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Chapter 20. Generalized Anxiety Disorder, Specific Phobia, Panic Disorder, Social Phobia, and Selective Mutism

Sucheta D. Connolly, M.D.; Liza M. Suárez, Ph.D.
DOI: 10.1176/appi.books.9781585623921.459191

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When providing care to anxious youth, clinicians must distinguish normal, transient, developmentally appropriate worries and fears, as well as responses to the stressors of daily life, from anxiety disorders. Worries and fears are distinct concepts: worry involves anxious apprehension and thoughts focused on the possibility of negative future events, while fear is related to the response to threat or danger that is perceived as actual or impending. Occasional worry is normative in children (Muris et al. 1998). The fears reported by children tend to decline with increasing age and change over time from immediate and tangible concerns to anticipatory and less tangible ones, whereas the content and complexity of worries increase with age and cognitive ability (Craske 1997).

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Sample questions:
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Which of the following childhood-onset disorders has a chronic waxing and waning course and may remit spontaneously in one-third of lifetime cases?
2.
In regard to common biological influences on the development of childhood anxiety, which of the following statements is true?
3.
Which of the following parenting behaviors is associated with higher levels of anxiety in children?
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