Anxiety Management

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Managing Anxiety

Introduction

There are two approaches to managing anxiety. Firstly, you can try to reduce or avoid the situations and contexts that lead to the anxiety. For example, not climbing a tree if you are afraid of heights. Unfortunately, though this may work for certain types of phobias and anxiety creating situations, there are many contexts that are difficult to avoid. For example, if you become anxious having to talk in front of other people this is an essential life skill that needs to be overcome.

The second approach is to manage the symptoms of anxiety. This involves developing self-awareness of how anxiety affects the body and taking proactive actions to remain calm by using exercises and other strategies.

When dealing with very anxious individuals it is often necessary to combine both approaches at least initially. As they become more skilled in self-management of their anxiety symptoms it is then possible to gradually increase exposure to the anxiety creating context. Psychologist often refer to this as systematic desensitisation. For example, a selective mute child may very gradually learn to talk to a partner in class, then quietly to the teacher, later to speak in front of a small group and finally to read out something with the whole class.

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Avoiding contexts that lead to anxiety

In schools, and similar settings, the management of a child with additional needs caused by anxiety requires careful observation and recording of their behaviour. Often behaviour becomes noticed when there is problem such as refusal, avoidance or meltdown. Documenting the whole context and the chronology of events that preceded the issue helps to correctly identify the trigger for the anxiety. This is particularly so for younger children who may not be able to explain this for themselves. Older children and adolescents may also struggle to communicate the cause of their anxiety. This may be more likely to be when there are social or performance anxieties.

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Strategies

Use an ABC behaviour log to record the Antecedent, Behaviour and Consequence. Here the behaviour is the problem behaviour caused by the anxiety. When completing the form staff may not necessarily be aware of the specific anxiety that is triggering the behaviour. The antecedent will ideally record a chronology of events since the child was last calm. The consequence will describe the actions that took place until the child was calm again.

ABC Behaviour Log

ABC Behaviour Log

An example behaviour log for use in understanding the context of the incident.

Collate behaviour logs over time to identify patterns of behaviour and begin to understand the possible triggers to the anxiety.

SORRY THIS PAGE IS STILL UNDER CONSTRUCTION

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