Pediatric school phobia

Introduction to pediatric school phobia In general, children may have fears about certain objects or situations, such as darkness, animals, legendary ghosts, death, ascending, lightning, etc., but such fears are mild and short-lived, which is a normal emotional reaction and does not belong to the category of phobia. The fear of general meaning has the biological significance of self-survival protection and is a self-defense mechanism. The phobia is that its degree is disproportionate to external stimuli and does not disappear due to interpretation; or the sick child knows that something is not dangerous, but it produces an unusual fear experience that far exceeds the objective degree of danger, although it is persuaded Can not be eliminated, is morbid. Generally, women tend to be more than men, and girls are more likely to fear darkness, lightning, animals, and insects. Pediatric school phobia refers to children's fear, anxiety and avoidance behavior in the school environment or in school, but in words that are not related to school or non-school environment (such as at home). School phobia has increased in clinics in recent years. basic knowledge Sickness ratio: 0.0001% Susceptible people: children Mode of infection: non-infectious Complications: narcolepsy

Pediatric school phobia cause

(1) Causes of the disease

Children's school phobia is related to the following factors:

1. It is difficult to adapt to returning to school: The child has had a disease, or an accident has occurred. He has been recuperating at home for a few weeks and returned to school. It is difficult to adapt to many aspects.

2. Being laughed at in school and being despised: At home, he is welcomed everywhere, and there is nothing missing, but lack of communication skills in the school leads to ridicule and contempt.

3. Significant changes: The child's personal or family life has undergone major changes, such as: moving to school, suffering from serious illness, or parents, compatriots suffering from serious illness or death.

4. Family issues: Parental divorce, economic problems, remarriage of parents or the arrival of new compatriots lead to unstable family life or depressed atmosphere.

5. Trouble with the school: After the child enters puberty, if there is a refusal to go to school, it may be a serious trouble in the school, often threatened or intimidated, on the way to school or on school. Being threatened by other students, or facing some activities in the school, feeling powerless, demanding too high, even feeling demanding, although the relationship between school phobia and anxiety is greater than the relationship with fear, but caused by threats Fear can increase anxiety.

(two) pathogenesis

School phobia is a mental disorder under a special environment (school). At present, foreign scholars regard school phobia as a common emotional disorder, and believe that the age of onset has three peaks, and is closely related to the cause: 5 to 7 years old As the first peak, it may be related to segregation anxiety; 11 to 12 years old is the second peak, which may be related to factors such as higher school, more homework, increased pressure or change of school to adapt to new environment and difficulties in interpersonal communication; 14 years old The third peak may be related to the characteristic development of juveniles, consciously growing tall, growing up in hands and feet, appearing inflexible, and related to emotional depression.

Pediatric school phobia prevention

Pay attention to children's mental health problems, cultivate good character from childhood, and promptly solve psychological problems. Be careful not to. Being ridiculed at school and being despised at home, he is welcomed everywhere and nothing is missing. However, the lack of communication skills in schools has led to ridicule and contempt. Be aware of major changes in your child's personal or family life, such as moving to school, being seriously ill, or having serious illness or death in your parents or siblings. Parents give greater care.

Pediatric school phobia complications Complications, narcolepsy

Easy to lose appetite, difficulty falling asleep, many nightmares, inattention to class, can appear absenteeism, truancy, autonomic nervous system dysfunction, shortness of breath, chest tightness, palpitation, dizziness, sweating, vomiting, abdominal pain, limbs Cold, diarrhea, frequent urination, urgency, etc. Emotional negative burnout, from the beginning to be allowed to stay at home, the mood immediately calmed down, and later became depressed, lethargy; mental symptoms, such as auditory hallucinations and even depression.

Pediatric school phobia symptoms common symptoms forced phobia depression depressed sleepy children withdrawal behavior anxiety hallucinations fear fear hallucinations children separation anxiety mental disorders

School phobia can occur in children of all levels of IQ, but women are more common. These children participate in school activities and appear to be passively retreating, or fear. On the one hand, they like to stay at home, and on the other hand, they are extremely anxious and uneasy about dropping their homework. Deeply caught in the contradiction, often ask the teacher to agree to leave the classroom, especially to go to the school hospital to see a doctor, often complaining that he is not feeling well, but there is no evidence of physical illness, such children are often accompanied by anxiety, feeling inferior, to themselves Behavior, depression or a tendency to pursue perfection, refuse to go to school, if the child always cries, screams, claims to be ill, and as long as the parents agree to stay at home, these phenomena will vanish, of course, should pay attention .

It will appear in the middle and late stages of the disease:

1 Domestic violence, such as through destruction, attacking parents, self-injury, etc. can not reach the school;

2 Emotional negative burnout, from the beginning to be allowed to stay at home, the mood immediately calmed down, and later became depressed, depressed;

3 mental symptoms, such as auditory hallucinations and even depression.

Pediatric school phobia examination

X-ray chest X-ray, B-ultrasound, etc. may be used when other diseases are excluded.

Diagnostic diagnosis of pediatric school phobia

diagnosis

There are no standardized diagnostic criteria, mainly from symptomatic standards and impaired social function.

1. Symptoms of school phobia

(1) There is a lasting fear, anxiety and avoidance behavior in going to school.

(2) Feeling painful, uncomfortable, crying, speaking or withdrawing from the school environment.

(3) Children have self-awareness about their behavior and show excessive attention.

(4) If you are not in school or not attending school, and are with your family or a familiar person, you will behave normally.

2. Impaired social function: The above symptoms last for more than 1 month (excluding the first month of the first-time scholar); not schizophrenia, extensive developmental disorders, affective disorder, epilepsy, general anxiety, etc. Caused.

Differential diagnosis

School phobias and escaping from school or simply not going to school, there are a few differences, the following list can help us to determine the child's situation, whether it is simply truancy, or school phobia.

1. Absently absent from class.

2. Frequent complaints about stomach aches or headaches as an excuse to stay at home without going to school, but in fact there is no disease.

3. When children don't go to class, they often mix with some bad children.

4. After coming back from school, even if you stay at home, you are anxious.

5. It seems that I don't care about my studies and I am not interested in campus life.

6. A few days of absenteeism, sometimes weeks.

7. I dont feel guilty about my class.

8. Do not go to school, only to be discovered by parents afterwards.

9. In the past, when the child went to school on time, he was a good student.

10. Children are often late when they go to school.

11. Extreme anxiety or panic at school.

If, in contrast to Article 2, Article 4, Article 6, Article 7, Articles 9 and 11, it is found that the child is not a simple truancy problem, but a school phobia occurs. As mentioned above, most of the truancy is such a problem. They dont go to school or stay at home. When they skip school, they may do anti-social things. They take their parents off the school intermittently or Late, and children with school phobias are often good children (or most of them are good children before class), like to stay at home with their parents, and they don't go to school for a long time.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.