Psychological treatment methods for childhood separation anxiety disorder?
Hello, doctor.
My child is currently in the senior kindergarten class, and since starting school in August, he has been crying and refusing to go out every morning before school.
He often asks for his mother and requests to make phone calls after leaving the house, during which he mostly cries and repeats his request to call again after class.
Although I have assured him that I will call again, he seems unable to process this reassurance and remains immersed in his anxious emotions, unable to engage in the conversation.
If his anxiety escalates at school, he continues to cry, but his mood returns to normal once he is picked up by family after class.
Based on the teacher's suggestion, we visited the pediatric psychiatry department at Chung-Ho Memorial Hospital, where the doctor preliminarily indicated that he likely has a more severe case of separation anxiety disorder.
They will arrange for developmental assessments, but the appointment is scheduled for 2-3 months later.
I would like to ask if my child needs to undergo psychological treatment for this condition, and if so, should it also be arranged through the pediatric psychiatry department at the hospital? Additionally, could you recommend other hospitals in central Taiwan that have a pediatric psychiatry department? Since attending school is a daily requirement for my child, I hope to initiate treatment as soon as possible.
Would it be appropriate to consider some private psychological therapy clinics for this purpose? Thank you!
MR, 30~39 year old female. Ask Date: 2015/10/19
Dr. Liang Sunyuan reply Psychiatry
Hello, if the child is normal after returning home, it is recommended to understand the child's worries and fears at school while they are in a relaxed state.
Collaborate with the child to come up with coping strategies and assist them in gradually adapting to the environment.
Sometimes, parents may become overly concerned about their child's situation, which can lead to their own anxiety.
This mutual influence may exacerbate the anxiety levels for both parties.
It is advisable for parents to stabilize their own emotions first, using their own calmness to help guide the child towards stability.
Parents should strive to understand the child's difficulties, assist in clarifying any irrational fears, provide reassurance and a sense of security, and praise the child during moments of good performance to enhance their confidence.
Typically, children can gradually adapt to their environment.
In Taichung, child mental health services include Taichung Veterans General Hospital, China Medical University Hospital, Chung Shan Medical University Hospital, and Children's General Hospital, among others.
However, general testing schedules usually require a wait, as does treatment.
If seeking psychological counseling or therapy, it is recommended to check if the therapist has expertise and experience in treating children.
Best wishes to you.
Reply Date: 2015/10/19
More Info
Separation anxiety in children is a common issue, especially when they are transitioning into new environments such as starting school. Your child's symptoms, including crying before school, requesting phone calls, and showing distress when separated from you, are indicative of separation anxiety disorder. This condition can significantly impact a child's daily functioning and emotional well-being, making it essential to address it promptly.
Effective psychological treatments for separation anxiety typically include cognitive-behavioral therapy (CBT), which is considered the gold standard for treating anxiety disorders in children. CBT focuses on helping children understand and manage their anxiety through various techniques, such as cognitive restructuring, exposure therapy, and relaxation strategies. In your child's case, a therapist would work with them to gradually expose them to the school environment while teaching coping strategies to manage their anxiety.
In addition to CBT, other therapeutic approaches may also be beneficial. Play therapy can be particularly effective for younger children, as it allows them to express their feelings and experiences through play, which is a natural mode of communication for them. Family therapy may also be helpful, as it can involve parents in the treatment process, equipping them with strategies to support their child and manage their own anxiety about the separation.
Regarding your question about whether your child needs psychological treatment, it is advisable to pursue therapy, especially since the symptoms are affecting their daily life. While waiting for the developmental assessment at the children's psychiatric clinic, you might consider seeking help from private practitioners or mental health clinics that specialize in child psychology. Many of these clinics offer services that can be beneficial for children with anxiety disorders.
In terms of finding suitable hospitals or clinics in central Taiwan, you can look for institutions that have a pediatric psychiatry department. Some well-known hospitals with child psychiatry services include National Taiwan University Hospital, Chang Gung Memorial Hospital, and Taichung Veterans General Hospital. Additionally, many private clinics and therapists specialize in child psychology and may offer more immediate access to treatment.
It is also worth noting that while waiting for formal therapy, you can implement some supportive measures at home. Establishing a consistent routine, providing reassurance, and gradually encouraging independence can help your child feel more secure. Practicing relaxation techniques, such as deep breathing exercises or mindfulness, can also be beneficial in managing anxiety.
In conclusion, seeking psychological treatment for your child's separation anxiety is a proactive step that can lead to significant improvements in their emotional health and daily functioning. While waiting for a formal assessment, exploring private therapy options and implementing supportive strategies at home can help alleviate some of the distress your child is experiencing. Remember, early intervention is key in addressing anxiety disorders effectively, so taking action now will be beneficial for your child's long-term well-being.
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