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Laura Nabors - Anxiety Management in Children with Mental and Physical Health Problems

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Laura Nabors Anxiety Management in Children with Mental and Physical Health Problems
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Springer Series on Child and Family Studies Series Editor Nirbhay N Singh - photo 1
Springer Series on Child and Family Studies
Series Editor
Nirbhay N. Singh
Medical College of Georgia, Augusta University, Augusta, GA, USA

The Springer Series on Child and Family Studies addresses fundamental psychological, educational, social, and related issues within the context of child and family research. Volumes published in this series examine clinical topics with an additional focus on epidemiological, developmental, and life span issues. Leading scholars explore such factors as race and immigration, parenting, and the effects of war and violence on military families and unite a vast literature into a comprehensive series of related research volumes.

More information about this series at http://www.springer.com/series/13095

Laura Nabors
Anxiety Management in Children with Mental and Physical Health Problems
Laura Nabors School of Human Services University of Cincinnati Cincinnati - photo 2
Laura Nabors
School of Human Services, University of Cincinnati, Cincinnati, OH, USA
ISSN 2570-0421 e-ISSN 2570-043X
Springer Series on Child and Family Studies
ISBN 978-3-030-35605-7 e-ISBN 978-3-030-35606-4
https://doi.org/10.1007/978-3-030-35606-4
Springer Nature Switzerland AG 2020
This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed.
The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use.
The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This Springer imprint is published by the registered company Springer Nature Switzerland AG

The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

To My Family, With Gratitude for My Parents

Preface

This book addresses anxiety and its management. The focus is on managing anxiety when a child or adolescent has a comorbid mental health problem. The first chapter reviews anxiety in children, while chapter two presents evidence-based interventions for anxiety management. Five chapters present information on mental health problems and comorbid anxiety. The mental health problems include depression, substance use, Autism Spectrum Disorder, Attention-Deficit Hyperactivity Disorder, and Conduct Disorder (defined broadly to include conduct problems, such as Oppositional Defiant Disorder). There is also a chapter on anxiety and chronic illness, as internalizing problems can be a significant issue when children are coping with chronic illnesses.

I have an interest in the treatment of children, especially elementary school-age children. However, where appropriate, literature and information for adolescents is also included. Case studies typically are presented at the end of chapters to apply information from the field. Cases are fictional and represent ideas to help clinicians working in one-on-one sessions with children. Where possible, evidence-based treatment ideas are incorporated, usually within a modular approach to addressing key presenting problems for the child. Treatment of presenting problems brings a sense of relief for the child and family and, if successful, presents a base for moving forward to intervene to address other mental health issues and family problems.

I greatly appreciate the opportunity to develop this book. The impetus for writing the book came from noticing that more information on treatment of comorbid problems in children will advance our field. The book also reflects my belief in the ability of children and families to cope with and transform their lives. Children are resilient in nature, and treatment of anxiety in the early years may prevent long-term problems. It may also reduce occurrence of other types of mental health problems.

Laura Nabors
Cincinnati, OH
Contents
About the Author
Laura Nabors Ph.D.

is a professor in the School of Human Services at the University of Cincinnati. She is certified by the American Board of Professional Psychology in the area of child and adolescent clinical psychology and is a licensed psychologist practicing with children, adolescents, and their parents. She has more than 20 years of experience in research about childrens mental health and providing mental health services for children and their families. This book provides insightful ideas about the treatment of children with comorbid anxiety disorders and is a tool for clinicians in a number of disciplines including psychology, social work, family therapy, and counseling.

Springer Nature Switzerland AG 2020
L. Nabors Anxiety Management in Children with Mental and Physical Health Problems Springer Series on Child and Family Studies https://doi.org/10.1007/978-3-030-35606-4_1
1. Anxiety in Children
Laura Nabors
(1)
School of Human Services, University of Cincinnati, Cincinnati, OH, USA
Keywords
Avoidance cycle Anxiety-provoking Ruminate Separation anxiety disorder Generalized anxiety disorder Phobia Medication
Introduction

Anxiety is a normal response to stressful experiences and situations in the environment, and it is common in children and adolescents (Kodish, Rockhill, & Varley, ).

Anxiety is a multifaceted experience for children and adolescents with somatic symptoms as well as cognitive and emotional symptoms (Kendall, ). Exposure is important, and children need to work through their worries.

Anticipation of threat is a critical component for defining anxiety in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (American Psychiatric Association or DSM-V, ). It becomes critical to describe the reinforcement that is gained from avoiding the feared situation or stimulus to both the child and parents. A thorough explanation of avoidance behaviors helps them understand why the child needs to move through or power through his or her anxiety and deal or cope with feared situations and stimuli. Emotionally, the child feels fear and worry, and may sometimes describe panicking.

Prevalence

In epidemiological research , Merikangas, Nakamura, and Kessler ().

Anxiety disorders may be noticed during preschool or shortly thereafter. Research has shown that 9.5% of children between 2 and 5 years had anxiety disorders (Egger & Angold, ). Helping the child learn to regulate his or her emotional reactions, through breathingsmelling the roses and blowing out the candlesmay be one method for helping the child calm down. Then, helping the child go through and face anxiety-provoking situations may teach the child a model for powering through situations that provoke anxiety.

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