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Worried No More : Help and Hope for Anxious Children, Second Edition
Wagner, Aureen Pinto, PhD
Lighthouse Press / Softcover / 2005-10-01 / 0967734797
Anxiety, Phobia & Panic / Families and Parenting
price: $35.50 (may be subject to change)
230 pages
Not in stock - available within 6 weeks.

"This excellent book could not be more timely considering the recent highly stressful events in our country." Sara S. Sparrow, Ph.D., Professor and Chief Psychologist, Yale University Child Study Center

For parents, school personnel and health care professionals

Packed with information, practical guidance and specific how-to steps to help children overcome worry, school refusal, separation anxiety, social anxiety, excessive shyness, panic, phobias, traumas and tragedies, obsessions and compulsions.

Key Benefits
--- HOW TO TELL NORMAL ANXIETY FROM PROBLEM ANXIETY
--- DIFFERENT FORMS OF ANXIETY IN CHILDREN AND TEENAGERS
--- RED FLAGS FOR ANXIETY
--- EXPRESSIONS OF ANXIETY IN SCHOOL
--- EFFECTIVE TREATMENTS
--- HOW TO FIND THE RIGHT PROFESSIONAL HELP
--- WHAT PARENTS CAN DO TO HELP
--- WHAT SCHOOLS CAN DO TO HELP
--- VALUABLE STRATEGIES AT HOME AND SCHOOL
--- DOS AND DON’TS OF PARENTING
--- STEP-BY-STEP ACTION PLANS WITH EXAMPLES
--- READY-TO-USE FORMS AND TOOLS FOR PARENTS AND SCHOOLS

