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children & mental illness

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welcome to the emotional feelings network of sites

Are you a parent?
Click here if you are.

A not for profit network of self help websites.
 
Click on the new page - the network guide - to introduce yourself to what this self help network of websites has to offer you.

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Important Notice!

Under no circumstances does this info replace evaluation, diagnosis & treatment from a medical &/or mental health professional. If you believe there is a problem w/your child, please have your child examined by your primary care physician first & then evaluated by a mental health professional as your physician advises.

Recognizing, Identifying & Treating Mental Illness in Children

Anxiety disorders are the most common mental health problems that occur in children & adolescents. According to one large- scale study of 9 to 17 year olds, entitled Methods for the Epidemiology of Child & Adolescent Mental Disorders (MECA), as many as 13% of young people had an anxiety disorder in a year.

The most important message here at anxieties 101 for children & their parents is:

"Parents.... get to know your child(ren)... really well & love them until they know you do..."

Children have anxiety in their lives, just as adults do. They can suffer from anxiety disorders in much the same way. Stressful life events, such as:

  • starting school

  • moving

  • the loss of a parent

can trigger the onset of an anxiety disorder, but a specific stressor need not be the precursor to the development of a disorder.

Research has shown that if left untreated, children with anxiety disorders are at higher risk to:

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We're expanding... running out of valuable space, but won't take anything away from what's here either! A new site - anxieties 102... it's being constructed just for you. Hang in there & you'll be delighted to find the page links at the top & bottom of each of these pages within the site as soon as they become available for you!
 
Also there is now a site within the emotional feelings network of sites for information for parents concerning children! children 101 is a work in progress, but it has tons of valuable info!

I've included a new guide of what is available within the entire emotional feelings network of sites! Please check the navigational panel on the left and you'll see it listed right under the homepage!
 
....or you can just click here to go there now!

 
 
read my personal blog about living with emotional feelings!
 
 
and you can help support me in my writing ventures by visiting my health and happiness column for the Dayton, Ohio area by clicking here! Even though you don't live in the Dayton area you can get some great health and happiness ideas by reading my column and then looking for something similar in your area!
 
I do appreciate you so much!
 
 

Please feel free to e-mail me anytime with questions, comments, concerns or just to say hello! I'm available to vent to anytime!
 
kathleen
 
click here to send me an e-mail now!

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it's new! at in the news....
 

Safe Neighborhoods Keep Kids Leaner: New research shows that families who live in unsafe areas have fatter kids

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An Invitation to Really Get to Know your Child

 

Anxieties 101 is very concerned about the children of the world and their unheard voices....

 

Parents must learn how to: 

  • Recognize the symptoms of mental illness in your children

  • What to do once you think there may be a problem

  • How to be sure that you child has a good sense of self esteem

  • Parent a mentally and physically healthy child

Confidence grows in a home that is full of unconditional love and affection.

 

What emotions and feelings are you expressing to your child?

 

Are you modeling positive and healthy coping skills for your child to observe? Do you identify what you're feeling to your children?

 

What emotions and feelings are your children expressing at school? at home? with other kids? How much time are you spending teaching your child how to identify their emotions and cope in a healthy manner with negative or uncomfortable emotions?

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What you may or may not be aware of is this:
 
Children in the early years, from birth, are learning how to respond, react & cope with emotions & feelings. Every interaction with your very small child is a learning experience that is teaching your child how to develop into the person they'll be as an adult.
 
Parents, are you interacting with your child in a positive, nurturing & meaningful manner to instill healthy coping mechanisms, allowing them to recognize & identify their emotions & feelings?

dad baby

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It's very hard for adults to remember back into their childhood years to remember what they were afraid of, what made them nervous or what they worried about, if they got over it ever..... 

Some adults have the same fears they had when they were children except sometimes they are even more afraid than when they were children.

But adults do get all wrapped up in their own adult world, with severe stress, anxiety or depression & sometimes-addictive behaviors or negative coping skills.

Sometimes they fail to realize the stressors that surround their children.

Sometimes, parents try too hard to be good parents & they:

Parents don't seem to realize that they're stifling individuality, independence, creativity & healthy senses of self esteem by parenting like this!

Be honest with your own self evaluation concerning your

parenting skills!

click the above underlined link to visit the "parenting skills" page! go there now & learn just one thing new today, then come back tomorrow to learn something else!

it's easier that way!

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If your child is experiencing unusual signs or symptoms that may indicate the presence of extreme anxiety, loneliness, sadness, hyper-activity, depression, fear or anger:
 

Read over the following life stressor situations that may affect children:

  • evaluate your child's emotions and feelings as well as your own

  • are you experiencing relationship problems with your partner or spouse?

  • what kind of role model are you providing your child?

Look over the following situations, read more about how the anxiety disorders affect children, then take action!

Educate yourself about your parenting skills! Take your child for a physical examiniation and voice your concerns to your primary care provider!

Ask for a mental health referral if there's no physical illness found in the doctor's examination that could be producing the symptoms!

Visit your child's teacher and school - build a strong partner relationship with the teacher to support your child to the best of your ability!

It's your responsibility as the parent to be sure that your child's school administration is "held accountable" for their responsibility in making school a safe place for your child!

Look for opportunities for counseling at your child's school if you are unable to provide counseling yourself because you're uninsured!

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click here to read more about the devastation that stress can produce in your child's world...

Recognizing that there's something that isn't quite right about your child is how you can begin to find solutions. Take some time to concentrate on your child & understand how they're feeling.

Life stressors that can negatively affect children:

Life Stressor #1: Starting school, transitioning of grades in school, problems in school

A child experiencing more than just "school jitters" usually refuses to go to school on a regular basis, or has problems staying in school once there. This shouldn't be confused with truant children who avoid school because of antisocial behavior or delinquency.

"School Refusal/Avoidance"

School refusal is often a symptom of a deeper problem & if not treated can have a negative impact on socialization skills, self-confidence, coping skills & their education.

"Anxiety-based school refusal affects 2-5% of school-age children."

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It's common at times of transition, graduating from elementary school to middle school & from middle school to high school. Anxieties tend to differ among age groups, but the most common stressors are:

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frustrations at school can cause mental distress

Problems Could Occur with Schoolwork

Children with Separation Anxiety Disorder sometimes have problems with their schoolwork which is escalated by their disorder. Usually children with Separation Anxiety Disorder are very bright. The following could be problems your child is faced with and doesn't know how to cope with or express their frustrations about:

  • The work is too easy so he or she gets bored
  • The work is too hard and the child doesn't feel as smart as the other kids
  • Reading may be difficult for your child, but there are high expectations to read a lot
  • Your child may be getting farther and farther behind and it may seem to he or she that catching up is impossible

Finding out exactly what is troubling your child is very important to be able to learn to cope with the problems. Disliking school is sometimes because of a problem with people. Maybe a bully is bothering your child.

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Anxieties About Making Friends

Shyness

Guiding the Way to Social Skills

Just as some kids seem born to be wild, others are born to be shy.

"Shyness is often a symptom of a cautious temperament, which is hereditary, like blue eyes & curly hair,"

says Jerome Kagan, Ph.D., a leading shyness researcher & professor of psychology at Harvard Univ. in Cambridge, MA.

"Unless shyness is interfering with your child's life, don't think of it as a problem," says Dr. Kagan. ''Many children outgrow their shyness as they have more social experiences.

...You don't want your child to believe you're disappointed in him.''

But what if shyness has grown to the point where your child is:

  • having trouble making friends

  • is turning down invitations to classmates' parties 

  • never volunteers in class

Then his shyness is a problem that can result in both academic problems & an unhappy social life.

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''Shy kids have a hard time asking for help,''

says Lynne Henderson, Ph.D., director of the Palo Alto Shyness Clinic in Menlo Park, California. ''A study of college students found that the shy ones were less likely than their non-shy peers to seek information or use the career placement service.

...They had a disadvantage that was handicapping their careers.''

The experts agree: If your child's shyness is a real problem, the best time to start intervening is as early as possible. Here are some helpful techniques they recommend.

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Consider this information
if shyness has interrupted your child's lifestyle...
 

Don't put a label on it. ''If you label a child as shy, you only see his shy behavior & tune out what isn't shy,'' says Dr. Henderson.

That affects the child's behavior & also affects your perception of him, she notes. Instead, point out the child's strengths, says Dr. Henderson. ''Focus on the times when a child is being more social, rather than when he's being shy.''

Also, use some descriptive words that accentuate the strong points of his behavior, she suggests.

For example, a shy person might be better described as cautious, careful or a deep thinker.

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Ask for his feelings. Rather than scolding a child for being shy, reflect back to him in a neutral way what he may be feeling, suggests Dr. Henderson. ''If he's hiding behind your leg instead of playing with his friends, say, 'It seems like you're not sure you want to play right now.' Something like this might be an accurate reflection of the child's experience but not a negative label,'' says Dr. Henderson.

