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Anxiety Disorder

Parents may notice that their child is fearful or nervous. This can be associated with a stressful event, such as public speaking or writing a test. It is normal for a child to worry or feel nervous about these single events.

Anxiety is defined as a feeling of unease. When the level of anxiety is great enough and persistent enough to interfere with everyday activities, it is considered an Anxiety Disorder.

Types and Symptoms of Anxiety

Agoraphobia

  • persistent avoidance of places or situations in which one feels trapped or fears having a panic attack and/or being unable to escape the situation
  • can be so debilitating that some people become house bound
  • can include avoiding elevators, crowds, busy streets, traveling, using public transportation, driving or being alone

Generalized Anxiety Disorder (GAD)

  • many worries and fears
  • tense muscles, a restless feeling, becoming tired easily, having problems concentrating, trouble sleeping
  • a need for approval

Panic Disorder

  • sudden onset of intense apprehension, fearfulness or terror
  • may include shortness of breath, dizziness, unsteady feelings, heart palpitations, trembling or shaking, sweating, chest pain, choking, feelings of unreality, fear of dying or going crazy
  • each occurrence usually lasts only a few minutes

Phobia

  • extreme fear of a specific thing or situation (e.g. dogs, insects)
  • fears cause significant distress and interfere with usual activities

Post-Traumatic Stress Disorder (PTSD)

  • fairly rare in children
  • begins after one or many episodes of serious emotional upset
  • may include jumpiness, muscle tension, being overly aware of one’s surroundings
  • nightmares and sleep problems
  • sometimes flashbacks when events are triggered

Separation Anxiety

  • constant thoughts and intense fears about the safety of parents and caretakers
  • refusing to go to school
  • frequent stomach aches and other physical complaints
  • extreme worries about sleeping away from home
  • being overly clingy
  • panic or tantrums at times of separation from parents

Social Anxiety

  • significant anxiety in certain types of social or performance situations
  • fear the evaluation or judgment of others
  • avoidance of public washrooms, eating in restaurants, writing in public
  • may cause panic or anxiety attacks
  • few friends outside the family

Useful resources/links for ANXIETY:

Anxiety Disorders Association of Ontario - www.anxietyontario.com 
Anxiety BC - www.anxietybc.com
American Academy of Child and Adolescent Psychiatry (AACAP) - www.aacap.org 
Canadian Mental Health Association - www.cmha.ca 
Children’s Mental Health Ontario - www.kidsmentalhealth.ca 
Hamilton Health Sciences - www.macanxiety.com 
kidsLINK - www.kidslinkcares.com  - via Front Door – 519-749-2932 
London Health Sciences – Pediatric Outpatient Department -519-685-8500 x77553
Mind Your Mind - www.mindyourmind.ca
Mood Disorders Parent Support Group of Waterloo Region email: kidsmood@gmail.com 
Offord Centre for Child Studies - www.knowledge.offordcentre.com 
Parents for Children’s Mental Health parent support group – 519-746-5437, www.PCMHwaterloo.com or e-mail: parent.advocacy@hotmail.com 
University of Waterloo Psychology Department, Centre for Mental Health Research – 519-888-4567, Ext.33842; www.cmhr@waterloo.ca