Separation anxiety is a persistent, intense and developmentally inappropriate fear of separation from a caregiver (usually the mother). These children desperately trying to avoid separation situations. If the separation is enforced, the children are desperately busy to achieve reunification. The diagnosis is made clinically. In severe cases, one can use SSRIs. Treatment includes behavior therapy in the child and the family.

Separation anxiety is a normal behavior in children aged 8-24 months (separation anxiety and fear of strangers: separation anxiety). It dissolves as soon as the children develop a feeling that objects remain, and understand that their parents will return. In some children, separation anxiety persists even after the time there or come back later. It can then be hard enough to be classified as a disorder. However, separation anxiety often occurs in young children and rarely after puberty.

Separation anxiety is a persistent, intense and developmentally inappropriate fear of separation from a caregiver (usually the mother). These children desperately trying to avoid separation situations. If the separation is enforced, the children are desperately busy to achieve reunification. The diagnosis is made clinically. In severe cases, one can use SSRIs. Treatment includes behavior therapy in the child and the family. Separation anxiety is a normal behavior in children aged 8-24 months (separation anxiety and fear of strangers: separation anxiety). It dissolves as soon as the children develop a feeling that objects remain, and understand that their parents will return. In some children, separation anxiety persists even after the time there or come back later. It can then be hard enough to be classified as a disorder. However, separation anxiety often occurs in young children and rarely after puberty. Symptoms and complaints like the social anxiety disorder occurs separation anxiety for the first time as a school or kindergarten refusal. When they parted company there is typically dramatic scenes. Separation scenes are usually painful for both the child and the caregiver (usually the mother, but any parent or other caregiver to be). Often the child wails and begs with such desperation that the caregiver can not go. This means that such scenes are protracted and can be severe interrupted so. After separation, some children think only to the reunion with the caregiver and are often concerned that this person has been harmed (z. B. in a car accident in a serious illness). It happens that children refuse to sleep alone, or that they insist on always being in the same room as their caregiver. The child often develops somatic complaints (eg. As headaches, abdominal pain). The child’s behavior in the presence of the caregiver is usually unremarkable. This normal behavior can sometimes give the wrong impression, as if it is a problem of lesser importance. However, some children have a persistent and excessive worry about losing their caregiver (eg. As illness, kidnapping or death). Childhood separation anxiety is often reinforced by the parents’ anxiety. At the end of a vicious cycle that can be broken only by a sensitive and appropriate treatment of mother and child simultaneously created. Diagnosis Clinical investigation The diagnosis is made by means of medical history and by observing the separation scenes. The manifestations must be present for ? 4 weeks and cause significant stress or affect the everyday life (eg. As children are not to participate will be able to age-appropriate social or extracurricular activities). Therapy behavioral therapy Rarely anxiolytics The treatment consists of behavioral therapy that systematically brings regular separations. The farewells should be kept as short as possible. The caregiver should be instructed to respond sober protests. For the child, it may be helpful to have a caregiver in kindergarten or at school. In severe cases, the child of SSRIs may benefit (see table: drugs for long-term treatment of anxiety and related disorders). but most of the separation anxiety affects children to 3 years, and for this age group, these drugs have not been tested. Children successfully treated tend to fall back after the holidays and school breaks in the old patterns of behavior. Therefore regular separations should be planned by the child during this time, so that the child accustomed to be separated from the mother.

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