3: Diagnostics and treatment of anxiety Flashcards
What is anxiety?
Overactivation of amygdala, and other bodily, cognitive and behavioral reactions in the abscence of danger.
What can you say about prevalence?
- Girls typically as much as boys, until adolescence, then more.
- Between 0 to 4 percent
Whats the difference between school refusal and school withdrawal?
Refusal is when kid’s skipping school.
Withdrawal is when parents keep the kid home
How to recognize anxiety in children and adolescents in clinical practice and at school? (8)
- Unrealistic and excessive concern about past or future events and own performance
- Need for confirmation
- Feel uncomfortable about themselves
- Somatic complaints without physical cause
- Restlessness and alertness
- Concentration problems
- Avoidance behavior
- Fatigue
What are Child risk factors for anxiety?
- Genetics
- Temperament
> emotionality, neuroticism, behavioral inhibition, trait fear - Cognitive factors
> overestimate danger, selective attention
What are Child risk factors?
- Genetics
- Temperament
> emotionality, neuroticism, behavioral inhibition, trait fear - Cognitive factors
> overestimate danger, selective attention
What are Child protective factors?
- Effortful control = focusing and shifting attention, and ability to inhibit behavior
What are Parents risk factors?
- Encouraging avoidance
- Facilitate negative interpretations of ambiguous sitiations
- Modelling anxious behavior
- Protect children highly
- Discourage discussions about negative experiences
What are School risk factors?
- Large schools, unsafe climate
- Bullying
- Change of school
- Strict teachers
What’s the best intervention for anxiety?
Cognitive behavioral therapy (CBT) is the most evidence-based prevention and treatment method.
What happens in CBT?
Take distance of thinking and try to have more helpful thoughts.
