Helping Your Child with
Anxiety
Presented by:
Allison Berry, MSW, LCSW
Kristin Cole, MSW, LCSW
Agenda
• Relaxation exercise
• What is anxiety?
• Signs of anxiety disorders
• Common sources of & types of anxiety
• How to help your child
• How we help your child
• Questions & Answers
Lets take a moment
• Relaxation Exercise
Anxiety & Parents
• Anxiety affects family
• Parents’ emotional response
• Anxious kids, anxious parents
Define Anxiety
• Anxiety is a feeling of apprehension that
something might go wrong
• Normal
• Body alarm
Common Sources of Anxiety
• Preschool
• Elementary
• High school
Diagnosis
• Most common mental health issue
• 12-20% of children have anxiety – more
common in girls, especially as they
mature
• 1 in 4 kids
• Tends to run in families
Types of Anxiety Disorders
• Separation Anxiety
• Social Anxiety
• GAD
• Phobias
• Panic
Red Flags
• Anxiety is a problem when it impacts
your child’s functioning
• Distress out of proportion to situation –
consider the intensity of the response
• Easily distressed/avoidance
• Repetitive reassurance-seeking
• Somatic issues
Red Flags cont.
• Anticipatory (weeks, hours ahead)
• Trouble with sleep
• Overly responsible
• Clinging to you
• Excessive coaxing/consoling
How can parents help?
• “A frightened captain makes a frightened
crew” – we are powerful
• Make room for feelings
• Resist the urge to problem-solve
• Have faith in their ability
How Parents Can Help cont.
• Gradually increase opportunities for risk
taking
• Model the process of managing
“normal” worry
• Resist reassurance
• “I hear you, I see that you’re scared, I
believe you can do this.”
In sum, Do’s and Don’ts
• Do let him know its OK to be worried
• Do acknowledge feelings
• Do get his/her input/thoughts
• Do stay calm
• Do give kids control
• Do reinforce effort
Don’ts
• Don’t avoid
• Don’t aim too high
• Don’t accommodate
• Don’t reassure
• Don’t yell!
How does CBT help?
• Education
• Cognitive Restructuring
• Tolerance & Coping
• Exposures
• Practice
The Cognitive Model
Education
• Thoughts vs feelings
• How children know that they are worried
• Worry –makes you think of what you’re
afraid of rather than what is really true.
Education cont.
• Understanding anxiety using a
“kid-friendly” approach
• Label and draw
• Fight-or-flight response aka the
“false body alarm”
Identifying Thoughts &
Symptoms
• Put the worries
into words by
asking your child
questions
Targeting the Thoughts
• Cognitive
restructuring
• Focus on facts vs.
what is feared
• Use of evidence
• Focus on ability to
cope and plan
• Example- “What if I
fail my test?”
Targeting the Thoughts cont.
• Best case and worst
case scenarios
• The advice you give
to a friend is usually
the best advice
Talking Back
• Some worries do
not make sense
and are NOT
worth your time
• “Back talk” to the
worries
• “That’s not true!”
“Go away!” “ I don’t
have to listen to you
anymore.”
• Empowering and
leads to exposures
Targeting the Symptoms
• Tolerance- “that’s
just my false
alarm”
• Use of distraction
• “Belly” breathing
• Guided relaxation
strategy
• iPhone apps
Avoidance Behavior
• Anxiety often leads
to avoidance
behaviors (ie; not
going to school or
parties, not sleeping
alone)
• Avoidance
behaviors reinforce
anxiety
• The monster
analogy
Exposures
• Face your fear
• Encourage your
child to engage in
exposing him/herself
to the feared
scenario and
practice use of
strategies
• Start with the first
step, gradual
Reassurance
• Children who worry
seek reassurance
from parents over
and over again
• Like avoidance, it
also reinforces
anxiety and is a
vicious cycle
• Encourage self talk
• Consistency in not
responding with
reassurance
Recommended Books
• What To Do When You Worry Too
Much, by: Dawn Huebner
• Freeing Your Child from Anxiety, by:
Tamar Chansky
• Anxious Kids, Anxious Parents, by: Reid
Wilson
• The Kissing Hand, by: Audrey Penn
• The Invisible String, by: Patrice Karst
Apps for Kids
• Stop Breathe and Think
• Calm down now
• Breathe, Think, Do with Sesame
• Headspace (broken down by age)
• Mindfulness for Kids
• Fitbits
Questions?

Helping Your Child with Anxiety

  • 1.
