Anxiety in Children - Summary - Parents for Children`s Mental Health

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This resource guide was developed by families for families. It is NOT intended to be a clinical guide, nor does reference to any of the resources imply endorsement of same.

Anxiety – Children Resources

Helpful Resource for Anxiety

Prepared by: PCMH Oakville Chapter

Anxiety in Children - Summary

Mental health problems can have psychological, social and somatic problems which often make it hard for people to deal with their daily routine and achieve their goals. Millions of children and adolescents suffer from serious anxiety of one form or another and frequently anxiety in young children is misdiagnosed as attention-deficit disorder (ADD).

The good news is that Anxiety is an emotional based problem; one which can be treated so that our children can gain knowledge and build a tool-kit to support them throughout their lives.

Epictetus, the Greek philosopher observed that people are not disturbed by things that happen but by the view they themselves take of things that happened or their perception of how things may come to pass in the future.

Cognitive-Behavioural-Therapy (CBT) follows the train of thought put forward by Epictetus and other of scientifically supported works such as Dr. Albert Ellis, Ph. D who is seen as the grandfather of CBT; that most emotional and behavioural reactions are learned. CBT is based on this principle idea that our thoughts cause our feelings and in turn our reactions or behaviours towards those feelings; not external things, like people, situations, and events. Hence the goal of CBT is to help clients break the habit of unwanted reactions and to learn new ways of responding. The benefit for youth who are afflicted with anxiety comes from the fact they can learn methods to change the way they think, feel, and react to stresses even if the anxiety provoking circumstances don’t change.

Definition and Terms

Psychotherapy = set of clinical techniques use to improve mental health.

Counselling = psychotherapy.

Behaviour Therapy (Behaviour Modification Therapy) = changing somebody's behaviour

Classical Conditioning = creation of response to stimulus (Pavlov's dogs)

Operant Conditioning = learning through positive and negative reinforcement

Cognitive Therapy = psychotherapy aimed at changing a person’s way of thinking. There are several approaches to cognitive-behavioural therapy a) Rational Emotive Behaviour Therapy

Therapy in which somebody is encouraged to examine and change irrational thought patterns (irrational thinking) and beliefs in order to reduce dysfunctional behaviour b) Rational Behaviour Therapy c) Rational Living Therapy d) Dialectic Behaviour Therapy

Characteristics of Cognitive-Behavioural Therapies

 Thoughts cause Feelings and Behaviours.

 Brief and Time-Limited.

 Emphasis placed on current behaviour

 CBT is a collaborative effort between the therapist and the client. o Client role - define goals, express concerns, learn & implement learning o Therapist role - help client define goals, listen, teach, encourage.

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Anxiety – Children Resources

 Teaches the benefit of remaining calm or at least neutral when faced with difficult situations. (If you are upset by your problems, you now have two problems: (1) the problem itself, and (2) your distress

 Based on "rational thought." - Fact not assumptions.

 Based on assumption that most emotional and behavioural reactions are learned. Therefore, the goal of therapy is to help clients unlearn their unwanted reactions and to learn a new way of reacting.

Homework is a central feature of CBT This can include such activities as: Reading;

Self-help exercises; experiential activities; Journaling; Thought Stopping; Intentional

Reframing. Therapy sessions are basically training where the client tries out and uses what they have learned.

 CBT could be described as = Positive Emotional Response Teaching http://www.gregdorter.com/toronto-therapist.html

Cognitive-behaviour therapy (CBT) is based on the idea that our thoughts, feelings, and behaviour reinforce each other and that changing our thoughts or behaviour can make us feel better.

Introduction to Psychology, v. 1.0 by: Charles Stangor http://catalog.flatworldknowledge.com/

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Anxiety – Children Resources

Books for Children

Title: Scaredy Squirrel (Series)

Author: Melanie Watt

Synopsis: A series of books based around a worrywart Squirrel who prefers to stay in his safe carefully planned daily routine; however he regularly faces the unknown.

Title: A Bad Case Of Stripes (2004)

Author: David Shannon

Synopsis: Camilla is worried about what others think of her. She is so worried that she is breaks out with a bad case of the stripes.

Title: What To Do When You Worry Too Much (2005)

Author: Dawn Huebner

Synopsis: This is a self help book which is educating, motivating and is useful in empowering children to overcome their overgrown worries. Work book activities for children ages 8-12 however for younger children activities can be performed with assistance of a caregiver.

Title: The Kissing Hand (2006)

Author: Audrey Penn

Synopsis: Reassurances for young children who fear being separated from their parent when they go to school.

Title: Just Like You (2012)

Author: Darlene Wierski Devoe

Synopsis: A story told from the point of view of a child who is anxious and how she just wants to be seen as a regular every day child. She tells her story to other children, explaining that she is “Just Like You”.

