Two Common Anxiety Disorders in Children

Do you recall what your very first day at school felt like? Or how about your first day of work on the job? These thoughts and fears may no longer reside in your memory since they were normal and temporary reactions. However, imagine how it would feel if you were to experience those same feelings constantly, even when they made no sense!

These feelings of anxiety can be overwhelming for a child. Maybe your child struggles with anxiety and you are wondering what is really going on in their head when they fear a social setting so much that they can’t participate.

It can be tough on the whole family when one of the children struggles with anxiety symptoms, and even more so when their best friend or their teacher just doesn’t get what is happening, or understand how to support them.

Some teachers are not equipped to know what is happening when a child experiences anxiety and they can underestimate the effects that it has on the student’s success and performance and social relationships. Teachers may confuse anxiety with other things, such as behavioral issues, and not know how best to work with parents for a successful outcome, as well as how to advocate for the child within the larger framework of the school system.

Perhaps you have wondered how to better understand your child’s needs when they face these types of challenges but are met with misunderstandings and/or lack of support from others.

The remainder of this article will cover 10 ways that anxiety affects a child’s life and education:

  • A child’s feelings of worry about themselves, their parents, or family members
  • Having nightmares or night terrors and lack of sleep
  • Symptoms of panic attacks
  • Decline in educational success
  • Physical symptoms of headaches and stomachaches
  • Extreme difficulty focusing or concentrating
  • Heightened risk of developing depression or other anxiety disorders
  • Lack of social skills or experience
  • Low levels of communication while in social situations
  • Being misunderstood by family, school teachers, and/or peers

There is a difference between anxiety and an anxiety disorder. There are anxiety disorders that occur only in children. The Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) distinguishes between anxiety disorders and normative fear or anxiety, noting that anxiety disorders are extreme and persist beyond a time that is developmentally appropriate.

Anxiety disorders in children can cause them to read greater levels of danger into a situation or completely avoid it. Separation anxiety disorder and selective mutism typically begin in the early years and persist throughout adulthood when left untreated. Sometimes children with anxiety disorders may have the symptom of panic attacks in response to a fear.

Separation Anxiety

Although some separation from a caregiver is normal in children, separation anxiety is when a child is so anxious from the separation of a caregiver that it is developmentally inappropriate. The diagnostic criteria for separation anxiety disorder include:

  • Nightmares
  • Worry that their attachment figure might be hurt in some way and a reluctance to be separated from them.
  • Physical symptoms related to distress.
  • Extreme apprehension about possible events such as kidnapping, accidents, getting lost or getting sick – anything that might separate them from their attachment figure.
  • Reluctance or refusal to leave the house and go to places like school, aversion to sleeping somewhere other than home, and physical symptoms such as head or stomach aches when separated from the attachment figure.

The most commonly diagnosed childhood anxiety disorder is separation anxiety. School disruption effects 75% of children struggling with separation anxiety because of their unwillingness to even attend school on a daily basis. Even children who end up going to school may still suffer because they cannot focus on what is being taught due to their anxiety over those at home.

Sleep disturbances are also common with symptoms consisting of nightmares as well as physical symptoms. This is a challenge for any parent who is unaware of the level of fear that their child experiences from sleeping in their room alone.

When a child does not get enough sleep, it is difficult for them to function at school. Their behavior may cause confusion in the classroom which can create tension in their relationship with teachers and peers. The behavior can become so disruptive that the teachers and peers may find it difficult to engage with them on a developmentally appropriate social level, resulting in the child being labeled as defiant.

A parent may develop their own response to their child’s anxiety symptoms. Some parental responses can end up reinforcing the child’s symptoms and behaviors. Negative behaviors may result in a parent removing them from the area in which the behavior occurred, which can increase their anxiety even more.

This can be increasingly frustrated for parents who struggle to understand what is going on with their child. Parents may continue to reinforce behaviors, for example, by allowing their child to sleep with them when they fear to sleep alone or to stay home from school when they do not want to go. This is detrimental to the family as a whole and may cause stress to the rest of the family.

Do you have a closer bond with one child more than the others? Perhaps this bond was formed with the child who most needs the sense of closeness and safety. This can cause rifts between you and your spouse or other family members before you are even aware of it.  While you spend much of your time attending to the child struggling with separation anxiety, others in the family may be feeling left out.

Not only does separation anxiety have an immediate effect, but it can prove detrimental long-term as well. The isolation a child experiences today can bring on social problems, later on, making it more likely they will remain unmarried. In addition, children who suffer from separation anxiety disorder are more likely to develop depression or other types of anxiety disorders as they grow up.

