Changes
and transitions—especially during back-toschool time—can be stressful for
children. Children generally show signs of stress based on their age and
maturity:
Children in early-elementary school often worry about
separation from a parent and may become clingy with parents.
Children in
mid-elementary school may start worrying about how well they fit in or how
they stack up against others in terms of academics, sports and social standing.
Worries about natural disasters, their own health and safety, or the safety of
others are also common.
Pre-teens and teenagers are consumed with
how they fit in and often feel stress about academic performance or social
evaluation and acceptance. They may also worry about decisions they made in the
past and conflicts they perceive in the future.
Parents of younger children can help by asking what they are most concerned
about and then help demystify the cause of their worries. For example, in
response to back-to-school worries, it may be helpful to drive by the school,
meet the teacher in advance or arrange play dates with classmates. Parents of
older children can help by inviting the child to take stock of his or her
achievements in the past few years to help boost confidence.
Anxiety: Cause for concern
According to John Piacentini,
Ph.D., a clinical child psychologist and director of the Child OCD, Anxiety and
Tic Disorders Program at UCLA, an estimated 10-15 percent of children and teens
suffer from a formal anxiety disorder. Parents who suspect that their child has
a more serious anxiety should look for subtle changes in the child’s behavior
and should pay close attention if they notice that their child continues his or
her unusual behavior longer than a few days.
According to Dr. Piacentini, when children start avoiding certain situations,
that’s a red flag. “Children with anxiety disorders try to avoid the
stress-inducing situation at all costs,” he explains. Typical warning signs that
may signal an underlying anxiety disorder may include:
• Avoiding friends •
Displaying temper tantrums or aggressive behavior
• Refusing to attend
birthday parties or other social events
• Seeking more parental approval
than normal
• Refusing to attend school
• Being unwilling to commit to a
group, such as a sports team
• Complaining frequently of physical symptoms
such as stomachaches and headaches
• Initiating conflicts at home
Parents can help
“Parents should begin by talking to
their child in a non-judgmental way to try to find out what their child is
really concerned about,” explains Dr. Piacentini. For example, a child may
refuse to separate from a parent after hearing about a death in a friend’s
family or after watching a tragic story on the evening news. “It is quite common
for external factors, such as a medical illness or injury or divorce to manifest
itself as anxiety in children,” he says. Parents can help by reassuring their child and then helping to generate positive thoughts about school or an upcoming event. “Help give the child some control by discussing the scary situation ahead of time and creating a ‘game plan,’” he says.
If positive reinforcement and coping
mechanisms fail, a more formal evaluation for an anxiety disorder may be
indicated. Effective treatments—such as cognitive behavior therapy and
medication— help children regain control over their lives.