3/13/2015. ANXIETY: A Root Cause of Behavioral and Emotional Issues. Kerry Kyle Davies, LCSW. Erin Silva, M.A. Matthew Zaradich, B.A.
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1 2015 Erikson Institute ANXIETY: A Root Cause of Behavioral and Emotional Issues Kerry Kyle Davies, LCSW Erin Silva, M.A. Matthew Zaradich, B.A Erikson Institute 1
2 WebEx How-To You will automatically be connected the Audio Broadcast with your computer Ask questions in the Q&A panel Erikson Institute: a graduate school in child development and more. Continuing Education Special events, with national speakers Half- and full-day face-to-face workshops and series Webinars Online modules (coming soon) Customized training For groups of professionals, or individuals Consultation and protracted training For organizations, designed to develop a deep impact in practice Certificate of Attendance We will announce a link at the end of the webinar You must copy down the link to retrieve your certificate Enter the link into your browser to access the certificate You will also receive a follow up that will include a link to the certificate Certificates are in PDF format If you watch the recording you can write down the link at the end of the playback and enter it into your browser. Sorry, we do not offer support for certificates of attendance, please no s or calls. 2
3 Receiving Credit Erikson Institute can provide continuing education credit for a fee. Certificates of attendance are not credit bearing they are simply clock hours. Why should I purchase credit? What is it used for? Erikson Continuing Education Credit can include the following types based on offering: CEUs, CPDUs, SWCEUs Receiving Credit Continued To receive continuing education credit for this webinar, you must complete the post-survey. This certifies you completed the webinar. The survey will pop up automatically in your browser when the webinar ends. After the webinar a unique link will be included in the follow up s if you wish to purchase credit. Questions can be directed to: Webinars@Erikson.edu Kerry Kyle Davies, LCSW Has been working with children and families across the Midwest since 2004 Received her master's degree in clinical social work from Loyola University Chicago, with concentration in both Mental Health and Children and Families Extensive experience working with children with severe behavioral and emotional challenges in residential, selfcontained classroom, outpatient, and home-based settings Passion and drive to aid children and families affected by poverty and violence Private practice on the north side of Indianapolis, where she uses a combination of attachment, empowerment, cognitive-behavioral, and family systems theories in both individual and family therapy. 3
4 Anxiety in Early Childhood: A Root Cause of Behavioral and Emotional Issues with Kerry Kyle Davies, LCSW Introduction Welcome! Why are we here today? Poll Question Many different backgrounds of our participants Why are you joining us? Therapist Other Medical Professional Educator Parent Other 4
5 Why is this important? Why this topic?! Material Overview Case Study Behavioral Problems in Young Children Normal behavioral issues Symptoms Diagnoses Normal anxieties Symptoms Diagnoses Material Overview Causes of anxiety in Young Children What can we do? Creating relationships Decreasing anxiety due to environment Behavioral modification Psychiatric treatment 5
6 Case Study D How I met D Initial presentation Previous treatment Symptoms and diagnoses Educational history Family history Behavioral Problems in Young Children What are some common behavioral problems seen in young children? Use your Q&A box now! Behavioral Problems in Young Children Normal behavioral problems: Disobedience Poor focus/concentration Anger outbursts/tantrums Impulsive behaviors Duration and appropriateness to development Cause significant impairment or stress Effects of trauma 6
7 Behavioral Problems in Young Children Symptoms Anger outbursts Oppositional behavior Defiant behavior Issues with concentration and focus Hyperactivity Inattention impulsivity Behavioral Problems in Young Children Diagnoses related to behavioral issues Attention Deficit-Hyperactivity Disorder Symptoms Duration Cause impairment Outside of normal development Behavioral Problems in Young Children Oppositional Defiant Disorder Lasting at least 6 months Symptoms No serious violations of rights of others 7