Selective Mutism

Anxiety can affect a child’s life and educational success in other, more subtle ways. Does your child never talk at school, but won’t stop talking as soon as you pick them up?

Does your child act shy in public when around people that you know, when only moments ago they were laughing and talking with their brothers or sisters in the car? Does this seem to be context-specific? Perhaps they suffer from selective mutism, another anxiety disorder that can strike children.

Selective mutism, though quite rare, typically affects children prior to the age of five. It often goes unnoticed until such time as the child enters school. Many times, children grow out of selective mutism, but understanding the effects, symptoms, and signs of it is still important because of the many ways that anxiety can affect a child’s life and education.

In order to deliver a diagnosis of Selective mutism, certain criteria have to be met, such as:

  • Not speaking in settings or situations where it would normally be expected (i.e. – school).
  • Not speaking when it isn’t merely a result of ignorance of the subject being spoken about.
  • Symptoms that are unrelated to some other type of communication disorder or which happen simultaneously with some other disorder, like autism spectrum disorder.
  • Behavior that lasts for more than a month and stretches beyond the first month of school, when children are normally hesitant to participate in their new surroundings.

Here are a few factors that are critical for understanding the kinds of symptoms that one should look for. Children with selective mutism will often have normal patterns of communication at home with their family. However, they will clam up in public settings (such as school) and may even fail to speak to their extended family members who do not live with them. Children may also be silent when in the company of peers.

A child with anxiety may have even more of a struggle in making friends at school than will a child who is anxiety free. It is even more challenging for a child that suffers from selective mutism. Other children may be hesitant to befriend a child that cannot talk to them.

Selective mutism may also produce other problems at school, especially if the teacher cannot interact with, and assess the educational levels of the child, or where the child cannot communicate their needs to the teacher.

Even though children with selective mutism can occasionally come up with nonverbal methods of communication, like pointing, the lack of communication may increase the possibility that they will be teased by peers, which will further aggravate their anxieties about being in social settings.

A child with anxiety, whether ongoing or only occasional, has feelings, emotions, and behaviors that may be initially confusing to those who care about them. Young children will likely not understand the anxiety symptoms in their body at first, but they pass into the adolescent years they become more aware and they may prioritize their need to feel better, even though they might not know exactly how to achieve this.

They may try things that may appear to relieve the anxieties that they experience and run the risk of developing unhealthy or risky habits that can lead to increased anxiety, shame, guilt, or confusion.

Parents, siblings, friends, and teachers can find it a significant challenge to interact with a child that experiences all the worry and fear brought on by separation anxiety or selective mutism. However, these challenges can be overcome – there is hope, because of the high success rate of managing both conditions.

Therapy can (and should) include both the child and family members to increase their understanding of the symptoms and to help develop more appropriate ways to manage anxiety and its causes. Children will be taught more appropriate ways of coping with their anxiety and develop skills to change their thought patterns when anxiety symptoms show up.

If you are unsure whether anxiety is the cause of your child’s distress, schedule an appointment with a Christian Counselor Newport Beach today. Becoming educated about your child’s anxiety can be the beginning of a new day for everyone.

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How to Deal with Anger Issues in Children

Growing up is harder than it looks. Children face many challenges, everything from bullies to broken homes that can cause anger issues to build and manifest in a variety of ways from name calling to throwing a book at a sibling. There are multiple triggers that could cause anger to erupt in children and the root of that anger isn’t always to identify.

Emotions are real but not always reliable

It’s important to mention that being frustrated or angry is a natural emotional response. If a child gets angry it’s not always something to be afraid of nor should a parent avoid discussing it either.

The results of that anger are what needs to be addressed carefully to successfully find a healthy way to express angry emotions. Unhealthy anger in a child could be expressed by violating someone through a form of physical aggression, verbal outbursts, seeking revenge or other negative, disruptive behaviors.

Address, but don’t suppress anger issues

Suppressing anger isn’t the solution. Children should have the freedom to express anger, happiness, sadness and the range of other emotions on the spectrum. They shouldn’t be restricted to only experiencing and displaying a certain set of emotions.

Controlling the emotions a child is allowed to feel can force those emotions to grow inward leading to depression or a host of other hidden hurts. Telling a child not to be angry is invalidating their feelings and telling them that anger emotion doesn’t exist. Acknowledging and addressing anger issues is the answer.

Parenting inconsistencies

Properly addressing anger largely falls on the parents involved in a child’s life. Parents of children struggling to manage angry outbursts, find it helpful to reflect on their own personal parenting methods.

