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Chapter 2. Anxiety Disorders in Children and Adolescents

Tami D. Benton, M.D.; Laura E. Sanchez, M.D.
DOI: 10.1176/appi.books.9781585622986.250519

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Children with anxiety disorders show a wide range of symptoms ranging from mild worries to overwhelming distress. The goal of treatment should never be the complete elimination of the subjective symptoms of anxiety in the child. The ability to experience anxiety under appropriate circumstances is adaptive and protective. Thus, appropriate goals for treatment are 1) to diminish the child's anxiety and its associated symptoms to the point that they no longer interfere with the child's functioning in social and academic spheres, the family's functioning, or normal development; 2) to improve the child's and the family's ability to identify and manage unproductive harmful worrying; and 3) to maximize the child's ability to experience anxiety without having to express the anxiety in dysfunctional ways.

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