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August 27, 2014 / 1 Elul, 5774
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Separation Anxiety In Children

Schonbuch-Rabbi-Daniel

Psychotherapy: CBT (Cognitive Behavioral Therapy) is the main treatment approach for separation anxiety disorder. The focus of therapy is to help the child tolerate being separated from the caregiver without it causing distress or interfering with his or her function. CBT works to reshape the child’s thinking (cognition) so that his or her behavior becomes more appropriate. Family therapy also may help teach the family about the disorder and help family members better support the child during periods of anxiety.

Medication: Antidepressant or other anti-anxiety medications may be used to treat severe cases of separation anxiety disorder.

 

What Is the Outlook For Children With The Disorder?

Most children with separation anxiety disorder get better, although their symptoms may recur for many years, particularly when stressful events or situations occur. When treatment is started early and involves the family as well as the child, the child’s chance of recovery improves.

 

Is There A Way To Prevent The Disorder?

There is no known way to prevent separation anxiety disorder, but recognizing and acting on symptoms when they appear can minimize distress and prevent problems associated with not going to school. In addition, reinforcing a child’s independence and self-esteem through support and approval may help prevent future episodes of anxiety.

 

About the Author: Rabbi Daniel Schonbuch, MA, Marriage and Family Therapy, is an expert in marriage counseling, pre-marital education, and helping teens in crisis with offices in Flatbush, Cedarhurst, and Crown Heights. He is a certified PAIRS instructor, and trained as a Level 1, Emotionally Focused Therapist at the Ackerman Institute for the Family, and is a member of AASECT. He is the author of At Risk – Never Beyond Reach and First Aid For Jewish Marriages. To watch his free videos on marriage and parenting and for appointments visit: www.JewishMarriageSupport.com or call 646-428-4723


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Schonbuch-Rabbi-Daniel

Separation anxiety disorder is a condition in which a child becomes fearful and nervous when away from home or separated from a loved one – usually a parent or other caregiver – to whom the child is attached.

Schonbuch-Rabbi-Daniel

I try to focus on the parents in a way that is not often addressed. As soon as the child gets anxious, the parent gets anxious;

Most people are not aware that anxiety disorders are the most common mental illness in the United States, affecting 40 million adults age 18 and older (18% of U.S. population).

Parental conflict affects children in varying ways, depending on their age. For example, teenagers around the age of fifteen or sixteen are most likely to involve themselves in their parents’ battles. Younger children may keep their feelings hidden inside and may only show signs of depression in late childhood or early adolescence.

When parents come to talk to me about a troubled child or teenager, I often find it helpful to explore whether or not their marriage is causing their teenager to be at risk.

Active listening is only one part of the marriage equation; learning what to say and what not to say is the other half. And, it’s not just about expressing your feelings, but doing it in a way that avoids hurting the other person.

Control may be the most destructive force influencing a marriage. Let me illustrate this point with the following story. About two years ago a woman named Bracha, 47, came to speak to me about her husband’s controlling behavior. This is how she described her precarious situation:

Controlling behavior may be the number one reason that your marriage needs first aid.

If you are unfamiliar with the topic of control, it’s no surprise. Most people are unaware that control is a major issue for counselors, therapists and psychologists-at-large.

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