Create safe social encounters. Allow the child to invite a schoolmate over after school. Or let him pay a visit to the home of a child he seems to like. ''The more comfortable social experiences shy children have, the less anxious they become,'' says Dr. Kagan.

Be sociable yourself. "When your child is little, work on having people in the home,'' says Dr. Henderson. Invite friends for a weekend barbecue or a games night. Have another parent & her child over for lunch. ''This is often difficult in homes where both parents work, but a shy child needs to get used to an environment with other people in it, so it doesn't seem so frightening.''

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Stay on standby with your child. For a shy child, large gatherings can be terrifying.

''Don't just walk into a room full of people & leave the child standing there,''

says Dr. Henderson. ''Hold onto the child's hand until she gets established. Wait for her to let go.''

Dr. Henderson recommends that you walk over to another child or a group of children & start talking to them until the child starts talking, too.

''A shy child needs to feel secure & to know you're there if she needs you,'' he notes.

Encourage your child to talk at home. Establish a daily "good news" time. At dinner or bedtime, allow your child to share some good news of the day, suggests Dr. Henderson.

"Listen in a nonjudgmental way to what he describes as the high point of his day & then acknowledge his feelings. You might ask what he enjoyed about the experience, but don't load him up with praise."

This isn't a chance to give him an 'A' but a chance to share himself," says Dr. Henderson. "Being listened to & acknowledged with respect helps build self-confidence."

Follow the child's lead. Don't force your child into situations, says Dr. Kagan. Instead, listen carefully to what he says so you can help steer him toward activities & people he's shown an interest in.

"You're trying for gentle desensitization & that only works if the child is doing something he really wants to do."

Add the spice of variety. You never know what activity can spark the interest of a shy child. So be sure to explore the variety of activities available in your community, from swimming lessons to children's theater, suggests Dr. Henderson. This will help you & your child learn where his interests lie.

"It's like food. You provide all the basic food groups & the child then can pick & choose."

Enlist the help of a teacher. A receptive, empathetic teacher can help lure your shy child out of the corner into the thick of things or pair him with a friendly classmate who is more outgoing, notes Dr. Henderson. Be sure to let the teacher know you're trying to find activities that will help your child feel good about himself. And show your appreciation for the teacher's help. "If you're really appreciative to a teacher who looks out for your child, she'll do more of it," says Dr. Henderson.

Have a dress rehearsal. Novel situations are a nightmare for shy people, because they generally tend to overestimate danger, says Byron Egeland, Ph.D, professor of child development in the Institute of Child Development at the University of Minnesota in Minneapolis.

If your child is going to a party, starting in a new classroom or moving to a new neighborhood, talk about what's going to happen & go over some of the things he may see, hear or do, recommends Dr. Egeland. If possible, visit the new neighborhood or school w/your child, talk to his new teachers & also have him meet the other children.

"The more you can familiarize your child with a new situation, the less there is to fear,"

Stay cool, calm & casual. Even if you feel anxiety about a new situation, don't reveal that to your shy child when preparing him for new situations, suggests Dr. Kagan. "Many parents who were shy themselves are really worried their child will relive their unhappiness. They can get so tense that their anxiety is communicated to the child," he notes.

Share your experiences. Since 93% of the population acknowledges feeling shy at least once in a while, you no doubt have a story or 2 to tell about your insecurities. And those stories help a shy child to feel more confident in similar situations.

"Everybody feels shy sometimes. It's the human state," says Dr. Henderson. Share the ways you overcame your insecurities, she says. "Children need to see that this is just part of the everyday human struggle & that you can cope."

Don't demand perfection. "One of the problems we frequently have to work on in the shyness clinic is the belief that being good socially somehow means being perfect all the time," says Dr. Henderson.

Shy children need to find out that they can make friends without being perfect.

"People think they need to act like movie stars," he notes.

''But kids need to know that being friendly doesn't mean being perfect."

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About Bullies 

(click the underlined link for more info)

Children who are being intimidated, threatened, or harmed by bullies are often already experiencing either:

Those doing the bullying may go on to engage in more serious antisocial behaviors as adolescents and adults.

Bullies often have been the victims of bullying or other mistreatment themselves. It's important as the parent to understand all of these factors when dealing with your child.

Bullying happens quite often in schools.

Bullying can be extremely traumatic for your child.

Look at the different type of bullying so you can have an idea as what to ask your child if they're being bullied. It's very important to find out specifically what's upsetting your child.

Understanding Bullies and Being Bullied.....

Bullying behavior isn't always easy to define. Where do you have to draw the line between kids goofing around and being bullied?

Hostility and aggression directed at a victim who's physically or emotionally weaker than the bully are more obvious signs of bullying. The result of this behavior is pain and distress for the victim.

Bullying behavior comes in various forms:

  • Verbal bullying often goes right along with the physical behavior; i.e. name calling, spreading rumors and constant teasing

  • Emotional intimidation is closely connected to these 2 types of bullying. Wanting to be extremely cruel to your child, the bully may single out your child and exclude he or she from a group activity or threaten to do so

  • Racist bullying can be found in many ways; i.e. racial slurs, spray painting graffiti, mocking the victim's cultural traditions, or by making offensive gestures

  • Sexual bullying is characterized by unwanted physical contact or abusive comments

Bullies may be picking on others as a way of dealing with their own problems.

  • Maybe they need a victim that will make them feel powerful and more important

  • The bully could be seeking a way to be in control of something in his or her life

  • Using bullying as an attempt to achieve popularity and friends

Kids who are targets of bullies aren't always just different physically than the bully or other kids - they may be emotionally different than others:

  • Smarter or slower than their peers

Bullies pick these children because they know that they'll not fight back.

Signs to look for if you think your child is being bullied:

  • The sudden appearance of bruises

  • Missing belongings

  • Invention of mysterious illnesses

  • Stomachaches to avoid going to school

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Life Stressor #2 - Moving away from Home - Relocation

(click title of article to read the entire article)

Vijai P. Sharma, Ph.D

Moving to another town or community is stressful for any adult. It's even harder for children. On the one hand, moving means losing:

  • home
  • friends
  • a familiar school
  • neighborhood

to encounter unknown peers & teachers. It's a loss & children go thru the grieving process before they can positively adapt to such a change.

About 1 in 6 families move every year. People of 20 to 35 year of age relocate more than people of any other age group. As a result of that, a large number of pre-schoolers & school-going children move to new homes & schools leaving behind the familiar & comfortable surroundings.

Research indicates that moving is hardest on male teenagers & "at-risk children." At-risk children are those who have or had emotional, behavioral or academic problems.

Furthermore, if moving is caused by a stressful event, such as:

  • parental separation
  • divorce
  • unemployment

children are hit with a "double whammy." All such children deserve special attention.

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It's estimated that over 2 million children in the US alone, or slightly more than 3%, experience the death of a parent before the age of 18. 1

Almost 3/4 of these are anticipated.

The percentage is much higher when the statistics include experiences children usually have, such as death of grandparents, relatives, siblings, classmates & pets.

With tragedy occurring throughout the world, children are also exposed to loss of life many times over before they become adults. Thus it isn't possible to shield children or protect them from this reality, nor should adults try.

We have come to realize that in fact children do grieve & they can be helped w/the grieving process.

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Life Stressor #3 - The Loss of a Parent

Types of loss

The actual physical loss of a person is the primary loss experienced by the child. The meaning of the individual for the child will be felt in countless ways throughout the child's life.

However, death is more than loss of the individual's physical presence. Secondary losses or changes impact the child in significant ways.

These include:

The loss of a parent doesn't always mean death.
 
If your child has lost a loved one because of a death, the Grief Page  at Feeling Emotional, 4 - part of the emotional feelings network of sites - that offers you additional resource information that can help you & your children cope with the death of a loved one.
 
Much more often today, children are losing a parent to divorce. Although most parents don't believe that the child is actually "losing" a parent when they separate & divorce; children see things much differently.

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thinking about divorce or are you presently in the midst of a divorce?
 
By any definition, divorce is a horrible word.
 
There's no way to make the word sound better or make its effects less painful. According to the Websters Dictionary, divorce is:
 
"the legal dissolution of marriage or the termination of an existing relationship or union" (Websters 370).
 
This definition makes the word seem formal & doesn't accurately display the feeling that sweeps over a person when the word is mentioned. A better definition of the depth of the word comes from Whitney, holding a childs point of view,
 
"Divorce is like a thousand knives being thrown at ones heart or a slow, painful ride through Horror Mountain" (Through 1).
 
Her definition more accurately describes the feelings & emotions that go along with the mention of divorce. Most children would agree w/Whitneys summary of divorce.
 
To them, divorce is much more than a legal dissolution;
 
it's their whole world being torn apart & thrown on the ground in pieces.
 
