It’s natural for your young child to feel anxious when you say goodbye. Although it can be difficult, separation anxiety is a normal stage of development. With understanding, patience, and coping strategies, it can be relieved—and should fade as your child gets older.
In some children, however, fears about separation seem to only intensify as time passes, or resurface out of the blue. If anxieties are persistent and excessive enough to get in the way of school or other activities, it is possible that your child has separation anxiety disorder. Unlike normal separation anxiety, this condition may require the support of a professional—but there is also a lot that you as a parent can do to help.
In early childhood, crying, tantrums, or clinginess are healthy reactions to separation. Separation anxiety can begin before a child’s first birthday, and may pop up again or last until a child is four years old, but both the intensity level and timing of separation anxiety vary tremendously form child to child. A little worry over leaving Mom or Dad is normal, even when your child is older. You can ease your child’s anxiety by staying patient and consistent, and by gently but firmly setting limits.
Some kids, however, experience separation anxiety that doesn’t go away, even with a parent’s best efforts. These children experience a continuation or reoccurrence of intense separation anxiety during their elementary school years or beyond. If anxiety is excessive enough to interfere with normal activities like school and friendships, and lasts for months rather than days, it may be a sign of a larger problem: separation anxiety disorder.
Separation anxiety disorder is not a normal stage of development, but a serious emotional problem characterized by extreme distress when a child is away from the primary caregiver. Unlike the occasional worries that children may feel at times of separation, separation anxiety disorder causes fears that limit a child’s ability to engage in ordinary life.
For children with normal separation anxiety, there are steps you can take to make the process of separation anxiety easier.
Normal separation anxiety and separation anxiety disorder share many of the same symptoms, so it can be confusing to try to figure out if your child just needs time and understanding—or has a more serious problem.
The main differences between healthy separation anxiety and a disorder are the intensity of your child’s fears, and whether these fears keep him or her from normal activities. Children with separation anxiety disorder may become agitated at just the thought of being away from Mom or Dad, and may complain of sickness to avoid playing with friends or attending school. When symptoms are extreme enough, these anxieties can add up to a disorder.
Kids with separation anxiety disorder feel constantly worried or fearful about separation. Many kids are overwhelmed with one or more of the following:
Separation anxiety disorder can get in the way of kids’ normal activities. Children with this disorder often:
A Secure Connection Healthy attachment between you and your baby fosters trust, communication, and love. You can begin developing a close bond with your baby from the moment he or she comes into your life.
Read: Bonding With Your Baby
Separation anxiety disorder occurs because a child feels unsafe in some way. Take a look at anything that may have thrown your child’s world off balance, or made him or her feel threatened or could have upset your child’s normal routine. If you can pinpoint the root cause—or causes—you’ll be one step closer to helping your child through his or her struggles. The following are common causes of separation anxiety disorder:
Anxiety or trauma?If it seems like your child’s separation anxiety disorder happened overnight, the cause might be something related to a traumatic experience rather than separation anxiety. Although these two conditions can share symptoms, they are treated differently. Help your child benefit from the most fitting treatment.
Read: Healing Emotional and Psychological Trauma
You can help your child combat separation anxiety disorder by taking steps to make him or her feel safer. Providing a sympathetic environment at home can make your child feel more comfortable, and making changes at school may help reduce your child’s symptoms. And even if your efforts don’t completely solve the problem, your empathy can only make things better.
The following tips can help you create a stable and supportive environment for your child.
| Easing separation anxiety: Tips for school | |
|---|---|
Address the cause for avoidance of school. |
Initiate a plan for your child to return to school immediately. This may include gradual reintroduction with partial days at first. |
Accommodate late arrival. |
If the school can be lenient about late arrival at first, it can give you and your child a little wiggle room to talk and separate at your child’s slower pace. |
Identify a safe place. |
Find a place at school where your child can go to reduce anxiety during stressful periods. Develop guidelines for appropriate use of the safe place. |
Allow the child contact with home. |
At times of stress at school, a brief phone call—a minute or two—with family may substantially reduce anxiety. |
Send notes for your child to read. |
You can place a note for your child in his or her lunch box or locker. A quick “I love you!” on a napkin can reassure a child. |
Provide assistance to the child during interactions with peers. |
An adult's help, whether it is a teacher or counselor’s, may be beneficial for both the child and his or her peers. |
Reward a child's efforts. |
Just like at home, every good effort—or small step in the right direction—deserves to be praised. |
Kids with anxious parents may be more prone to separation anxiety. In order to help your child overcome separation anxiety disorder, you may need to take measures to become calmer and more centered yourself. Try some of the following strategies to keep your stress in check.