Use of inconsistent disciplinary actions or methods leave the child with unstable boundaries and the inability to figure things out. As a result, the child is constantly frustrated due to the lack of consistency in their environment and they don’t learn the proper coping skills necessary to handle real-life situations.

A parent that remains calm during an anger outburst can easily detach from emotions and defuse the situation. Parents who model a healthy way to channel anger will be better equipped to facilitate the development of those same healthy ways in their children.

Ephesians 6:4 reads, “Father, do not exasperate your children; instead, bring them up in the training and instruction of the Lord.” In other words, Paul is admonishing fathers not to provoke their children to anger by providing them with a training process that builds their character through exposure to biblical principles that are good for them.

Freedom of choice

Life moves at the speed of our choices. Some choices move us forward while others take us back. When children learn that their choices are bringing them unfavorable results—limited screen time, timeouts, loss of privileges—they become more open to learning healthy ways to express emotions. Children have individual identities and need the opportunity to explore choices on their own.

It is helpful for parents to set clear expectations and consequences when in control of their emotions, refraining from impulse consequences that end up confusing their children.

An example would be to tell your child every night they need to wash the dishes after dinner. Failure to wash the dishes will result in no screen time that night. It’s better for a child to learn lessons from their bad choices and discover how to make responsible choices that are beneficial to their lives.

Delivering consequences

It’s a fine line between tender and tough. Letting a child know in the midst of a failure that they are still loved as they receive the consequence for failing to meet the expectation is how balance is struck between soft and stern.

For example, the child who did not wash the dishes before turning on the TV may be told, “What a bummer that you are going to miss out on tonight’s episode of your favorite show. I know next time you will remember to wash the dishes first.”

In this example, the parent’s anger isn’t evident and the consequences are upheld using a loving approach. This technique calmly explains the consequences of the child’s personal decision to disobey but focuses on the opportunity to try again tomorrow.

A child that is just yelled at only learns how much they dislike being yelled at or learns to use that in the future as their way to solve problems. Reacting to misbehavior during a crisis is never a wise option. Spanking or yelling when angry will only perpetuate that same behavior in your children.

Hebrews 12:11 (NLT) reads, “No discipline is enjoyable while it is happening–it’s painful! But afterward, there will be a peaceful harvest of right living for those who are trained in this way.”

Children and adults don’t naturally gravitate toward a disciplined life. It’s not easy to embrace.  Implementing expectations, giving the freedom to choose and clearly discussing consequences with your children are a few steps to take to navigate anger outbursts and prepare them for the real world.

If your child is showing signs of uncontrollable rage or hostility, it may be helpful sit down with a licensed therapist to talk through what could be causing the problem. Learning how to train your child without exasperating them can often yield great results for a child with an explosive temper.

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9 Signs of Sexual Abuse in Children to Watch Out For

It’s been a watershed season of exposing men and women who committed sexual assault and harassment. Businesses are taking legal actions to terminate employees or pull contracts indefinitely.  If the #Metoo movement teaches us anything, it’s that sexual assault and abuse is often silenced and that there’s strength in numbers.

Parents never want to hear these heartbreaking words uttered from their child’s mouth, “I’ve been sexually abused.” Children are often under the care of other adults at school, church, a friend’s sleepover and even under their own roof.  In these seemingly harmless settings, horrendous acts are carried out.

9 Signs of Sexual Abuse in Children to Watch Out For

Parents must be vigilant to monitor who their children interact with on a daily basis. Because sexual abuse is often a confusing and paralyzing experience, children may not verbally express what’s happening to them. But if a child is being abused, it’s likely you will see the following signs.

1. Increased Fear and Anxiety

Fear is one of the biggest hallmarks of a child who has suffered abuse. Children can become hypervigilant, constantly on the alert.  You may see mounting fear and anxiety as the specific time of day approaches when the abuse normally occurs or if you mention inviting the abuser over.

2. PTSD Symptoms

Post-Traumatic Stress Disorder is not only reserved for military veterans returning from combat overseas. The same symptoms are present in children who have suffered abuse. Panic attacks occur when certain “triggers” bring feelings of immediate stress.

Triggers could be a certain smell like the cologne the abuser wears, people who sound like the abuser, or certain sights that bring flashbacks. Another form of PTSD in children is having disturbing dreams or problems getting a good night’s sleep. Nightmares become prevalent and memories of the trauma can disrupt their concentration at school.

