Anxiety and Related Disorders How do we identify and treat anxiety disorders?
How Does Anxiety Impact Students? How to Build Resilience.
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Transcript of How Does Anxiety Impact Students? How to Build Resilience.
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Building Resilience & ConfidenceStrategies to help our youth manage stress, worry and anxiety
Kootenay Lake School District #8Nelson, British ColumbiaTrafalgar Middle School PAC January 2014Todd Kettner, Ph.D. , Registered Psychologist
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We want our kids to:
Learn wellBe socially competentBe successful in lifeOther wishes for their lives?
Copyright 2014 Todd Kettner, Ph.D. 250-505-7019
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Anxiety gets in the way of…
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Learning
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The Prevalence of Anxiety Among Middle and Secondary School Students in Canada L.Tramonte & D. Willms. Canadian Journal of Public Health 2010;101(Suppl. 3):S19-S22.
Less than one half of Canadian students can be considered “in flow.” That is, < 50% of students feel confident in their skills and challenged in their classes. Students who lacked confidence in their skills were nearly twice as likely to experience anxiety.
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Social Competence
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5.5% of 13 to 18 year olds will have Social Anxiety (a subtype of anxiety) during their teens.
Merkingas, Burstein, Swanson, et. al. Journal of the American Academy of Child & Adolescent Psychiatry. 2-1 Oct:49 (10):980-989.
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Lifelong Success
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Prevalence of anxiety disorders in children and adolescents
10% to 20%
Anxiety and Anxiety Disorders in Children and Adolescents: Developmental Issues and Implications for DSM-V. Besdoo, Knappe, and Pine. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3018839/ Psychiatry in Clinical Practice North America. 2009 September: 32(3); 483-524. Prevalence was found to be 15 to 20%. Note: Other studies have shown somewhat lower prevalence rates.
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SD8 Counsellors: Most Important Issues Dealt with in Schools (weighted)
Anxiety40%
Peer Interactions14%
Disruptive Behaviors14%
Depression8%
Attendance6%
Academic Stress5%
All Others13%
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Physical Symptoms
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Physical Symptoms
Crying Muscle tension HeadachesStomach aches Nail biting Picking at skin
Fidgetiness Increased heart rate Sweating
Shallow breathing Dizziness Fatigue
Disrupted sleep Feeling of choking Feeling nauseasTightness in chest Trembling Numbness
Tingling sensations
Extreme anxiety can lead to hair loss, trichotillomania, rashes
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Cognitive Symptoms
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Cognitive Symptoms
Difficulty concentratingFear of illness – “I must be having a heart attack”Fear of losing it – “I’m going crazy”Fear of abandonment – “My girlfriend might leave me”Fear of failure – “I’m going to flunk the exam”Fear of rejection – “Nobody will like me at Trafalgar”Fear of fear – “I know I’ll have a panic attack if I go the Bombers basketball game”Fear of criticism – “My teacher won’t like the story I wrote.” “My parents will think the money they spent on my new hockey equipment was a complete waste”Fear of success – “I don’t want to try out for choir because my friends think I have a good voice and if I made it, then I’d have to be on stage”Fear of death Fear of lossFear of catastrophe if something isn’t in the right order or sequence
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Behavioural Symptoms
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Behavioural Symptoms
Avoidance School refusalSkipping classDropping out of sportsAlcohol, pot, other drugs to avoid anxiety or other challenging emotions“Losing homework”Not wanting friends overRefusal of overnights at friends, relatives, school trips, summer campsTantrumsYellingSometimes even physical aggression – “had to drag him kicking and screaming”
Copyright 2013 Todd Kettner, Ph.D. 250-505-7019
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Actions
Thoughts
Emotions
Managing our anxiety and depression AND improving our physical health outcomes
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Emotional Contagion
Emotional Contagion (Studies in Emotion and Social Interaction). Hatfield, Cacioppo & Rapson. 1993. Popularized in Malcolm Gladwell’s 2002 Bestseller “The Tipping Point.”
Examples: EMTs and ER nurses who calm their patients by talking calmly. Parents and teachers who talk quieter in order to “infect” their loud and boisterous children with their subdued volume.
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Emotional Contagion
Anxiety and Stress
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Strategies
Modelling and RehearsalPhysical Exercise
Clear and Accurate Information
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Yerkes Dodson Law
Copyright 2013 Todd Kettner, Ph.D. 250-505-7019
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Staircase of Success
Graduated Mastery
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Anxiety BC’s Excellent Website Resources. Results. Relief.
Information for Children, Teens, Parents, and Adults
http://www.anxietybc.com/
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Resources for Teachers:Fostering Resilience in Students with
Mental Health Issues
http://keltymentalhealth.ca/education
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Handouts for:Relaxed Breathing
Building Social ConfidenceOvercoming Fears
Progressive Muscle Relaxation
http://youth.anxietybc.com/resources
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Empirically Validated Quick Screening Measures for:Depression
AnxietyStress
Alcohol UseSocial Anxiety
Drug Use
http://www.mindcheck.ca/mood-stress
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Resilience. Mastery. Success.
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1. Anxious Teen by Holly2. Learning by woodleywonderworks3. Social Competence by Purhoor Photograpy4. Lifelong Success by Jorge Franganillo 5. Amygdala - unknown6. Spider by Dincordero7. Spider on eye blog.ericlamb.net8. Beach by Zanzibar9. Yerkes Dodson – secretgeek.net10.Scared Child by Espon Faugstad11.Distressed Teen in Car by PLCjr12.Peers by teapics13.Parents by phub.com.au14.Educators – apa.org15.Classroom by horizontal.ingegration16.Counselor in chair by Parker Knight17.Staircase by Gwenael Piaser
Photos credits (mostly from Flickr)