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

HATS invites Hope residents to talk about addiction in the midst of opioid overdose crisis

First talk happening Thursday, Nov. 15 at Blue Moose Coffee House

Agassiz Harrison school bus driver starts petition to get seatbelts on school buses

Petition come on the tail of Transport Canada announcement to investigate school bus data

BC Ferries passengers wait to leave Vancouver Island after Remembrance Day

Traffic aboard BC Ferries slows after Remembrance Day long weekend

Gymnastics program on a roll at Hope rec centre

“Gymnastics can make such a difference in a childs ’ development”: instructor, Chelsea Currie

Hope mental health advocate shares story and message: ‘You are not alone’

During my twenties, I was hospitalized many times for mental illness. It… Continue reading

Calgarians vote ‘no’ to bidding for 2026 Winter Games, in plebiscite

Out of 767,734 eligible voters, 304,774 voted and 171,750 said ”no.”

B.C. MLAs urge Trudeau to call byelection immediately in Burnaby-South

Four NDP provincial politicians from British Columbia are urging Prime Minister Justin Trudeau to immediately call a byelection in the federal riding of Burnaby-South.

Provincial housing boss brought home more than $350,000 in 2017-18

BC Housing develops, manages and administers a wide range of subsidized housing options

Prince Charles turns 70 with party, new family photos

Charles is due to have tea on Wednesday with a group of people who are also turning 70 this year

Kuhnhackl scores 2 odd goals as Isles dump Canucks 5-2

Vancouver drops second game in two nights

Fear of constitutional crisis escalates in U.S.; Canadians can relate

Some say President Donald Trump is leading the U.S. towards a crisis

B.C.-based pot producer Tilray reports revenue surge, net loss

Company remains excited about ‘robust’ cannabis industry

Canada stands pat on Saudi arms sales, even after hearing Khashoggi tape

Khashoggi’s death at Saudi Arabia’s consulate in Istanbul further strained Riyadh’s already difficult relationship with Ottawa

Feds pledge money for young scientists, but funding for in-house research slips

Canada’s spending on science is up almost 10 per cent since the Liberals took office, but spending on in-house research is actually down

Most Read