Separation anxiety from separation anxiety occurs when the child becomes restless and begins to cry when a parent leaves the room. Some children cry and have tantrums, refuse from near their parents to go and / or nighttime awakenings. Separation anxiety is a normal stage of development and typically begins around the age of 8 months, culminating between 10-18 months and disappears with 24 months. It must of pathological separation anxiety that occurs at a later age, and at a time when this behavior is not age-appropriate, be distinguished; the refusal to go to school or preschool is a common manifestation of separation anxiety disorder. Separation anxiety occurs when children begin to understand that they are a separate from their primary caregiver person, but have not yet acquired the concept of object permanence (the knowledge that something still exists if it can not be seen or heard). When children are separated from their primary caregiver, they do not understand why that the caregiver is will return. Because children have no concept of time, they fear that the departure from their parents forever. The separation anxiety disappears when the child develops memory. It can hold an internal image of the parents in mind as soon as they are gone, and remember that they are also come back in the past. It should be parents advised not to minimize the separations in response to separation anxiety or to make exaggerated preventions, as this could affect the maturation and development of the child. If the parents leave the house or the daycare, the following strategies can try: For distraction of the caregiver provide Saying goodbye without intensive to respond to the cries of the child Let and remain calm develop a certain routine for farewells to the fear of the child facilitate the child after feeding can take a nap before the parents say goodbye, because separation anxiety can worsen when a child is hungry or tired. If the parents go in the apartment for a moment to another room, it has proven to call for calming the child from there. This strategy can experience the children that the parents are still there, even though the child can not see them. Separation anxiety does not cause long-term damage in children when it disappears at the age of 2 years. If it goes beyond 2 years of age, it can eventually lead to problems, depending on how much they interfere with the normal development of the child. It is normal when children have some anxiety when they go for the first time in the daycare or kindergarten. However, this fear should decrease after a while. Rarely pronounced fear holds a child from going to a childminder or the nursery and play with peers. With this fear, it is likely to be pathological (separation anxiety). In most of these cases, medical treatment is not necessary. Fremdeln fremdeln means that a child begins to scream if a stranger approaches. It is normal when she starts at the age of 8-9 months and subsides again with 2 years. Fremdeln associated with the normal development step in which the child learns to distinguish between familiar and the unfamiliar. Both the extent and the duration of the Fremdelns vary greatly from child to child. Some infants and young children show a certain age a marked preference for one parent over the other and grandparents can be regarded as strangers suddenly. To avoid misunderstandings regarding the child’s behavior, it is useful to note in the context of screening for these phenomena. Calming the child and avoiding an overreaction on the part of the parents usually are the only necessary action. The action should be characterized by common sense. It certainly makes sense to have a new babysitter just spend some time with the family before the actual day comes when the child is “foreign” person alone. Just as sensible to spend as of the date first some time with the child and the babysitter. If the grandparents come to watch a couple of days on the child while the parents are away, they should arrive one or two days earlier. Similar techniques can be applied to a planned hospitalization. Fremdeln markedly intensity and duration may reflect a generalized anxiety and should be an opportunity to review the family situation, the parents behavior and mental well being of the child.