Separation Anxiety Disorder

A disorder in which a child becomes excessively anxious when separated from parents.
Children are especially prone to separation anxiety during times of stress.
Separation anxiety differs from normal clinginess. Children with the disorder can’t think about anything but the present fear of separation. They may have nightmares or regular physical complaints. They may be reluctant to go to school or other places.
Treatment includes talk therapy and possibly anti-anxiety medication.

 

Cluster Number:
Wiki Number: PW202
Diagnosis: Separation Personality Disorder
US Patients: 5%-25% of children; 2% of adults
World Patients:
Sex Ratio: B;G+
Age Onset: Normal 8-14 months; usually finished by age 3.
Brain Area: amygdala, ventrolateral and dorsomedial areas of the prefrontal cortex
Symptoms: reluctance, worry about being away from home, or away from loved one, nightmares if away from home
Progression: anxiety on separating from home or a specific loved one or significant others
Causes: American Psychiatric Association considers this a normal part of development except for the significantly older.
Medications: tricyclic antidepressants. SSRI’s
Therapies: counseling for the child and family, behavioral therapies, contingency management with “praise”

Youtube Video:

Separation Anxiety in Children: Separation Anxiety Review

Amazon or Library Book:

What to do when you Don’t Want To Be Apart

Click the book to link or order from Amazon.

4 CURRENT ARTICLES
FROM PUBMED

The world-wide medical research
reports chosen for each diagnosis 

Clicking each title opens the
PubMed article’s summary-abstract.

  • Early Handling Exerts Anxiolytic Effects and Alters Brain Mitochondrial Dynamics in Adult High Anxiety Mice
    by Christina Thomou on May 18, 2024

    Early handling (EH), the brief separation of pups from their mother during early life, has been shown to exert beneficial effects. However, the impact of EH in a high anxiety background as well as the role of brain mitochondria in shaping EH-driven responses remain elusive.Here, we used a high (HAB) vs. normal (NAB) anxiety-related behavior mouse model to study how EH affects pup and dam behavior in divergent anxiety backgrounds. We also investigated EH-induced effects at the protein and mRNA...

  • Family Accommodation and Separation Anxiety: The Moderating Role of Child Attachment
    by Gillian A Weeks on May 16, 2024

    Family accommodation, or changes in parental behavior aimed at avoiding or alleviating child anxiety-related distress, contributes to the severity of anxiety symptoms, and is most strongly associated with separation anxiety. This study examined whether child attachment security, characterized as the degree to which children perceive their parents to be reliable, available, and communicative, moderates the association between family accommodation and separation anxiety symptoms, and whether this...

  • Assessment of anxiety in children with neurodevelopment disorders: Rasch analysis of the Spence Children's Anxiety Scale
    by Alana Sparks on May 14, 2024

    Anxiety is common in neurodevelopmental disorders (NDD). The parent version of the Spence Children's Anxiety Scale (SCAS-P) is a widely used measure to assess anxiety across a broad range of childhood populations. However, assessment of the measurement properties of the SCAS-P in NDDs have been limited. The present study aimed to assess the psychometric properties of the SCAS-P in children with attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD) using Rasch...

  • Paediatric laceration repair in the emergency department: post-discharge pain and maladaptive behavioural changes
    by Sarah R Martin on May 9, 2024

    CONCLUSION: Over 40% of children exhibited maladaptive behavioural changes after ED discharge. Although the incidence declined over time, 10% of children continued to exhibit behavioural changes 2 weeks post-discharge. Pain on the day following discharge emerged as a key predictor, highlighting the potential critical role of proactive post-procedural pain management in mitigating adverse behavioural changes.