings
9 What does anxiety sound like? 0 All-or-nothing thinking 0 Discounting the positive 0 Mind reading 0 Fortune-telling 0 Catastrophizing 0 Shoulds, cant s, won ts Thoughts 0 Overgeneralizing Behaviors Feelings
10 What does anxiety look like? 0 Avoidance 0 Lack of participation in activities 0 School refusal 0 Reassurance seeking 0 Crying, emotional outbursts 0 Not talking Thoughts Behaviors Feelings
11 How does the cycle of anxiety work? No corrective experience Trigger Avoidance/ Safety Behaviors Perceive Threat (Thoughts) Anxiety (Feelings)
12 0 Help them break the cycle! 0 Recognize the signs 0 Relax the body 0 Relax the mind 0 Come up with a plan 0 Rewards and praise How do I help? 0 Goal is to APPROACH, rather than avoid
13 Recognize the signs 0 Normalize anxiety 0 Alarm system/fight-flight-freeze response 0 Name the anxiety (e.g., worry monster) 0 Asking the right questions in the right way at the right time 0 Don t brush off worries/anxiety 0 Show empathy and compassion 0 I noticed you seemed worried/upset/jittery 0 What are you afraid might happen?
14 Relax the body 0 Deep breathing 0 Bubbles, candles, milk bubbles, balloon 0 Inhale for 4 seconds, hold for 2, exhale for 4 0 Muscle relaxation 0 Robot to Rag doll, Frankenstein to Spaghetti 0 Meditation 0 Practicing noticing the breath, thoughts, feelings 0 Consider age
15 Relax the mind Detective thinking 0 What just went through my head?? 0 What evidence do I have? 0 What would I tell a friend if he/she had that thought? 0 Am I confusing a possibility with a probability? 0 How many times has happened before? 0 What is the worst that could happen? 0 If it did happen, what can I do to handle it?
16 Come up with a plan 0 Coping Cards 0 Realistic Self-talk 0 What is a more helpful/realistic way to think about this? 0 Relaxation strategies 0 Practice: exposures and experiments 0 Gather more evidence 0 Approach!
17 My Coping Card My stomach hurts and my palms are sweaty. My anxiety is acting up! I can boss back my Worry Monster. I have done it before. I can do some belly breathing. My teacher just wants me to try. It s okay to say the wrong answer out loud.
18 Rewards and praise 0 Reinforce bravery and approach behaviors 0 Anxious kids are hard on themselves they need your help recognizing efforts and successes! 0 Praise for trying and small steps
19 Back to our social anxiety example. Corrective experience Trigger Approach Behavior Relax the body and mind Less Anxiety
20 Where do we get more help? 0 Resources in school 0 Private psychologist or therapist 0 Individual TX 0 Group TX Questions to ask provider: Will parents/family be involved in treatment? What training and experience do you have with Cognitive Behavioral Therapy and other therapies? Are you willing to communicate with my child s pediatrician? School?
21 Qu? s n o i t es Thank you! Caitlin.Turp yn@lcps.or g
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