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Child Psychopathology

Child Psychopathology. Fear, anxiety, and panic Case: Amanda Reading for today: Chapter 7. Anxiety in children. You are walking home alone at night and realize someone is following. How do you feel? Anxiety can be adaptive in certain situations

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Child Psychopathology

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  1. Child Psychopathology Fear, anxiety, and panic Case: Amanda Reading for today: Chapter 7

  2. Anxiety in children • You are walking home alone at night and realize someone is following. How do you feel? • Anxiety can be adaptive in certain situations • You are walking to class and feel the same way. No one is following you. Is this adaptive? • Anxiety is excessive and unreasonable fight or flight response • physiological: SNS response • cognitive: attentional shift, hypervigilance, panic • behavioral: avoidance, other “nervous” behaviors

  3. Defnitions • Fear: Present-oriented reaction to current danger • Anxiety: Future-oriented mood state in the absence of realistic danger • Panic: unexpected and sudden fight/flight response in the absence of obvious danger • Phobia: Clinical level of fear, specific set of triggering stimuli

  4. Normal fears • Many fears are developmentally appropriate and decline with age • Common anxieties include separation and test anxiety • Common worries include schoolwork, aches and pains, doing well in sports • Children perform rituals to allow mastery over environment, cope with stress • sleep with comfort toy to cope with the dark • organize pens & pencils when writing a test • having parents perform tasks a particular way • organize clothes for the first day of school

  5. Normal fears, 6 year-oldsThe dark; Supernatural beings — witches, ghosts, bogeymen; Separation from parents or loss of mother; Becoming lost; Staying inempty house or sleeping in bedroom alone Minor injuries — small cuts, bruises, splinters Monster or person hiding under bed Natural forces — thunder, lightning, water, fire Strange noises

  6. Diagnostic issues • Assessment: • Internalizing behavior problems on the CBCL, TRF, YSR • State-Trait Anxiety Inventory for C • Revised Children’s Manifest Anxiety Scale • Fear Survey Schedule • Box 7.1: Overview of anxiety disorders • DSM IV Criteria for GAD (Table 7.5) and Phobia (Table 7.6)

  7. Case Review: Amanda • Groups of three • What are possible diagnoses for Lee? • Describe what might happen in this case with respect to treatment. Why? • What are longer-term outcomes? • Groups will discuss responses as a class

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