Title: When My Worries Get Too Big (2006)

Author: Kari Dunn Buron

Synopsis: Relaxation book for children who live with Anxiety.

Title: Hole in One a tale from the Iris the Dragon Series

Author: Gayle Grass

Synopsis: 3 rd book in the series which addresses anxiety disorders in children, specifically about school and performance anxiety.

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Anxiety – Children Resources

Books for Children (Con’t)

Title: Wilma Jean the Worry Machine (2012)

Author: Julia Cook

Synopsis: Offers creative strategies for parents and teachers to use that can lessen the severity of anxiety. Goal of book is to give children the tools needed to feel more in control of their anxiety.

Title: Wilma Jean the Worry Machine Activity and Idea Book (2012)

Author: Julia Cook

Synopsis: Easy guide to use with kids in a multitude of settings including the classroom. Activities and Ideas (worksheets) for the child, the family and others to use or to make copies of to give as a hand outs.

Title: The Relaxation and Stress Reduction Workbook for Kids (2009)

Author: Lawrence Shapiro, Robin Sprague, Matthew McKay

Synopsis: Has fifty plus relaxation activities to guide you & your child to replace anxious feelings with calming thoughts and relief from their anxious worries.

Title: Nobody’s Perfect: A story for children about perfectionism (2008)

Author: Ellen Burns

Synopsis: Secretly, Sally is afraid that she is not “good enough”, if what she does is not 100% perfect. Gradually, with the help of family and teachers, Sally learns to worry less, mistakes are part of learning and that doing her best is good enough.

Title: What To Do When Good Enough Isn’t Good Enough (2007)

Author: Thomas Greenspoon

Synopsis: For children who have inklings of “Perfectionism” it is a yoke around their necks weighting them down. School work, relationships and self-esteem can be hard to start or build. This book helps kids remove the yoke holding them back.

Title: Helping Your Anxious Child: A step-by-step guide for parents (2008)

Author: Ronald Rapee

Synopsis: For many children anxious worries can detract from them fully enjoying their childhood. This book offers many tools to help your child cope with and overcome worries monsters. Parent and Child guide/tools to help create positive changes in your lives.

Title: Starving the Anxiety Gremlin (2012)

Author: Kate Collins-Donnelly

Synopsis: A Cognitive Behavioural Therapy Workbook for Stress Management for

Your People. A resource to help young people understand why they get anxious and how to 'starve' their anxiety gremlin. Practical tips & activities in the workbook can be used by young people on their own or with a parent or practitioner. It is an ideal resource for those working with young people who have anxiety, including, teachers, therapists, social workers and youth workers.

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Anxiety – Children Resources

Books for Children (Con’t)

Title: David and the Worry Beast: Helping Children Cope with Anxiety (2007)

Author: Anne Marie Guanci and Caroline Attia

Synopsis: Learning to deal with anxiety is an important step in a child's healthy emotional growth. Through David’s worries he is provided with support and techniques for controlling the "worry beast" within him.

Title: Have You Filled a Bucket Today? A guide to daily happiness for kids (2006)

Author: Carol McCloud

Synopsis: This book encourages positive behaviour by introducing the concept of filling a bucket with good actions. Your children will see how easy and rewarding it is to express kindness, appreciation and love on a daily basis.

Title: Growing up with a bucket full of happiness (2010)

Author: Carol McCloud

Synopsis: Are you aware you carry an invisible bucket which is filled with all of your good thoughts and feeling? This book gives you some tools to live a life filled with happiness. Easy to read and includes easy instructions to make your own

Bucket filling Journal.

Title: I Think, I am!: Teaching Kids the power of Affirmations (2008)

Author: Louise Hay, Kristina Tracy

Synopsis: Your thoughts create your life!' is the message of the book. Kids will learn that they can change from negative thoughts and words to those that are positive; between negative thoughts and positive affirmations.

Title: Friends for Life Workbook:

British Columbia, Ministry of Children and Family Development (MCFD)

Author: Dr. Paula Barrett

Synopsis: school-based, anxiety prevention and resiliency program. Workbook provides students with life skills that will strengthen resiliency and reduce the risk of developing an anxiety problem. Program levels: (K/Gr 1), Child (Gr 4/5) and

Youth (Gr 6/7).

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Anxiety – Children Resources

Books for Parents – Families – Educators

Title: Worried No More: Help and Hope for Anxious Children: 2nd

Edition (2005)

Author: Aureen Pinto Wagner Ph.D.

Synopsis: Dr. Wagner brings cognitive-behavioural strategies forward for both children and families. Worried No More is packed with information and valuable step-by-step guidance to help children cope with worry, school refusal, separation anxiety, excessive shyness, and more.

Title: Taming worry dragons: A manual for children, parents, and other coaches (2009)

Author: Garland, E. Jane; Clark, Sandra L

Synopsis: Explains what anxiety is and the different types of anxiety, including coping strategies and tips for parents and other coaches. This program can ideally be used with children from 8 to 12 years old but can be adapted for both younger and older children.