One of the biggest problems that divorce imposes on children is the decision of whom to live with. Usually parents divorce when children are small & the children have no say in where they go.
 
Since the child can't choose, this leads to custody battles that end in split custody or joint custody. Whatever the choice may be between the two types of custody, either will prove detrimental to the child.
 
click here to read source by Jayna Solinger
 

Additional Reading:

Health Tip: The Impact of Divorce on Your Children

Don't involve them in parental disputes

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Children & divorce

With the current divorce rate is calculated to be between 40 & 60% for those recently married & up to 10% higher for remarriages; the majority of divorces involve children under the age of 18.

With divorce there are adjustments & challenges w/a large majority of the children dealing w/the transition as best they can to become competent adults.

However, up to 1/4 of children whose parents divorce experience ongoing emotional & behavior difficulties (as compared to 10% of children whose parents don't divorce).

About 1/3 of parents have difficulty in establishing a workable parenting relationship, even years after the divorce. Parental conflicts hurt the children & cause them problems in the adjustment period of the divorce. Take a look at these suggestions & keep them in mind when you are dealing w/children & divorce.

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When to seek help....

If your child begins to:

Act younger than their chronological age

Fear being apart from parent(s)

Begins to experience excessive moodiness

Begins acting out

Use manipulation

Appear sad and depressed often 

Feel guilty

Have sleep or eating problems

Show definite changes in their personality

Have academic and peer problems

Experience irrational fears and compulsive behavior

If you or your partner begin to:

  • Use the legal system to fight w/each other - very important to seek help for the children

  • Put down or badmouth the other parent

  • Use the children as message carriers or to spy on the other parent (children feel caught in the middle)

  • Experience high levels of conflict and children repeatedly try to stop the fighting

  • Rely on the children for high level of emotional support and major responsibilities in the home

  • Experience depression or anxiety

Tips for divorces involving children:

  • Tell children about the divorce together, if possible.

  • Answer childrens questions honestly.  Avoid unnecessary details.

  • Reassure children they're not to blame for divorce.

  • Tell children they're loved and will be taken care of.

  • Include the other parent in school and other activities.

  • Be consistent and on time to pick up and return children.

  • Develop a workable parenting plan that gives children access to both parents.

  • Guard against canceling plans with children.

  • Give children permission to have a loving, satisfying relationship with the other parent.

  • Avoid putting children in the middle and in the position of having to take sides.

  • Avoid pumping children for information about the other parent.

  • Avoid arguing and discussing child support issues in front of children.

  • Avoid speaking negatively about the other parent or using the child as a pawn to hurt the other parent.

FYI: You can check out this article... it may open your eyes! The affects of Fatherlessness on Children

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Childhood Depression Is Understudied and Under-treated
 
By Neil Osterweil, Senior Associate Editor, MedPage Today
Reviewed by
Rubeen K. Israni, M.D., Fellow, Renal-Electrolyte and Hypertension Division, University of Pennsylvania School of Medicine
September 09, 2005
Also covered by:
Forbes , MSN
 
Consider options for treatment of depression in children and adolescents that appear to be effective, on the basis of clinical studies. These options include cognitive behavioral therapy and interpersonal therapy, Prozac (fluoxetine) and perhaps, other selective serotonin reuptake inhibitors, although evidence for the latter is limited.

Inform parents or guardians of children who are taking antidepressant medications to look for signs of suicidal thoughts and/or behaviors.

Review
PITTSBURGH, Sept. 9 - What's increasingly well known is that depression often begins early in childhood. What's hardly known is what to do about it.

"The chronicity, morbidity and mortality associated with depression in youths make the current state of knowledge a cause for great concern," wrote Neal D. Ryan, M.D., in the Sept. 10 issue of The Lancet. "The clinician faced with a depressed child or adolescent can't in good faith merely suggest waiting for the healing effects of time."

But evidence for the efficacy of various drugs and psychotherapeutic interventions to counter depression in kids and teenagers is scant at best, said Dr. Ryan, a psychiatric researcher at the Western Psychiatric Institute and Clinic at the Univ. of Pittsburgh.

In the U.S., an estimated 1% to 2% of children from the ages of 6 to 12 years and about twice as many adolescents (13-18 years), suffer from a major depressive disorder. It's thought that as many as 25% of youngsters will have at least one episode of major depression before reaching adulthood, Dr. Ryan wrote.

Despite these figures, there are many fewer clinical studies of treatment for childhood depression compared with adult depression, due in part to fewer patients, less funding and fewer investigators specializing in this area.

When it comes to antidepressant agents used in adults, "because the market for these agents in youth is small and because typically the compounds are tested in youth late (so the compounds have little patent life remaining), there's little incentive to keep trying if early studies are either negative or borderline," he wrote.

"Therefore, assuming a particular compound works equally well in youth as in adult depression, the chances of obtaining an FDA indication for depression in youth are very much less since more than 1/2 of adult (and child/adolescent) antidepressant studies done in recent years haven't produced a significant effect."

So what does seem to work in this population?

Cognitive behavioral therapy was shown in one study to be superior to family therapy and supportive psychotherapy at alleviating depression.

But a second study, the Treatment for Adolescents with Depression Study (TADS), found that a combination of Prozac (fluoxetine) and cognitive behavioral therapy was the most effective means of treating teens with depression.

In this study, Prozac alone was almost as good as the combination therapy, with cognitive behavioral therapy contributing an additional 10% benefit.

Although tricyclic antidepressants such as Elavil (amitriptyline), selective serotonin reuptake inhibitors such as Prozac and Zoloft (sertraline) & specific norepinephrine reuptake inhibitor (SNRI) such as Strattera (atomoxetine) all appear to work equally well in adults, there's little evidence to support the use of any but the selective serotinin reuptake inhibitors (SSRIs) in kids, Dr. Ryan asserted.

"Although the separate studies are almost all quite small, considered separately or in aggregate there's simply no evidence of efficacy of tricyclic antidepressants for children and very little evidence of efficacy when considered overall in adolescents," he wrote.

"The available aggregate sample size is insufficient to completely rule out meaningful antidepressant effects for tricyclic antidepressants, but is sufficient to suggest less efficacy than is seen in adults and possibly almost no efficacy at all in youth."

There's also some evidence to support the use of Celexa (citalopram) & Paxil (paroxetine) in this population, although this evidence is weaker than that for Prozac. Serzone (nefazodone), which also appeared to be effective, has been withdrawn from the market.

SSRI's may be helpful for treating anxiety disorders that could lead to co-existing depression or exacerbate it. So it's a treatment strategy that deserves to be explored in controlled studies, Dr. Ryan commented.

The flip side of pharmacotherapy for childhood depression, however, is the potential for increased suicide risk. In 2004, the FDA & its European counterpart issued warnings that SSRI & SNRI antidepressants increase the risk of suicidal thoughts & behavior in children & adolescents.

Whether there's a net gain from SSRI use in children or an unacceptably high risk is difficult to determine from the data at hand.

"The important clinical question is how to maximize the putative net protective effect by keeping to a minimum any potential component of increased risk," Dr. Ryan wrote. "Such a model & approach is compatible with suggestions to increase monitoring of suicide-related ideation & behavior in adolescents treated with antidepressants."

He advocates a strategy focusing on aggressive treatment of anxiety disorders in children & teens to prevent progression to depression, improved screening & diagnosis & monitoring patients to ensure treatment compliance & completion.

"Cognitive behavioral therapy & interpersonal therapy are probably effective in the treatment of depression in youth," he wrote. "But clinicians trained to deliver these specific treatments are scarce or simply unavailable in many communities. Therefore, psychotherapy for depression in children & adolescents has a part to play but is not a panacea."

Related articles:

Although the term "depression" can describe a normal human emotion, it also can refer to a psychiatric disorder. Depressive illness in children & adolescents includes a cluster of symptoms, which have been present for at least 2 weeks.

In addition to feelings of sadness &/or irritability, a depressive illness includes several of the following:

  • Change of appetite with either significant weight loss (when not dieting) or weight gain

  • Change in sleeping patterns (such as trouble falling asleep, waking up in the middle of the night, early morning awakening, or sleeping too much)

  • Loss of interest in activities formerly enjoyed

  • Loss of energy, fatigue, feeling slowed down for no reason, "burned out"

  • Inability to concentrate & indecisiveness

  • Dizziness, Apathy & Social Withdrawal

Children & adolescents with depression may also have symptoms of:

  • They may have vague, non-specific physical complaints (stomachaches, headaches, etc.).

Depression Symptoms in Pre-Teens & Teens

  • Grouchiness

  • Inability to enjoy activities that were previously deemed "favorites"

  • Sulking

  • The use of phrases like, "Nothing matters anymore" "What Difference does it Make"

  • Trouble in School

  • Declining Grades

  • Poor Concentration

  • The Giving away of Possessions

  • The loss of a friend or loved one

sticks and stones will break my bones
clip_040stonedivider.gif
and names will always hurt me...

