The Pakistani Spectator

Everyone, from the youngest child to the oldest adult, experiences anxieties and fears at one time or another. Feeling anxious in a particularly uncomfortable situation never feels very good. However, with kids, such feelings are not only normal, they’re also necessary. Experiencing and dealing with anxieties can prepare young people to handle the unsettling experiences and challenging situations of life.
Anxieties and Fears Are Normal

Anxiety is defined as “apprehension without apparent cause.” It usually occurs when there’s no immediate threat to a person’s safety or well being, but the threat feels real.

Anxiety makes someone want to escape the situation — fast. The heart beats quickly, the body might begin to perspire, and “butterflies” in the stomach soon follow. However, a little bit of anxiety can actually help people stay alert and focused.

Having fears or anxieties about certain things can also be helpful because it makes kids behave in a safe way. For example, a kid with a fear of fire would avoid playing with matches.

The nature of anxieties and fears change as kids grow and develop:

* Babies experience stranger anxiety, clinging to parents when confronted by people they don’t recognize.
* Toddlers around 10 to 18 months old experience separation anxiety, becoming emotionally distressed when one or both parents leave.
* Kids ages 4 through 6 have anxiety about things that aren’t based in reality, such as fears of monsters and ghosts.
* Kids ages 7 through 12 often have fears that reflect real circumstances that may happen to them, such as bodily injury and natural disaster.

As kids grow, one fear may disappear or replace another. For example, a child who couldn’t sleep with the light off at age 5 may enjoy a ghost story at a slumber party years later. And some fears may extend only to one particular kind of stimulus. In other words, a child may want to pet a lion at the zoo but wouldn’t dream of going near the neighbor’s dog.
Signs of Anxiety

Typical childhood fears change with age. They include fear of strangers, heights, darkness, animals, blood, insects, and being left alone. Kids often learn to fear a specific object or situation after having an unpleasant experience, such as a dog bite or an accident.

Separation anxiety is common when young children are starting school, whereas adolescents may experience anxiety related to social acceptance and academic achievement.

If anxious feelings persist, they can take a toll on a child’s sense of well being. The anxiety associated with social avoidance can have long-term effects. For example, a child with fear of being rejected can fail to learn important social skills, causing social isolation.

Many adults are tormented by fears that stem from childhood experiences. An adult’s fear of public speaking may be the result of embarrassment in front of peers many years before. It’s important for parents to recognize and identify the signs and symptoms of kids’ anxieties so that fears don’t get in the way of everyday life.

Some signs that a child may be anxious about something may include:

* becoming clingy, impulsive, or distracted
* nervous movements, such as temporary twitches
* problems getting to sleep and/or staying asleep longer than usual
* sweaty hands
* accelerated heart rate and breathing
* nausea
* headaches
* stomachaches

Apart from these signs, parents can usually tell when their child is feeling excessively uneasy about something. Lending a sympathetic ear is always helpful, and sometimes just talking about the fear can help a child move beyond it.
What’s a Phobia?

When anxieties and fears persist, problems can arise. As much as a parent hopes the child will grow out of it, sometimes the opposite occurs, and the cause of the anxiety looms larger and becomes more prevalent. The anxiety becomes a phobia, or a fear that’s extreme, severe, and persistent.

A phobia can be very difficult to tolerate, both for kids and those around them, especially if the anxiety-producing stimulus (whatever is causing the anxiety) is hard to avoid (e.g., thunderstorms).

“Real” phobias are one of the top reasons children are referred to mental health professionals. But the good news is that unless the phobia hinders the everyday ability to function, the child sometimes won’t need treatment by a professional because, in time, the phobia will be resolved.
Focusing on Anxieties, Fears, or Phobias

Try to answer the following questions honestly:

Is your child’s fear and behavior related to it typical for your child’s age? If the answer to this question is yes, it’s a good bet that your child’s fears will resolve before they become a serious cause for concern. This isn’t to say that the anxiety should be discounted or ignored; rather, it should be considered as a factor in your child’s normal development.