Title: Anxiety and the Gift of Imagination (2011)

Author: Robin Alter PhD

Synopsis: What can a parent do when constant worry and fear rob a child of the ability to enjoy life? This book explains how a runaway imagination can trigger needless anxiety, and offers practical tools and strategies for regaining in control.

Title: Growing Up Brave: Expert Strategies for Helping Your Child

Overcome Fear, Stress, and Anxiety (2012)

Author: Donna B. Pincus

Synopsis: Helps to identify and understand anxiety in children, outlines effective and convenient techniques for reducing anxiety, and shows how to promote bravery for long-term confidence.

Title: Freeing Your Child from Anxiety (2004)

Author: Tamar E. Chansky

Synopsis: Powerful, Practical Solutions to Overcome Your Child's Fears,

Worries, and Phobias

Title: Cool Connections with Cognitive Behavioural Therapy (2012)

Author: Laurie Seiler

Synopsis: A CBT based book/work book which is used to: Encouraging

Self-Esteem, Resilience and Well-Being in Children and Young People

Title: Modular Cognitive-Behavioral Therapy for Childhood Anxiety

Disorders

Author: Bruce F. Chorpita

Synopsis: Presents a logical approach for treating childhood anxiety using

Cognitive Behavioural Therapy (CBT). Especially: Part I and Part II

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Anxiety – Children Resources

Internet Based Resource Sites

eMentalHealth:

Mental Health Services, Help and Support In Your Community http://www.ementalhealth.ca/

PCMH:

Parents for Children’s Mental Health (Oakville Chapter) http://www.pcmh.ca/oakville

Oakville Trafalgar Memorial Hospital –

Mental Health Child & Youth Outpatient

Services http://www.haltonhealthcare.com/programs_otmh_mental.php

http://www.youthmentalhealthhalton.ca/

Anxiety BC - Resources Results Relief

http://www.anxietybc.com/

Provides self help tool kits, brochures and newsletters to support children and youth with anxiety concerns

Canadian Mental Health Association

http://www.cmha.ca/

Anxiety In The Classroom:

A resource for teachers and pre-service teachers with helpful links and ideas about childhood anxiety in the classroom. http://anxietyclass.blogspot.ca/2010/11/annotated-bibliography.html

Iris the Dragon – Let’s talk about Mental Health in the Classroom

http://www.iristhedragon.com/

Woodview – Mental Health & Autism Services

http://www.woodview.ca/

Rock – Reach Out Centre For Kids

http://rockonline.ca/

MAC Anxiety Research Centre

http://www.macanxiety.com/

Anxiety Disorders Association of Ontario (ADAO)

http://www.anxietydisordersontario.ca/

Anxiety Disorders Association of Canada (ADAC)

http://www.anxietycanada.ca/english/index.php

Kids Help Phone: info on panic & anxiety

http://kidshelpphone.ca/Teens/Home.aspx

Anxiety And Depression Association of America

http://adaa.org/

Children’s Mental Health Ontario

http://www.kidsmentalhealth.ca/

Talk Breathe Live

http://www.talkbreathelive.com/ http://www.raisingsociallyanxiouschildrenblog.com/

Ontario Centre of Excellence for Child and Youth Mental Health

http://www.excellenceforchildandyouth.ca/

Enter; key word search “anxiety” to find many good articles,

Article of mentionable note : We're All In This Together: Treating Anxious Children & Their

Families

Taking Care: Child and Youth Mental Health

http://takingcare.knowledge.ca/intro.html

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Anxiety – Children Resources

Videos and TV Series

Parent for Children’s Mental Health (PCMH) Outstanding Videos

On this site you will find many videos which bring to light the struggles journey of families coping with children and youth with mental health disorders.

To date there are 9 video posts

Viewable at: http://www.pcmh.ca/videos

Fighting Their Fears: Child & Youth Anxiety

By: Melanie Wood

National Film Board of Canada

NFB ID# 113C9104249

Viewable at: http://takingcare.knowledge.ca/intro.html

Health: How Kids Can Cope With Anxiety

By: Dr. Robin Alter

The Morning Show: Global http://www.globaltoronto.com/Pages/MorningSegment.aspx?id=6442598933

Childhood Anxiety and Imagination - Fresh Air

Fresh Air's Mary Ito talked with child psychologist Dr. Robin Alter about her new book,

"Anxiety and the Gift of Imagination” http://www.cbc.ca/player/Radio/Local+Shows/Ontario/Fresh+Air/ID/2276887129/

Age of Anxiety

CBC - Doc Zone: Anxiety is being called the disease of the 21st century http://www.cbc.ca/doczone/episode/age-of-anxiety.html#

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