Anxiety symptoms in children are not
straight forward, this was a key message from Dr. Emma Woodward. Emma is a Child, Educational and Community and spoke at the Positive Education New Zealand 2019 Conference.
Anxious feelings can include:
• Fear
• Dread
• Apprehension
• Worry
• Nervousness
• Unease
• Tension
What we might see:
• Anger
/ hostility
• Excessive
questioning
• Seeking
validation
• Physical
symptoms, e.g. stomach ache, headache, restlessness, irritability
• Avoidance
• Difficulty
with sleep
• Trouble
with focusing, inattention
• Heightened
emotions/meltdowns
• Running
away / hiding
• Clinginess
• Crying
• Refusing
to go to school/emotionally based school avoidance
“Build resilience and develop self-regulation as both intervention and
prevention for anxiety”
So what can we do?
• Build resilience
• Teach emotional regulation skills
Resilience:
Having the knowledge and courage to deal with adversity
The
knowledge builds the courage, that in turn feeds the learning of new knowledge
Understand the concept of co-regulation
Co-regulation is defined as: “warm and
responsive interactions that provide the support, coaching and modelling that
children need in order to understand, express and modulate their thoughts,
feelings and behaviours”.
Remind children of their previous successes. Be
the advocate that reminds them that they are capable and why…
Explicitly teach about emotions & emotional
regulation skills
1. Talk about emotions, data, tough but
transient
2. Talk about the link between our thoughts,
emotions and behaviours
3. Name it to tame it
4. Talk about the tough stuff and how it can
be overcome
5. Don’t assume that emotional regulation is a
set skill – it’s a life long practice
Four ways to help a child to regulate
1. Somatosensory - Grounding
Notice FIVE things you see around you.
Notice FOUR things you can touch around you.
3: Notice THREE things you hear.
Notice TWO things you can smell.
Notice ONE thing you can taste.
2. Reassurance
“This might feel big now but we can face it
together”
“I’m here to help”
“I know you can do this as I’ve seen you work
things through before”
“You're okay, I’m here with you”
“You're not in trouble”
3. Relational
Try to understand what is going on by....
✓ Reflective listening
✓ Clarifying questions
✓ Showing empathy
4. Disassociation
• Safe
Space
• Regular
checks
• Talk later
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