Many kids experience age-appropriate fears, such as being afraid of the dark. Most, with some reassurance and perhaps a night-light, will overcome or outgrow it. However, if they continue to have trouble or there’s anxiety about other things, the intervention may have to be more intensive.

What are the symptoms of the fear, and how do they affect your child’s personal, social, and academic functioning? If symptoms can be identified and considered in light of your child’s everyday activities, adjustments can be made to alleviate some of the stress factors.

Does the fear seem unreasonable in relation to the reality of the situation; and could it be a sign of a more serious problem? If your child’s fear seems out of proportion to the cause of the stress, this may signal the need to seek outside help, such as a counselor, psychiatrist, or psychologist.

Parents should look for patterns. If an isolated incident is resolved, don’t make it more significant than it is. But if a pattern emerges that’s persistent or pervasive, you should take action. If you don’t, the phobia is likely to continue to affect your child.

Contact your doctor and/or a mental health professional who has expertise in working with kids and adolescents.
Helping Your Child

Parents can help kids develop the skills and confidence to overcome fears so that they don’t evolve into phobic reactions.

To help your child deal with fears and anxieties:

* Recognize that the fear is real. As trivial as a fear may seem, it feels real to your child and it’s causing him or her to feel anxious and afraid. Being able to talk about fears helps — words often take some of the power out of the negative feeling. If you talk about it, it can become less powerful.
* Never belittle the fear as a way of forcing your child to overcome it. Saying, “Don’t be ridiculous! There are no monsters in your closet!” may get your child to go to bed, but it won’t make the fear go away.
* Don’t cater to fears, though. If your child doesn’t like dogs, don’t cross the street deliberately to avoid one. This will just reinforce that dogs should be feared and avoided. Provide support and gentle care as you approach the feared object or situation with your child.
* Teach kids how to rate fear. A child who can visualize the intensity of the fear on a scale of 1 to 10, with 10 being the strongest, may be able to “see” the fear as less intense than first imagined. Younger kids can think about how “full of fear” they are, with being full “up to my knees” as not so scared, “up to my stomach” as more frightened, and “up to my head” as truly petrified.
* Teach coping strategies. Try these easy-to-implement techniques. Using you as “home base,” the child can venture out toward the feared object, and then return to you for safety before venturing out again. The child can also learn some positive self-statements, such as “I can do this” and “I will be OK” to say to himself or herself when feeling anxious. Relaxation techniques are helpful, including visualization (of floating on a cloud or lying on a beach, for example) and deep breathing (imagining that the lungs are balloons and letting them slowly deflate).

The key to resolving fears and anxieties is to overcome them. Using these suggestions, you can help your child better cope with life’s situations.
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As providers and caretakers, adults tend to view the world of children as happy and carefree. After all, kids don’t have jobs to keep or bills to pay, so what could they possibly have to worry about?

Plenty! Even very young children have worries and feel stress to some degree. Stress is a function of the demands placed on us and our ability to meet them.
Sources of Stress

Pressures often come from outside sources (such as family, friends, or school), but they can also come from within. The pressure we place on ourselves can be most significant because there is often a discrepancy between what we think we ought to be doing and what we are actually doing in our lives.

Stress can affect anyone who feels overwhelmed — even kids. In preschoolers, separation from parents can cause anxiety. As kids get older, academic and social pressures (especially the quest to fit in) create stress.

Many kids are too busy to have time to play creatively or relax after school. Kids who complain about the number of activities they’re involved in or refuse to go to them may be signaling that they’re overscheduled.

Talk with your kids about how they feel about extracurricular activities. If they complain, discuss the pros and cons of quitting one activity. If quitting isn’t an option, explore ways to help manage your child’s time and responsibilities so that they don’t create so much anxiety.

Kids’ stress may be intensified by more than just what’s happening in their own lives. Do your kids hear you talking about troubles at work, worrying about a relative’s illness, or fighting with your spouse about financial matters? Parents should watch how they discuss such issues when their kids are near because children will pick up on their parents’ anxieties and start to worry themselves.

