Clicker an 8 year old child has just changed to a new

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CLICKER An 8-year-old child has just changed to a new elementary school mid-school year because the child’s family moved to another state. The child is now refusing to go to school and having tantrums. The defense mechanism that most explains this behavior is REGRESSION to toddler tantrums but mainly ACTING OUT Coping resources Protective factors Spiritual beliefs Problem-solving skills Social skills Material assets Knowledge and intelligence Strong ego identity, commitment to social network, cultural stability, a stable system of values and beliefs, and a preventive health orientation Coping with stress Adequate sleep 41
Nutrition- balanced diet, limit caffeine & ETOH Exercise Assertiveness Training Meditation, visualization, prayer Autogenic Progressive relaxation Refuting irrational ideas Resilience (SAMHSA’s Resilience and Stress Management Resource Collection) Resilience is the capacity to maintain normal functioning despite adversity. Resilience attributes Capacity to make and carry out realistic plans Communication and problem solving Positive/optimistic outlook Self-confidence in strength and abilities Capacity to manage strong feelings, emotions, impulses Individual resilience Individual health and well-being (Personality, Culture, Economic background/status) Individual aspects (family hx, previous physical and mental health, other past experiences) Life hx and experience (feeling connected to others, sense of security, connected to resources) Social support CLICKER Financial resources affect individual resilience TRUE OBJ Become familiar with disorders associated with anxiety and treatment strategies -Generalized Anxiety Disorder GAD Higher incidence in women 2:1 Onset in childhood though it is most commonly diagnosed in early adulthood. Etiology : Genetic, biochemical, learned Prognosis is chronic but manageable with treatment 42
Lifetime prevalence rate 5% and 25% of those with GAD also have a co-morbid diagnosis. GAD DSM 5 Dx Criteria Excessive anxiety and worry on more days than not for at least 6 months about a number of events or activities (i.e. school, work). The worry is difficult to control. There are also at least 3 of the following symptoms present (note – only one item is required in children): 1. Restless, keyed up or on edge 2. Easily fatigued 3. Difficulty concentrating, mind going blank 4. Irritability 5. Muscle tension 6. Sleep disturbance Physical symptoms of GAD Autonomic Hyperactivity SOB, smothering feeling Tachycardia Cold, clammy hands Dry mouth, difficulty swallowing, lump in throat Nausea, diarrhea, abdominal pain Chills or hot flashes -Panic Disorder Recurrent unexpected panic attacks and at least one of the attacks has been followed by at least 1 month of one or more of the following: 1. Persistent concern or worry about additional panic attacks or their consequences (i.e., losing control, having a heart attack, “going crazy”) 2. A significant maladaptive change in behavior related to the attacks (i.e., avoiding situations).

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