Table of Contents
Chapter 1 Children in the shadow ......................................... 11
Chapter 2 The many faces of anxiety .................................... 14
Chapter 3 Anxiety: Normal and necessary................................ 16
Normal fears and anxieties in children and adolescents ..................................17
Normal rituals and superstitions ........................................................................... 20
Age differences in expression of anxiety ........................................................... 20
When does anxiety become a problem? ................................................................21
When does anxiety become a disorder? .............................................................. 22
Chapter 4 Anxiety problems and disorders in children and adolescents 24
Separation Anxiety Disorder.................................................................................. 24
Generalized Anxiety Disorder................................................................................ 25
Specific Phobias......................................................................................................... 26
Social Anxiety/Excessive shyness ........................................................................ 27
Obsessive-Compulsive Disorder ............................................................................. 27
Pediatric Autoimmune Neuropsychiatric Disorders Associated with
Streptoccocal Infections (PANDAS) .............................................................. 29
Post-Traumatic Stress Disorder ........................................................................... 30
Panic Disorder ............................................................................................................ 32
“School Phobia”........................................................................................................... 32
Which anxiety disorder is this?............................................................................. 34
Chapter 5 Disorders associated with anxiety ............................. 35
Depression................................................................................................................... 35
Tourette Syndrome................................................................................................... 35
Attention Deficit Hyperactivity Disorder .......................................................... 36
Autism and Asperger’s Syndrome.......................................................................... 37
Trichotillomania.......................................................................................................... 38
Body Dysmorphic Disorder...................................................................................... 39
Delusions, hallucinations and psychosis ................................................................ 40
Chapter 6 The far-reaching effects of anxiety.......................... 41
Chapter 7 Warning signs and signals ...................................... 44
Chapter 8 What causes anxiety disorders in children? .................. 47
The Fuel for Anxiety ................................................................................................ 48
The Anxiety Triad ..................................................................................................... 48
The Vicious Cycle of Avoidance.............................................................................. 49
Reactions and responses of parents ..................................................................... 50
Stress...........................................................................................................................51
viii Worried No More
Chapter 9 Cognitive-Behavioral Therapy for anxiety .................... 53
Cognitive elements..................................................................................................... 54
Behavioral elements .................................................................................................. 60
Physical elements....................................................................................................... 68
Can young children participate in CBT?................................................................ 69
Social Skills Training .................................................................................................71
Chapter 10 Medications for anxiety in children .......................... 74
Chapter 11 What parents can do to help ................................. 77
The 3 P’s: Proactive, positive and preventive...................................................... 78
The 3 S’s: Security, structure and stability....................................................... 80
Self-reliance ............................................................................................................... 82
Communication ............................................................................................................ 83
Appropriate attending.............................................................................................. 84
Corrective Learning Experiences........................................................................... 86
Setting a positive example .......................................................................................91
Unhelpful reactions and responses........................................................................ 92
Chapter 12 What school personnel can do to help ....................... 93
Education and training .............................................................................................. 94
Early detection........................................................................................................... 94
Establishment of helping partnerships................................................................. 95
Assessment ................................................................................................................. 97
Consultation and appropriate referral.................................................................. 98
Provision of a physically and emotionally safe environment ............................ 99
Management of anxiety in school......................................................................... 100
Preventive strategies ............................................................................................. 103
Chapter 13 Helping anxious children in school: An action plan .........105
Identify specific concerns .................................................................................... 105
Develop helping partnerships................................................................................ 105
Conduct systematic assessment........................................................................... 106
Consult and/or refer............................................................................................... 108
Define and prioritize target behaviors and goals............................................ 108
Design problem-focused interventions................................................................110
Cultivate the child’s treatment-readiness...........................................................111
Apply interventions ..................................................................................................112
Evaluate and modify .................................................................................................112
An action plan for School refusal/Separation anxiety....................................113
Chapter 14 Finding the right community partners.......................124
Barriers to effective partnerships ..................................................................... 126
Table of Contents
ix
Working through the obstacles ........................................................................... 129
Engaging reluctant children................................................................................... 130
Chapter 15 Specific strategies for anxiety-related problems .........134
Normal anxiety ......................................................................................................... 134
Back to school anxiety............................................................................................ 135
Coping with trauma, tragedy, war and violence ................................................ 136
Separation anxiety .................................................................................................. 138
School refusal/Tardiness ...................................................................................... 138
Reassurance seeking ............................................................................................... 139
Perfectionism............................................................................................................ 140
Obsessions and compulsions.................................................................................. 140
Writing and reading difficulties ...........................................................................141
Inability to complete assignments and homework ........................................... 142
Social anxiety/Excessive shyness ....................................................................... 142
Panic ............................................................................................................................ 143
Difficulty shifting gears........................................................................................ 143
Refusal to speak in school...................................................................................... 144
Performance/Test anxiety.................................................................................... 144
Tics............................................................................................................................. 144
Meltdowns and explosiveness ............................................................................... 145
References .................................................................147
Resources .................................................................149
Support Organizations ......................................................151
Forms and tools .............................................................153
Form 1: Corrective Learning Experiences Worksheet.................................... 155
Form 2: Parent-Teacher Log................................................................................. 157
Form 3: Home Behavior Observations ................................................................ 159
Form 4: School Behavior Observations ...............................................................161
Form 5: My Thoughts and Feelings...................................................................... 163
Form 6: The Feeling Thermometer ..................................................................... 165
Form 7: My Fear Ladder ........................................................................................ 167
Form 8: Exposure Progress Record..................................................................... 169
Form 9: RIDE Up and Down the Worry Hill Memory Card .............................171
Form 10: Facing My Fears...................................................................................... 173
Index .................................................................175
x Worried No More
Tables
Table 1: Indicators of Problem Anxiety...................................................................22
Table 2: Possible Reasons for School Refusal ........................................................33
Table 3: Socratic Questions for Realistic Thinking..............................................56
Table 4: Steps in Gradual Exposure..........................................................................64
Table 5: Medications for Anxiety..............................................................................75
Table 6: Reasons to Consider Medication for Anxiety.........................................76
Table 7: Steps in Corrective Learning Experiences..............................................87
Table 8: Guidelines for Referral to Mental Health Clinicians ............................98
Table 9: Assessment Instruments for Children and Adolescents................... 109
Table 10: Suggested Questions for Selecting a CBT Therapist...................... 126
Figures
Figure 1: The Vicious Cycle of Avoidance ................................................................49
Figure 2: The "Fearmometer".....................................................................................57
Figure 3: Up and Down the Worry Hill .....................................................................62
Figure 4: The Results of Exposure Therapy ...........................................................63
Figure 5: RIDE Up and Down the Worry Hill ..........................................................66
Figure 6: Corrective Learning Experiences Worksheet.......................................90
Figure 7: Parent-Teacher Log....................................................................................114
Figure 8: Home Behavior Observations...................................................................115
Figure 9: School Behavior Observations.................................................................115
Figure 10: My thoughts and feelings........................................................................118
Figure 11: Gradual Exposure Hierarchy for School Refusal/Separation
Anxiety....................................................................................................119
Figure 12: Worry Hill Memory Card.........................................................................119
Figure 13: Exposure Progress Record..................................................................... 120
Figure 14: Facing My Fears ........................................................................................121
Figure 15: Gradual Exposure Hierarchy for Reassurance Seeking.................. 122
Figure 16: Gradual Exposure Hierarchy for Perfectionism............................... 122
Figure 17: Gradual Exposure Hierarchy for Contamination Fears................... 123
Figure 18: Gradual Exposure Hierarchy for Social Anxiety.............................. 123


About the Author:

AUREEN PINTO WAGNER, Ph.D., is Clinical Associate Professor of Neurology at the University of Rochester School of Medicine & Dentistry, Director of The Anxiety Wellness Center in Rochester, NY and a member of the Scientific Advisory Board of the Obsessive Compulsive Foundation. Dr. Wagner is a Clinical Child Psychologist whose unique Worry Hill approach to making cognitive-behavioral therapy accessible to youngsters has gained her international recognition.

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