    Helping Your Childwith Anxiety Presented by: Allison Berry, MSW, LCSW Kristin Cole, MSW, LCSW
  • 2.
    Agenda • Relaxation exercise •What is anxiety? • Signs of anxiety disorders • Common sources of & types of anxiety • How to help your child • How we help your child • Questions & Answers
  • 3.
    Lets take amoment • Relaxation Exercise
  • 4.
    Anxiety & Parents •Anxiety affects family • Parents’ emotional response • Anxious kids, anxious parents
  • 5.
    Define Anxiety • Anxietyis a feeling of apprehension that something might go wrong • Normal • Body alarm
  • 6.
    Common Sources ofAnxiety • Preschool • Elementary • High school
  • 7.
    Diagnosis • Most commonmental health issue • 12-20% of children have anxiety – more common in girls, especially as they mature • 1 in 4 kids • Tends to run in families
  • 8.
    Types of AnxietyDisorders • Separation Anxiety • Social Anxiety • GAD • Phobias • Panic
  • 9.
    Red Flags • Anxietyis a problem when it impacts your child’s functioning • Distress out of proportion to situation – consider the intensity of the response • Easily distressed/avoidance • Repetitive reassurance-seeking • Somatic issues
  • 10.
    Red Flags cont. •Anticipatory (weeks, hours ahead) • Trouble with sleep • Overly responsible • Clinging to you • Excessive coaxing/consoling
  • 11.
    How can parentshelp? • “A frightened captain makes a frightened crew” – we are powerful • Make room for feelings • Resist the urge to problem-solve • Have faith in their ability
  • 12.
    How Parents CanHelp cont. • Gradually increase opportunities for risk taking • Model the process of managing “normal” worry • Resist reassurance • “I hear you, I see that you’re scared, I believe you can do this.”
  • 13.
    In sum, Do’sand Don’ts • Do let him know its OK to be worried • Do acknowledge feelings • Do get his/her input/thoughts • Do stay calm • Do give kids control • Do reinforce effort
  • 14.
    Don’ts • Don’t avoid •Don’t aim too high • Don’t accommodate • Don’t reassure • Don’t yell!
  • 15.
    How does CBThelp? • Education • Cognitive Restructuring • Tolerance & Coping • Exposures • Practice
  • 16.
  • 17.
    Education • Thoughts vsfeelings • How children know that they are worried • Worry –makes you think of what you’re afraid of rather than what is really true.
  • 18.
    Education cont. • Understandinganxiety using a “kid-friendly” approach • Label and draw • Fight-or-flight response aka the “false body alarm”
  • 19.
    Identifying Thoughts & Symptoms •Put the worries into words by asking your child questions
  • 20.
    Targeting the Thoughts •Cognitive restructuring • Focus on facts vs. what is feared • Use of evidence • Focus on ability to cope and plan • Example- “What if I fail my test?”
  • 21.
    Targeting the Thoughtscont. • Best case and worst case scenarios • The advice you give to a friend is usually the best advice
  • 22.
    Talking Back • Someworries do not make sense and are NOT worth your time • “Back talk” to the worries • “That’s not true!” “Go away!” “ I don’t have to listen to you anymore.” • Empowering and leads to exposures
  • 23.
    Targeting the Symptoms •Tolerance- “that’s just my false alarm” • Use of distraction • “Belly” breathing • Guided relaxation strategy • iPhone apps
  • 24.
    Avoidance Behavior • Anxietyoften leads to avoidance behaviors (ie; not going to school or parties, not sleeping alone) • Avoidance behaviors reinforce anxiety • The monster analogy
  • 25.
    Exposures • Face yourfear • Encourage your child to engage in exposing him/herself to the feared scenario and practice use of strategies • Start with the first step, gradual
  • 26.
    Reassurance • Children whoworry seek reassurance from parents over and over again • Like avoidance, it also reinforces anxiety and is a vicious cycle • Encourage self talk • Consistency in not responding with reassurance
  • 27.
    Recommended Books • WhatTo Do When You Worry Too Much, by: Dawn Huebner • Freeing Your Child from Anxiety, by: Tamar Chansky • Anxious Kids, Anxious Parents, by: Reid Wilson • The Kissing Hand, by: Audrey Penn • The Invisible String, by: Patrice Karst
  • 28.
    Apps for Kids •Stop Breathe and Think • Calm down now • Breathe, Think, Do with Sesame • Headspace (broken down by age) • Mindfulness for Kids • Fitbits
  • 29.