Behavioral Signals

Generally the world for small children is predictable & stable served by dependable people. Any disruption in stability causes stress. The two most frequent indicators that children are stressed are:

  • CHANGE in behaviors 
  • REGRESSION of behaviors

Children can change their behavior & react by doing things that are not in keeping w/their usual style. Behaviors seen in earlier phases of development such as thumb sucking & regression in toileting may reappear.

Age groups differ in reactions. For example, loss of prized possessions, especially pets, hold greater meaning during middle childhood.

Of concern to adolescents during/after a major disaster is the fear related to own body (intactness), disruption of peer relationships & school life. Adolescents feel their growing independence from parents & family is threatened.

At this time, it feels different since the family needs to pull together during this time & less independence is allowed.

sticks and stones will break my bones
clip_040stonedivider.gif
and names will always hurt me...

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What do I do if I think someone is abusing a child? (from childhelp.org)

If a child discloses that he or she has been abused by someone, it is important that you listen to them most of all.
DO NOT
•   Investigate
•   Ask leading questions (a question that suggests the answer or contains the information the questioner is looking for – That man touched you, didn’t he?)
•   Make promises
•   Notify the parents or the caretaker
DO
•   Provide a safe environment (be comforting, welcoming, and a good listener).
•   Tell the child it was not his/her fault
•    Listen carefully
•    Document the child’s exact quotes
•    Be supportive, not judgmental
•    Know your limits
•    Tell the truth and make no promises
•    Ask ONLY four questions
•    What happened?
•    Who did this to you?
•    Where were you when this happened?
•    When did this happen?
•    Asking any additional questions may contaminate a case!
     
Report it!
•    Call your local law enforcement agency
•    Call your local Child Protective Services Agency
•    Call the
24-Hour Childhelp® National Child Abuse Hotline and we will connect you to the appropriate agency.

Yelling at Children (Verbal Abuse) 
Benj Vardigan
CONSUMER HEALTH INTERACTIVE
AHealthyMe.com
 

You've no doubt heard the adage, "Sticks and stones may break my bones, but names will never hurt me!" Well it's not true. Name-calling hurts -- especially when the person doing it is a parent, a teacher, or a coach. Hollering and flashing your temper might strike you as a natural and effective form of discipline if you were brought up with it.

But for children it may cause emotional trauma that results in long-lasting harm.

Among other things, verbal abuse can undermine your child's self-esteem, damage his ability to trust and form relationships, and chip away at his academic and social skills.

In fact, current research shows that verbal abuse of children can be just as destructive emotionally as physical and sexual abuse and puts them in as much risk for depression and anxiety.

What is verbal abuse?

You may be verbally abusing your child if you are doing any of the following:

  • Name-calling, belittling, swearing, insulting. ("You are stupid." "You're a rotten kid.")

Indirect criticism, such as disparaging your child to your spouse, also hurts. Just because you're not berating your child directly doesn't mean he doesn't hear it and feel the sting.

  • Rejecting or threatening with abandonment. ("I wish you'd never been born." "I should put you up for adoption.") This kind of verbal abuse creates a sense that your child doesn't belong -- and isn't wanted -- in the family.
  • Threatening bodily harm. Studies have linked verbal aggression and physical aggression: A 1989 Harvard study found, i.e., that "parents who yell frequently are the ones most likely to hit frequently, and vice versa." Even if you don't act on violent threats, they may make your child fear you and distrust you.
  • Scapegoating or blaming. ("You're the reason this family is such a mess." "If I didn't have to take care of you, I could have a better life." "If you weren't so clumsy, your sister wouldn't have gotten hurt.") Your child will think he's a bad person who deserves to be unhappy.
  • Using sarcasm. Making a mocking remark, such as "Now that was smart" when he spills grape juice on the rug, might seem like a way to avoid direct criticism, but your child is perceptive enough to understand that you're demeaning him.
  • Berating your spouse. A study at the University of Maryland, Baltimore County, determined that children who see their parents verbally abusing each other are more likely to be depressed or anxious, and to experience more interpersonal problems of their own. Interestingly, the study also found that verbal aggression between parents was more traumatic to children than physical violence between parents.

How common is verbal abuse?

Reports are mixed. A study at the University of New Hampshire found that 63% of more than 3,000 American parents surveyed reported one or more cases of verbal aggression toward children in their homes.

However, a Child Protective Services study determined that only 6% of all child abuse cases involved "emotional maltreatment" (of which verbal abuse is the most common form). The fact that signs of verbal abuse are harder to recognize and prove than signs of physical abuse may account for the seemingly low number of "official" verbal abuse cases.

What are signs that a child is suffering from verbal abuse?

Negative self-image. This is the most common and pervasive effect of verbal abuse. Your child may say things like, "I'm stupid," or, "Nobody likes me." Or he may simply seem withdrawn, sullen, or depressed, all of which can be signs of a poor self-image.

In defining emotional abuse, the National Committee for the Prevention of Child Abuse says that it "attacks a child's... sense of self-worth."

Self-destructive acts. "Cutting" (using razor blades or knives to cut his own skin) and all forms of self-injury signal a problem, as do other reckless activities that put your child in danger.

Antisocial behavior. The New Hampshire study found that verbally abused children demonstrated higher rates of physical aggression, delinquency, and interpersonal problems. Your child may hit other children, frequently quarrel with his classmates, or be cruel to (or even torture) animals.

Delayed development. The slowdown may appear in your child's physical, social, academic, or emotional development. He may have difficulty making friends, fall behind in school, or engage in regressive acts such as rocking, bed-wetting, and thumb-sucking.

Does verbal abuse do any long-term harm?

Yes. Research shows that abused children are more likely to:

become victims of abuse later in life

become depressed and self-destructive later in life

develop anxiety

Why can't I seem to control my temper?

Most parents at some time find themselves feeling frustrated and angry with their children. This is normal. Occasionally they say things they regret -- to their children, their spouses, or their friends.

This, too, is normal. But if you find that you are routinely having angry outbursts or that whenever you're frustrated you lash out at those around you in the ways described above -- then you need to get help. (Please keep in mind that if you feel overwhelmed by your anger, you may want to consider getting help from a counselor, psychotherapist, or mental health professional trained in anger management.) Meanwhile, here are some ways to begin helping yourself.

To start getting a handle on your outbursts, try to understand the reasons behind your behavior. The following are some of the more common explanations for verbally abusive behavior:

a failure to understand that there are other ways to discipline and communicate with your child
the belief that verbal abuse is necessary as a form of "tough love"
an inability to control strong emotions
a history of verbal abuse by parents, teachers, and other adults

What can I do to avoid verbally abusing my child?

In moments of stress and anger, try to refrain from saying anything mean or sarcastic to your child. Remember, you're his main and most important role model. If you tend to fall apart, lose your cool, and act abusively at challenging times, you'll likely raise a child who does the same.

Here are some ways you can calm yourself down:

Take a "time-out." This method works as well for adults as it does for kids. If your child can be left alone, go to another room. If he's too young for that, try walking to the other end of the room. Then take a few slow, deep breaths, seeking to let go of the situation emotionally. Wait 5 minutes (or more if you need it) before talking to your child.
Share your feelings of resentment or anger with your spouse or a friend. Be sure to do this in private, where your child won't hear you and feel wounded by your words.
Try to deal only with the present rather than letting all the stressful incidents that have "piled up" overcome your emotions.

In addition, the American Academy of Pediatrics recommends using what it calls the RETHINK method to bring your feelings under control. RETHINK stands for:

Recognize your feelings.
Empathize with your child.
Think of the situation differently. (Try using humor.)
Hear what your child is saying.
Integrate your love with your angry thoughts.
Notice your body's reactions to feeling anger and to calming down.
Keep your attention on the present problem.

A study at Colorado State University found that parents who participated in a 6-week workshop based on this method became more effective at managing their anger.

What can I do to prevent someone else from verbally abusing my child or another child?

Always be aware of other influences on your child. Just because you have your temper under control doesn't mean that all the other adults in your child's life do.

Teachers, coaches, babysitters, siblings, older siblings of friends, and even other children's parents can harm your child by demeaning or humiliating him.

Make a point of asking your child about his relationships with other adults. Of course, he might not tell you if someone is verbally abusing him -- he might not even realize it. So you'll want to be on the lookout for signs of emotional turmoil:

may be part of the "code" you'll have to crack in order to figure out what's troubling your child.

If you feel that another adult is abusing your child or his or her own child, you can call the Childhelp USA National Child Abuse Hot Line at (800) 422-4453, for advice. If you're certain of the problem, contact your local Child Protective Services (CPS) agency to report it.

