• Can Fam Physician · Mar 2004

    Review

    Childhood anxiety disorders. Approach to intervention.

    • Katharina Manassis.
    • Department of Psychiatry, Hospital for Sick Children, Toronto, Ont. katharina.manassis@sickkids.ca
    • Can Fam Physician. 2004 Mar 1; 50: 379384379-84.

    ObjectiveTo present an approach to intervention in childhood anxiety disorders.Sources Of InformationThis paper is based on selected findings from a MEDLINE search for recent literature on childhood anxiety disorders and on my experience as a child psychiatrist and researcher in a specialized anxiety disorders clinic.Main MessageChildren with symptoms of high sympathetic arousal; persistent worries or intrusive thoughts; and extreme clinging, avoidance, or repetitive behaviours that interfere with daily functioning should be investigated for anxiety disorders. Counseling parents, relaxation techniques, and incentives for "brave" behaviour can often return children with mild disorders to age-appropriate functioning. Children who are severely impaired or fail to respond to these simple interventions might require medication or referral for cognitive-behavioural therapy.ConclusionFamily physicians can play an important role in recognizing and intervening early in childhood anxiety disorders.

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