SEPARATION ANXIETY DISORDER
Separation Anxiety Disorder (SAD) is a mental health disorder that usually begins in childhood and is characterized by extreme distress when a child is away from the primary caregiver. Although separate anxiety is a developmentally appropriate phenomenon, the disorder manifests with inappropriate intensity or the inappropriateness of age and context. Children with separation anxiety disorder may become agitated at just the thought of being away from mom or dad, and may complain of sickness to avoid playing with friends or attending school.
Separation anxiety is not seen only in children. It can also be seen in adults. Adults with separation anxiety disorder struggle with situation that takes them away from their loved ones. They may have extreme fear that bad things will happen to important people in their lives such as family members.
What causes Separation Anxiety Disorder (SAD)?
Common causes of separation anxiety disorder in children include: Change in the environment or surroundings such as a new house, school, or day care situation. Stressful situations like switching schools, divorce, or the loss of a loved one including a pet can also trigger separation anxiety disorder. In some cases, separation anxiety disorder may be the manifestation of your own stress and anxiety. Parents and children can feed one another’s anxieties.
Separation anxiety in adults often develops after a loss of a loved one, or following a significant event such as moving to college. An individual may be more likely to develop adult separation anxiety disorder if he/she were diagnosed with separation anxiety disorder as a child. Adults who grew up with overbearing parents may also be at an increased risk.
What are symptoms of Separation Anxiety Disorder (SAD)?
- Individuals with SAD experience recurrent excessive distress when separation from home or major attachment figures is anticipated or occurs.
- People with SAD worry about the well-being or death of attachment figures particularly when separated from them. For example, excessive worry about losing a parent or other loved one to an illness or a disaster.
- People with SAD feel the constant need to know the whereabouts of their attachment figures or loved ones and want to stay in touch with them all the time.
- Individuals with SAD are constantly worried that something bad will happen, such as being lost or kidnapped causing separation from parents or other loved ones.
- Individuals with SAD are reluctant or refuse to go out by themselves because of separation fears. They have persistent and excessive fear or reluctance about being alone or without major attachment figures at home or in other settings.
- Children with SAD may be unable to stay or go in a room by themselves and may display “clinging behavior”, staying close to or “shadowing” the parent around the house, or requiring someone to be with them when going to another room in the house.
- Children with SAD have persistent reluctance or refusal to go to sleep without being near a major attachment figure or to sleep away from home such as refusal to attend camp, to sleep at friends’ homes, or to go on errands. They often have difficulty at bedtime and may insist that someone stay with them until they fall asleep.
- Individuals with SAD may have repeated nightmares in which the content expresses their separation anxiety (e.g., destruction of the family through fire, murder or other catastrophe)
- Physical symptoms (e.g., headaches, abdominal complaints, nausea, vomiting) are common in children when separation from major attachment figures occurs or is anticipated.
- Cardiovascular symptoms such as palpitations, dizziness, and feeling faint are rare in younger children but may occur in adolescents and adults.
How common is Separation Anxiety Disorder (SAD)?
Separation anxiety disorder (SAD) affects approximately 4% – 5% of children in the U.S., aged 7 to 11 years. It is less common in teenagers, affecting about 1.3% of American teens. The 12-month prevalence of separation anxiety disorder among adults in the U.S. is 0.9% – 1.9%. It is the most prevalent anxiety disorder in children younger than 12 years. In clinical examples of children, the disorder is equally common in males and females. In the community, the disorder is more frequent in females.
Myths v/s Facts about Separation Anxiety Disorder (SAD)
Separation anxiety disorder only affects children.
Separation anxiety disorder affects both adults and children.
Individual with separation anxiety need constant attention.
Individuals with separation anxiety disorder often require little attention when around their attachment figure or they express their need for attention in covert ways, such as excessive contact with their attachment figure by social media.
Separation anxiety disorder is always obvious.
Separation anxiety disorder is frequently misdiagnosed or attributed to school or work avoidance.
Separation anxiety is just a phase.
Separation anxiety disorder is a persistent mental health disorder associated with adverse functional impairments.
Separation anxiety isn’t a legitimate disorder.
Separation anxiety disorder is a specific mental health disorder with symptoms and causes that set it apart from other anxiety disorders.
- American Psychiatric Association. Paranoid personality disorder. Diagnostic and Statistical Manual of Mental Disorders. 5th ed.
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