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on 28 October 2015

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Transcript of Anxiety

Dr. Adam Sandford, Zahra Kherani, Katherine Comande
Anxiety is a normal response to stress and is closely related to fear.

Many people experience anxiety before, during, or after stressful events such as writing exams, entering new social situations, speaking in front of groups, or when facing fears.

Causes of anxiety:
presentations, social situations, tests, sexuality issues (relationships, gender), family dynamics, stage fright, subject-specific, separated from parents, previous living standards, traumatic experiences

Avoiding situations that trigger anxiety can sometimes provide short-term relief but this often prolongs problems in the long term (It is a form of negative reinforcement.)
What is anxiety?
Psychological and Physical Symptoms
Separation anxiety disorder is not a normal stage of development. It is a serious emotional problem when the child is away from a primary caregiver. It is important to recognize the difference between normal separation anxiety and separation anxiety disorder.

In early childhood, crying, tantrums, or clinginess are healthy reactions to separation. However, if anxieties intensify or are persistent enough to get in the way of school or other activities, this may be a sign of separation anxiety disorder.

3 causes for separation anxiety:
change in environment, stress, over-protective parent(s).
Separation Anxiety
Psychological Symptoms

- Stressed out
- Burned out
- Scared
- Worried
- Frightened
- Panicky
- Irritable
Physical Symptoms
- Shaky
- Disturbed sleep
- Palpitations
- Headaches
- Fidgeting
- Chest tightness
- Stomach "twisted up in knots"
Performance Anxiety
True or False
1. Individuals with anxiety are more likely to label neutral smells as bad smells.

2. Reframing situations can reduce the intensity of anxiety-inducing experiences.

3. Highly anxious individuals are quick to jump to conclusions about facial expressions.

4. Feelings of anxiety affect individual’s sense of balance.

5. Anxiety disorders are the most common psychiatric disorder in the U.S.

6. The mean age of onset of anxiety is 11 years old.

7. Children with emotionally cold, critical, and doubtful parents are more likely to present symptoms of anxiety than children with parents who do not present these behaviours.

8. Anxiety is caused only by certain brain chemistry.

9. Only one-third of individuals who suffer with anxiety receive treatment.

10. In over 70% of cases of hypertension, diabetes, and arthritis there is an anxiety condition that came first.

1: 54 - 2: 41
Anxiety in the Classroom
How does this make you feel?
Predispositions to experience anxiety or environmental triggers?
There are broadly two "forms" of anxiety - not to be confused with the categorizations of anxiety into social anxiety, separation anxiety, phobias, and so on.

Trait Anxiety: Chronic and pervasive across situations that is not triggered by particular circumstances - generalized anxiety disorders and social anxieties might be categorized as a form of trait anxiety as symptoms are observed across different situations.

State Anxiety: Observed during specific situations and usually has a clear, identifiable (environmental) trigger.
Performance anxiety is a feeling someone might have in a situation where performance really counts or when the pressure's on to do well.

There are different ways that students can experience performance anxiety, for example:

- Test and assignment anxiety
- "Stage-fright"
- Physical activities

A student that experiences performance anxiety is likely to have state anxiety (some individuals might also have trait anxiety).

- Butterflies
- Stomachache
- Tension headache
- Vomiting
- Shaky
- Sweating
- Pounding heart
- Rapid breathing
- Fainting
- Turns into a vicious circle
Why should we be concerned about experiences of anxiety by our students?
Adaptive technologies for students with anxiety
Students can demonstrate their knowledge through, narrative tape, written journals and presenting to close friends.
Teachers can scaffold student learning and provide checklists.
FBA or ABC - Functional Behavioural Assessment
Providing Predictability (Routines)

Performance Anxiety:
Audacity for recording audio performances - e.g., podcasting, music performance.
Video recording themselves to show their performances in areas of the curriculum such as drama, gym, music, etc.
Earplugs - block out other sounds

Separation Anxiety:
Electronic timer to show the student the length of time until reunion with caregiver(s).
Soother - electronic devices such as sound machines
Digital reminder

Agency/Community, Liaisons & Support
RAP - Resoursement Adolescent Program
Child and Youth Mental Health Services
Youth Health Nurse
Assessment strategies
Performance Anxiety: Symptoms
Three Key Factors that Cause Anxiety
Did you observe any students in your placements who showed symptoms of anxiety?
Resource Materials
Caring and Safe Schools in Ontario
The Name Jar
When My Worries Get Too Big
Yoga resources (videos, books, etc.)
I Don't Want To Go To School --> focuses on separation anxiety
Succeed with Math: Guide to Conquering Math Anxiety
Anxiety and Depression Association of America (video resources)
Music (e.g., I Can Relax!, calming music)
Final Thoughts...
How can we ensure our classroom is safe and equitable for students who experience anxiety?
Thanks for listening!!!!!!
Full transcript