Please enable JavaScript.
Coggle requires JavaScript to display documents.
Seperation Anxiety disorder (SAD) (What is SAD (Risk factor (Attachment…
Seperation Anxiety disorder (SAD)
What is SAD
onset : before 18
Prevalence :8% ; girl more
Less recognizable in adults
age-inappropriate behaviors /interfere with functioning
Unrealistic,excessive fear of separation from attachment figure
Risk factor
Attachment style
insecure-disorganized attachment
anxious-ambivalent attachment
Parental behavioral: less autonomy ,discourage risk-taking behavior
Family conditions:illness of family members,violence
Parents’ conditions: anxiety disorder; few social supports-> insecure attachment
Genetic hereditability ,parental absence
Comorbidity
PD : highest, GAD, OCD, depression
disruptive behaviour disorder, ADHD
effective assessment
Internal distress:high physiological arousal, somatic symptoms
External distress:refusal to go to school, sleep alone, at home alone
method to diagnose
clinician rating scale
Self-report
Interview
behavioural inhibition ( seperation anxiety test)
--> may serve as attetion-getting function
-->seek a safe person, place ,object to hole on to or ->avoidance
Treatment:CBT :3 phases:
education
goal :know importance of facing their fear
exposure:gradual + factor in anxiety herarchy:
distance from home/ figure
presence of others
duration of time in the situation
relaxation strategies
general info: bodily reaction, behavior/avoidance
Application
feedback, support
parents:contingency management
therapy session+ homework assignment
Imaginal exposure: until the anxiety decreases
Relapse prevention
Emphasizes importance of continued exposure
positive treatment response
Relation to homesickness
homesicknesst
:post-seperation from home attachment( objects, persons)
Anxiety + depression
SAD: seperation from people -->anxiety
SAD subtypes
visitor: fear of being alone at night ( intruder)
misfortune teller: fear of being abandoned ( physical illness)
Follower: fear of being alone in day( physical illness)
time keeper: fear of being abandoned ( parental safety)
Family- based treatment
promotes child autonomy =altering parenting factor
open communication
family CBT
Pharmological treatment :(SSRIs) --> +CBT : more effective
School relectance, refusal
boy = girl, 5-11 yr old
resist to go to school in the morning/ leave at some points
complain a headache, upset stomachache or sore throat
may follow a stressful events
not related to having difficulties with academics
separation in adults
underdiagnosed
Onset: with CSAD: 8.3 and without CSAD: 23.1
CSAD: risk factor for multiple anxiety disorders in adulthood
predict a range of mental disorders in females
highest persistence of any anxiety disorder
Temperamental and personality antecedents
strongly linked with neuroticism
low self- esteem, negative self-representations, less mature
preoccupied insecure attachment style