3. Mood Changes

Unreasonable crying or sudden excessive crying that wasn’t present before are expressions of children suffering from abuse.  On the other end of the spectrum, children can have angry outbursts and get frustrated easily spouting out hurtful words to those around them.They might withdraw from adults in the belief that every person wants to harm them or they may become hostile toward those in authority who neglected to protect them.

Because these times of abuse were often out of their control, they will grow up wanting to control everything in their lives. Eventually, children numb their feelings and become detached and emotionally absent. They self-protect by creating an impenetrable wall around their hearts.

A point can even be reached where they disassociate from the abuse altogether by either diminishing the effects of the abuse in their lives or never admitting that the abuse happened to them. Children who experienced sexual abuse are more likely to grow up into teenagers who contemplate suicide, have self-inflicted wounds, and show signs of depression.

4. Guilt and Shame

Children find ways to blame themselves for the abuse. Guilty thoughts invade their minds like, “I should have said something to someone else,” or, “I was aroused so does that mean I wasn’t abused?”

The abuser often reinforces this message telling the child that somehow the child made the abuser touch them. It’s a tug-of-war in the mind for children in this situation. They know something feels wrong, but the mixed messages, instilled fear, and false responsibility can create turmoil in their minds.

5. Fear of Intimacy and Closeness

Intimate relationships can be a challenge after enduring abuse. Although children may still embody an outgoing personality, they learn how to keep people at arm’s length to prevent further harm. Physical contact, which is often terrifying, may cause them to lash out at someone who innocently tries to give a hug.

Other children become overly clingy needing constant physical and verbal affection. Children that have experienced abuse find it hard to know the difference between appropriate displays of physical affection and inappropriate sexual touch.

6. Sexuality

Sexually abused children usually grow up not wanting to have sex at all or view having sex with multiple people as the only way to receive touch and attention. This ends up creating a bigger web of pain in their lives.

Children who have been hypersexualized from assault may make sexual comments to other students or have an advanced knowledge about sex. Of course, in today’s world children are often exposed to movies that are not age-appropriate and they pick up the terminology.  But if a five-year-old girl can describe certain adult acts in detail, this should set off alarms.

Some children who have been abused by someone of the same gender end up confused about their sexual orientation. Due to confusing (maybe even somewhat pleasurable) physiological responses related to their abuse, they may silently wonder whether or not they are actually gay.

Some people may try to reduce their distinctive gender features by cutting their hair, hiding their breasts, eating more food to gain weight and becoming unattractive, or neglecting basic hygiene routines in order to repel people.

7. Alarming Forms of Creative Expression

Children love to play. It’s a normal part of childhood. However, if the dolls are not just playing mommy and daddy, but participating in strictly mommy and daddy activities it is a glaring red flag.

Often creative expression becomes a safe outlet for children to be honest without verbally admitting to the pain forced upon them. Journal writing, social media posts, poems, and pictures can all tell a story that’s been silenced inside. Today, teenagers swarm to social media to share their fight with depression or struggle with suicidal thoughts.

8. Not Behaving Appropriately for Their Age

Of course, some little girls want to imitate their moms by dabbing on some lipstick or painting their cheeks with blush when they see their moms getting ready for the day. Wearing more revealing clothing or always wanting to put on perfume, makeup and doing their hair could possibly point to past abuse.

Some older children will revert to their younger behaviors like wetting the bed or sucking their thumb. These aren’t always signs of trauma, but these signs merging with some of the others mentioned here are good indicators of abuse.

If you hear of older friends being mentioned frequently begin to investigate. Yes, there are good mentors and influences out there, but someone showing an unhealthy amount of attention toward your underage child requires some additional attention from you. Normally, children form friendships with kids around their same age.

9. Turning to Alcohol and Drugs

Alcohol can be used to not only numb pain from the past but make someone feel alive at the same time. Drugs and alcohol are a way to cope with the suppressed feelings and distressing thoughts. Drug and alcohol use can be a common coping mechanism for those who have experienced trauma in order to deal with disturbing thoughts.

If you are seeing unusual signs like these in the children around you, don’t ignore it – report it. Call your local CPS Office or the National Child Abuse Hotline at 1-800-4-A-CHILD.

Finding a Place of Healing

Christian counseling Newport Beach is just one way to begin a journey of healing and freedom. The Lord comes to heal the brokenhearted and to bind up our wounds (Psalm 147:3). If child abuse is a part of your story, Christian counseling Newport Beach offers a safe place to experience wholeness. Freedom is found by bringing things in the darkness into the light. Will you let someone help you today?

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