Anxiety in children can cause difficulties in school and home life. How can you discern anxiety symptoms in children and formulate a diagnosis? In the initial post, discuss one specific form of anxiety seen in the pediatric population. Be sure to address symptoms of the disorder, as well as screening tools that can be used to make an accurate diagnosis. Include treatment options available for this diagnosis.
Physical: Frequent headaches, stomachaches, or other physical complaints with no medical cause; muscle tension; restlessness; fatigue; and difficulty sleeping. These physical symptoms often occur during or in anticipation of stressful situations.
Screening and Diagnosis
To make an accurate diagnosis, healthcare providers use a multi-pronged approach that includes clinical interviews with both the child and their parents, as well as validated screening tools.
Clinical Interview: A thorough interview helps the clinician understand the nature, duration, and severity of the child's worries and how they impact their daily functioning. The clinician will look for signs that the worry is out of proportion to the situation and has been present for a significant amount of time (at least six months for a formal diagnosis according to the DSM-5).
Screening Tools: Standardized questionnaires are essential for a more objective assessment. The Revised Children's Anxiety and Depression Scale (RCADS) and the Spence Children's Anxiety Scale (SCAS) are widely used. These tools have both child and parent versions to provide a comprehensive picture of the child's symptoms across different settings.
Treatment Options
The treatment for GAD in children is typically a combination of therapy and, in some cases, medication.
Cognitive Behavioral Therapy (CBT): This is the most common and effective form of treatment. CBT helps children identify and challenge their anxious thoughts, develop coping strategies, and gradually confront situations that trigger their anxiety. For young children, this is often done through play therapy or other age-appropriate activities.
Medication: Selective serotonin reuptake inhibitors (SSRIs) may be prescribed in conjunction with therapy, especially for moderate to severe cases. Medications like sertraline (Zoloft) and fluoxetine (Prozac) have been shown to be safe and effective in treating childhood anxiety disorders.
Sample Answer
Distinguishing between typical childhood fears and clinical anxiety requires careful observation of a child's symptoms and their impact on daily life. While it's normal for children to have worries, persistent and excessive anxiety that interferes with school, home, or social activities may indicate an anxiety disorder.
Generalized Anxiety Disorder (GAD)
One specific form of anxiety seen in the pediatric population is Generalized Anxiety Disorder (GAD). Children with GAD experience persistent, excessive, and uncontrollable worry about a wide range of everyday things, such as school performance, future events, or the safety of family members. Unlike a specific phobia, the worry isn't tied to a single object or situation.
Symptoms
Symptoms can vary but often include a mix of emotional, cognitive, and physical signs:
Emotional/Cognitive: Excessive worry that is difficult to control; a constant feeling of being "on edge"; irritability; a desire for constant reassurance from adults; and a tendency to expect the worst.