Stress reliefYou can decrease your stress and make your life feel more manageable. Learn to take control of your emotions, schedule, environment, and the way you cope. With a few small changes and take-charge attitude, you can substantially reduce your own anxiety, and possibly your child’s, too.
Read: Quick Stress Relief and How to Stop Worrying
Your own patience and know-how can go a long way toward helping your child with separation anxiety disorder. But some kids with separation anxiety disorder may need professional intervention.
As a parent, how do you know when to seek help for your child? Look for “red flags,” or extreme symptoms that go beyond milder warning signs. If your efforts to reduce these symptoms don’t work, it may be the time to find a mental health specialist. Remember, these may also be symptoms of a trauma that your child has experienced. If this is the case, it is important to see a child trauma specialist.
If you see any of the following “red flags” and your interventions don’t seem to be enough, it may be necessary to get a professional to diagnose and help your child.
Child psychiatrists, child psychologists, or pediatric neurologists can diagnose and treat separation anxiety disorder. These trained clinicians integrate information from home, school, and at least one clinical visit in order to make a diagnosis. Keep in mind that children with separation anxiety disorder frequently have physical complaints that may need to be medically evaluated.
Specialists can address physical symptoms, identify anxious thoughts, help your child develop coping strategies, and foster problem solving. Professional treatment for separation anxiety disorder may include:
Anxiety Attacks and Disorders
Signs, Symptoms, and Treatment
Healing Emotional and Psychological Trauma
Causes, Symptoms, Help
Separation Anxiety – Provides a multifaceted, readable description of symptoms and strategies concerning normal separation anxiety, that which doesn’t rise to the level of a disorder. (Children, Youth and Women’s Health Service, Australia)
Separation Anxiety – Describes typical phase of separation anxiety in infants. (American Academy of Pediatrics)
Separation Anxiety in Young Children – Gives a detailed description of normal separation anxiety, with tips for parents and teachers. Also includes information about diagnosis and treatment for separation anxiety disorder. (Northern County Psychiatric Associates)
What is Separation Anxiety Disorder? – Examines separation anxiety disorder at home and at school for children and teenagers, discusses possible treatments and provides tips for home and school intervention. (Massachusetts General Hospital)
The Anxious Child No. 47 – Provides an overview of separation anxiety disorder, symptoms and treatment options. (American Academy of Child and Adolescent Psychiatry)
Separation Anxiety Disorder – Provides information on anxiety disorders of children and adolescents, including separation anxiety. (Anxiety Disorders Association of America)
Separation Anxiety – Offers practical suggestions for parents dealing with separation anxiety disorder, as well as books to read to children. (KidsHealth / Nemours Foundation)
9 Parent-Tested Ways to Ease Separation Anxiety – Provides tips from parents who have helped their children overcome separation anxiety. (Scholastic.com)
School Refusal in Children and Adolescents – Detailed article written for physicians about the problem of school age children refusing to go to school. Includes questions for parents to consider about fears and motivations of child. (American Academy of Family Physicians)
Emotional Trauma Video – Provides a thirty-minute documentary about preventing, recognizing, and healing psychological trauma in children.
Article used by permission of HELPGUIDE.org written by Jocelyn Block, M.A., and Melinda Smith, M.A., contributed to this article. Last reviewed: April 2010.
Being a parent can be one of life's most joyful and rewarding experiences, but there are times in everyone's life when the demands and hassles of daily living cause stress. The additional stress of caring for children can, at times, make parents feel angry, anxious, or just plain "stressed out." These tensions are a normal, inevitable part of family life, and parents need to learn ways to cope so that they don't feel overwhelmed by them.
As parents, we have to learn our jobs as we go along. Although we love our children, we soon realize that love isn't all that's needed. We need patience and creativity too, and sometimes, these qualities seem to be in short supply. Learning how to be a parent will probably continue until all your children are grown up. Because each child is unique, what worked with Joe will not necessarily work with Sally, and what worked for Sally probably will not help you cope with George.
Caring for small children is tiring. On bad days, we can feel trapped by the constant responsibility. Caring for older children is less physically draining but more worrisome because they spend much more time outside the home.