8 Behavioral Problems in Young Children Conduct Disorder Violates personal rights of others and societal rules Childhood onset versus adolescent onset Symptoms:» Aggression to people and animals» Destruction of property» Deceitfulness/theft» Serious violations of rules Common Normal Fears: Experienced and moved past as development continues Effects of Trauma Do not cause significant impairment or distress Normal Anxiety: Birth to 6 months 7 to 12 months 1 to 5 years 3-5 years 6 to 12 years 12 to 18 years 8
9 What are some common characteristics of children experiencing anxiety? Use your Q&A box now! Diagnoses related to anxiety Specific Phobia Excessive and unreasonable fear with anxiety response Differences in children Duration Social Anxiety Disorder Fear of social situations Differences in children Negative impact on life 9
10 Generalized Anxiety Disorder: Worries regarding multiple areas Symptoms D Post Traumatic Stress Disorder exposure to life-threatening trauma Child s response three categories of symptoms: re-experiencing event, avoidance of the event/general avoidance of feelings, increased arousal Re-experiencing the Event recurrent recollections of the event or repetitive play regarding themes from the event (ie: safety, death, abuse) recurrent dreams of the event or frightening dreams acting/feeling as though the event is still occurring or reenactment of event emotional distress when exposed to cues that remind child of event (ie: getting into a car if child was in car accident) physiological reactivity when exposed to cues that remind child of event (ie: headache, throwing up, difficulty breathing) 10
11 Avoidance of the event/general avoidance of feelings avoidance of thoughts, feelings or discussion re: trauma avoidance of things (activities, people, places) that remind child of trauma inability to remember part of event decreased interest in usual activities feelings of isolation from others decreased range of affect/feelings feeling as though future has been changed due to trauma (ie: normal life span, not finishing school) Increased Arousal difficulty sleeping irritability/anger outbursts difficult concentration Hyper-vigilance exaggerated startle response Panic Disorder with or without agoraphobia Rare in children Symptoms Less common symptoms in children Effects of attacks Agoraphobia 11
12 Causes of Temperament Genetic predisposition Environment Family dynamics and modeling of behavior Peers Educational system What Can WE Do?! What are some things we can do to help these children? What have you tried in your work or home? Use your Q&A box now! What Can WE Do?! Kids need: to know what to expect, to know that they are safe, and to know that they are loved. 12
13 What Can WE Do?! Empathy Build relationships Do more than diagnose and treat symptoms Avoid labeling! Individual empathy Institutional empathy What Can WE Do?! Decrease environmental anxiety Routine at home Routine at school Change environment What Can WE Do?! Behavior modification Expectations Consequences Home and School Consistency!! 13
14 What Can WE Do?! Activity Nutrition Sleep: 1-4 Weeks Old: hours per day 1-4 Months Old: hours per day 4-12 Months Old: hours per day 1-3 Years Old: hours per day 3-6 Years Old: hours per day 7-12 Years Old: hours per day Years Old: 8-9 hours per day What Can WE Do?! Psychiatric Treatment Individual therapy Family therapy Group therapy Skills training Psychopharmacology IEP Closing What did we learn? Case Study Behavioral Problems in Young Children Causes of anxiety in Young Children What can we do? 14
15 Closing Check in with D How were behaviors seen in the school linked to anxiety? Dangers of labeling My relationship with D Q & A Ask questions in the Q&A panel Kerry Kyle Davies, LCSW This webinar is the property of Erikson Institute and should not be reproduced, reused, rebroadcasted or redistributed without the express written consent of Erikson Institute. Erikson Institute
16 Upcoming Webinars Young Children and Divorce with Denise Duval Tsioles, Ph.D. April 1, :00am-11:30am CST Ethical Social Work Practice in Uncertain Times with Tonya Bibbs, Ph.D. May 13, :00 am-11:30am CST Check out our complete offerings by visiting: Erikson Institute Thank You! Reminder: To receive continuing education credit for this webinar, you must complete the post-survey. This certifies you completed the webinar. The survey will pop up automatically in your browser when you close the webinar window. Follow us! 16
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