Childhood Anxiety Fun Wey Tutoring Services

Simmons Counselling Services Fun-Wey Tutoring Services,
West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
What Adults Need to Know
Norlan Cabot
• Special Education Consultant,
• Fun-Wey Tutoring Services in North Vancouver
Johanna Simmons
• Child and Family Counsellor
• Simmons Counselling Services
Linda Greven
• Owner and Manager
• Fun-Wey Tutoring Services

A Few Reminders
No Cell Phones Please
Note Taking not needed
Slides on Web-Site

Disclaimer

• Anxiety is a normal response essential for
survival - “fight or flight”
- threat cues
- safety signal
• Everyone is different

Infancy strangers, loud noises
Early childhood separation, monsters, new
situations
Middle childhood real-world dangers,
new challenges
Adolescence social status, social group,
performance

Anecdote:
The story of a
young boy who
had a mental
breakdown.

• Not Sleeping:• Sleeping:

• OCD• Crying:

OCD – or is it CDO?

• Angry Outbursts • Bullying:

tantrum
• Defiance • Tantrum • Aggression

• Clingy

• Low Self-esteem • Seeking Approval

In the classroom, or tutoring session
Attitude
• Sullen and reluctant to work
• Passive/Aggressive
Behaviour
• Clingy and dependent
• Disinterested
Output
• Minimal output
• Like pulling teeth

• Anecdote:
• Sam and how he hates math!

• Nail Biting: • Migraines

• Bed Wetting • Difficulty
Sitting Still
• Stomach Ache

Fun-Wey Tutoring Services, North
Vancouver http://fun-wey.com
What They Feel
Adapted from
F.R.I.E.N.D.S. Program
Difficulty sleeping
Butterflies in stomach
Stomachache
Shaky knees
Need to go to the
bathroom
Headache
Blushing
Stuttering
Lump in throat
or sore throat
Short of breath
Sweaty palms
Heart beats faster
Lips shaking
Voice trembling

Anecdote:
The story of
Susannah and
her craving for
apple juice!

…but my child shows all of these
symptoms!
• Need to appear in clusters
• Persistent and present for several weeks
• Debilitating

• Sugar and spice and all things nice?
• Frogs and snails and puppy dog tails?
Actually
• Birth order
• Temperament
• Development
• Belief about self

10
__________________________________
______________________________
Full blown anxiety
Breathing, relaxation, drink of water, think of safe place,
take a break, go for a walk …
A is for anxiety - developed by Johanna Simmons

What Parents can do to Help (1)
Encourage
• Independence
• Efforts
Support
• Listen, Normalize, Educate, Model
• Avoid giving excess reassurance
Reduce
Stress
• Be consistent and predictable
• Schedule unstructured play time

What Parents can do to Help (2)
Nutrition
• Anxious kids often just graze
• Provide healthy snacks
• Cover all food groups during the day.
Self-Esteem
• Plan for S-U-C-C-E-S-S!
• Time Management
• How to Reward themselves
Routines
• Routines reduce anxiety
• Prepare children ahead for change of plans and/or transitions

Morning Routine Chart
7:45 Get dressed
7:55 Make bed
8:05 Eat breakfast
8:30 Brush teeth
8:35 Brush hair
8:40 Put lunch and homework
in backpack
8:45 Put on shoes/boots
8:47 Put on coat

• Bedtime routine (15 - 30 min)
Have a ritual
• Warm milk/snack
• Warm bath
• Story
• Chat time
• Music
• Check in every 5 min. (10 - 15 for older
kids)

Relax
 Calm breathing
o Blowing bubbles/balloon blowing
 Mental imagery
o Safe place/quiet place
 Progressive muscle relaxation
o Spaghetti legs
o Rag doll

 Cope with worries
 Lock worries in a worry box
 Schedule worry time
 Pull the plug on worries
 Replacing scary thoughts or worries with realistic thinking
(older children)

• Depersonalize anxiety

 Be Firm, Friendly and Follow through
 Consistency and predictability is comforting
 Set limits - natural and logical consequences
 Life is predictable
 They know what is expected of them
 They know what the consequences will be

 Contact your GP
 Ask about an assessment
 Counselling
 Play therapy
 EMDR
 CBT (older children and teens)
 Pharmaceutical intervention
– Antidepressants (SSRI) or benzodiazepines

Helping Students Overcome Depression
and Anxiety. Kenneth Merrell
(Guilford, 2001)
A Handbook of Childhood Anxiety
Management. Kedar Nath Dwivedi & Ved
Prakash Varma (eds.) (Arena, 1997)
Catch a Falling Star: A Tale from the Iris
the Dragon Series. Gayle Grass (Stoddart
Kids, 2002)
Helping Your Anxious Child: A Step-by-Step
Guide for Parents. Ronald Rapee (ed.)
(New Harbinger, 2000)
Your Anxious Child. John Dacey and Lisa
Fiore
(Jossey-Bass, 2000)
Taming Worry Dragons: A Manual for
Children, Parents and Other Coaches.
Jane Garland and Sandra Clark (BC
Children’s Hospital, 1995 (revised 2000)).
Also available in 2001 editions
Anxiety Disorders in Children and Adolescents.
John March (Guilford, 1995)
Anxiety Disorders in Children and
Adolescents: Research, Assessment and
Intervention. Wendy Silverman & Philip Treffers
(Cambridge, 2000)
Anxiety Disorders in Children and
Adolescents [Clinical Practice, No. 22]. Syed
Arshad Husain & Javad Kashani (American
Psychiatric Press, 1992)
Treating Anxious Children and Adolescents:
An Evidence-Based Approach. Ann Wignall et
al. (New Harbinger, 2000)
Goosebumps and Butterflies. Written and
illustrated by Yolanda Nave (Orchard, 1990)
Keys to Parenting Your Anxious Child.
Katharine Manassis (Barrons, 1996)
The Developmental Psychopathology of
Anxiety. Michael Vasey & Mark Dadds (eds.)
(Oxford, 2001)
Peaceful Piggy Meditation. Maclean, K.L.,(Albert
Whitman & Company, 2004)
Starbright: Meditations for Children. Garthm M.
(HarperOne 1994)
Moody Cow Meditates. Maclean, K.L. (Wisdom
Publications, 2009)

 www.cmha.ca (Canadian Mental Health Association)
 www.learningmeditation.com
 www.adaa.org (Anxiety Disorders Association of America)
 www.caringforkids.cps.ca (Can. Pediatric Society)
 www.anxietybc.com

• fortheloveofkids@wordpress.com
• http://fun-wey.com/tutor-blog/

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