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

UPDATED: Trudeau announces bioregional oceans protection agreement in Prince Rupert

Agreement announced in partnership with 14 central and north coast First Nations

115 new wildfires burning across B.C. due to 19,000 lightning strikes

More fires expected to start today, says BC Wildfire Service officials

Local artist Danika Naccarella commissioned to design artwork for Northern Sea Wolf

The Sea Wolf symbolizes family, loyalty and the protection of those travelling their waters.

‘Daddy bonus’ common in B.C. workplaces, study finds

UBC researchers say dads don’t have to be number one in the office to get a raise

Marijuana to be legal in Canada Oct. 17: Trudeau

Prime Minister made the announcement during question period in the House of Commons

VIDEO: B.C.’s ‘unicycle cowboy’ aspires to be rancher one day

Burklan Johnson has only ridden a horse once, but this unicyclist has big plans to become a cowboy.

Rescued Oregon family simply unprepared for adventure, RCMP say

Agencies now helping the group of four get to their destination in Alaska

Large B.C. tree dies after possible poisoning

Police and District investigate after large chestnut tree’s rapid decline

Canucks release 2018-19 season schedule

Vancouver to face Calgary Flames on Wednesday, Oct. 3, for home opener

VIDEO: Luxury Home and Design Show opens with Italian flare

Event set to run Friday to Sunday at BC Place in Vancouver

Small new charge on BC Hydro bills goes toward new crisis fund

The new fund aims to help customers who find themselves in financial emergencies

UPDATED: Crown appeals B.C. polygamous leader’s acquittal in child bride case

James Oler had been charged with taking his underage daughter to the U.S. to marry her off

Fake cops ‘arrest’ woman, steal $6,000 in latest CRA scam

Vancouver police urge people not take calls from anyone saying they’re from the Canada Revenue Agency

Study shows increase in mountain bike tourism in B.C.

Numbers are up, way up, for bike-related visits to the province

Most Read