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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
Simmons Counselling Services Fun-Wey Tutoring Services,
West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
Disclaimer
Simmons Counselling Services Fun-Wey Tutoring Services,
West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
Simmons Counselling Services Fun-Wey Tutoring Services,
West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
• Anxiety is a normal response essential for
survival - “fight or flight”
- threat cues
- safety signal
• Everyone is different
Simmons Counselling Services Fun-Wey Tutoring Services,
West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
Infancy strangers, loud noises
Early childhood separation, monsters, new
situations
Middle childhood real-world dangers,
new challenges
Adolescence social status, social group,
performance
Simmons Counselling Services Fun-Wey Tutoring Services,
West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
Simmons Counselling Services Fun-Wey Tutoring Services,
West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
Anecdote:
The story of a
young boy who
had a mental
breakdown.
Simmons Counselling Services Fun-Wey Tutoring Services,
West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
Simmons Counselling Services Fun-Wey Tutoring Services,
West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
• Not Sleeping:• Sleeping:
Simmons Counselling Services Fun-Wey Tutoring Services,
West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
• OCD• Crying:
Simmons Counselling Services Fun-Wey Tutoring Services,
West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
OCD – or is it CDO?
Simmons Counselling Services Fun-Wey Tutoring Services,
West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
• Angry Outbursts • Bullying:
Simmons Counselling Services Fun-Wey Tutoring Services,
West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
tantrum
Simmons Counselling Services Fun-Wey Tutoring Services,
West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
• Defiance • Tantrum • Aggression
Simmons Counselling Services Fun-Wey Tutoring Services,
West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
• Clingy
Simmons Counselling Services Fun-Wey Tutoring Services,
West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
• 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
Simmons Counselling Services Fun-Wey Tutoring Services,
West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
• Anecdote:
• Sam and how he hates math!
Simmons Counselling Services Fun-Wey Tutoring Services,
West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
Simmons Counselling Services Fun-Wey Tutoring Services,
West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
• Nail Biting: • Migraines
Simmons Counselling Services Fun-Wey Tutoring Services,
West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
Simmons Counselling Services Fun-Wey Tutoring Services,
West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
• 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!
Simmons Counselling Services Fun-Wey Tutoring Services,
West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
…but my child shows all of these
symptoms!
• Need to appear in clusters
• Persistent and present for several weeks
• Debilitating
Simmons Counselling Services Fun-Wey Tutoring Services,
West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
• Sugar and spice and all things nice?
• Frogs and snails and puppy dog tails?
Actually
• Birth order
• Temperament
• Development
• Belief about self
Simmons Counselling Services Fun-Wey Tutoring Services,
West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
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
Simmons Counselling Services Fun-Wey Tutoring Services,
West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
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
Simmons Counselling Services Fun-Wey Tutoring Services,
West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
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
Simmons Counselling Services Fun-Wey Tutoring Services,
West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
Simmons Counselling Services Fun-Wey Tutoring Services,
West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
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)
Simmons Counselling Services Fun-Wey Tutoring Services,
West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
Relax
 Calm breathing
o Blowing bubbles/balloon blowing
 Mental imagery
o Safe place/quiet place
 Progressive muscle relaxation
o Spaghetti legs
o Rag doll
Simmons Counselling Services Fun-Wey Tutoring Services,
West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
 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)
Simmons Counselling Services Fun-Wey Tutoring Services,
West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
• Depersonalize anxiety
Fun-Wey Tutoring Services, North
Vancouver http://fun-wey.com
 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
Simmons Counselling Services Fun-Wey Tutoring Services,
West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
 Contact your GP
 Ask about an assessment
 Counselling
 Play therapy
 EMDR
 CBT (older children and teens)
 Pharmaceutical intervention
– Antidepressants (SSRI) or benzodiazepines
Simmons Counselling Services Fun-Wey Tutoring Services,
West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
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)
Simmons Counselling Services Fun-Wey Tutoring Services,
West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
Fun-Wey Tutoring Services, North
Vancouver http://fun-wey.com
 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
Simmons Counselling Services Fun-Wey Tutoring Services,
West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
• fortheloveofkids@wordpress.com
• http://fun-wey.com/tutor-blog/
Simmons Counselling Services Fun-Wey Tutoring Services,
West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com

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Childhood Anxiety Fun Wey Tutoring Services

