This article presents a case study of an anxious child, and highlights some common symptoms for parents and teachers to be watchful for. While the DSM-5 diagnostic criteria do not appear to need developmental modifications to accommodate young children, the key for accurate diagnosis appears to be assessment technique. If Ivan’s mother underestimated the extent of his worries at the second interview, it is conceivable that she also underestimated the extent of his physiological symptoms at the first interview. Phil (generalized anxiety disorder) Case Study Details. Clinicians who conducted the clinical intakes asked caregivers at their initial meetings if research assistants could approach them about the study. Worries occurred almost daily and appeared somewhat uncontrollable. Search terms used included: anxiety, anxiety disorders, childhood sexual abuse, child sexual abuse, sexual abuse. Case Study on Generalized Anxiety Disorder. Alternatively, the appearance of attenuation would be consistent with Weems’ model (2008) which attempts to explain the inconsistencies on the stability of childhood anxiety disorders as a core underlying dysregulated anxiety response system and views disorder-specific symptoms (such as GAD) as secondary characteristics that may be triggered by social and environmental contexts at different points in development [20]. No excessive worries were endorsed during the second diagnostic interview even though those interviews were only two weeks apart. The case study I am choosing is about James who is a doctor suffering from generalized anxiety disorder. However, when his medical record was reviewed for this paper, it was clear that he had the same worries consistently for two years following those interviews up to the present time. For example, recent research has suggested that anxiety sensitivity may be an important predictor of symptom chronicity. Generalized anxiety disorder is a persistent state of heightened anxiety and apprehension characterized by excessive worrying, fear, and dread. No other excessive worries were endorsed during the first interview, so her fear of weather was conceptualized as PTSD initially. Whether to include uncontrollability as a criterion is also relevant because, in contrast to the DSM-5, the International Classification of Disease definition does not require uncontrollability. Alani met all of the criteria for GAD, PTSD, and ODD. PDF | On Jan 10, 2009, Anna Ksigou published CHILD CASE STUDY-ASSESSMENT AND INTERVENTION | Find, read and cite all the research you need on ResearchGate Her treating clinician had been unaware of these. Prior to their first interviews, they received formal training in the administration of the DIPA from the developer of the instrument and watched three videos by other interviewers. Download this image for free in High-Definition resolution the choice "download button" below. Three out of six possible items are required in adults but only one out of six is required for children even though there is no known empirical evidence to support the threshold of one item in children. During the first diagnostic interview, Ivan was described as having excessive worries related to something happening to his family, death, Earth being sucked into a black hole, criminals harming someone in the family, and separating from parents when going to school. Whether it's Windows, Mac, iOs or Android, you will be able to download the images using download button. Generalized anxiety disorder (GAD) is purported to start in early childhood but concerns about attenuation of anxiety symptoms over time and the development of emerging cognitive and emotional processing capabilities pose multiple challenges for accurate detection. An earlier age at onset of GAD is significantly related to maltreatment in childhood. Their young age and dependence on caregivers may make their worries indistinguishable from separation anxiety disorder [4]. Case Studies. He worried that other children did not like him and that he would not do a good job on tasks. Social Phobia/Anxiety Case Study: Jim . A. Moore, and M. Rutter, “Age of onset and the subclassification of conduct/dissocial disorder,”, J. Immonen, E. Jääskeläinen, H. Korpela, and J. Miettunen, “Age at onset and the outcomes of schizophrenia: A systematic review and meta-analysis,”, D. Rhebergen, I. M. Aderka, I. M. van der Steenstraten et al., “Admixture analysis of age of onset in generalized anxiety disorder,”, M. A. Jarrett, A. K. Black, H. F. Rapport, A. E. Grills-Taquechel, and T. H. Ollendick, “Generalized Anxiety Disorder in Younger and Older Children: Implications for Learning and School Functioning,”, N. P. Allan, D. W. Capron, C. W. Lejuez, E. K. Reynolds, L. MacPherson, and N. B. Schmidt, “Developmental trajectories of anxiety symptoms in early adolescence: The influence of anxiety sensitivity,”, B. L. Mathews, A. J. Koehn, M. M. Abtahi, and K. A. Kerns, “Emotional Competence and Anxiety in Childhood and Adolescence: A Meta-Analytic Review,”, K. D. Michael, L. O. Payne, and A. E. Albright, “An adaptation of the coping cat program: The successful treatment of a 6-year-old boy with generalized anxiety disorder,”, S. Monga, A. Contributors. She manifested the criteria of concomitant physiological symptoms with irritability and restlessness [15]. Both this relationship and a succeeding one failed. The D criterion is that the symptoms cause clinically significant distress or impairment. If they agreed, research assistants obtained written consent from the caregivers, and then collection of data proceeded with research assistants in a private office. There are only two known case reports of children six years and younger with GAD symptoms. Download this image for free in High-Definition resolution the choice "download button" below. The diagnostic criterion of uncontrollability appears to have elements in common with anxiety sensitivity with the belief that experiencing anxiety will snowball into additional harmful social and physical consequences. We will be providing unlimited waivers of publication charges for accepted research articles as well as case reports and case series related to COVID-19. Young children do not attend work or school, so their worries may necessarily focus more on family and peers. For each area of role functioning except school/day care an additional question is asked if caregivers make accommodations so that children do not manifest their impairment. Internalized and may be the stability of symptom chronicity uncontrollability was apparent in all of the Persistent Worrier Psychiatric Medical! Including anxiety disorders information about a rarely type of an anxious child difficult... 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