CPS professionals will evaluate the report, and if they deem it necessary, they will send someone out to talk with the alleged abuser. CPS will keep your report confidential, although you can make an anonymous report if you prefer. (But keep in mind that bogus anonymous reports are, unfortunately, quite common.)

Sometimes a family counselor or psychologist can assess your child for signs of verbal abuse. If you think the abuse is occurring at school, be sure to take your child to be evaluated by someone independent of the school.

Oftentimes your family doctor or pediatrician can help you with a referral. Do whatever is necessary to get your child away from the abuser -- if a PE coach is taunting him, i.e., ask that he be placed in a different class.

And be sure to make your concerns known to the principal, director, league officials, and so on.

What if I see a stranger verbally abusing a child in the supermarket or at the park?

Confronting a total stranger about parenting techniques is a very touchy endeavor. There are many different ways of parenting, and an approach that seems abusive to you may not be seen in the same light by others.

Be aware, too, that confronting a parent in an accusatory manner is liable to make her defensive and possibly more angry than she already is.

However, if you feel strongly that the parent is harming her child, and you need to say something, it's best to take a subtle, even empathetic approach rather than delivering a challenge. Many child advocates believe that in a public setting distracting the "abuser" will at least partly defuse the immediate situation for the child in danger.

Don't try to teach the parent, coach, or teacher how they "should" behave. Saying something like, "It's hard to know what to do, isn't it?" might be a good way to get the parent to step back and rethink her behavior, or at least calm down.

Remember, you just want to shift the focus off the child. Although some people may feel that distracting the adult from taking her anger out on the child seems to condone such behavior, it's only an attempt to ease the turbulence of the moment.

After all, a long-term solution is just not possible when you're dealing with a complete stranger in the middle of a grocery store.

-- Benj Vardigan is a senior editor for Consumer Health Interactive and the winner of an Outstanding Young Journalist award from the Northern California chapter of the Society of Professional Journalists.

click here to go to source site: source site

click here for the information source for the following info.

what is emotional abuse?

There is no universally accepted definition of emotional abuse. Like other forms of violence in relationships, emotional abuse is based on power and control. The following are widely recognized as forms of emotional abuse:

rejecting refusing to acknowledge a person's presence, value or worth; communicating to a person that she or he is useless or inferior; devaluing her/his thoughts and feelings.

Example: repeatedly treating a child differently from siblings in a way that suggests resentment, rejection or dislike for the child.

degrading
insulting, ridiculing, name calling, imitating and infantalizing; behavior which diminishes the identity, dignity and self-worth of the person.

Examples: yelling, swearing, publicly humiliating or labeling a person as stupid; mimicking a person's disability; treating a senior as if she or he cannot make decisions.

terrorizing
inducing terror or extreme fear in a person; coercing by intimidation; placing or threatening to place a person in an unfit or dangerous environment.

Examples: forcing a child to watch violent acts toward other family members or pets; threatening to leave, physically hurt or kill a person, pets or people she / he cares about; threatening to destroy a person's possessions; threatening to have a person deported or put in an institution; stalking.

isolating
physical confinement; restricting normal contact with others; limiting freedom within a person's own environment.

Examples: excluding a senior from participating in decisions about her or his own life; locking a child in a closet or room alone; refusing a female partner or senior access to her or his own money and financial affairs; withholding contact with grandchildren; depriving a person of mobility aids or transportation.

corrupting/exploiting:
socializing a person into accepting ideas or behavior which oppose legal standards; using a person for advantage or profit; training a child to serve the interests of the abuser and not of the child.

Examples: child sexual abuse; permitting a child to use alcohol or drugs or see pornography; enticing a person into the sex trade.

denying emotional responsiveness: 
failing to provide care in a sensitive and responsive manner; being detached and uninvolved; interacting only when necessary; ignoring a person's mental health needs.

Examples: ignoring a child's attempt to interact; failing to show affection, caring and / or love for a child; treating a senior who lives in an institution as though she / he is an object or "a job to be done."

Emotional abuse accompanies other forms of abuse, but also may occur on its own;

No abuse - neglect, physical, sexual or financial - can occur without psychological consequences. Therefore all abuse contains elements of emotional abuse;

Emotional abuse follows a pattern; it is repeated and sustained. If left unchecked, abuse does not get better over time. It only gets worse; 

Like other forms of violence in relationships, those who hold the least power and resources in society, i.e., women and children, are most often emotionally abused;

Emotional abuse can severely damage a person's sense of self-worth and perception;

In children, emotional abuse can impair psychological development, including:

  • intelligence
  • memory
  • recognition
  • perception
  • attention
  • imagination 
  • moral development

Emotional abuse can also affect a child's social development and may result in an impaired ability to perceive, feel, understand and express emotions.

how widespread is emotional abuse?

Only a few studies provide insight about the prevalence of emotional abuse in Canada. Emotional abuse is difficult to research because:
  • Its effects have only recently been recognized;
  • There are no consistent definitions and it is hard to define;
  • It is difficult to detect, assess and substantiate; and
  • Many cases of emotional abuse go unreported.

A recent study of Ontario investigations into child maltreatment found that, in 1993, 10% of investigations alleged emotional abuse.

In 1993, 39% of women in abusive relationships reported that their children saw them being assaulted.

In 1995, the Canadian Women's Health Test found that of 1000 women 15 years of age or over:

- 36% had experienced emotional abuse while growing up; 43% had experienced some form of abuse as children or teenagers; and

- 39% reported experiencing verbal/emotional abuse in a relationship within the last 5 years.

Statistics
 
Canada's 1993 Violence Against Women Survey showed that among ever-married or common-law Canadian women aged 18 to 65 years, emotional abuse is widespread. The study found that:

- 35% of all women surveyed reported that their spouse was emotionally abusive.

- 18% of women reported experiencing emotional abuse but not physical abuse in a relationship.

- 77% of women reported emotional abuse in combination with physical abuse. In one Canadian study on abuse in university and college dating relationships, 81% of male respondents reported that they had psychologically abused a female partner.

In 1995, a study of seniors' client records from various agencies across Canada found that psychological abuse was the most prevalent form of abuse. The 1990 National Survey on Abuse of the Elderly in Canada estimated that:

- 4% of seniors residing in private homes reported experiencing abuse and/or neglect;

- Questions about insults, swearing and threats were asked as a measure of chronic verbal aggression. The study showed that 1.4% of seniors experienced these forms of emotional abuse in the year prior to the study; and

- Chronic verbal aggression ranked as the 2nd most prevalent form of mistreatment following material abuse.

facts to consider

Emotional abuse of children can result in serious emotional and/or behavioral problems, including depression, lack of attachment or emotional bond to a parent or guardian, low cognitive ability and educational achievement, and poor social skills.

One study which looked at emotionally abused children in infancy and then again during their preschool years consistently found them to be angry, uncooperative and unattached to their primary caregiver. The children also lacked creativity, persistence and enthusiasm.

Children who experience rejection are more likely than accepted children to exhibit hostility, aggressive or passive-aggressive behavior, to be extremely dependent, to have negative opinions of themselves and their abilities, to be emotionally unstable or unresponsive, and to have a negative perception of the world around them.

Parental verbal aggression (e.g., yelling, insulting) or symbolic aggression (e.g., slamming a door, giving the silent treatment) toward children can have serious consequences. Children who experience these forms of abuse demonstrate higher rates of physical aggressiveness, delinquency and interpersonal problems than other children. Children whose parents are additionally physically abusive are even more likely to experience such difficulties.

Children who see or hear their mothers being abused are victims of emotional abuse.

Growing up in such an environment is terrifying and severely affects a child's psychological and social development. Male children may learn to model violent behavior while female children may learn that being abused is a normal part of relationships. This contributes to the intergenerational cycle of violence.

Many women in physically abusive relationships feel that the emotional abuse is more severely debilitating than the physical abuse in the relationship.

Repeated verbal abuse such as:

has long-term negative effects on a woman's self-esteem and contributes to feelings of uselessness, worthlessness and self-blame.

Threatening to kill or physically harm a female partner, her children, other family members or pets establishes dominance and coercive power on the part of the abuser. The female partner feels extreme terror, vulnerability and powerlessness within the relationship. This type of emotional abuse can make an abused woman feel helpless and isolated.

Jealousy, possessiveness and interrogation about whereabouts and activities are controlling behaviors which can severely restrict a female partner's independence and freedom. Social and financial isolation may leave her dependent upon the abuser for social contact money and the necessities of life.

Emotional abuse can have serious physical and psychological consequences for women, including:

  • severe depression
  • anxiety
  • persistent headaches
  • back & limb problems
  • stomach problems

Women who are psychologically abused but not physically abused are 5 times more likely to misuse alcohol than women who haven't experienced abuse.

