Anxiety and Children

Many children and adolescents feel anxious or stressed on the first day in a new school or when they have problems with their friends. They worry, their hearts beat faster, and they have butterfly feelings in their stomachs. These are usual anxious reactions connected to stresses in their lives; the reactions come and go with the stressful moments.

Clinical Anxiety or Anxiety Disorders are much, much stronger versions of these normal feelings, and they are not always directly connected to stress. Young people with Anxiety Disorders have intense fear and worry. They also may develop problems sleeping and have physical symptoms like headaches, stomach aches and nausea. Anxiety Disorders cannot be controlled by will power, and they often come and go in unpredictable ways. They interfere with young persons' everyday lives and keep them from doing usual activities.

Anxiety Disorders are the most common mental illnesses in the United States; about 13 percent of American children and adolescents are affected by Anxiety Disorders each year.

There are different kinds of Anxiety Disorders that affect children and adolescents:

  • Separation Anxiety Disorder
  • Panic Disorder
  • Obsessive-Compulsive Disorder (OCD)
  • Post-Traumatic Stress Disorder (PTSD)
  • Phobias
  • Generalized Anxiety Disorder
Treatment for Anxiety Disorders involves specific types of talking therapies. Behavioral Therapy and Cognitive Behavioral Therapy are two proven talking therapies. Behavioral Therapy focuses on changing specific behaviors and uses techniques to stop unwanted behaviors. Cognitive Behavioral Therapy teaches ways to identify, understand and change the ways children and adolescents think about stressful things.

Selective serotonin reuptake inhibitors (SSRIs) are currently the medications of choice for the treatment of childhood and adult anxiety disorders. This group includes fluoxetine (Prozac), sertraline (Zoloft), paroxetine (Paxil), fluvoxamine (Luvox), citalopram (Celexa), and escitalopram (Lexapro). Tricyclic antidepressants (e.g. imipramine) and benzodiazepines (e.g. lorazepam) are less commonly used in the treatment of childhood anxiety disorders. However this class of antidepressants is not always appropriate as the FDA has found that they can cause suicidality in some adolescents. Because of this, psychotherapy and other complementary and alternative methods can be viable treatment options.

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Check out Randi Fredricks' book
Healing & Wholeness Complementary and Alternative Therapies for Mental Health
With a full chapter devoted to natural therapies for Anxiety



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San Jose Child Therapy does not provide medical advice, diagnosis, or treatment and is intended for informational purposes only.
No therapeutic relationship is established by the use of this site. Randi Fredricks is a Licensed Marriage Family
Therapist MFC 47803. Randi Fredricks is not licensed with the California Medical Board or the Bureau of
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