Part II: Fear Not – There is Help for Children and Youth with Anxiety

Everyone has times of feeling anxious, scared or fearful. Without it, we would never have survived as humans, writes Dr. David Smith.

*This article was written and contributed by Dr. David Smith, Okanagan Psychiatric services for Interior Health.

Everyone has times of feeling anxious, scared or fearful.

In fact, without our body’s innate ability to sense and respond to pending danger, we would never have survived as humans.

These days, however, anxiety disorders are like a car alarm repeatedly sounding off when there is no real threat. Anxiety disorders are the most common mental health concern for children in B.C., affecting an estimated four per cent of all children, impacting their day-to-day life, their friendships, their school performance, their physical health and their sense of well-being. My colleagues and I in the mental health field are concerned that in this modern, fast-paced, wired world, anxiety disorders in children are greatly increasing. We are seeing more children than ever before who are constrained and made miserable by their fears when they should be feeling safe, secure, confident and happy.

Anxious feelings include a rapid heartbeat, difficulty catching one’s breath, a sense of doom, sweaty palms, an upset stomach or stomach ache, even nausea and vomiting. Focusing on the feelings can cause them to intensify, a vicious cycle. Anxious symptoms become a true anxiety disorder when the anxiety leads to avoidance of the situation that is causing the anxiety and causes significant physical distress and disruption of daily life and functioning.

An unresolved anxiety disorder can often lead to depression or substance use problems in future years.

More: Part I: Mental Health for Children and Youth – How to Get the Help You Need (Dec. 10, 2014)

Anxiety, however, exists on a spectrum. A certain amount of anxiety is normal and beneficial. It keeps our children safe and conscientious; it motivates them to perform well. Children who tend to be anxious are often model students: high achieving, diligent, analytical, sensitive, alert, creative and imaginative. Too little anxiety and a child or teenager may take foolish risks or lack motivation to succeed. But too much anxiety and children become so paralyzed by fear that they may be unable to leave their parent’s side, leave the house, go to school, make friends or participate in normal life.

The good news is that anxiety can be very successfully managed or treated when required.

Regular exercise and reliable routines in children are often all it takes to quell mild cases. Mild and moderate anxiety is very responsive to Cognitive Behavioural Therapy (CBT), which is a process of addressing the unhelpful thoughts and actions that underlie anxiety. Thought stopping, talking back to negative thoughts, not believing everything you think, relaxation techniques like calming breathing, mindfulness meditation, and gradual safe exposure to the things you fear are all examples of types of CBT.

All children – and adults, too – could benefit from learning simple CBT techniques to turn off their body alarms that are sounding unnecessarily. In more long term or severe cases of anxiety – such as panic disorders, Post Traumatic Stress Disorder, Obsessive-Compulsive Disorder – treatment may include a period of anti-anxiety medication in addition to teaching the child age-appropriate CBT techniques, an approach called “pills plus skills”.

**********

If you are worried about your child or teenager’s anxiety, there are many places to get help.

Many online resources as well as books, some written for specific age groups, are available to give in depth information about anxiety and step-by-step instructions for specific CBT techniques.

For parents of children and youth, the FORCE Society, in partnership with MCFD’s FRIENDS Program, offers an online parent program for parents of children ages 4-13 years. Anxiety BC (anxietybc.ca) is another great site and offers detailed pages for adults and youth. Other sites include mindcheck.ca and keltymentalhealth.ca.

If you feel your child needs professional help, see your family doctor or call Service BC at 1-800-661-8773 and ask for the MCFD Child and Youth Mental Health office in your community.

Next column, we will talk about depression in children and teenagers.

**********

Dr. David Smith is an adolescent and adult psychiatrist and the medical director of the Okanagan Psychiatric services for Interior Health. This series of columns on common child and youth mental health issues is a project of the Child and Youth Mental Health and Substances Use Collaborative. The Collaborative involves multiple individuals, organizations and ministries all working together to increase the number of children, youth, and their families receiving timely access to mental health services and support in the Interior Health and Vancouver Island regions. The Collaborative is jointly funded by Doctors of BC and the government of B.C.

Just Posted

Horizon North construction to start soon

The first gear will start rolling into Kitimat at the beginning of 2019

Haisla yet to sign LNG benefits deals with the province

Other First Nations already receiving cash payments

Area First Nations benefit from LNG Canada project

Agreements with province provide cash, land

Work begins on a new Haisla health centre

It will include a telehealth room, a place for visiting physiotherapists and dentists

Shames Mountain creates new fund for youth in memory of late founder

The ‘Billey Season Youth Pass’ will be given out annually

Trudeau to make it harder for future PM to reverse Senate reforms

Of the 105 current senators, 54 are now independents who have banded together in Independent Senators’ Group

Man dies after falling from B.C. bridge

Intoxicated man climbed railing, lost his balance and fell into the water below

B.C. animation team the ‘heart’ of new ‘Spider-Man: Into the Spider-Verse’

The animators, largely based in Vancouver, ultimately came up with a creative technique that is drawing praise

Light at the end of the tunnel for UN climate talks

Meeting in Katowice was meant to finalize how countries report their emissions of greenhouses gases

Janet Jackson, Def Leppard, Nicks join Rock Hall of Fame

Radiohead, the Cure, Roxy Music and the Zombies will also be ushered in at the 34th induction ceremony

Supreme Court affirms privacy rights for Canadians who share a computer

Section 8 of the Charter of Rights and Freedoms protects Canadians against unreasonable search and seizure

B.C. fire chief pleads with Ottawa for traumatic stress support

Campbell River fire chief Thomas Doherty presented concerns to federal government

‘I practically begged’: Kootenay woman with breast cancer denied referral to Calgary

Breast cancer patient left to fight disease alone after being denied referral to Calgary

21 detained before Paris protests as police deploy in force

There was a strong police presence outside the central Saint Lazare train station, where police in riot gear checked bags

Most Read