Senior abuse is still a new issue and there is still little research in this field on emotional abuse.

We do know that senior emotional abuse and neglect can be personal or systemic and that it occurs in a variety of relationships and settings, including abuse by:

- a partner

- adult children or other relatives

- unrelated, formal or informal caregivers

- someone in a position of trust.

Seniors who are emotionally abused may experience feelings of:

These signs may be easily confused with loss of mental capability so that a senior may be labeled as "senile" or "incapable" when in fact she or he may be being emotionally abused.

Abusers may often outwardly display anger and resentment toward the senior in the company of others. They may also display a complete lack of respect or concern for the senior by repeatedly interrupting or publicly humiliating her or him. Not taking into account a senior's wishes concerning decisions about her or his own life is an outward sign of abuse.

detecting emotional abuse

Emotional abuse may be difficult to detect. However, personal awareness and understanding of the issue is key to recognizing it. The following indicators may assist in detecting emotional abuse.

possible indicators of emotional abuse

- depression

- withdrawal

- low self-esteem

- severe anxiety

- fearfulness

- failure to thrive in infancy

- aggression

- emotional instability

- sleep disturbances

- physical complaints with no medical basis

- inappropriate behavior for age or development

- overly passive/compliant

- suicide attempts or discussion

- extreme dependence

- under-achievement

- inability to trust

- stealing

- other forms of abuse present or suspected

- feelings of shame & guilt

- frequent crying

- self-blame/self-depreciation

- overly passive/compliant

- delay or refusal of medical treatment

- discomfort or nervousness around caregiver or relative

- substance abuse

- avoidance of eye contact.

legal intervention

Legal intervention in cases of child emotional abuse and neglect is governed by provincial and territorial child protection legislation.

All jurisdictions require that alleged or suspected child emotional abuse or neglect be reported to child protection authorities or the police. In some jurisdictions, failure to report child emotional abuse or neglect may result in a fine or imprisonment.

Emotionally abusive behavior such as:

  • repeatedly following the other person or someone known to her or him
  • repeatedly communicating, directly or indirectly, with the other person or someone known to her or him
  • harassing the other person with telephone calls
  • besetting or watching the other person's house or place of work
  • & / or engaging in threatening conduct directed at the other person or a member of her or his family is criminal harassment.

These behaviors must cause a person to fear for her or his safety or the safety of someone she or he knows.

Other forms of emotional abuse such as:

although serious, are not criminal behaviors and cannot be prosecuted under the Criminal Code of Canada.

what can you do?

If you are being abused, remember:

-You are not alone;

- It is not your fault;

- No one ever deserves to be abused; and

- Help is available.

if you suspect/know someone is being abused

- Listen;

- Believe;

- Support;

- Let the person know about available support services; and

- Report suspected or known child abuse or neglect to a child welfare agency or the police.

very important additional resources...
 
 
 
 
 
 
On the Brink of Anorexia:  Is your daughter just trying to lose a few pounds? Or is she flirting with anorexia because of a deeper emotional battle? With up to 60% of all teens dieting regularly, it may be difficult to tell. How can you help your child curb the weight obsession & develop a healthy body image? We talked with eating disorders expert Michael Strober, PhD, about girls on the brink of anorexia on Sept. 15, 2005
 
It's in the News
 
 
 
 
 

Breast-Fed Babies Handle Stress Better Later in Life Study: Much less likely to be anxious than those who had been bottle-fed

The Trouble With Boys: They're kinetic, maddening & failing at school. Now educators are trying new ways to help them succeed.

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children & mental health - you are here!
 
 

Children have anxiety in their lives, too.

 

Parents just don't expect anxiety to occur in their child. Because parents don't expect their children to suffer injuries to "their minds" anxiety disorders and depression in children often goes unrecognized.

 

After all, kids have so much these days. Maybe your child is enrolled in a regular sports program that you think should curtail all possibilities of physical or mental infirmities.

 

Maybe you're a "stay at home" mom and keep a strict eye on your child(ren), but do you really "Know your Child?" 

Another important factor is that children are always changing. They develop so quickly and learn so many things so quickly, that often it's difficult to determine whether a child is going thru a developmental stage or if they're experiencing a mental illness. 

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The unfortunate result is that the child's emotional problems go unrecognized and untreated. It's a fact that

1 child in 10 has a mental illness, but only 1 in 5 are recognized and treated.

Children "lack the maturity, experience and education that adults have," so they can't say, "Mom and Dad, I'm really depressed!"

"Children with chronic illnesses or disabilities are at increased risk for emotional and social problems because of added stress and developmental challenges.

The risk increases when their parents have adjustment problems or trouble accessing adequate health and education resources."

The Anxious Child
 
All children experience anxiety.
 
Anxiety in children is expected and normal at specific times in development; i.e., from approximately age 8 months through the preschool years, healthy youngsters may show intense distress (anxiety) at times of separation from their parents or other persons with whom they're close.
 
Young children may have short-lived fears, (such as fear of the dark, storms, animals, or strangers). If anxieties become severe and begin to interfere with the daily activities of childhood, such as:
  • separating from parents
  • attending school 
  • making friends

parents should consider seeking the evaluation and advice of a child and adolescent psychiatrist.

One type of anxiety that may need treatment is called separation anxiety. This includes: 

  • constant thoughts and fears about safety of self and parents
  • refusing to go to school
  • frequent stomachaches and other physical complaints
  • extreme worries about sleeping away from home
  • overly clingy
  • panic or tantrums at times of separation from parents
  • trouble sleeping or nightmares

Another type of anxiety (phobia) is when a child is afraid of specific things such as dogs, insects, or needles and these fears cause significant distress.

Some anxious children are afraid to meet or talk to new people. Children with this difficulty may have few friends outside the family.

Other children with severe anxiety may have:

Anxious children are often overly tense or uptight. Some may seek a lot of reassurance and their worries may interfere with activities. Because anxious children may also be quiet, compliant and eager to please, their difficulties may be missed.

Parents should be alert to the signs of severe anxiety so they can intervene early to prevent complications. It's important not to discount a child's fears.

If you're concerned that your child has difficulty with anxiety you should consult a child and adolescent psychiatrist or other qualified mental health professional. Severe anxiety problems in children can be treated.

Early treatment can prevent future difficulties, such as, loss of friendships, failure to reach social and academic potential and feelings of low self-esteem.

Treatments may include a combination of the following:

The information immediately below in this column describes the concerns raised with each life stressor in the left hand column. Read through the possibilities carefully & take notes to discuss your thoughts with your child's doctor at examination time!
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Separation Anxiety Disorder

Normal childhood anxiety when a parent separates from the child usually begins around the age of 18 months. Under normal conditions:

  • A child can be distracted from the separation & anxiety

  • There may be crying at first being left at daycare or pre-school, but the crying subsides when the child becomes engaged in his/her surroundings

  • After age 4 a child should be able to leave the parents without experiencing extreme anxiety

If not, the problem could be Separation Anxiety Disorder, which affects approximately 4% of children. The common age for Separation Anxiety Disorder to develop is age 6 to 9.

Separation Anxiety Disorder:

  • An experience of extreme anxiety when away from home or separated from parents or caregivers.

  • An extreme desire to be in contact w/missed persons

  • Excessive or extreme homesickness 

  • Feelings of misery at not being w/loved ones 

  • It's not uncommon for these children to have fears regarding the health & safety of their parents

Children experiencing Separation Anxiety:

  • Try to avoid going places by themselves

  • Refuse to go to school or camp

  • Are reluctant or refuse to participate in sleepovers

  • Follow their parents around

  • Make demands that someone stay w/them at bedtime

  • Wake in the night & go to parents' bed

  • Awake from nightmares about being separated from loved ones

Again, the most common ages for school refusal are between 5 & 6, & between 10 & 11. Children who suffer from school refusal tend to be average, or above average in intelligence.

In addition to physical symptoms, there can be behavioral symptoms, which can manifest as:

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Older children experience:

  • Stress that goes along w/transition from one school to the next

  • Added academic pressure in the higher grades as students begin to see their futures unfolding before them

Their behaviors may include:

  • Extreme preoccupation w/appearance

  • Sleeplessness

  • Rebellion

As w/younger children, it's important to keep the child in school, although they may fight it. Missing school reinforces anxiety, rather than alleviating it.

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Children with anxious temperaments are at risk of developing anxiety, depression & related disorders as adults.
 
Wisconsin emotion researchers have been studying defensive behaviors in monkeys to better understand the related temperament that may put humans at risk, including extreme shyness, excessive anxiety & exaggerated fearfulness.
 
The researchers have found that chronically fearful & anxious monkeys have specific patterns of brain electrical activity as well as elevated levels of 2 kinds of stress hormones.
 
Their latest study challenges the existing theory that the brain structure called the amygdala controls all fear & anxiety responses.
 