If there are young children in the family, there may not be enough time for parents to find time to spend together just enjoying each other's company. Single parents have difficulty finding time and energy to have a social life. Parents with full-time jobs have difficulty finding family play-time. Calendars tend to become over-scheduled. We all need time for ourselves, to concentrate on hobbies or interests, or just to relax.
Most parents have high expectations of how things should be -we all want a perfect family and we all worry about how our children will turn out. It is important to remember there are no perfect children and no perfect parents. All children misbehave sometimes. Parents can make mistakes. Wanting the ideal family can get in the way of enjoying the one you have.
You may worry about whether your children will be successful. Remember - they are each individuals. Accept them for who they are. Children who are loved, encouraged and allowed to grow up at their own pace will develop good self-esteem and confidence.
It is helpful to step back and take a long-range point of view. Have confidence that things will turn out well. Children can go through difficult stages. What is stressful today may resolve itself in a short time.
Stress becomes a problem when you feel overwhelmed by the things that happen to you. You may feel "stressed out" when it seems there is too much to deal with all at once, and you are not sure how to handle it all.
When you feel stressed, you usually have some physical symptoms. You can feel tired, get headaches, stomach upsets or backaches, clench your jaw or grind your teeth, develop skin rashes, have recurring colds or flu, have muscle spasms or nervous twitches, or have problems sleeping.
Mental signs of stress include feeling pressured, having difficulty concentrating, being forgetful and having trouble making decisions.
Emotional signs include feeling angry, frustrated, tense, anxious, or more aggressive than usual.
Coping with the stress of parenting starts with understanding what makes you feel stressed, learning to recognize the symptoms of too much stress, and learning some new ways of handling life's problems. You may not always be able to tell exactly what is causing your emotional tension, but it is important to remind yourself that it is not your children's fault.
We all have reactions to life's events which are based on our own personal histories. For the most part, we never completely understand the deep-down causes of all our feelings. What we must realize is that our feelings of stress come from inside ourselves and that we can learn to keep our stress reactions under control. Here are some tips which can help:
Make time for yourself. Reserve time each week for your own activities.
Take care of your health with a good diet and regular exercise. Parents need a lot of energy to look after children.
Avoid fatigue. Go to bed earlier and take short naps when you can.
Take a break from looking after the children. Help keep stress from building up. Ask for help from friends or relatives to take care of the children for a while. Exchange babysitting services with a neighbour, or hire a teenager, even for a short time once a week to get some time for yourself.
Look for community programs for parents and children. They offer activities that are fun, other parents to talk with, and some even have babysitting.
Talk to someone. Sharing your worries is a great stress reducer!
Look for parenting courses and groups in your community.
Learn some ways of unwinding to manage the tension. Simple daily stretching exercises help relieve muscle tension. Vigorous walking, aerobics or sports are excellent ways for some people to unwind and work off tension; others find deep-breathing exercises are a fast, easy and effective way to control physical and mental tension.
If you're feeling pressured, tense or drawn out at the end of a busy day, say so. Tell your children calmly that you will be happy to give them some attention soon but first you need a short "quiet time" so that you can relax.
Practise time management. Set aside time to spend with the children, time for yourself, and time for your spouse and/or friends. Learn to say "no" to requests that interfere with these important times. Cut down on outside activities that cause the family to feel rushed.
Develop good relationships
Family relationships are built over time with loving care and concern for other people's feelings. Talk over family problems in a warm, relaxed atmosphere. Focus on solutions rather than finding blame. If you are too busy or upset to listen well at a certain time, say so. Then agree on a better time, and make sure to do it. Laugh together, be appreciative of each other, and give compliments often. It may be very hard to schedule time to spend with your family, doing things that you all enjoy, but it is the best time you will ever invest.
Parents and children need time to spend one-to-one. Whether yours is a one or two-parent family, each parent should try to find a little time to spend alone with each child. You could read a bedtime story, play a game, or go for a walk together.
If you are considering getting some additional support or information to help you cope with the stress of parenting, there are many different resources available, including books and video tapes on stress management, parenting courses and workshops, professional counselling and self-help groups. Contact a community organization such as the Canadian Mental Health Association for more information about services in your community.
Article used by permission of the Canadian Mental Health Association.
Content used by permission of the Child Development Institute: http://www.4parenting.com