Adolescent Psychiatrist Questions Anxiety

How do I manage my daughter's anxiety?

My daughter suffers from severe anxiety, and I don't know how we can really help her. Do you have any ideas on how we can help her keep it under control?

8 Answers

Anxiety can be of different types, age of child, occur at school, home or social situation.
CBT plus potential medication possibly be beneficial. Please consult provider
It was sent nobles medication and CBT therapy NOT one or the other
Thank you for the question. Anxiety is very common in kids. I would suggest getting her to the pediatrician and enroll with a therapist and go from there. That would be the best starting point.
Hope that help.
Dr Sangra
There are many options - working with you or a therapist about learning coping/calming skills (such as deep breathing, visualizations about positive things, exercise, Tapping/Emotional Freedom Technique, Meditation) can be very helpful. Working on developing positive self talk to counteract the anxious thoughts. Some supplements can also help, such as GABA, 5-HTP, L-Theanine are examples. If she is severely affected, a professional should be consulted.
Good morning,

When dealing with anxiety, there are a couple of factors: is there a genetic component, family history, or something driving the anxiety? Also, there could a medical cause like hyperthyroidism, which can be confused with anxiety disorder. If all medical is ruled out, a very good CBT therapist will be the first step before you begin meds.
Help her verbalize slowly what is in her mind. Encourage her to communicate before they start.
One of the most effective ways to encourage positive coping strategies is for your daughter to learn some breathing and relaxation exercises to use to help her get through episodes of anxiety. A counselor can teach them to her and you and they can be used for almost any age person from young children to old people. If your daughter is an older teen there are also a variety of APs available for phones that offer help doing these exercises. It’s important for you to remain calm and matter of fact. Anxiety is a feeling. It can’t in and of itself kill you. It can be pushed through. Anxiety can in a sense feed on itself and keep growing because the person suffering from it is afraid of the feeling. There are medications available that help correct chemical imbalances that may be part of causing people to suffer from anxiety. Try to stay away from addicting drugs such as Xanax (alprazolam) or Lorazepam as ultimately they create dependency and make the condition worse. Low doses of antidepressants such as Zoloft can often help as can medications such as Gabapentin. A psychiatrist can determine if medication is needed or refer you to a therapist that can help with managing anxiety.
Anxiety is a serious problem for many youngsters that is often not appreciated by adults and which can cause significant pain with negative sequela. You should certainly have this treated by a professional, as there are several excellent remedies, both with medicine and with therapy. Ask your pediatrician for a referral to a child psychiatrist (an MD who specializes in treating emotional problems of youth.)