The findings show that in primates, the amygdala is involved in acute fear responses, but doesn't appear to play a role in anxiety responses that may be present from early in life & related to general temperament.
 
Source: The Science of Emotions

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Other forms of mental illness that develop in children & why....

Attachment relationships

Low-birth weight & temperamentally difficult babies may be more irritable, compromising a secure "infant-caregiver attachment."

Source: Healthy Generations

30% of children develop insecure attachment relationship w/their parents. This problem occurs when the attachment bond between child & parent is not established or is interrupted somewhere between birth & school age.

Normally a child feels secure when separated from the parents if the parents have been sensitive to their insecurities & recognize & meet the child's needs from birth. If this attachment isn't developed, problems may arise for the child & parents when separation is inevitable at school age.

Some problem behaviors that may occur include:

  • Excessive over-anxious clinging behaviors that continue to the point of distress, w/no other circumstances to explain the clinginess

  • A lowered ability to cope w/stress

  • Poor social relationships w/others at one extreme

  • Or when your child seems more affectionate w/strangers than w/family members - going to the other extreme

  • Open defiance shown by the child when you set limits

  • Your child begins to lie or steal despite your interventions & beyond the normal testing of children

  • When your child tries to be constantly manipulative, beyond the normal range for children

  • If your child displays anger that doesn't seem normal

  • Your child has difficulty regulating strong emotions

  • When you feel disconnected from your child for long periods of time

Reasons that the attachment process may be disrupted or not initially established are:

  • Parental illness
    • A Parent's Stroke Often Affects Children

      Behavioral problems, depression can be common reactions, study finds - read article by clicking here

  • Parental unavailability because of other life commitments

  • Serious illness of the child

  • Moving from foster home to foster home

  • Early years of their lives in orphanages

  • Inborn temperaments or disabilities

Infant behaviors such as:

  • Crying when separated from the parent

  • Wanting to be close or near to the parent

  • Using the parent as a secure base (always knowing where the parent is located)

  • Joyfully greeting the parent after separation

are attachment-based. Researchers have found that school-age children who are securely attached are more cooperative w/their parents, more inclined to competently explore the environment, & more likely to get along w/their peers.

What is anxiety? Anxiety is an apprehension, worry or concern about an uncertain future event or matter. It's often a normal, healthy reaction to anticipated experiences. Anxiety is as much a part of life as breathing & sleeping. It becomes a problem when concerns or anxiety are exaggerated & interferes w/daily living. Sometimes these worries & concerns can become so excessive that they cause physical symptoms, school problems & can become incapacitating.

Common anxiety & related problems among children w/Anxiety Disorders:

  • Fears of being away from Mom & Dad or of sleeping alone

  • Fear & avoidance of elevators, heights or water

  • Fear & avoidance of certain animals, insects

  • Unreasonable fear of needles or blood

  • Physical sensations like racing heart, troubles catching breath, dizziness

  • Panic attacks or feeling really scared out of the blue

  • Frequent prolonged worrying

  • Worries that are hard to control

  • Uncomfortable shyness

  • Reluctance to talk or interact or attend social events

  • Intrusive unpleasant thoughts

  • Need to repeat certain actions

  • Involuntary muscle movement

  • Repetitive vocalizations

  • Repetitive pulling of hair

Generalized Anxiety Disorder (GAD) & Social Anxiety Disorder (SAD) are more common in middle childhood & adolescence. Panic Disorder can occur in adolescence as well. As w/adults, depression has a high rate of co morbidity in children, especially among teenagers.

Psychodynamic theories suggest that panic disorder is caused by the inability to solve the early childhood conflict of dependence vs. independence 

 

"Behaviorally inhibited infants often are excessively shy & avoidant in early childhood, & show later anxiety & social phobia."

 

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Moving or Relocating?
 
Try some of these tips from the article linked above & by clicking here!
  • Prepare a child well in advance. Talk about the move as a family. Depending on the age of child, explain the move in such a way that he or she can understand & appreciate your reasons for moving.

  • Accept & acknowledge a child's feelings about losing friends & the familiar environment & about the changes the child will have to adapt to.

  • Involve children in making decisions that you consider affordable & appropriate for your child. i.e., involve the child in selecting articles for his/her new bedroom, study desk, other personal articles, etc.

  • Depending on the age of your children, assign them tasks to gather information about the new place, i.e., location of a gym, Y.M.C.A, schools in the area, etc.

  • Move during the summer, if possible, to minimize school -change problems.

  • Manage your own stress & try to stay calm around children.

  • Request the new school to provide a "buddy" to take the child around the school & introduce to other children.

  • Arrange for professional help if a child is at risk.

  • Arrange for additional tutoring for a child who has learning difficulties.

  • Ask your child how you can make this transition easier for him or her.
Children have a difficult time projecting themselves into another environment. They only see what they're giving up. 
 
It's important to never underestimate the effects relocation can have on children, even if one or several of them sailed thru the last move.
  • It's important that parents first of all explain to their children that they're moving, including the reasons why. When questions & concerns are raised by children, parents should listen very carefully, addressing each issue in a meaningful way.

Children adjust, or don't adjust, in different ways & at different speeds. Parents need to clearly watch their children's behaviors for at least the first 6 months.

When children are miserable & lonely, a day at school can seem like an eternity.

  • Parents have to pencil school visitations into their schedule, no matter how busy they are. During these visits they can speak to the teachers & visit class activities to see for themselves how their children are adjusting.

  • Another means to develop awareness is to hold frequent family meetings. These get-togethers will provide an opportunity for the entire family to talk about their new location, school & work while sharing their feelings & challenges.

Children who frequently relocate repeat grades more often & experience more behavioral problems vs. children who seldom or never move.

Children can form negative perceptions of any part of a move, not just from what they hear from their parents & friends, but from what they do not hear.

If you are making an international move, click here, this article is for you....

Do you understand what your divorce is doing to your child?

What Causes Stress for Children?

1. The family they have always known will be different. One of the biggest fears for children is change. With divorce, changes will occur in many household responsibilities. Children may have to adjust to:

  • new schedules
  • new homework
  • mealtime
  • bedtime routines

They may no longer have contact with some friends and extended family members (such as grandparents or cousins).

2. Loss of attachment. Children become attached to parents, brothers, sisters, and pets. Changes in how much contact occurs with any of these can cause some distress.

  • Having a different bedroom and being away from familiar possessions also create stress.

3. Fear of abandonment. Children fear that if they have lost one parent, they may lose the other.

  • they may blame themselves
  • feel unlovable
  • not feel safe
  • they worry about who will take care of them 
  • they worry about who'll pick them up from child care or from school

Even children whose parents aren't divorcing may hear friends talk about divorce and create confusion and fear for themselves.

4. Hostility between parents. Arguments and tension between parents may make children feel:

Trying to make the children take sides or turn against the other parent creates confusion for the children and places them in the middle of an adult struggle.

It's important to let the children make up their own minds about their parents. Children's reactions to stress may vary from relief and complete acceptance to great sadness, anger, or anxiety. Parents will see signs of children's stress in many of their words and actions.

click here for source

Children & depression .... it's serious

Untreated depressed newborns grow into depressed infants. These infants are slower to learn to walk, weigh less & are less responsive to others. Left untreated, depressed infants grow into depressed toddlers. They then start preschool & have behavior problems, such as aggression, are mean & continue to show brain activity suggestive of chronic depression.

It is likely that when left untreated, a depressed child grows into a depressed adolescent who is more prone to behavior problems. The cycle can continue from adolescence to young adulthood to parenthood, & remain unbroken in many cases. It's a proven fact that mothers experiencing depression can expect their children to have a very high risk factor of becoming depressed also.

10/23/03 Helping Young Girls Avoid Depression
 

Model helps identify those at greatest risk in puberty

(HealthDayNews) -- A new model that looks at genes & environment to identify depression & anxiety in young girls has been developed by researchers at Virginia Commonwealth University (VCU).

The method could help better identify young girls who are at high risk for depression once they enter puberty & begin early intervention. It is outlined in a special October issue of the Journal of Child Psychology and Psychiatry.

This is the first model that simultaneously considers 3 ways that genes linked to anxiety in young girls influence depression when the girls reach puberty:

  • Genes that influence anxiety at a young age increase the liability of a child for developing later depression.
  • Girls at genetically high risk for anxiety are exposed disproportionately to adverse life events, such as bad grades or parents' divorce.
  • Girls with a higher genetic liability & exposure to adverse life events are more sensitive than other girls to the damaging effects of their environment.

"Genes do play a role in determining why one person gets depression & one person doesn't, but the direct effect of the genes isn't that large," Judy L. Silberg, an associate professor of human genetics & a researcher at VCU's Virginia Institute for Psychiatric & Behavioral Genetics, says in a prepared statement.

