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

Langford daycare to have space for 100 kids

The daycare will be at the upcoming Belmont Market Shopping Centre site

BC Ferries sees net earnings of $90M in second quarter

Net earnings are down as a result of lowering fares, adding more sailings to meet customer demand according to report

Report shows Saanich police officer retroactively fired over corruption, deceit, relationship with sex worker

Saanich Police had six of eight substantiated allegations against officers in Greater Victoria

Police, prosecutors tight-lipped about legislature investigation

Craig James and Gary Lenz were removed from the B.C. Legislature by police on Tuesday

Oak Bay police officer fired after hiring sex trade worker, watchdog says

Report by police watchdog shows Oak Bay police officers faced discipline for misconduct

From ocean to garden, Coast Salish canoe will continue to teach at a Langford high school

Raven Dancer made a final journey to Belmont Secondary School’s community garden

Greater Victoria Crime Stoppers wanted list for the week of Nov. 20

Greater Victoria Crime Stoppers is seeking the public’s help in locating the… Continue reading

Getzlaf lifts Ducks to 4-3 win over skidding Canucks

Vancouver now winless since Nov. 8

POLL: Have you started your Christmas shopping yet?

The Christmas lights are twinkling and holiday music is playing in local… Continue reading

Pressure builds for B.C. to recognize physicians assistants

“We can make a difference and I think we’re being overlooked.”

Paramedic treated accused killer at the scene of Chemainus murder

Described strange behaviour of man with minor injuries

Senators urge Trump to expedite congressional vote on USMCA

The 12 Republican senators are warning of the dangers of getting the trade pact approved in 2019

Bill just one tool to deter foreign interference in Canadian elections: Gould

Bill C-76 is just one means to deter outside interference in Canadian elections

Investigation into B.C. legislature officers began in January

RCMP brought in months after former prison administrator started

Most Read