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PSYC203 (40)

Part 1-L7.docx

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Gareth Treharne

Part 1- L7 Childhood anxiety Separation anxiety - Excessively anxious concerning separation - Preoccupation with returning home to attachment figures - Inability to remain in a room alone or display clinging behaviour - With parents, can be one or both parents. - Clingy - even if outside or leave room DSM5 - Developmentally inappropriate and excessive fear or anxiety concerning separation from those to whom the individual is attached, as evidenced by at least 3 of the following: o Recurrent or excessive distress when anticipating or experiencing separation from home or from major attachment figures. o Persistent and excessive worry about losing major attachment figures or about possible harm to them, such as illness, injury, disasters, or death. o Persistent and excessive worry about experiencing an untoward event (e.g., getting lost, being kidnapped, having an accident, becoming ill) that causes separation from a major attachment figure. o Persistent reluctance or refusal to go out, away from home, to school, or work, or elsewhere because of fear of separation. o Persistent and excessive fear of or reluctance about being alone or without major attachment figures at home or in other settings. o Persistent reluctance or refusal to sleep away from home or to go to sleep without being near a major attachment figure. o Repeated nightmares involving the theme of separation. o Repeated complaints of physical symptoms (e.g., headaches, stomach aches, nausea, vomiting) when separation from major attachment figures occurs or is anticipated. o The fear, anxiety, or avoidance is persistent, lasting at least 4 weeks in children and adolescents and typically six months or more in adults o The disturbance causes clinically significant distress or impairment in social, academic, occupational, or other important areas of functioning o The disturbance is not better explained by another mental disorder, such as refusing to leave home because of excessive resistance to change in autism spectrum disorder; delusions or hallucinations concerning separation in psychotic disorders; refusal to go outside without a trusted companion in agoraphobia; worries about ill health or other harm befalling others in generalized anxiety disorder; or concerns about having an illness in illness anxiety disorder. Development features - Children > 5-8 years - Children > 9-12 years - Adolescents > 13-16 years - very withdrawn, sad, empathetic, can be easily confused with depression because there is withdrawal and sadness but this is in response leaving parents Causes - Genes o Anxiety runs in famili
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