"Finding the genes is important, but it is not the only positive contribution that genetically informative studies can make in understanding the mechanisms underlying behavioral development. Genes explain about 30% of the difference in people. There are more complicated mechanisms at work."

Silberg says she and her colleagues found genetic factors have different effects at different stages of a person's development.

"A common set of genes can first manifest as anxiety in little girls. When those girls enter puberty, that anxiety can turn into depression. Moreover, the same genes that affect early anxiety increase the girl's risk to exposure to depressing environments & moreover, how sensitive they will be to those environments," Silberg says.

"Girls with a genetic liability to anxiety in middle childhood are, therefore, subject to a 'triple hit,' greatly increasing their risk to depression in adolescence."

More information

Here's where you can learn more about depression.

Depression can strike at any age, including in childhood. Studies in the US show that:

  • 1.8% of preteen children
  • 4.7% of teenagers (14 to 17 years old)

have some form of depression.

The most critical environment influencing children's mental health is the family.
 
Parental depression & other forms of psychopathology are associated w/poor caregiving, ineffectual discipline & monitoring, excessive irritability & criticism, possible child neglect, & social modeling of ineffectual coping.
 
It is often difficult to tear apart the effects of the child's family environment from the genetic predisposition for mental disorder, since 20% to 50% of depressed children have a family history of depression.
 
Witnessing parental discord, family conflicts, & domestic violence are toxic for children at all ages. Children often model this aggressive behavior, may become entangled in these family conflicts as they get older, develop behavioral problems, associate w/anti-social peers, fail in school, & show early delinquency.
 
Children who are physically or sexually abused by family members or others are at risk for psychiatric disorders such as post-traumatic stress disorder, conduct disorder, depression & impaired social functioning.

Psychological maltreatment occurs more frequently than physical maltreatment & it is associated w/a range of mental disorders. Family communication characterized by high levels of criticism & contempt (called expressed emotion) is associated w/an increased probability of mental health problems.

Exposure to stressful life events places children at risk for mental disorders. Some life stressors occur w/in the family, such as parental death or divorce. The age of the child when these events occur, the degree to which a childs life circumstances are permanently affected, & the availability of coping resources influence child outcomes. Family economic stress can affect children's mental health as evidenced in studies of the Great Depression & the farming crisis, particularly when family conflict, parent mental health problems & alcohol abuse emerge.

Source: Healthy Generations

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Obsessive-compulsive disorder in children....

Obsessive-compulsive disorder, or OCD, involves one or more of the following behaviors:

  • Anxious thoughts or rituals you feel you can't control

  • Persistent, unwelcome thoughts or images

  • An urgent need to engage in certain rituals

  • Obsessions, for example w/germs or dirt, causing repeated episodes of hand washing

  • Another example: filled w/doubts & feel the need to check things repeatedly

  • Possible frequent thoughts of violence

  • Possible fear that you will harm people close to you

  • Experiencing uncontrollably long periods of time touching things (rearranging) or counting

  • Preoccupations w/order or symmetry

  • Persistent thoughts of performing sexual acts that are repugnant to you

  • Troubled by thoughts that are against your religious beliefs

The disturbing thoughts or images are called obsessions, & the rituals that are performed to try to prevent or get rid of them are called compulsions. There is no pleasure in carrying out the rituals you are drawn to, only temporary relief from the anxiety that grows when you don't perform them.

OCD affects more than 2 % of the population or 5 million people. With 1 out of 50 experiencing OCD, it is more common than such severe mental illnesses as schizophrenia, bipolar disorder, or panic disorder.

OCD strikes people of all ethnic groups. Males and females are equally affected. The social and economic costs of OCD were estimated to be $8.4 billion in 1990 (DuPont et al, 1994). People can be so ashamed of their compulsions and obsessions that they refuse to seek treatment or allow anyone to know they were dealing with OCD.

Although OCD symptoms usually begin during the teen years or in early adulthood, recent research shows that some children develop the illness at earlier ages, even during the preschool years. Studies also indicate that at least 1/3 the of cases of OCD in adults began in childhood.

Experiencing OCD during early stages of a child's development can cause severe problems for the child. It is important that the child receive evaluation & treatment by an experienced mental health professional to prevent the child from missing important opportunities because of this disorder.

Children Experiencing Trauma...
Could they develop PTSD?
Children proceed through a variety of stages following a trauma. The following stages have been identified as stages one might expect following a disaster.
  • Terror - Exhibits for children through crying, vomiting, or bodily discharge, becoming mute, loss of temper, or running away.
  • Rage, anger - Adrenaline release, tense muscles, heart rate increases.
  • Denial - Adults may exhibit denial differently than children. Some behaviors include feeling numb, blocking off pain & emotion, dreaming, feeling removed from experiences, or no feelings at all. Children may withdraw into uncustomary behavior patterns. One study reported avoidance & resistance to participating in art therapy by not drawing anything related to the actual disaster (Newman, 1976). Behaviors may appear non-responsive & be overlooked.
  • Unresolved grief - Unresolved grief could move into deep depression or major character changes to adjust to unresolved demands of grief & trauma. A child may stay sad or angry, be passive or resistant.
  • Shame & guilt - Children do not believe in randomness & may even feel at fault after a disaster. Shame is one's public exposure of vulnerabilities. Guilt is private. There is a need to resolve these feelings, regain a sense of control, gain a new sense of independence & feel capable.

The effects of trauma in childhood can be found both immediately & after a long period of time. Trauma changes those involved. Knowing what to look for in children can lead caring adults to seek professional assistance.

Signs of Fear

  • Nervous mannerisms
  • Shyness
  • Withdrawal
  • Aggressive behavior 
  • A change in  normal eating & sleeping patterns
  • Playing sick
  • Feeling anxious regularly 
  • Fear of school

Parenting 101

Parenting Tips
 
Communicating with your Child
 
Encourage children to talk:
Your child may have a mindful of thoughts that they want to share with you, but because of their fears, communication skills, vocabulary, & developmental stage; it may be difficult for the child to initiate the conversations.
 
Pick a time during the day that you can sit and ask your child, "How are you feeling today?" "What was your day like at school?" "I am hear to listen to you if you would like to talk about how you are feeling today."
 
Allowing them to know that you are willing to listen to them & discuss how they feel, allows a child to feel:
  • Important
  • Validated in their Feelings
  • They can communicate with you
  • Cared about & Loved
  • They can trust you

Validate the childs feelings.

Do not minimize a child's concerns. Let him/her know that serious acts of violence are not common, which is why incidents such as the Sept. 11 terrorist attacks attract so much media attention.

Allow your child to feel whatever emotion that is being experienced. It may be difficult to change old habits, but don't tell your child that he or she "shouldn't" feel that way.  

Instead, empathize w/your child & offer validation by telling your child, "I have felt like that before. When I was very afraid, it was hard for me to talk about it, but once I did, I felt better & less afraid."

Everyone worries, so don't tell your child they "shouldn't worry." Instead ask what the child is worried about & go from there. "I can understand why you are worried about that, let's talk about it."

Allow your child to experience his or her feelings & help them to identify what they are feeling. This is a very important step in their development.

Talk honestly about your own feelings. It is important for children to recognize they are not dealing w/their fears alone. 

It is reassuring for kids to hear you tell them how you have felt in the past about the emotion or fear they are feeling. If you don't know the answer to a question about their fear, don't be afraid to tell them that you just don't know the answer.

Always remind your child that you are happy that the two of you talked about what the child was feeling. Reassure your child that adults feel the same way sometimes. Remember to acknowledge to them that adults are always watching out for them and trying to keep them safe.

Recognize behavior that may indicate your child is concerned about something that they're feeling. Younger children may react to a situation that caused them fear or worry, but don't have the ability to initiate conversations about it.

Their fear or worry may come out in signs of different than normal behaviors. This is why it's so important to get to know your child.

kat's sidebar: If you're experiencing depression or other mental illness yourself, or if you're undergoing a divorce, have a substance abuse problem or are in a dysfunctional relationship involving abuse...

you may not recognize the behaviors of your child(ren) as being unusual... get help... your child's future depends on it as well as your own!   kathleen

If something happened at school that disturbed your child, it may cause your child to want to avoid going back to school.  Behavior such as bed-wetting, thumb sucking, baby talk, or a fear of sleeping alone may intensify in some younger children, or reappear in children who had previously outgrown them.

Teens and adolescents may minimize their concerns outwardly, but may become argumentative, withdrawn, or allow their school performance to decline.

Ask your child if you see peculiar behavior, if there's something on their mind that's bothering them. Ask your child if something happened at school or outside while the child was playing that was disturbing. It's important to alleviate as many fears as possible by talking about the fear, worry or emotion

personal note: Your child(ren) will talk to you if you allow them a safe environment to do so. Be sure to visit the safe page to read about feeling safe.

Empower your child to take action regarding their