
Anxiety is a normal and necessary part of life. Without a healthy amount of anxiety, we would end up making decisions which could be harmful for us. However, when anxiety becomes severe and out of control,it begins to affect the normal functioning of a person, which is when it comes under the category of anxiety disorders. Adults are not the only ones who experience anxiety disorders, even children suffer from them. Given below are the common anxiety disorders in children that need to be treated with anxiety medications.
Anxiety Disorders in Children
Separation Anxiety Disorder: It should not be confused with separation anxiety, which is a normal part of growing up, and is seen in children between 18 months and 3 years of age. Separation anxiety, which continues beyond this age, however, may be categorized as separation anxiety disorder and it usually begins between 7 to 9 years of age. It is characterized by severe anxiety when leaving parents or primary care takers and familiar environment like home, and extreme homesickness or sadness when away from parents or home.
Generalized Anxiety Disorder: Generalized anxiety disorder, as the name suggests, is marked by general anxiety in day-to-day life. The child exhibits excessive worrying about many things in everyday life, and is generally tense and wound up most of the time. Generalized anxiety disorder usually occurs between 6 and 11 years of age.
Social Anxiety Disorder: It involves extreme anxiety in social situations, which range from socializing with peers, initiating conversations, developing friendships, speaking in front of others, and so on. Social anxiety disorder is usually seen among adolescents, but younger children are affected by it too.
Obsessive-Compulsive Disorder:Obsessive-compulsive disorder, also known as OCD, is characterized by obsessive thoughts and compulsive actions. Children suffering from this disorder experience severe anxiety due to recurrent thoughts that they are unable to get rid of, and repetitive actions to overcome the recurrent thoughts, that they are unable to stop, which in turn, affects their functioning severely.
Panic Disorder: Panic attacks disorder involves episodes of sudden, extreme anxiety, known as panic attacks. The onset of panic attacks is sudden, and its symptoms are severe, including trembling, nausea, shortness of breath, sweating, vomiting, chest pain, and heart palpitations. In fact, a panic attack resembles a heart attack so closely, that the person having the panic attack feels that he is having a heart attack, which, in turn causes more anxiety.
Phobia: A phobia is an intense and specific fear about a certain object or situation. The fear is completely out of proportion to the situation, and the child is unable to overcome it even though it is irrational. Children normally deal with phobias by avoiding the object or the situation that causes them anxiety, all together.
It is difficult to identify anxiety disorders in children, unlike adults, because children can react very differently to situations which cause them anxiety. Following is a list of symptoms that children might exhibit if they are suffering from an anxiety disorder.
Symptoms
- Constant worrying about things
- Avoiding social situations
- Headaches, stomach pain
- Poor performance in school
- Avoiding going to school
- Lack of confidence and low self-esteem is a major anxiety symptom
- Anger and depression
- Inability to concentrate
- Sleep problems, nightmares
- Loss of appetite and fatigue
Medication
Benzodiazepines: These are antianxiety medicines used primarily for short-term anxiety, because of their quick action. They are very effective in treating the various symptoms of anxiety. However, they are recommended only for short-term use, as long-term use results in dependence on the medication, and stopping them abruptly causes severe withdrawal symptoms.
Tricyclic Antidepressants (TCAs): Tricyclic antidepressants are preferred over benzodiazepines as for long-term treatment of anxiety. They take two to three weeks to start showing results, and may need to be taken for a time span ranging anywhere between a couple of months, to a couple of years, depending on the severity, frequency, and duration of the anxiety episodes. They are commonly used as medication for generalized anxiety disorder. They are, however, not as preferred as SSRIs in the treatment of anxiety disorders, because they have significant side effects.
Selective Serotonin Re-uptake Inhibitors (SSRIs): SSRIs have become the favored anxiety medication in the case of children because of their effectiveness in treating anxiety, as well as their minimal side effects. They are used as anxiety panic attack medication and obsessive compulsive disorder medication, in addition to being used for the treatment of depression. SSRIs work by limiting the reabsorption of the neurotransmitter, serotonin, by the brain cells, which increases the amount of serotonin available to transmit neuro-signals, resulting in a calming effect. They are known as 'selective' because they only block the neurotransmitter, serotonin, and not other neurotransmitters.
Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs): SNRIs are also used for the treatment of anxiety disorders, especially generalized anxiety disorder. They work by affecting the reabsorption of serotonin as well as norepinephrine. They are as effective as SSRIs and have few side effects.
Mono-Amine Oxidase Inhibitors (MAOIs): MAOIs are another class of depression medications used for children. They are also non-addictive and have less side effects. However, care needs to be taken while taking them because they have a number of adverse food and drug interactions.
Side Effects
- Drowsiness
- Dizziness
- Clumsiness
- Confusion
- Memory loss
- Fatigue
- Nausea
- Headaches
- Constipation
- Diarrhea