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Anxiety in Adults
Do I Have an Anxiety Disorder? Do you find that that many of the following apply to you... I am often startled by the smallest thing I worry that something terrible will happen to me or others I am easily irritable I get sudden fears of dying or doing something out of control I often worry that something has not been done correctly even though I know I completed the task properly I am extremely worried about disease (e.g. germs, infections, dirt, dust, contaminates, cleanliness) I need constant reassurance I often find myself doing things repeatedly (e.g. hand washing, showering, tooth ...
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Anxiety in Children and Youth: Information for Parents and Caregivers
Does Your Child Have.. Does your child have any of the following:  Gets fearful or worried about leaving the home, e.g. school or activities? Require a lot of reassurance to calm down?  Fears that are so extreme, that it gets in the way of life? Introduction Dylan is afraid of the dark. Tricia hates to eat in front of other people. Eric becomes sick to his stomach and throws up if he has to speak aloud in class.    Life is stressful. It is normal to have fears and worries. Being worried about things can help us prepare for potential dangers. E.g. being worried about failing a test ...
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Body Dysmorphic Disorder
Introduction M. is an 18-yo who has been increasingly obsessed with her "horrible pimples" and "big nose". And despite the fact that she gets asked out on dates all the time, she has now become so concerned about her appearance that she has recently stopped going to school. "I can't go out - people will see how ugly I am."   J. is a 7-yo boy who believes his hair is "all wrong" and that his stomach is "fat", despite the beliefs of his friends and family who see none of these 'defects'. But now it's to the point where he refuses to go to school unless he combs his ...
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Fear of Vomiting (Emetophobia) in Children and Youth
What is the Fear of Vomiting (Emetophobia)? It is normal to dislike the thought of vomiting, but for someone with emetophobia, the thought of vomiting is so terrifying that it can end up controlling a person's life.   The person may: Avoid going out, due to fear of vomiting Avoid eating in public places (such as restaurants), or with other people Avoid any place or situation where there is the slightest possibility that the person (or others) may vomit Become upset even at the mere mention of the word ‘vomit,' or synonyms like ‘throw up', ‘barf,' ‘puke,' ...
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Helping Children and Youth Cope After Traumatic Events
Children and youth can have strong emotional reactions (or stress reactions) after a difficult experience. A traumatic event is one that causes a child or teen to react with horror, fear and distress. Events that might cause a stress reaction include:  Being in a car crash  Getting badly hurt  Witnessing violence  Nearly drowning  Seeing another person get badly hurt  How do children and youth react after traumatic events?  Everyone is different, and reactions often depend on a child’s age.  After a traumatic event, children and youth may ...
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Needle Phobia in Children and Youth
What Is Needle Phobia? Fear of needles is very common in children and adults. All children get needles through their regular immunizations. Those with medical illnesses or problems will need to get even more needles for injections or blood work. Most children and adults are able to overcome their fears, and it does not stop them from getting necessary immunizations, injections or blood work.   But if the fear is so great that it stops that person from getting needles, then it may be a condition known as ‘needle phobia'. Definition of Needle Phobia According to the DSM-IV (Diagnostic Statistical Manual of Mental ...
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Paediatric Acute-Onset Neurologic Syndrome (PANS) (aka PANDAS): Information for Families
What is PANS? Paediatric acute-onset neurologic syndrome (PANS) describes a small group of children that develop a relatively rapid onset of various symptoms following a streptococcal infection. Symptoms include anxiety, mood problems, obsessions, compulsions, inattention, hyperactivity, tics and  behavioural problems such as regression (i.e. behaving like a younger child). Who Gets PANS? PANS occurs in childhood (age 3 to puberty). What Happens In PANS? The following steps are felt to occur: The person develops a strep infection  The person’s body produces antibodies against the strep ...