World news can cause stress. Kids who see disturbing images on TV or hear talk of natural disasters, war, and terrorism may worry about their own safety and that of the people they love. Talk to your kids about what they see and hear, and monitor what they watch on TV so that you can help them understand what’s going on.

Also, be aware of complicating factors, such as an illness, death of a loved one, or a divorce. When these are added to the everyday pressures kids face, the stress is magnified. Even the most amicable divorce can be a difficult experience for kids because their basic security system — their family — is undergoing a tough change. Separated or divorced parents should never put kids in a position of having to choose sides or expose them to negative comments about the other spouse.
Signs and Symptoms

While it’s not always easy to recognize when kids are stressed out, short-term behavioral changes — such as mood swings, acting out, changes in sleep patterns, or bedwetting — can be indications. Some kids experience physical effects, including stomachaches and headaches. Others have trouble concentrating or completing schoolwork. Still others become withdrawn or spend a lot of time alone.

Younger children may show signs of reacting to stress by picking up new habits like thumb sucking, hair twirling, or nose picking; older kids may begin to lie, bully, or defy authority. A child who is stressed may also have nightmares, difficulty leaving you, overreactions to minor problems, and drastic changes in academic performance.
Reducing Stress

How can you help kids cope with stress? Proper rest and good nutrition can boost coping skills, as can good parenting. Make time for your kids each day. Whether they need to talk or just be in the same room with you, make yourself available.

Even as kids get older, quality time is important. It’s really hard for some people to come home after work, get down on the floor, and play with their kids or just talk to them about their day — especially if they’ve had a stressful day themselves. But expressing interest in your kids’ days shows that they’re important to you.

Help your child cope with stress by talking about what may be causing it. Together, you can come up with a few solutions like cutting back on after-school activities, spending more time talking with parents or teachers, developing an exercise regimen, or keeping a journal.

You can also help by anticipating potentially stressful situations and preparing kids for them. For example, let a child know ahead of time (but not too far ahead of time) that a doctor’s appointment is coming up and talk about what will happen there. Keep in mind, though, that younger kids probably won’t need too much advance preparation. Too much information can cause more stress - reassurance is the key.

Remember that some level of stress is normal; let kids know that it’s OK to feel angry, scared, lonely, or anxious and that other people share those feelings.
Helping Your Child Cope

When kids can’t or won’t discuss these issues, try talking about your own concerns. This shows that you’re willing to tackle tough topics and are available to talk with when they’re ready. If a child shows symptoms that concern you and is unwilling to talk, consult a counselor or other mental health specialist.

Books can help young kids identify with characters in stressful situations and learn how they cope. Check out Alexander and the Terrible, Horrible, No Good, Very Bad Day by Judith Viorst; Tear Soup by Pat Schweibert, Chuck DeKlyen, and Taylor Bills; and Dinosaurs Divorce by Marc Brown and Laurene Krasny Brown.

Most parents have the skills to deal with their child’s stress. The time to seek professional attention is when any change in behavior persists, when stress is causing serious anxiety, or when the behavior is causing significant problems in functioning at school or at home.

If you need help finding resources for your child, consult your doctor or the counselors and teachers at school.

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To adults, childhood can seem like a carefree time. But kids still experience stress. Things like school and social life can sometimes create pressures that can feel overwhelming for kids. As a parent, you can’t protect your kids from stress — but you can help them develop healthy ways to cope with stress and solve everyday problems.

A KidsHealth® KidsPoll showed that kids deal with stress in both healthy and unhealthy ways. It also revealed that while they may not initiate a conversation about what’s bothering them, kids do want their parents to reach out and help them cope with their troubles.

But it’s not always easy for parents to know what to do for a child who’s feeling stressed.

