Separation anxiety disorder
In Shakespeare's above quote, Juliet declares her love for
Romeo and cannot wait until tomorrow when they meet again. Children with a separation anxiety disorder are also unable and unwilling to go to bed for fear
of getting away from their parents. However, the reasons for not wanting to get
away from their parents are different in children than Juliet in the famous
play.
What is a separation anxiety disorder and why does it happen?
First, it is important to understand that children
experience a normal stage of separation anxiety. I always make it clear to
friends and family that if their 9-24-month-old baby cries when the parent is
absent or when a stranger comes to the room, this is a good thing. It is a good
thing because crying is the result of anxiety when encountering something new
that can happen between an infant and a mother. This is a milestone in
evolution because cognitive development has reached the level where an infant
knows the difference between familiar people and strangers. In addition, the
infant learns what is familiar and what is not familiar in their environment.
When children start going to school for the first time, they
may feel some anxiety about being separated because they adjust to staying
outside the home for the first time.
Separation anxiety disorder becomes a serious problem when
it interferes with the child's ability to go to school or bed or in any new
location or without the parent.
Symptoms of a separation anxiety disorder (Diagnostic and Statistical Manual IV:
- Frequent distress and anxiety when separating from home and parents.
- Always worry that something terrible will happen to parents when there is separation.
- He refused to go to school for fear of moving away from home and parents.
- Refusing to go to sleep for fear of losing parents or separating them.
- Parents follow up from one room to another for fear of separation and loneliness.
- Constant complaints about headaches, stomach pain, nausea and vomiting, etc. when anticipating separation.
In addition, these problems persist for at least four weeks
and interfere with the child's ability to work in a school in terms of learning
and socialization.
Diagnostic problems:
A. Younger children do not talk about their fears and anxieties
or express them verbally. Therefore, it is important for parents to be alert to
the above types of symptoms. If there is any doubt, parents should ask for
their child's evaluation and diagnosis.
B. Separation anxiety disorder can be difficult to diagnose
because there is interference with other anxiety disorders. For example, social
phobia or a fear of being with other children can be confused with separation
anxiety. Then, too, a stressful event can upset any child or adult. The problem
is not a temporary worry. Instead, persistent anxiety and/or weeks or months
indicates a problem.
C. There are many reasons why a child refuses to go to a school
that has nothing to do with separation anxiety. For example, a school bully
that threatens a child will definitely discourage a young person from wanting
to go.
Why does separation anxiety disorder occur?
It is not clear what caused separation anxiety disorder.
Research shows that anxiety disorders are present in families with a genetic
component. In addition, children and adolescents with separation anxiety
disorder often continue to develop other types of anxiety disorders during
adulthood. In addition, a separation anxiety disorder can affect some adults, not
just young adults.
John Polly was the psychiatrist who did a lot of work in the
reservation field. According to attachment theory, anxiety disorders are
closely related to parenting experiences in children with their mothers. These
children who learn that their mother is reliable from safe attachments, and
these children who learn that their mother is unreliable are developing anxiety
attachments.
Whether you agree with Bowlby or no evidence to help young
people with separation anxiety disorder, it lies in this theory.
Treatment for a separation anxiety disorder:
It is important not to ignore children and adolescents if
they suffer from this disorder because of the way it interferes with their
lives and the possible development of other anxiety disorders.
1. Cognitive and behavioral treatments are important in
treating separation anxiety disorder.
A. Cognitive therapy helps children to correct and correct
frightening and unrealistic ideas about separation from the family.
B. Behavior therapy is used to remove allergies and it is
the child or teenager who is separated from home.
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