  • 1. 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
  • 2. A Few Reminders No Cell Phones Please Note Taking not needed Slides on Web-Site Simmons Counselling Services Fun-Wey Tutoring Services, West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
  • 3. Disclaimer Simmons Counselling Services Fun-Wey Tutoring Services, West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
  • 4. Simmons Counselling Services Fun-Wey Tutoring Services, West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
  • 5. • Anxiety is a normal response essential for survival - “fight or flight” - threat cues - safety signal • Everyone is different Simmons Counselling Services Fun-Wey Tutoring Services, West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
  • 6. Infancy strangers, loud noises Early childhood separation, monsters, new situations Middle childhood real-world dangers, new challenges Adolescence social status, social group, performance Simmons Counselling Services Fun-Wey Tutoring Services, West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
  • 7. Simmons Counselling Services Fun-Wey Tutoring Services, West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
  • 8. Anecdote: The story of a young boy who had a mental breakdown. Simmons Counselling Services Fun-Wey Tutoring Services, West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
  • 9. Simmons Counselling Services Fun-Wey Tutoring Services, West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
  • 10. • Not Sleeping:• Sleeping: Simmons Counselling Services Fun-Wey Tutoring Services, West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
  • 11. • OCD• Crying: Simmons Counselling Services Fun-Wey Tutoring Services, West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
  • 12. OCD – or is it CDO? Simmons Counselling Services Fun-Wey Tutoring Services, West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
  • 13. • Angry Outbursts • Bullying: Simmons Counselling Services Fun-Wey Tutoring Services, West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
  • 14. tantrum Simmons Counselling Services Fun-Wey Tutoring Services, West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com • Defiance • Tantrum • Aggression
  • 15. Simmons Counselling Services Fun-Wey Tutoring Services, West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com • Clingy
  • 16. Simmons Counselling Services Fun-Wey Tutoring Services, West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com • Low Self-esteem • Seeking Approval
  • 17. 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 Simmons Counselling Services Fun-Wey Tutoring Services, West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
  • 18. • Anecdote: • Sam and how he hates math! Simmons Counselling Services Fun-Wey Tutoring Services, West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
  • 19. Simmons Counselling Services Fun-Wey Tutoring Services, West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
  • 20. • Nail Biting: • Migraines Simmons Counselling Services Fun-Wey Tutoring Services, West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
  • 21. Simmons Counselling Services Fun-Wey Tutoring Services, West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com • Bed Wetting • Difficulty Sitting Still • Stomach Ache
  • 22. 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
  • 23. Anecdote: The story of Susannah and her craving for apple juice! Simmons Counselling Services Fun-Wey Tutoring Services, West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
  • 24. …but my child shows all of these symptoms! • Need to appear in clusters • Persistent and present for several weeks • Debilitating Simmons Counselling Services Fun-Wey Tutoring Services, West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
  • 25. • Sugar and spice and all things nice? • Frogs and snails and puppy dog tails? Actually • Birth order • Temperament • Development • Belief about self Simmons Counselling Services Fun-Wey Tutoring Services, West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
  • 26. 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
  • 27. Simmons Counselling Services Fun-Wey Tutoring Services, West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
  • 28. 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 Simmons Counselling Services Fun-Wey Tutoring Services, West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
  • 29. 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 Simmons Counselling Services Fun-Wey Tutoring Services, West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
  • 30. Simmons Counselling Services Fun-Wey Tutoring Services, West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com 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
  • 31. • 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) Simmons Counselling Services Fun-Wey Tutoring Services, West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
  • 32. Relax  Calm breathing o Blowing bubbles/balloon blowing  Mental imagery o Safe place/quiet place  Progressive muscle relaxation o Spaghetti legs o Rag doll Simmons Counselling Services Fun-Wey Tutoring Services, West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
  • 33.  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) Simmons Counselling Services Fun-Wey Tutoring Services, West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
  • 34. • Depersonalize anxiety Fun-Wey Tutoring Services, North Vancouver http://fun-wey.com
  • 35.  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 Simmons Counselling Services Fun-Wey Tutoring Services, West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
  • 36.  Contact your GP  Ask about an assessment  Counselling  Play therapy  EMDR  CBT (older children and teens)  Pharmaceutical intervention – Antidepressants (SSRI) or benzodiazepines Simmons Counselling Services Fun-Wey Tutoring Services, West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
  • 37. 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) Simmons Counselling Services Fun-Wey Tutoring Services, West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
  • 38. Fun-Wey Tutoring Services, North Vancouver http://fun-wey.com  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 Simmons Counselling Services Fun-Wey Tutoring Services, West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com
  • 39. • fortheloveofkids@wordpress.com • http://fun-wey.com/tutor-blog/ Simmons Counselling Services Fun-Wey Tutoring Services, West Vancouver http://simmonscounselling.ca North Vancouver http://fun-wey.com

Notas do Editor

  1. Linda
  2. interfere with day to day living - school, friends, family