Anxiety
Anxiety in children and adolescents can manifest as excessive worry, fear, or unease that impacts daily life, school performance, and relationships. Common symptoms include persistent worrying, physical complaints (e.g., headaches, stomach-aches), avoidance of certain activities, sleep disturbances, restlessness, and irritability. Types of anxiety disorders in children include Generalized Anxiety Disorder (GAD), Social Anxiety Disorder, Separation Anxiety Disorder, and Specific Phobias.
Relevant Screening & Assessment Webforms
A fillable online screening tool (e.g., Screen for Child Anxiety Related Emotional Disorders (SCARED), Spence Children’s Anxiety Scale) can be provided for parents and/or children to assess anxiety symptoms. These tools help identify the level and type of anxiety experienced.
Blood or Laboratory Tests
Anxiety is primarily assessed through clinical interview behavioural symptoms and questionnaires. In some cases, laboratory tests may be conducted to rule out associated medical conditions that may contribute to anxiety symptoms (e.g., thyroid function tests, metabolic panels).
Management Options
Psychological Therapy
The mainstay of treatment includes Cognitive Behavioural Therapy (CBT), which helps children recognize and manage anxiety triggers and develop coping strategies. Therapy may also include Exposure Therapy, Mindfulness-Based Stress Reduction (MBSR), and Acceptance and Commitment Therapy (ACT).
Medication
For moderate to severe anxiety, Selective Serotonin Reuptake Inhibitors (SSRIs) like fluoxetine or sertraline may be considered, typically in combination with therapy.
Parental Support & Education
Educating parents on anxiety management strategies and offering parent training sessions.
Lifestyle Modifications
Recommendations on sleep hygiene, regular physical activity, and nutritional support to aid in managing anxiety symptoms.
Latest High-Tech Evidence-Based Treatment Options Worldwide
Telehealth-Based CBT & Counselling:
Evidence-based online therapy platforms (e.g., Mood GYM, BrightPath) offer CBT sessions, anxiety management courses, and interactive modules for children and families.
Biofeedback & Neurofeedback Tools
Wearable devices (e.g., Muse, Embrace2) and apps that provide real-time feedback to help children learn relaxation techniques, breathing exercises, and heart rate variability training to manage anxiety.
Digital Therapeutics & Mobile Apps
Apps designed for anxiety management in children (e.g., Calm, Headspace for Kids, Mindshift) that guide mindfulness exercises, grounding techniques, and mood tracking.
XRHealth
For Virtual reality/ Mixed Reality based CBT .
AI-Based Self-Help Tools
Online chatbots and AI-based platforms (e.g., Woebot) that provide self-help exercises, coping strategies, and motivational support through conversations.
Funding Options in Australia
NDIS (National Disability Insurance Scheme)
If the anxiety disorder significantly affects daily functioning, NDIS funding may be available for therapeutic services and supports.
Medicare
Access to a Mental Health Care Plan allows for subsidized therapy sessions with psychologists, and Chronic Disease Management Plan can support access to allied health professionals.
Private Health Insurance
Coverage for therapy and psychiatric consultations can vary depending on the policy, so it is important to check with your provider.
Patient Education Resources in Australia
- Raising Children Network: Offers articles, videos, and expert advice on identifying and managing anxiety in children, as well as resources for parents and caregivers.
- Beyond Blue – Youth: Provides tailored information on anxiety, self-help resources, and tools for adolescents and parents to manage anxiety.
- Kids Helpline: Offers confidential online and phone counselling support for children and adolescents dealing with anxiety and other mental health issues.
Foundations & Volunteering Agencies in Australia
- Headspace: A national youth mental health foundation offering free online and in-person support for children and adolescents with anxiety and other mental health issues.
- Beyond Blue: Provides resources, online support, and advocacy for those experiencing anxiety and other mental health challenges.
- Anxiety Recovery Centre Victoria (ARCVic): Focuses on providing information, support groups, and resources for children and families dealing with anxiety.
What to Expect from Telehealth Consultations
Initial Assessment
During a video consultation, the clinician gathers a detailed history of the child’s anxiety symptoms, triggers, and any contributing family, school, or social factors. Screening questionnaires may be administered.
Parental Involvement
Parents play a critical role in the consultation process, providing insights into behaviour at home and school.
Therapy & Follow-Up
Regular follow-up sessions via telehealth may include psychological therapy, medication management, and discussions on lifestyle interventions. Families receive guidance on coping skills, relaxation techniques, and building resilience.
Monitoring Progress
Telehealth offers convenient and ongoing monitoring of symptoms, treatment adherence, and progress tracking, with regular feedback loops between families and clinicians.
By integrating thorough information gathering, validated assessment tools, personalized treatment plans, and innovative technologies, Smart Paediatrics ensures that children with anxiety receive comprehensive, effective, and tailored care to support their mental well-being.