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Panic Attacks in Adults
Penny’s Story, Part 1 Penny is a married with two kids. She has a supportive partner and great kids, but but recently has been having more stresses with work and her aging, elderly parents.    She’s always been a bit of a worrier, but now she’s started having periods “out of the blue” where she feels suddenly anxious, along with shortness of breath, feeling sweaty. The periods are so severe, that it feels like she’s having a heart attack… “I must be going crazy” she thinks to herself…   What are Panic Attacks? Panic attacks are periods of intense fear and anxiety, caused by a sudden ...
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Panic Attacks in Children and Youth: Information for Parents and Caregivers
Petra's Story Petra is in her last year of high school. Unfortunately, it has been a stressful year -- there have been difficulties with peers, and the work has been very hard as well. Now she’s having periods out of the blue where she feels panicky and anxious for no reason. During these times, she feels her heart racing, starts sweating and has to leave the room, and ends up hiding in the bathroom until she feels better. Things are so bad that she is starting to skip classes in order to avoid having an attack…   
How would you support Petra? Introduction Everyone gets anxious from time to ...
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Selective Mutism in Children and Youth: Information for Parents and Caregivers
“She won't speak to anyone…” Jane is 6 years old and can dance and sing in front of her family…. she might even be the next Idol! But in music class she is paralyzed by fear and can’t say a word.   Jay is a 7 year old boy who plays soccer with his brothers and talks excitedly about his favorite World Cup team. Yet, at recess time, he stands alone watching the other kids play soccer and doesn’t speak when others ask him if he wants to play. Some of the kids think he’s a snob, and so they ignore him.   Mary is a 5 year old girl who talks at home with all her brothers, ...
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Social Anxiety Disorder in Adults
Introduction It's the adult who has never dated because he's too shy to talk to members of the opposite sex. It's the quiet employee who is underappreciated by his co-workers and underpaid by his company. It's that great, funny person that you know, but who suffers from loneliness because s/he is too shy unless around close friends and relatives... Overview It is normal for everyone to be shy at certain times. For example, many people would have some nervousness about doing a big presentation, or about meeting a new boss for the first time. Having "just enough" shyness is good because it helps prevent people ...
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Social Anxiety in Children and Youth: Information for Parents and Caregivers
Introduction It's the student who struggles at school because she's too afraid to ask questions in class. It's the teenager who suffers from loneliness from not having any friends because he's too shy to talk to anyone in school. It's shyness so severe that it gets in the way of life...   Shyness runs along a spectrum. It is normal for everyone to be shy at certain times. It is appropriate to be more shy in some situations than in others.  Some cultures value shyness more than others, especially for children. Social anxiety disorder is more than just normal shyness - it is shyness so severe that it gets in ...
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Social Anxiety: Youth Edition
What is Social Anxiety Disorder? Many people feel shy or stressed in social situations. But when you feel so anxious that it’s hard to go out and take part in everyday activities, you might have social anxiety disorder (sometimes called “Social Phobia”). People with social anxiety can become very fearful about things like:  Meeting new people;  Going somewhere new;  Speaking in public;  Eating or drinking in front of others;  Making phone calls;  Going to school or work;  Going shopping;  Taking the bus.  Many people with ...
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Tragic and Upsetting News Events : Helping Your Children and Youth Cope
Chris’s Story, Part 1 Chris is a 10-year old boy who heard about a recent terrorist attack on the news. Ever since then, he is worried when parents leave the house, and is having trouble sleeping at night. When he expresses his fear, his father tells him not to worry.   His dad reminds him that it’s safe in their home, that they have a security system, and that they can call the police if they have trouble. But Chris is still anxious, no matter how much his parents try to reason with him. What News Events are Upsetting for Children? We all want our children to grow up feeling safe. But almost every day, ...
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Trichotillomania
What is Trichotillomania? Trichotillomania (pronounced as "trick-o-till-o-mania",  commonly called "trich" or also known simply as ‘hair pulling') is a condition where a person has repeated, uncontrollable urges to pull out hair from their scalp, eyelashes, nose hair, ear hair, eyebrows or other body hair. Hair pulling by itself is not harmful -- but it can lead to social problems with others. Many adult individuals with trich report leading perfectly normal lives, with the difference that they happen to have more bald spots than others. In others though, their trichotillomania can cause problems with ...
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