Here are a few ideas:

Notice out loud. Tell your child when you notice that something’s bothering him or her. If you can, name the feeling you think your child is experiencing. (”It seems like you’re still mad about what happened at the playground.”) This shouldn’t sound like an accusation (as in, “OK, what happened now? Are you still mad about that?”) or put a child on the spot. It’s just a casual observation that you’re interested in hearing more about your child’s concern. Be sympathetic and show you care and want to understand.

Listen to your child. Ask your child to tell you what’s wrong. Listen attentively and calmly — with interest, patience, openness, and caring. Avoid any urge to judge, blame, lecture, or say what you think your child should have done instead. The idea is to let your child’s concerns (and feelings) be heard. Try to get the whole story by asking questions like “And then what happened?” Take your time. And let your child take his or her time, too.

Comment briefly on the feelings you think your child was experiencing. For example, you might say “That must have been upsetting,” “No wonder you felt mad when they wouldn’t let you in the game,” or “That must have seemed unfair to you.” Doing this shows that you understand what your child felt, why, and that you care. Feeling understood and listened to helps your child feel supported by you, and that is especially important in times of stress.

Put a label on it. Many kids do not yet have words for their feelings. If your child seems angry or frustrated, use those words to help him or her learn to identify the emotions by name. Putting feelings into words helps kids communicate and develop emotional awareness — the ability to recognize their own emotional states. Kids who can do so are less likely to reach the behavioral boiling point where strong emotions get demonstrated through behaviors rather than communicated with words.

Help your child think of things to do. If there’s a specific problem that’s causing stress, talk together about what to do. Encourage your child to think of a couple of ideas. You can get the brainstorm started if necessary, but don’t do all the work. Your child’s active participation will build confidence. Support the good ideas and add to them as needed. Ask, “How do you think this will work?”

Listen and move on. Sometimes talking and listening and feeling understood is all that’s needed to help a child’s frustrations begin to melt away. Afterwards, try changing the subject and moving on to something more positive and relaxing. Help your child think of something to do to feel better. Don’t give the problem more attention than it deserves.

Limit stress where possible. If certain situations are causing stress, see if there are ways to change things. For instance, if too many after-school activities consistently cause homework stress, it might be necessary to limit activities to leave time and energy for homework.

Just be there. Kids don’t always feel like talking about what’s bothering them. Sometimes that’s OK. Let your kids know you’ll be there when they do feel like talking. Even when kids don’t want to talk, they usually don’t want parents to leave them alone. You can help your child feel better just by being there — keeping him or her company, spending time together. So if you notice that your child seems to be down in the dumps, stressed, or having a bad day — but doesn’t feel like talking — initiate something you can do together. Take a walk, watch a movie, shoot some hoops, or bake some cookies. Isn’t it nice to know that your presence really counts?

Be patient. As a parent, it hurts to see your child unhappy or stressed. But try to resist the urge to fix every problem. Instead, focus on helping your child, slowly but surely, grow into a good problem-solver — a kid who knows how to roll with life’s ups and downs, put feelings into words, calm down when needed, and bounce back to try again.

Parents can’t solve every problem as kids go through life. But by teaching healthy coping strategies, you’ll prepare your kids to manage the stresses that come in the future.

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Kids don’t have to pay bills, cook dinners, or manage carpools. But — just like adults — they have their share of daily demands and things that don’t go smoothly. If frustrations and disappointments pile up, kids can get worried.

It’s natural for all kids to worry at times, and because of personality and temperament differences, some may worry more than others. Luckily, parents can help kids manage worry and tackle everyday problems with ease. Kids who can do that develop a sense of confidence and optimism that will help them master life’s challenges, big and small.
What Do Kids Worry About?

What kids worry about is often related to the age and stage they’re in.

Kids and preteens typically worry about things like grades, tests, their changing bodies, fitting in with friends, that goal they missed at the soccer game, or whether they’ll make the team. They may worry about social troubles like cliques, peer pressure, or whether they’ll be bullied, teased, or left out.

