• Anxiety Resources

     

    Life has changed these past few weeks. Change often is accompanied by fear and anxiety. It is typical for all of us to feel a higher level of anxiety and worry right now. If we were already 'worriers' to begin with our anxiety may even become worse during this challenging time. This page is dedicated to all the worriers out there. I have included many tools, strategies, activities and articles that address anxiety. If you find something that really works well for you please email me so I can post for others to try. Please also refer to the mindfulness strategies that are all in the mindfulness folder under my site.  I'm available via email or chat if anyone would like to talk. Sthompson@cbsd.org

     

     

    #1. The many faces of worry.

    The below chart shows how different anxiety can look. Worry/anxiety has many 'disguises' and can surprise even the best of us sometimes. 

    Anxiety  

     

    #2. How BIG is my worry?

    Helping to understand the SIZE of a worry helps to put things in perspective. Use the worksheet below to help determine the size of your worry and how to make it more 'manageable'. 

    how big is my worry

     

     

    #3. Coping with anxiety

     

    *Strategies and tools are some of the best ways to cope with anxiety. Different things may work better then others so try some and see what helps! I have attached a link for 'Worry cards' that are a fun way for kids to use many wonderful coping strategies and tools. 

    Click on this link to open these up! worrycards

     

     

    *Click on this link: 10 steps to read about 10 ways to 'tame the worry monster'. Great Read for Parents. 

     

    *When kids are anxious it is common for them to seek reassurance and as parents our job is to help them feel better.  What happens when we feel like it is too much? Click on this link to read an article about excessive reassurance seeking. How to deal with excessive reassurance seeking.   

     

    *Conquering fear and anxiety is a TON of work. It is important to reward the efforts our kids make. Click on this link to read about rewarding bravery. Rewarding Bravery

     

    *Teach the skill of HAVING A PLAN. Set your child up for success and lowering anxiety coming up with a plan. We all do better when we know what to expect and how we can respond. Click here for an worksheet to you help you through this simple yet effective process. How to create a plan

     

    #4. Advice from the experts 

    Katherine K. Dahlsgaard, Ph.D., ABPP is Clinical Director of the Anxiety Behaviors Clinic (ABC) and Director of the Picky Eaters Clinic, Dept. of Child and Adolescent Psychiatry and Behavioral Sciences at the Children's Hospital of Philadelphia (CHOP). She is board certified in cognitive and behavioral psychology and is a licensed clinical psychologist with expertise in cognitive-behavioral therapy for children, adolescents, and young adults. Dr. Dahlsgaard specializes in the evaluation and treatment of anxiety and related disorders. She is an educator, writer, lecturer, guest speaker and recipient of the Pennsylvania Psychology Association's 2017 Psychology in the Media award, the 2019 Friend of School Nurses Award, and the 2019 CHOP Psychology Internship Teaching Award. She also writes for philly.com's Health Advisory Panel. Find more resources from her at https://www.katherinedahlsgaard.com/

     

     

    1.Normalize- anxiety is the most common problem in kids. 

    Our bodies have a fight or flight response.  (Either fight to stay alive – from back in cave man days with dinosaurs potentially attacking; OR flight/run away from danger).  Oftentimes, that fight or flight response is triggered when there isn’t really “danger” – we call it “False Alarm” of body, brain, and behavior. You can beat the “fight or flight” false alarm by learning and practicing skills. 

     

    1. Teach kids to tolerate distress. 

    Kids needs the chance to learn that painful emotions are normal, temporary, & can be endured. 

    Avoid…  

    Rescuing the child from temporary distress.  Allow them to stay home, avoid dance class, etc. 

    Instead….  

    • Normalize / empathize –“I get it that you are feeling scared.” 
    • Make eye contact and model how to breathe in through nose, hold for 2 secs., out through mouth.
    • Model being able to tolerateyourchild’s distress – try not to bring attention to it.  Calmly state – “You’re experiencing a false alarm” anxiety signal and it’s making you feel sick, but you can beat this.”  

     

    1. Provide kids instruction and practice on getting good at using their bodies as a coping tool 

    “It’s hard to have a relaxed body AND an anxious mind at the same time.”  

    Relaxing the body is a skill and, like all skills, must be learned and practiced to mastery.  

    • Encourage and practice relaxation techniques (short mindfulness exercises*, yoga, deep breathing) 
    • Encourage and practice Brave Body(what a brave body looks like as opposed to a scared one)

     

    1. Encourage exercise– walk around the block, jump rope, dancing – all can lower anxiety and increase the positive mood chemicals in our brains. 

     

    1. Educate kids on importance of sleep 
    • Set a bedtime, limit caffeine, have a half-hour of calm prior to bedtime – soft music, reading, yoga, journaling, limit screen time and tv before bed. 

     

    1. Educate students to learn to externalize anxiety

    Practice this skill:  

    • anxiety is ALWAYS exaggerating or outright lying  
    • anxiety is therefore best understood as a telemarketer. Or pop-up ad. Or a bully. (picture one of those three in your head – or the FEAR character from Inside Out movie) 
    • anxiety, therefore, is best ignored or bossed back  - Get out of my head you bully! 

    Avoid…  

    Giving the impression that you think worry has “something important” to tell the child – don’t keep asking what is causing the anxiety – and give power to that “thing”. 

    Instead….  

    Model externalization. Name the anxiety character and talk back to it. 

    Remind the child to hang up the phone, press the delete button, or boss back.  

     

    1. Teach the skill of COMPARTMENTALIZATION 

    Worry is a waste of time so, Avoid…  

    Allowing the child unlimited time to talk about worries. Especially at bedtime or at nurse’s office.  

    Instead…. Pick a guaranteed 5-minute time the student can voice worries (i.e. during an otherwise preferred activity, such as recess).  At night, make the talk positive – 3 things I’m thankful for, etc. 

     

    1. Never be afraid to REWARD brave behaviors 
    • Rewards are not bribes 
    • Rewards are there to motivate healthy behavior and the acquisition of skills 
    • They don’t have to bebig,they just have to be motivating (to the kid) and feasible (to the caregiver)  
    • Removal of privileges until a brave behavior is performed? Yeah, that’s good caregiving. 

    Avoid…  

    Expecting the child to do something scary for “free” or just because you think she should.  

    Instead….  

    Have the reward established in advance, part of the plan, and preferably ready to be awarded as soon as the brave behavior is performed. 

     

    1. Practice Exposure -gradually expose child to that which they would rather avoid on the rationale that avoiding a safe situation causes greater fear of that situation, which in turn drives greater avoidance. 

    Usually practiced with therapist support, patients are encouraged and praised for every step they take toward sticking with what scares them until it doesn't scare them anymore.  

    1. Systematic Desensitization – similar to exposure, but exposes you to your fears slowly while practicing relaxation techniques. 

    Example- a child with a fear of bees might start by looking at a drawing of a bee,  then look at a photo of a bee, listen to bee noises, watch a tv show about bees, then go see bees in a container, then go outside near where there are bees on flowers so they are desensitized to the sound and ultimately, the fear of being exposed to bees. 

     

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