4. Younger children may “shadow” or follow around the person Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence 7. Sp e c i fi6. Worrying is common and relates to the possibility of harm 5. During middle childhood or adolescence he or she may re- 3. Reluctance or refusal to attend school is especially common 2. Anticipation of separation may result in tantrums, crying, 1. In most cases the child has diffiSymptomatology Symptoms of separation anxiety disorder include the following:8. Depressed mood is frequently present and often precedes the from whom they are afraid to be separated.vidual to whom the child is attached.may have nightmares to this effect.mother, although occasionally the separation reluctance is directed toward the father, siblings, or other significoming to self or to the attachment fiat camp).fuse to sleep away from home (e.g., at a friend’s house or screaming, complaints of physical problems, and clinging behaviors.in adolescence.✈ ✈ ✈ through role modelingEnmeshment of members within a familyOverprotection of the child by the parentsTransfer of parents’ fears and anxieties to the children c phobias may be present.(Subjective and Objective Data) culty separating from the gure. Younger children cant indi-●^49
2506_Ch02_014-053.indd Sec1:49 2506 Ch 02 014 - 053 .indd (Interventions are applicable to various health care settings, such as in-threat. ●health, and private practice.)patient and partial hospitalization, community outpatient clinic, home ing danger and enables the individual to take measures to deal with Anxiety DisorderInterventions for the Client with Separation anticipation of danger. It is an aler ting signal that warns of impend-Common Nursing Diagnoses and or unknown to the individual); a feeling of apprehension caused by panied by an autonomic response (the source is often nonspecifi c SDefie^ c 1 lowing a major stressor. ANXIETY (SEVERE)onset of the anxiety symptoms, which commonly occur fol- nition:: 49 Vague uneasy feeling of discomfort or dread accom- 1 10/1/10 9:33:26 AM 0 / 1 / 10 9 : 33 : 26 AM