Because they’re beginning to feel more a part of the larger world around them, preteens also may worry about world events or issues they hear about on the news or at school. Things like terrorism, war, pollution, global warming, endangered animals, and natural disasters can become a source of worry.
Helping Kids Conquer Worry

To help your kids manage what’s worrying them:

Find out what’s on their minds: Be available and take an interest in what’s happening at school, on the team, and with your kids’ friends. Take casual opportunities to ask how it’s going. As you listen to stories of the day’s events, be sure to ask about what your kids think and feel about what happened.

If your child seems to be worried about something, ask about it. Encourage kids to put what’s bothering them into words. Ask for key details and listen attentively. Sometimes just sharing the story with you can help lighten their load.

Show you care and understand. Being interested in your child’s concerns shows they’re important to you, too, and helps kids feel supported and understood. Reassuring comments can help — but usually only after you’ve heard your child out. Say that you understand your child’s feelings and the problem.

Be sure to hear about the upbeat stuff, too. Give plenty of airtime to the good things that happen and let kids tell you what they think and feel about successes, achievements, and positive experiences.

Guide kids to solutions. You can help reduce worries by helping kids learn to deal constructively with challenging situations. When your child tells you about a problem, offer to help come up with a solution together. If your son is worried about an upcoming math test, for example, offering to help him study will lessen his concern about it.

In most situations, resist the urge to jump in and fix a problem for your child — instead, think it through and come up with possible solutions together. Problem-solve with kids, rather than for them. By taking an active role, kids learn how to tackle a problem independently.

Keep things in perspective. Kids sometimes worry about things that have already happened. That’s where parents can offer some big-picture perspective. Maybe your daughter got a really bad haircut that sent her home in tears. Let her know you understand how upset she feels, then remind her that her hair will grow and help her come up with a cool new way to style it in the meantime. If your son is worried about whether he’ll get the lead in the school play, remind him that there’s a play every season — if he doesn’t get the part he wants this time, he’ll have other opportunities. Acknowledge how important this is to him and let him know that — regardless of the outcome — you’re proud that he tried out and gave it his best shot.

Without minimizing a child’s feelings, point out that many problems are temporary and solvable, and that there will be better days and other opportunities to try again. Teaching kids to keep problems in perspective can lessen their worry and help build strength, resilience, and the optimism to try again. Remind your kids that whatever happens, things will be OK.

Make a difference. Sometimes kids worry about big stuff — like terrorism, war, or global warming — that they hear about at school or on the news. Parents can help by discussing these issues, offering accurate information, and correcting any misconceptions kids might have. Try to reassure kids by talking about what adults are doing to tackle the problem to keep them safe.

Be aware that your own reaction to global events affects kids, too. If you express anger and stress about a world event that’s beyond your control, kids are likely to react that way too. But if you express your concern by taking a proactive approach to make a positive difference, your kids will feel more optimistic and empowered to do the same. So look for things you can do with your kids to help all of you feel like you’re making a positive difference. You may not be able to go stop a war, for example, but your family can contribute to an organization that works for peace or helps kids in war-torn countries. Or your family might perform community service to give your kids the experience of volunteering.

Offer reassurance and comfort. Sometimes when kids are worried, what they need most is a parent’s reassurance and comfort. It might come in the form of a hug, some heartfelt words, or time spent together. It helps kids to know that, whatever happens, parents will be there with love and support.

Sometimes kids need parents to show them how to let go of worry rather than dwell on it. Know when it’s time to move on, and help kids shift gears. Lead the way by introducing a topic that’s more upbeat or an activity that will create a lighter mood.

Be a good role model. The most powerful lessons we teach kids are the ones we demonstrate. Your response to your own worries can go a long way toward teaching your kids how to deal with everyday challenges. If you’re rattled or angry when dealing with a to-do list that’s too long, your child will learn that as the appropriate response to stress.

Instead, look on the bright side and voice optimistic thoughts about your own situations at least as frequently as you talk about what worries you. Set a good example with your reactions to problems and setbacks. Responding with optimism and confidence teaches kids that problems are temporary and tomorrow’s another day. Bouncing back with a can-do attitude will help your kids do the same.

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