Your Child's Sudden Feelings of Anxiety and Distortion - Psychiatry

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Suddenly feeling that the people around you are becoming restless?


Hello, doctor.
Recently, my third-grade daughter often tells me that sometimes she suddenly feels like the people around her are speaking at a very fast pace, and it becomes very noisy.
She feels restless, almost as if she is going crazy, but she knows that it is not real; it is just her perception of her surroundings.
She feels very scared and anxious.
When I asked her how she knows it is not real, she replied that she knows I wouldn’t speak that way, so she understands it is not true.
However, her feelings make her perceive her surroundings this way, and she is very frightened.
She tries to calm herself down, and after a while, it gets better.
Initially, when she first told me, she mentioned dreaming that people in her dream were all yelling like crazy.
Recently, she said it is no longer in her dreams but in reality, she feels this way too.
I would like to ask the doctor if you know what is happening to her.
I am really worried about her, and during these episodes, there hasn’t been any argument or someone yelling at her; it just happens suddenly and inexplicably.
Please let me know what might be going on with my daughter.
I am truly concerned and feel heartbroken that she has to face such hallucinations alone.
🥲

Eva, 40~49 year old female. Ask Date: 2024/06/10

Dr. Liang Sunyuan reply Psychiatry


Hello Eva: It is recommended to first listen to and soothe the child's emotions when she is feeling unwell, providing a safe environment.
When she is stable, discuss whether there have been any significant stressors or worries recently, or if she has experienced any past trauma that she may be recalling.
If so, accompany her in facing those issues.
If not, observe the child's condition to see if the frequency of episodes is increasing or decreasing, and whether it is affecting her sleep and appetite.
If the situation remains unstable, it is advisable to seek medical assistance.

Reply Date: 2024/06/10

More Info


It's understandable to be concerned about your daughter's sudden feelings of anxiety and her perception of the world around her. Based on the symptoms you've described, it seems that she is experiencing episodes of heightened anxiety, which may include sensory distortions, such as perceiving sounds as being louder or faster than they actually are. This can be quite distressing for a child, especially when they are aware that their feelings do not match reality.

Children often go through various emotional and psychological phases, especially during significant transitions, such as starting school or facing new social environments. These experiences can sometimes trigger anxiety, which may manifest in unusual ways, including the sensations your daughter is describing. The fact that she recognizes these feelings as not being entirely real is a positive sign; it indicates that she has some level of insight into her experiences, which can be helpful in managing her anxiety.

Here are some considerations and strategies that may help you support your daughter during this challenging time:
1. Open Communication: Encourage her to express her feelings and thoughts without fear of judgment. Let her know that it's okay to feel anxious and that you are there to listen. Validate her feelings by acknowledging that what she is experiencing is real for her, even if it doesn't reflect reality.

2. Teach Coping Strategies: Help her develop coping mechanisms to manage her anxiety when it arises. Techniques such as deep breathing exercises, counting to ten, or visualizing a calm place can be effective in helping her regain a sense of control when she feels overwhelmed.

3. Create a Safe Environment: Ensure that she feels safe and secure at home. Establishing a routine can provide her with a sense of stability. You might also consider creating a "calm corner" in your home where she can go to relax and feel safe when she is feeling anxious.

4. Limit Exposure to Stressors: If there are specific situations or stimuli that seem to trigger her anxiety, try to limit her exposure to these as much as possible. This could include reducing screen time, especially if she is watching content that may be distressing or overly stimulating.

5. Encourage Mindfulness and Relaxation: Introduce her to mindfulness practices or relaxation techniques. Activities such as yoga, meditation, or even simple stretching can help her learn to focus on the present moment and reduce anxiety.

6. Monitor Symptoms: Keep track of when these episodes occur and any potential triggers. This information can be helpful if you decide to seek professional help. Note any patterns or changes in her behavior, mood, or sleep.

7. Seek Professional Help: If her symptoms persist or worsen, it may be beneficial to consult a mental health professional who specializes in child psychology. They can provide a thorough assessment and recommend appropriate interventions, which may include therapy or counseling.

8. Educate Yourself: Understanding anxiety and its manifestations in children can empower you to support her better. There are many resources available, including books and online materials, that can provide insights into child anxiety and effective parenting strategies.

In conclusion, while it is concerning to see your daughter experience these feelings, it is important to approach the situation with patience and understanding. By providing her with a supportive environment and teaching her coping strategies, you can help her navigate this challenging phase. Remember, seeking professional guidance can also be a valuable step in ensuring she receives the support she needs.

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