Anxiety in children

HANDLE CHILDREN ANXIETY 

·         Encourage your child to discuss his/her fears with you. Children, who are encouraged to talk about their concerns and feelings, will feel comforted and less alone. By listening to your child, you may also discover what the underlying problem is and therefore find ways to help. Suggest that your child write a story or draw a picture of scary things, and look for clues to help you understand his fears better.

·         Reassure and comfort your child. Children need lots of hugs and assurance that they are safe and understood. It is important to acknowledge their fears as being real to them and not trivialize their feelings. What children fear may seem silly to you, but that doesn’t make the emotion any less real.

·         Watch out for your own anxieties and worries. In some cases, anxiety is a learnt response and children may be picking up on your tensions. You are your child’s best model for behavior!

·   Teach your child relaxation techniques like deep breathing during anxious moments, counting to 10 or self-soothing statements. These methods can help to empower your child and will provide the inner confidence needed to overcome the fears.

·       Routines and plenty of warning before change can go a long way to making your child feel more secure and less anxious. Explain new situations in advance in a simple, friendly manner. (Try role playing to prepare for upcoming situations)

·      Remind your child of old fears that they overcame. This will provide the courage and confidence to face current fears. Always praise children’s efforts and successes when they do confront these anxieties.

·         Do not accommodate your child’s fears. If your child fears something, don’t purposefully avoid it as this will reinforce the need for escape and confirm the ‘reality’ of the danger. However, DO reassure your child and try to help him or her through the situation successfully.

·        Don’t dismiss feelings. Telling your child not to worry about her fears may only make her feel like she’s doing something wrong by feeling anxious. Let her know its okay to feel bad about something, and encourage her to share her emotions and thoughts.

· Listen. You know how enormously comforting it can be just to have someone listen when something’s bothering you. Do the same thing for your child. If he doesn’t feel like talking, let him know you are there for him. Just be by his side and remind him that you love him and support him.

·  Offer comfort and distraction. Try to do something she enjoys, like playing a favorite game or cuddling in your lap and having you read to her, just as you did when she was younger. When the chips are down, even a 10-year-old will appreciate a good dose of parent TLC.

· Keep your child healthy. Make sure he’s eating right and getting enough sleep. Not getting enough rest or eating nutritious meals at regular intervals can contribute to your child’s stress. If he feels good, he’ll be better equipped to work through whatever is bothering him.

·Avoid overscheduling. Soccer, karate, baseball, music lessons, play dates the list of extracurricular activities kids can take on is endless. But too many activities can easily lead to stress and anxiety in children. Just as grownups need some downtime after work and on weekends, children also need some quiet time alone to decompress.

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·         Consult a counselor or your pediatrician. If you suspect that a change in the family such as a new sibling, a move, divorce, or a death of a family member is behind your child's stress and anxiety, seek advice from an expert such as your child's school counselor, your pediatrician, or a child therapist. They can suggest ways to help a child talk about death, for instance, or help him through any other shift in the family.

·         Set a calm example. You can set the tone for how stress and anxiety in children and adults is handled in your house. It's virtually impossible to block out stress from our lives in today's high-tech, 24-hour-news-cycle world, but you can do something about how you handle your own stress. And the more you are able to keep things calm and peaceful at home, the less likely it is that anxiety in children will be a problem in your household

 THANKS 

By: Lubna Mehmood

           Counselling Psychologist

        Meerut U.P (INDIA)

Self Injury in children's

Causes of Self Injury in children's 

1. Pain.
 Self abuse can sometimes be a sign of pain, especially for a child that has difficulty communicating or that is diagnosed with a pervasive developmental disorder. Observe the exact location of abuse and investigate whether it is possible that the child may be in pain. If the child is hitting his or her head or ear, try to determine if maybe they are suffering from a headache or earache.
You may want to ask if your child hurts or use the sign for pain while pointing to the area. Whatever method of communication you would typically use or if you are using a picture exchange communication system (PECS) , try to create a picture for pain to help them become familiar with this concept. If you believe your child is in pain, contact your pediatrician or family doctor for further instruction.

2. Attention seeking behavior.
 Self injurious behavior can also occur as a way to get attention. If you notice that the child tends to head bang or do other types of injurious behavior usually when alone and someone frequently goes over to give them attention immediately after the behavior, then attention is probably the motivator. Putting the child on a schedule of frequent attention every 5-10 minutes can help with this. You may also find additional strategies for attention seeking behavior at the link above.


3. Access to desirable items.
 Some children will learn that when they can't have something they often gain access to preferred items after hurting themselves. Self injury for this reason can be very tricky. If you try to withhold the items following self abuse you will risk an escalation leading to severe injury. You may find some of the tips on how to say no to be helpful, but seek help from a professional if you suspect this is the problem.

4. During transition times. Some children might engage in self injurious behavior to avoid transitioning to a new activity or to avoid and/or delay undesirable activities. Applying the transition strategies provided at the link above can help with a problem due to this reason.

5. Self-Regulation. It may also be helping a child to achieve self-regulation if the child suffers from sensory processing disorder. Working with an occupational therapist to develop a sensory diet and implement other sensory regulation activities can help to prevent self injury due to this reason.

6. Escape from undesirable activities. A child that doesn't want to do something that is asked might discover that self injury stops requests to do things. Compliance strategies can help to avoid injurious behavior due to this reason, but additional professional assistance may be needed if the behaviors are frequent or severe.