Information for Health care professionals

Fear is a normal and useful emotion that alerts you to danger. At certain age stages, it is also quite normal for a child to experience certain fears. For example, young children are more likely to be afraid of strangers or the dark, while slightly older children experience more fears on the social aspect. Fears common for a certain age stage often go away by themselves. For some children, however, their fears grow into impregnable barriers and even more problems.

When a person is regularly very anxious, this anxiety is out of proportion to the danger and causes significant limitations that can greatly disrupt life, we speak of an anxiety disorder.

Anxiety and stress symptoms are the most common mental problems worldwide and often start as early as childhood. These symptoms often do not go away by themselves and can in turn lead to other problems such as loneliness, substance use, social problems, worsening school performance or school dropout.

Anxiety symptoms are often not recognised in time because they can express themselves in many different ways. For example, it can manifest itself in physical symptoms, withdrawn behaviour, or in other behavioural problems or school refusal. Underlying anxieties are not always looked at with these behaviours.

When young people do not get help until the symptoms have escalated, a long and expensive treatment process is often needed, for which there are also long waiting lists. With early intervention, most anxiety symptoms can be remedied with proven effective interventions. Thus, it is important to get there as early as possible.

Health care professionals

What is anxiety and when does it become an anxiety disorder?

Everyone feels anxious or stressed from time to time. Anxiety is a normal and useful emotion that helps us respond to danger. It allows us to react quickly in threatening situations, for example through the fight-or-flight response.

However, sometimes people experience intense fear in situations that are not actually dangerous. This fear can be so overwhelming that it interferes with daily life — for example, by avoiding certain places or activities, or feeling so tense that it becomes difficult to concentrate or carry out everyday tasks.

When fear lasts for a long time and is out of proportion to the actual danger, and it causes significant distress, it may be a sign of an anxiety disorder.

Wat zijn de verschillende soorten angststoornissen?

Er zijn verschillende soorten angststoornissen bij kinderen en jongeren, elk met hun eigen kenmerken, zoals angst voor sociale situaties, verlatingsangst of intense zorgen over alledaagse dingen.

How can anxiety be treated?

In children and adolescents, cognitive behavioural therapy (CBT) is the most commonly used and effective treatment for preventing and reducing various anxiety disorders. CBT involves identifying and challenging anxious thoughts, as well as addressing avoidance behaviours. People who are afraid often try to avoid the situations that trigger their anxiety. While this may reduce anxiety in the short term, it reinforces the fear in the long term and prevents it from being resolved.

During CBT, children learn to replace anxious thoughts with more helpful and realistic ones. A key component of CBT is exposure therapy, in which the child is gradually exposed to the feared situation or object in a controlled way, helping them to overcome their fear. This process involves practicing how to break avoidance patterns. It is essential that the child continues to practice these skills at home between therapy sessions.

Tips

Tips
  • Take the child's fear seriously
  • Talk to the child about the fear
  • Encourage the child to face the feared situations, without forcing them to do so.